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NSG6020 Midterm Exam | NSG 6020 Exam Latest 2024 Questions and Correct Answers Rated A+
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NSG6020 Midterm Exam | NSG 6020 Exam Latest 2024 Questions and Correct Answers Rated A+
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NSG6020 Midterm Exam 2024-2025 | NSG6020 Exam Latest 2024 Questions and
Correct Answers Rated A+
For which of the following patients would a comprehensive health history
be appropriate -ANSWER-a new patient with the chief complaint of "I am
here to establish care"
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. -ANSWER-subjective
Is the following information subjective or objective. Mr. M has a respiratory
rate of 32 and pulse rate of 120 -ANSWER-objective
The following information is recorded in the health history: "Patient denies
chest pain, palpitations, orthopnea and paroxysmal nocturnal dyspnea -
ANSWER-Review of systems
A patient presents for evaluation of a sharp, aching chest pain which
increases with breathing. Which anatomic area would you localize the
symptom to -ANSWER-Musculoskeletal
A 22 year old advertising copywriter presents for evaluation of joint pain.
The pain is new, located in the wrists and fingers bilaterally, with some
subjective fever. The patient denies a rash; she also denies recent travel or
camping activities. She has a family history significant for rheumatoid
arthritis. Based on this information, which of the following pathological
processes would be most correct -ANSWER-Inflammatory
A 15 year old high school sophomore comes to the clinic for evaluation of a
3 week history of sneezing; itch, watery eyes; clear nasal discharge; ear
,pain; and nonproductive cough. Which is most likely pathological process -
ANSWER-allergic
You are seeing an elderly man with multiple complaints. He has chronic
arthritis, pain from an old war injury, and headaches. Today he complains
of these pains, as well as dull chest pain under his sternum. What would
the order of priority be for your problem list? -ANSWER-Chest pain,
headaches, arthritis, war injury pain
Suzanne, a 25 year old, comes to your clinic to establish care. You are the
student preparing to go into the examination room to interview her. Which
of the following is the most logical sequence for the patient-provider
interview? -ANSWER-Greet the patient, establish rapport, invite the
patient's story, establish the agenda, expand and clarify the patient's story,
and negotiate a plan.
Alexandra is a 28-year-old editor who presents to the clinic with abdominal
pain. The pain is a dull ache, located in the right upper quadrant, that she
rates as a 3 at the least and an 8 at the worst. The pain started a few
weeks ago, it lasts for 2 to 3 hours at a time, it comes and goes, and it
seems to be worse a couple of hours after eating. She has noticed that it
starts after eating greasy foods, so she has cut down on these as much as
she can. Initially it occurred once a week, but now it is occurring every
other day. Nothing makes it better. From this description, which of the
seven attributes of a symptom has been omitted? -ANSWER-Associated
manifestations
A 23-year-old graduate student comes to your clinic for evaluation of a
urethral discharge. As the provider, you need to get a sexual history. Which
one of the following questions is inappropriate for eliciting the information? -
ANSWER-Are you sexually active?
On a very busy day in the office, Mrs. Donelan, who is 81 years old, comes
for her usual visit for her blood pressure. She is on a low-dose diuretic
chronically and denies any side effects. Her blood pressure is 118/78
,today, which is well-controlled. As you are writing her script, she mentions
that it is hard not having her husband Bill around anymore. What would you
do next? -ANSWER-Ask why Bill is not there.
When you enter your patient's examination room, his wife is waiting there
with him. Which of the following is most appropriate? -ANSWER-Ask if it's
okay to carry out the visit with both people in the room.
You are performing a young woman's first pelvic examination. You make
sure to tell her verbally what is coming next and what to expect. Then you
carry out each maneuver of the examination. You let her know at the outset
that if she needs a break or wants to stop, this is possible. You ask several
times during the examination, "How are you doing, Brittney?" What are you
accomplishing with these techniques? -ANSWER-All of the above
A 15-year-old high school sophomore and her mother come to your clinic
because the mother is concerned about her daughter's weight. You
measure her daughter's height and weight and obtain a BMI of 19.5 kg/m2.
Based on this information, which of the following is appropriate? -
ANSWER-Reassure the mother that this is a normal body weight.
A 25-year-old radio announcer comes to the clinic for an annual
examination. His BMI is 26.0 kg/m2. He is concerned about his weight.
Based on this information, what is appropriate counsel for the patient
during the visit? -ANSWER-Give the patient information about reduction of
fat, cholesterol, and calories because he is overweight
Common or concerning symptoms to inquire about in the General Survey
and vital signs include all of the following except: -ANSWER-cough
You are beginning the examination of a patient. All of the following areas
are important to observe as part of the General Survey except: -ANSWER-
blood pressure
, Mrs. Lenzo weighs herself every day with a very accurate balance-type
scale. She has noticed that over the past 2 days she has gained 4 pounds.
How would you best explain this? -ANSWER-Attribute this to body fluid.
You are seeing an older patient who has not had medical care for many
years. Her vital signs taken by your office staff are: T 37.2, HR 78, BP
118/92, and RR 14, and she denies pain. You notice that she has some
hypertensive changes in her retinas and you find mild proteinuria on a urine
test in your office. You expected the BP to be higher. She is not on any
medications. What do you think is causing this BP reading, which doesn't
correlate with the other findings? -ANSWER-It is caused by an
"auscultatory gap."
Mr. Garcia comes to your office for a rash on his chest associated with a
burning pain. Even a light touch causes this burning sensation to worsen.
On examination, you note a rash with small blisters (vesicles) on a
background of reddened skin. The rash overlies an entire rib on his right
side. What type of pain is this? -ANSWER-Neuropathic pain
A mother brings her 11 month old to you because her mother-in-law and
others have told her that her baby is jaundiced. She is eating and growing
well and performing the developmental milestones she should for her age.
On examination you indeed notice a yellow tone to her skin from head to
toe. Her sclerae are white. To which area should your next questions be
related? -ANSWER-diet
You are examining an unconscious patient from another region and notice
Beau's lines, a transverse groove across all of her nails, about 1 cm from
the proximal nail fold. What would you do next? -ANSWER-look for
information from family and records regarding any problems which
occurred 3 months ago
Which of the following is a symptom involving the eye? -ANSWER-
scotomas
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