Description

Building A Complete Health History

• Which question would be considered a leading question? Selected Answer:
• Which technique is most likely to result in the patient’s understanding of questions?
• Williams, age 25, has recovered recently from an upper and lower respiratory infection. He describes a long-standing nasal dripping. He is seeking treatment for a mild hearing loss that has not gone away. Information concerning his chronic postnasal drip should be documented within which section of his history?
• Which part of the information contained in the patient’s record may be used in court?
• When taking a history, you should:
• Periods of silence during the interview can serve important purposes, such as: Selected Answer:
• During an interview, tears appear in the patient’s eyes and his voice becomes Initially, you should:
• During an interview, you have the impression that a patient may be considering Which action is essential?
• A detailed description of the symptoms related to the chief complaint is presented in the:
• Your patient returns for a blood pressure check 2 weeks after a visit during which you performed a complete history and physical. This visit would be documented by creating a(n):
• In issues surrounding ethical decision making, beneficence refers to the:
• Subjective and symptomatic data are:
• Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first?
• Penicillin is considered a
• When are open-ended questions generally most useful?
• When you are questioning a patient regarding alcohol intake, she tells you that she is only a social drinker. Which initial response is appropriate? \
• During physical examination of a 30-year-old Chinese man, you notice slight asymmetry of his The cranial nerve examination is normal. Your best action is to:
• A brief statement of the reason the patient is seeking health care is called the:
• The term denoting the caregiver’s need to do no harm to the patient is:
• D. complains of a headache. During the history, he mentions his use of alcohol and illicit drugs. This information would most likely belong in the:
• Which section of the comprehensive health history (H&P) does the following information belong to?
• A patient with abdominal pain describes “what” the pain feels like and “how ling” it In which part of the H&P would you place this information?
• Which of the following best describes the patient record?
• The comprehensive health history:
• G. is being seen for her routine physical examination. She is a college graduate and president of a research firm. Although her exact salary is unknown, she has adequate health insurance. Most of the above information is part of Ms. G.’s history.
• The review of systems is a component of the:
• Your patient returns for a blood pressure check 2 weeks after a visit during which you performed a complete history and physical. This visit would be documented by creating a(n):
• Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)?
• George Michaels, a 22-year-old patient, tells the nurse that he is here today to “check his allergies.” He has been having “green nasal discharge” for the last 72 How would the nurse document his reason for seeking care?
• Guideline for history taking is for caregivers to:

Diversity and Health Assessment

• Marks is a 66-year-old patient who presents for a physical examination to the clinic. Which question has the most potential for exploring a patient’s cultural beliefs related to a health problem?
• Kevin Marks is a new healthcare provider. What is the best method to develop cultural competence?
• Which statement is true regarding the relationship of physical characteristics and culture?
• A fixed image of any group that rejects its potential for originality or individuality is known as a(n):
• As you explain your patient’s condition to her husband, you notice that he is leaning toward you and pointedly blinking his Knowing that he is from England, your most appropriate response to this behavior is to:
• Knowledge of the culture or cultures represented by the patient should be used to:
• The consideration of culture and ethnicity during the interview process are important because:
• During an interview, your patient admits to feeling worthless and having a sleep disturbance for the last 3 weeks. These are clues that warrant exploration of
• Abdul is a 40-year-old Middle Eastern man who presents to the office for a first visit with the complaint of new abdominal pain. You are concerned about violating a cultural prohibition when you prepare to do his rectal examination. The best tactic would be to:
• The attitudes of the health care professional:
• L. presents to the clinic with severe groin pain and a history of kidney stones. Mr. L.’s son tells you that, for religious reasons, his father wishes to keep any stone that is passed into the urine filter that he has been using. What is your most appropriate response?

