The following information is recorded in the health history: "Patient denies chest pain, palpitations, orthopnea, and paroxysmal nocturnal dyspnea." Which category would include this information?
Chief Complaint/Concern
Past Medical History
Social History
Review of Systems
The Correct Answer is D
A. Chief Complaint/Concern is incorrect because this section is reserved for the primary reason the patient is seeking care, typically expressed in their own words. For example, a patient may report, “I have chest discomfort” or “I am having difficulty breathing.” The statement provided lists denied symptoms, not the patient’s presenting complaint, so it does not belong under chief complaint.
B. Past Medical History is incorrect because this section documents the patient’s previous medical diagnoses, chronic illnesses, hospitalizations, surgeries, and ongoing treatments. The provided information does not describe past illnesses or interventions but rather current symptom assessment, making it unrelated to past medical history.
C. Social History is incorrect because it includes details about lifestyle factors, habits, occupational exposures, living situation, and social support systems. Examples include tobacco or alcohol use, exercise routines, employment, and household composition. Symptom denial or presence is not part of social history.
D. Review of Systems (ROS) is correct because it is a systematic inventory of patient-reported symptoms organized by body system. The APRN or clinician asks about symptoms such as chest pain, palpitations, shortness of breath, orthopnea, and paroxysmal nocturnal dyspnea, and the patient’s denials are documented to indicate the absence of these symptoms. ROS allows the healthcare provider to identify both present and absent symptoms, providing a comprehensive overview of the patient’s health status and highlighting areas that may need further evaluation or monitoring.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Beefy-red uvula is correct because streptococcal infection causes inflammation of the oropharynx, leading to erythema of the tonsils and uvula. This is a common finding in bacterial pharyngitis and supports the suspicion of strep throat.
B. White or yellow exudates on the tonsils is correct because streptococcal tonsillitis often produces purulent exudates, which appear as white or yellow patches on the tonsillar surface. This differentiates bacterial pharyngitis from viral infections, which usually cause less prominent exudate.
C. Palatal petechiae is correct because tiny red spots on the soft or hard palate are a classic sign of streptococcal pharyngitis, particularly Group A Streptococcus. These petechiae result from capillary hemorrhage due to inflammation.
D. Asymmetric protrusion of one tonsil is incorrect because asymmetry suggests peritonsillar abscess or another localized mass, not uncomplicated streptococcal tonsillitis. Classic strep infections usually produce bilateral, symmetric tonsillar enlargement.
Correct Answer is D
Explanation
A. Atherosclerosis is incorrect because it is a common cause of carotid bruits. Plaque buildup in the carotid arteries leads to turbulent blood flow, which produces the characteristic whooshing sound heard during auscultation.
B. Carotid artery stenosis is incorrect because it directly causes narrowing of the carotid artery, resulting in turbulent blood flow and an audible bruit. This is one of the most classic causes of a carotid bruit.
C. Aortic stenosis is incorrect because although it is a valvular heart condition, it can produce a systolic murmur that radiates to the carotid arteries, which may be mistaken for or contribute to a carotid bruit on auscultation.
D. Tricuspid valve regurgitation is correct because it is least likely to cause a carotid bruit. This condition involves the right side of the heart and produces a holosystolic murmur best heard at the left lower sternal border, without radiation to the carotid arteries. It does not create turbulent flow in the carotid vessels.
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