1.) During a pt interview, a NP maintains steady eye contact, leans slightly
forward, and nods occasionally while the pt describes their symptoms. The
NP responds with, “That must have been a very stressful experience for
you.” Which communication techniques are demonstrated in this
interaction?
a. Transitioning and reassurance
b. Partnering and empowerment
c. Guided questioning and summarizing
d. Nonverbal communication and validation
2.) The NP is documenting the history of present illness (HPI) for a patient
who presents with a chief complaint of persistent cough for 2 weeks. Which
of the following HPI statements is most complete and correctly structured?
a. “Patient states they have had a bad cough for a while now. No other
issues reported.”
b. “Cough present, with no other symptoms reported by the patient”
c. “Patient presents with a cough”
d. “Patient presents with a 2-week history of a dry, non-productive cough”
3.) A pt presents to the clinic with complaints of stomach cramps and
dizziness. The NP finds tenderness during palpation of the RUQ and a
pale complexion. Which of the following correctly differentiates
subjective from objective data in this scenario?
a. All findings are objective data
b. All findings are subjective data
c. Stomach cramps and dizziness are subjective data, while RUQ
pain and pale complexion are objective data
d. Stomach cramps, dizziness, and paleness are subjective data,
and RUQ pain is objective data.
4.) A NP is conducting an initial assessment with a pt who remains silent after
being asked about their symptoms. The NP waits for a moment before gently
saying, “You seem very quiet today. Is there something on your mind, or are
you feeling okay discussing this?” Which of the following BEST describes
the rationale behind this approach?
a. Acknowledging the client’s silence and inviting them to share their
thoughts, fosters trust and encourages communication
b. Silent clients often refuse to engage in conversation and should be
referred to a mental health provider
c. Silent clients often need to be directly prompted with a series of
specific questions to encourage participation
d. Silence during a clinical encounter should be minimized by quickly
redirecting the patient to another topic
5.) The NP is conducting an assessment on a 45-year-old female patient who
reports experiencing lower back pain and fatigue for the past week. The pt’s