Assessment Tools and Diagnostic Tests in Adults and Children

• A tool used to screen adolescents for Alcoholism?
• You are collecting a history from an 11-year-old girl. Her mother is sitting next to her in the examination When collecting history from older children or adolescents, they should be:
• Raymonds is a 24-year-old patient who has presented for a routine concern over her current weight. In your patient teaching with her, you explain the importance of macronutrients. Which of the following is a macronutrient?
• The adult recommended dietary fat intake should be g/day.
• Which of the following is the most accurate reflection of an individual’s food intake?
• Mills is a 55-year-old patient who presents to the office for an initial visit for health promotion. A survey of mobility and activities of daily living (ADLs) is part of a(an):
• Hartzell is a 34-year-old patient who has presented for nutritional counseling because she is a vegetarian. Deficiency of which of the following is a concern in the vegetarian diet?
• Jones is a 45-year-old patient who presents for a physical examination. On examination, you note costochondral beading, enlarged skull, and bowed legs and diagnose him with rickets. A deficiency of which fat-soluble micronutrient can result in rickets
• In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty acid, is thought to be essential for:
• The infant should be placed in which position to have his or her height or length measured?
• Underestimation of blood pressure will occur if the blood pressure cuff’s width covers:
• When examining the skull of a 4-month-old baby, you should normally find:
• Walters, a 32-year-old patient, tells you that his ears are “stopped up.” An objective assessment of this complaint is achieved by using the:
• Otten is a 45-year-old patient who presents with a complaint of weight gain. Which medication is frequently associated with weight gain?
• Macronutrients are so named because they:
• A 17-year-old girl presents to the clinic for a sports Physical examination findings reveal bradycardia, multiple erosions of tooth enamel, and scars on her knuckles. She appears healthy otherwise. You should ask her if she:
• A college student comes to the student health center complaining of difficulty in concentrating during class and while studying. The diet that would contribute to this problem is one that consumes mostly:
• What finding is unique to the documentation of a physical examination of an infant?
• When communicating with older children and teenagers, you should be sensitive to their:
• Under normal circumstances, how much water is lost daily by the body?
• Webb is a 38-year-old patient who has been changing her lifestyle to eat in a healthy way and lose weight. During your health promotion education regarding her nutritional status, you explain the function of dietary protein as:
• When recording physical findings, which data are recorded first for all systems?
• G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the:
• Which of the following is the most vital nutrient?
• The recommended minimum daily protein requirement for the normal adult is
• What finding is unique to the documentation of a physical examination of an infant?
• A blood pressure cuff bladder should be long enough to:
• Davis is a 27-year-old patient with a BMI of 33. Based on her BMI, your diagnosis would be:
• Your patient is complaining of acute, intense sharp epigastric pain that radiates to the back and left scapula with nausea and Based on this history, your prioritized physical examination should be to:
• Recommended carbohydrate content of total dietary intake (% total calories) is %.

​Assessment of the Skin, Hair and Nails

• Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish:
• Sweat glands, hair, and nails are all formed from
• Britton is a 34-year-old patient who presents to the office with complaints of skin rashes. You have noted a 4′ 3-cm, rough, elevated area of psoriasis. This is an example of a:
• As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include:
• Tuber is a 36-year-old patient who comes into the health center with complaints that her fingernails are not growing. Which structure is the site of new nail growth?
• Which of the following is an “ABCD” characteristic of malignant melanoma?
• Cherry angiomas are a common finding in:
• You have just completed a skin assessment on Mr. Baker. During your assessment, you have transilluminated a skin During the physical examination, you know that skin lesions are transilluminated to distinguish:
• Unusual white areas on the skin may be due to
• Tangential lighting is best used for inspecting skin:
• Expected hair distribution changes in older adults include:
• Brittle nails are typical findings in:
• You are examining a pregnant patient and have noted a vascular lesion. When you blanche over the vascular lesion, the site blanches and refills evenly from the center The nurse documents this lesion as a:
• A flat, nonpalpable lesion is described as a macule if the diameter is:
• Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin is best conducted:

