NR 302 Health Assessment I: Exam 1 MASTERY
SIMULATION | Complete Practice & Preparation
System | 500+ Clinical Scenarios & Skills
Validation | 2026/2027 Edition
Chamberlain University | 2026/2027 Academic Year
Practice Instructions:
This practice simulation contains 65 questions reflecting the scope, style, and
standards of the 2026/2027 NR 302 Exam 1. Use it to assess your readiness. For each
item, select the single best nursing action or interpretation. Review rationales
thoroughly for learning.
1. A 28-year-old woman arrives for an annual wellness visit. The nurse begins the
health history. Which action should the nurse take first?
A) Ask the patient to state her chief complaint.
B) Introduce self and explain the purpose and process of the interview.
C) Begin with demographic data entry.
D) Request the patient fill out a symptom checklist immediately.
Rationale: B is correct. The 2026 ANA Health Assessment Standard requires
establishing rapport and trust before data collection. Introducing self and clarifying
purpose reduces anxiety and sets a collaborative tone. Option A skips rapport-building.
Option C is clerical and impersonal. Option D delegates history-taking prematurely and
may overlook verbal cues.
2. A 45-year-old Spanish-speaking man is accompanied by his teenage daughter.
He speaks limited English. Which communication approach is most appropriate?
, A) Conduct the interview in English with occasional Spanish greetings.
B) Use a qualified medical interpreter and maintain eye contact with the patient.
C) Allow the daughter to interpret medical questions.
D) Speak slowly and loudly in English.
Rationale: B is correct. The 2026 Joint Commission National Standards for Culturally
and Linguistically Appropriate Services (CLAS) mandate qualified interpreters to ensure
accuracy and confidentiality. Eye contact respects patient dignity. Option A risks
miscommunication. Option C violates confidentiality and may introduce bias. Option D
is ineffective and culturally insensitive.
3. A 19-year-old college student says, “I’ve been feeling really down lately.” Which
response best demonstrates therapeutic communication?
A) “You’re probably just stressed about exams.”
B) “Can you tell me more about what ‘down’ feels like for you?”
C) “Everyone feels that way sometimes.”
D) “Have you seen a counselor yet?”
Rationale: B is correct. Therapeutic communication seeks clarification and encourages
the patient to describe experiences, aligning with 2026 APA guidelines for mental health
screening. Option A offers premature reassurance. Option C minimizes feelings. Option
D jumps to intervention before assessment.
4. A 55-year-old woman is asked about alcohol use. She hesitates and says, “I drink
socially.” Which follow-up question best applies motivational interviewing?
A) “How many drinks per week is that?”
B) “Would you like information on quitting?”
C) “On occasions when you drink, how many drinks do you typically have?”
D) “Do you think your drinking is excessive?”
Rationale: C is correct. Motivational interviewing (2026 update) uses open-ended,
non-judgmental questions to quantify behavior. Option A is closed. Option B presumes a
problem. Option D is confrontational and may elicit defensiveness.
, 5. A 32-year-old man refuses to answer questions about sexual history. Which
ethical principle guides the nurse’s next action?
A) Beneficence—continue questioning for his own good.
B) Autonomy—respect his right to decline [CORRECT]
C) Justice—ask all patients the same questions.
D) Fidelity—promise confidentiality to obtain answers.
Rationale: B is correct. Autonomy respects the patient’s right to control information
shared (ANA Code of Ethics, 2026). Continuing (A) violates autonomy. Justice (C) does
not override autonomy. Fidelity (D) cannot coerce consent.
6. A nurse documents, “Patient is non-compliant with medication.” Which revision
best meets 2026 documentation standards?
A) “Patient refuses medication.”
B) “Patient is stubborn about pills.”
C) “Patient states, ‘I stopped taking metformin because it upsets my stomach.’”
D) “Patient needs education on compliance.”
Rationale: C is correct. Person-first, non-judgmental language quoting the patient’s
reason is required (2026 Joint Commission documentation standards). “Non-compliant”
(original) is stigmatizing. Option A lacks reason. Option B is subjective. Option D is
premature.
7. A 40-year-old woman reads at a 6th-grade level. The nurse gives her a discharge
instruction sheet written at college level. Which health literacy strategy is
missing?
A) Teach-back method [CORRECT]
B) Use of medical jargon
C) Written instructions only
D) Asking, “Do you understand?”
Rationale: A is correct. Teach-back asks patients to explain instructions in their own
words, aligning with 2026 AHRQ Health Literacy Universal Precautions. Jargon (B)
impedes understanding. Written-only (C) ignores comprehension. “Do you understand?”
