NSG6020 MIDTERM EXAM NEWEST VERSION !!!2024-2025 ACTUAL
COMPLETE EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS ) A GRADE.
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: -