Assessment of Head, Neck, Eyes, Ears, Nose, and Throat

• White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are:
• Bulging of an amber tympanic membrane without mobility is most often associated with:
• Which is the best way to position a patient’s neck for palpation of the thyroid? Selected Answer:
• in examining the neck of a 34-year-old female patient, you note that the uppermost ridge of the tracheal cartilage is at the:
• You are palpating a patient’s thyroid and find that its broadest dimension measures 4 The right lobe is 25% larger than the left. These data would indicate:
• You are using an ophthalmoscope to examine a patient’s inner You rotate the lens selector clockwise, then counterclockwise to compensate for:
• Placing the base of a vibrating tuning fork on the midline vertex of the patient’s head is a test for:
• Fluorescing lesions are best distinguished using a(n):
• Nuchal rigidity is most commonly associated with:
• Johnson presents with a freely movable cystic mass in the midline of the high neck region at the base of the tongue. This is most likely a:
• Kinder is a 39-year-old patient who presents to the office with complaints of an earache. In explaining to the patient about the function of her ears, which ear structure would you tell her is responsible for equalizing atmospheric pressure when swallowing, sneezing, or yawning?
• Regardless of the origin, discharge is described by noting:
• Britton brings her 16-year-old son in with a complaint that he is not developing correctly into adolescence. Which structures disproportionately enlarge in the male during adolescence?
• Nasal symptoms that imply an allergic response include:
• Coarse, dry, and brittle hair is associated with which metabolic disorder?
• Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure:
• To perform the Rinne test, place the tuning fork on the:
• A 5-year-old child presents with nasal congestion and a To assess for sinus tenderness you should palpate over the:
• To approximate vocal frequencies, which tuning fork should be used to assess hearing?
• Which of the following is an expected change in the assessment of the thyroid during pregnancy?
• Black is a 44-year-old patient who presents to the clinic with complaints of neck pain that he thinks is from his job involving computer data entry. As the examiner, you are checking the range of motion in his neck and note the greatest degree of cervical mobility is at:
• Mathews is a 40-year-old patient who presented for a routine physical examination. On examination, you have noted a bruit heard over the thyroid. This is suggestive of
• You are using an ophthalmoscope to examine a patient’s inner You rotate the lens selector clockwise, then counterclockwise to compensate for:
• Tracheal tug suggests the presence of a(n):
• When hearing is evaluated, which cranial nerve is being tested?
• Which type of speculum should be used to examine a patient’s tympanic membrane?
• Akins is a 78-year-old patient who presents to the clinic with complaints of hearing loss. Which of the following are changes in hearing that occur in the elderly? Select all that apply.
• Spasmodic muscular contractions of the head, face, or neck are called:
• Which cranial nerves innervate the face?
• and Mrs. Johnson have presented to the office with their infant son with complaints of ear drainage. When examining an infant’s middle ear, the nurse should use one hand to stabilize the otoscope against the head while using the other hand to:
• The most common form of birth trauma of the scalp is:

Assessment of the Abdomen and Gastrointestinal System

• Berger is a 39-year-old woman who presents with a complaint of epigastric abdominal pain. You have completed the inspection of the abdomen. What is your next step in the assessment process?
• The most superior part of the stomach is the:
• Before performing an abdominal examination, the examiner should:
• When palpating the abdomen, you should note whether the liver is enlarged in the:
• Your patient is complaining of acute, intense sharp epigastric pain that radiates to the back and left scapula with nausea and Based on this history, your prioritized physical examination should be to:
• A 51-year-old woman calls with complaints of weight loss and She reports enlarged hemorrhoids and rectal bleeding. You advise her to:
• When assessing abdominal pain in a college-age woman, one must include:
• During percussion, a dull tone is expected to be heard over:
• To correctly document absent bowel sounds, one must listen continuously for:
• You are planning to palpate the abdomen of your Which part of the examiner’s hand is best for palpating vibration?
• Peritonitis produces bowel sounds that are:
• Auscultation should be carried out last, except when examining the:
• Which of the following organs is part of the alimentary tract?
• A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the:
• Inspection of the abdomen should begin with the patient supine and the examiner:
• Peritonitis produces bowel sounds that are:
• You are completing a general physical examination on Rock, a 39-year-old man with complaints of constipation. When examining a patient with tense abdominal musculature, a helpful technique is to have the patient:
• Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the:
• Your patient presents with symptoms that lead you to suspect acute Which assessment finding is least likely to be associated with this condition early in its course?