NSG 6020 MIDTERM EXAM
QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTION
1. For which of the following patients would a comprehensive health history
be
appropriate?
A) A new patient with the chief complaint of “I sprained my ankle”
B) An established patient with the chief complaint of “I have an upper
respiratory
infection”
C) A new patient with the chief complaint of “I am here to establish care”
D) A new patient with the chief complaint of “I cut my hand”
Ans: C
Feedback:
This patient is here to establish care, and because she is new to you, a
comprehensive
health history is appropriate.
2. The components of the health history include all of the following except
which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
Ans: B
Feedback:
mailto:https://www.stuvia.com/user/Wisdoms
, The thorax and lungs are part of the physical examination, not part of the
health
history. The others answers are all part of a complete health history.
3. Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it
is worse with activity and relieved by rest.
A) Subjective
B) Objective
Ans: A
Feedback:
This is information given by the patient about the circumstances of his
chief
complaint. It does not represent an objective observation by the examiner.
4. Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
B) Objective
Ans: B
Feedback:
mailto:https://www.stuvia.com/user/Wisdoms
, This is a measurement obtained by the examiner, so it is considered
objective data.
The patient is unlikely to be able to give this information to the examiner.
5. The following information is recorded in the health history: “The
patient has had abdominal pain for 1 week. The pain lasts for 30
minutes at a time; it comes and goes. The severity is 7 to 9 on a scale
of 1 to 10. It is accompanied by nausea and vomiting. It is located in
the mid-epigastric area.”
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: B
Feedback:
This information describes the problem of abdominal pain, which is the
present illness. The interviewer has obtained the location, timing,
severity, and associated manifestations of the pain. The interviewer will
still need to obtain information concerning the quality of the pain, the
setting in which it occurred, and the factors that aggravate and alleviate
the pain. You will notice that it does include portions of the pertinent
review of systems, but because it relates directly to the complaint, it is
included in the history of present illness.
mailto:https://www.stuvia.com/user/Wisdoms
, 6. The following information is recorded in the health history: “The patient
completed 8th grade. He currently lives with his wife and two children.
He works on old cars on the weekend. He works in a glass factory during
the week.”
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: C
Feedback:
Personal and social history information includes educational level, family
of origin, current household status, personal interests, employment,
religious beliefs, military history, and lifestyle (including diet and
exercise habits; use of alcohol, tobacco, and/ or drugs; and sexual
preferences and history). All of this information is documented
in this example.
7. The following information is recorded in the health history: “I feel really
tired.”
Which category does it belong to?
mailto:https://www.stuvia.com/user/Wisdoms
QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTION
1. For which of the following patients would a comprehensive health history
be
appropriate?
A) A new patient with the chief complaint of “I sprained my ankle”
B) An established patient with the chief complaint of “I have an upper
respiratory
infection”
C) A new patient with the chief complaint of “I am here to establish care”
D) A new patient with the chief complaint of “I cut my hand”
Ans: C
Feedback:
This patient is here to establish care, and because she is new to you, a
comprehensive
health history is appropriate.
2. The components of the health history include all of the following except
which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
Ans: B
Feedback:
mailto:https://www.stuvia.com/user/Wisdoms
, The thorax and lungs are part of the physical examination, not part of the
health
history. The others answers are all part of a complete health history.
3. Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it
is worse with activity and relieved by rest.
A) Subjective
B) Objective
Ans: A
Feedback:
This is information given by the patient about the circumstances of his
chief
complaint. It does not represent an objective observation by the examiner.
4. Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
B) Objective
Ans: B
Feedback:
mailto:https://www.stuvia.com/user/Wisdoms
, This is a measurement obtained by the examiner, so it is considered
objective data.
The patient is unlikely to be able to give this information to the examiner.
5. The following information is recorded in the health history: “The
patient has had abdominal pain for 1 week. The pain lasts for 30
minutes at a time; it comes and goes. The severity is 7 to 9 on a scale
of 1 to 10. It is accompanied by nausea and vomiting. It is located in
the mid-epigastric area.”
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: B
Feedback:
This information describes the problem of abdominal pain, which is the
present illness. The interviewer has obtained the location, timing,
severity, and associated manifestations of the pain. The interviewer will
still need to obtain information concerning the quality of the pain, the
setting in which it occurred, and the factors that aggravate and alleviate
the pain. You will notice that it does include portions of the pertinent
review of systems, but because it relates directly to the complaint, it is
included in the history of present illness.
mailto:https://www.stuvia.com/user/Wisdoms
, 6. The following information is recorded in the health history: “The patient
completed 8th grade. He currently lives with his wife and two children.
He works on old cars on the weekend. He works in a glass factory during
the week.”
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: C
Feedback:
Personal and social history information includes educational level, family
of origin, current household status, personal interests, employment,
religious beliefs, military history, and lifestyle (including diet and
exercise habits; use of alcohol, tobacco, and/ or drugs; and sexual
preferences and history). All of this information is documented
in this example.
7. The following information is recorded in the health history: “I feel really
tired.”
Which category does it belong to?
mailto:https://www.stuvia.com/user/Wisdoms
