ACTUAL EXAM 2026/2027 | Health
Assessment Nursing | Verified Q&A | Pass
Guaranteed - A+ Graded
Section 1: Health History & Interview Techniques (10 Questions)
Q1: A nurse is obtaining a health history from a patient who speaks limited English. Which action
demonstrates cultural competence?
A. Speak loudly in English to ensure understanding
B. Use a professional medical interpreter and avoid family members when possible. [CORRECT]
C. Ask the patient to bring a friend to translate
D. Skip the history and proceed to physical examination
Correct Answer: B
Rationale: Professional medical interpreters ensure accurate communication and protect
confidentiality. Family members may filter information or have conflicts of interest; speaking loudly does
not overcome language barriers.
Q2: When obtaining the history of present illness (HPI), which mnemonic guides comprehensive data
collection?
A. ABCDE
B. OLDCARTS (Onset, Location, Duration, Characteristics, Aggravating/Alleviating factors, Related
symptoms, Treatment, Severity). [CORRECT]
C. SMART
D. SOAP
Correct Answer: B
Rationale: OLDCARTS provides a systematic framework for HPI documentation, ensuring all essential
elements of symptom analysis are captured for accurate clinical reasoning and communication.
,Q3: A patient describes chest pain as "crushing" and rates it 8/10. This is an example of:
A. Objective data
B. Subjective data. [CORRECT]
C. Sign
D. Inspection finding
Correct Answer: B
Rationale: Pain description and rating are subjective data—information perceived and reported by the
patient. Objective data are observable and measurable findings detected by the nurse.
Q4: Which technique is most effective for building rapport during the initial health history interview?
A. Asking closed-ended questions exclusively
B. Active listening with open-ended questions and appropriate eye contact. [CORRECT]
C. Focusing immediately on medical problems
D. Maintaining a hurried pace to save time
Correct Answer: B
Rationale: Active listening and open-ended questions encourage patient narrative, establish trust, and
yield comprehensive information. Rapport-building enhances data accuracy and patient satisfaction.
Q5: A patient states they use herbal supplements but did not include them in the medication list. Which
response by the nurse is appropriate?
A. Disregard herbal supplements as unimportant
B. Document all supplements and ask about reasons for use, potential interactions, and provider
knowledge. [CORRECT]
C. Advise immediate discontinuation of all supplements
D. Assume supplements are safe because they are natural
Correct Answer: B
Rationale: Herbal supplements can interact with medications and affect health conditions. Complete
documentation and assessment of supplement use, including patient rationale and provider awareness,
ensures safe care planning.
, Q6: Which component of the health history includes information about the patient's occupation,
education, and living situation?
A. Past medical history
B. Family history
C. Social history. [CORRECT]
D. Review of systems
Correct Answer: C
Rationale: Social history documents occupational exposures, educational background, living
environment, substance use, and support systems. These factors significantly influence health risks and
patient resources.
Q7: A nurse is assessing a patient's pain using the PQRST mnemonic. The "S" represents:
A. Severity. [CORRECT]
B. Site
C. Symptoms
D. Surgery
Correct Answer: A
Rationale: PQRST stands for Provocation/Palliation, Quality, Region/Radiation, Severity, and Timing.
Severity is typically rated on a 0-10 scale or using visual analog scales for consistent pain measurement.
Q8: Which question is most appropriate to assess a patient's health literacy?
A. "What is your highest level of education?"
B. "How confident are you filling out medical forms by yourself?" [CORRECT]
C. "Can you read and write?"
D. "Did you graduate from high school?"
Correct Answer: B
Rationale: Health literacy assessment requires evaluating functional ability to obtain, process, and
understand health information. Direct questions about confidence with health tasks assess actual
capability better than educational attainment.
Q9: During a review of systems, a patient mentions occasional headaches. Which follow-up question is
most appropriate?