Question 1

A patient tells you that he periodically takes a prescribed medication to relieve arthritis pain.It was prescribed by his health care provider 5 years ago.What is the nurse's most appropriate response?

Accepted Answer

A)  "You should discard any unused portion of a medication by the stated expiration date because some medications lose their potency and others become toxic." 
B)  "You need to ask your health care provider if you should continue taking this medication when you experience arthritic pain." 
C)  "I'll contact your health care provider about your expired medication and ask for a new prescription if she thinks it is appropriate." 
D)  "Have you tried any herbal products for relief of your pain?"

Question 2

Which question is most appropriate to elicit the patient's history of her present illness?

Accepted Answer

A)  What caused you to seek health care today? 
B)  When did you first start experiencing these health problems? 
C)  How has this condition affected your lifestyle? 
D)  Describe the condition you are experiencing from the earliest time that it occurred to the present.

Question 3

After completing the examination of a newly admitted patient,the nurse would document the patient's chief complaint in terms of

Accepted Answer

A)  signs and symptoms. 
B)  associated manifestations. 
C)  the health care provider's own words. 
D)  the nurse's own words.

Question 4

To obtain biographical information about a patient,the nurse would ask

Accepted Answer

A)  "What is the reason for your visit today?" 
B)  "Have you had any operations in the past?" 
C)  "What is your name, address, phone number, date of birth, or other identifying information?" 
D)  On a scale from 1 to 10 with 1 being "poor" and 10 being "ideal," how would you rate your health?"

Question 5

Two days ago a patient fell while jogging and hurt his left foot.Since then his left foot has remained painful.Which of the following chart entries is documented correctly?

Accepted Answer

A)  Mass the size of an egg on the left ankle. 
B)  Pain in left foot appears to be worse today. 
C)  Occasionally takes ibuprofen for pain. 
D)  Left foot with 2+ nonpitting edema.

Question 6

Which of the following is one of the prescription narcotics that is abused?

Accepted Answer

A)  diazepam 
B)  oxycodone 
C)  methylphenidate 
D)  alprazolam

Question 7

Which of the following entries is documented correctly?

Accepted Answer

A)  At 0900 hours, a triple lumen catheter was inserted. 
B)  The catheter is draining appropriately. 
C)  The patient is more comfortable now that the chest tube has been inserted. 
D)  At 0900 hours, Dr.Green inserted a chest tube in the right pleural cavity.

Question 8

The most effective way to assess the quantity of pain is to ask the patient to

Accepted Answer

A)  describe the pain as minor, moderate, or severe. 
B)  classify the pain as small, medium, or large. 
C)  rate the pain on a scale from 0 to 10. 
D)  compare the pain with pain experienced in the past.

Question 9

The type of health history that documents the patient's progress or recovery from illness is ____________________ or ____________________.

Accepted Answer

The answer of The type of health history that documents...

Question 10

The PQRSTU mnemonic is a method to remember the characteristics of the chief complaint.If a patient reported tingling in the left arm,the nurse would document this data under which of the following?

Accepted Answer

A)  P, which includes associated manifestation 
B)  R, for region or radiation. 
C)  S, where all symptoms are listed 
D)  T, for tingling

Question 11

The term that describes negative,harmful stress is ____________________.

Accepted Answer

The answer of The term that describes negative,harmful stress is...

Question 12

In a genogram,a square that is blackened represents a

Accepted Answer

A)  living female. 
B)  living male. 
C)  deceased female. 
D)  deceased male.

Question 13

After interviewing your patient,you document "patient denies hoarseness,change in voice,dysphagia." In which sections of the review of systems is this information recorded?

Accepted Answer

A)  nose and sinuses 
B)  mouth 
C)  throat and neck 
D)  gastrointestinal

Question 14

A patient answers "yes" to the nurse's question,"In the past year,have you been hit,kicked,punched,or hurt in other ways by someone close to you?" What next nursing intervention is most important?

Accepted Answer

A)  Conduct a physical exam to assess for signs/symptoms of suspected violence and abuse. 
B)  Report the suspected violence and abuse to the appropriate state agency. 
C)  Ask the patient if she feels safe in her current environment or situation. 
D)  Document physical findings concisely and accurately.

Question 15

To assess the quality of pain,you would ask the patient

Accepted Answer

A)  "Where are you feeling the pain?" 
B)  "What does this pain feel like?" 
C)  "What does it mean to you to have this pain?" 
D)  "How disabling is this pain?"

Question 16

Your patient is complaining of wheezing and tightness in his chest that started 1 hour ago.Which type of health history is most appropriate in this situation?

Accepted Answer

A)  complete 
B)  emergency 
C)  episodic 
D)  interval or follow-up

Question 17

The American Heart Association Guidelines (2011)suggests that an individual should do how many minutes of moderate exercise each week?

Accepted Answer

A)  30 minutes 
B)  60 minutes 
C)  90 minutes 
D)  150 minutes

Question 18

Obtaining a complete health history typically requires approximately

Accepted Answer

A)  10-15 minutes 
B)  20-30 minutes. 
C)  30-60 minutes. 
D)  90-120 minutes.

Question 19

It is important to assess the educational level of patients primarily to

Accepted Answer

A)  have a complete profile of the patient for your records. 
B)  ascertain the patient's level of understanding of science and health-related concepts. 
C)  determine the patient's ability to comprehend verbal or written instructions about health care. 
D)  decide how much information you should provide.

Question 20

The nurse is preparing to conduct a health history of a newly admitted client.The nurse would hypothesize that which of the following topics would be the most sensitive? Select all that apply.

Accepted Answer

A)  Family history 
B)  Nutritional practices 
C)  Exercise pattern 
D)  Alcohol use 
E)  Drug use
F) Sexual practices

Exam 3: The Complete Health History Including Documentation