(D) invites yes/no without verification.
SIMULATION | Complete Practice & Preparation
System | 500+ Clinical Scenarios & Skills
Validation | 2026/2027 Edition
Chamberlain University | 2026/2027 Academic Year
Practice Instructions:
This practice simulation contains 65 questions reflecting the scope, style, and
standards of the 2026/2027 NR 302 Exam 1. Use it to assess your readiness. For each
item, select the single best nursing action or interpretation. Review rationales
thoroughly for learning.
1. A 28-year-old woman arrives for an annual wellness visit. The nurse begins the
health history. Which action should the nurse take first?
A) Ask the patient to state her chief complaint.
B) Introduce self and explain the purpose and process of the interview.
C) Begin with demographic data entry.
D) Request the patient fill out a symptom checklist immediately.
Rationale: B is correct. The 2026 ANA Health Assessment Standard requires
establishing rapport and trust before data collection. Introducing self and clarifying
purpose reduces anxiety and sets a collaborative tone. Option A skips rapport-building.
Option C is clerical and impersonal. Option D delegates history-taking prematurely and
may overlook verbal cues.
2. A 45-year-old Spanish-speaking man is accompanied by his teenage daughter.
He speaks limited English. Which communication approach is most appropriate?
, A) Conduct the interview in English with occasional Spanish greetings.
B) Use a qualified medical interpreter and maintain eye contact with the patient.
C) Allow the daughter to interpret medical questions.
D) Speak slowly and loudly in English.
Rationale: B is correct. The 2026 Joint Commission National Standards for Culturally
and Linguistically Appropriate Services (CLAS) mandate qualified interpreters to ensure
accuracy and confidentiality. Eye contact respects patient dignity. Option A risks
miscommunication. Option C violates confidentiality and may introduce bias. Option D
is ineffective and culturally insensitive.
3. A 19-year-old college student says, “I’ve been feeling really down lately.” Which
response best demonstrates therapeutic communication?
A) “You’re probably just stressed about exams.”
B) “Can you tell me more about what ‘down’ feels like for you?”
C) “Everyone feels that way sometimes.”
D) “Have you seen a counselor yet?”
Rationale: B is correct. Therapeutic communication seeks clarification and encourages
the patient to describe experiences, aligning with 2026 APA guidelines for mental health
screening. Option A offers premature reassurance. Option C minimizes feelings. Option
D jumps to intervention before assessment.
4. A 55-year-old woman is asked about alcohol use. She hesitates and says, “I drink
socially.” Which follow-up question best applies motivational interviewing?
A) “How many drinks per week is that?”
B) “Would you like information on quitting?”
C) “On occasions when you drink, how many drinks do you typically have?”
D) “Do you think your drinking is excessive?”
Rationale: C is correct. Motivational interviewing (2026 update) uses open-ended,
non-judgmental questions to quantify behavior. Option A is closed. Option B presumes a
problem. Option D is confrontational and may elicit defensiveness.
, 5. A 32-year-old man refuses to answer questions about sexual history. Which
ethical principle guides the nurse’s next action?
A) Beneficence—continue questioning for his own good.
B) Autonomy—respect his right to decline [CORRECT]
C) Justice—ask all patients the same questions.
D) Fidelity—promise confidentiality to obtain answers.
Rationale: B is correct. Autonomy respects the patient’s right to control information
shared (ANA Code of Ethics, 2026). Continuing (A) violates autonomy. Justice (C) does
not override autonomy. Fidelity (D) cannot coerce consent.
6. A nurse documents, “Patient is non-compliant with medication.” Which revision
best meets 2026 documentation standards?
A) “Patient refuses medication.”
B) “Patient is stubborn about pills.”
C) “Patient states, ‘I stopped taking metformin because it upsets my stomach.’”
D) “Patient needs education on compliance.”
Rationale: C is correct. Person-first, non-judgmental language quoting the patient’s
reason is required (2026 Joint Commission documentation standards). “Non-compliant”
(original) is stigmatizing. Option A lacks reason. Option B is subjective. Option D is
premature.
7. A 40-year-old woman reads at a 6th-grade level. The nurse gives her a discharge
instruction sheet written at college level. Which health literacy strategy is
missing?
A) Teach-back method [CORRECT]
B) Use of medical jargon
C) Written instructions only
D) Asking, “Do you understand?”
Rationale: A is correct. Teach-back asks patients to explain instructions in their own
words, aligning with 2026 AHRQ Health Literacy Universal Precautions. Jargon (B)
impedes understanding. Written-only (C) ignores comprehension. “Do you understand?”
(D) invites yes/no without verification.
