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 BP is 138/86 mmHg and
the pt ambulates with a slight limp. Which of the following statements correctly classifies the
assessment findings?
a. All findings in tis assessment are subjective data
b. BP and lower back pain are both examples of objective data
c. Lower back pain and fatigue are objective data, while BP and ambulation are
subjective data
d. Lower back pain and fatigue are subjective data, while BP and ambulation are
objective data
6.) A 65-year-old patient with COPD is hesitant to start a prescribed inhaler, stating, “I don’t
think I really need it. I’ve been managing fine without it.” The NP responds: “I understand
that starting a new medication can be overwhelming. Many patients feel the same way at
first, but we’ll work together to make sure it helps you. How about we discuss your
concerns?” Which communication techniques are PRIMARILY demonstrated in this response?
a. Summarizing and reassurance
b. Active listening and nonverbal communication
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 BP is 138/86 mmHg and
the pt ambulates with a slight limp. Which of the following statements correctly classifies the
assessment findings?
a. All findings in tis assessment are subjective data
b. BP and lower back pain are both examples of objective data
c. Lower back pain and fatigue are objective data, while BP and ambulation are
subjective data
d. Lower back pain and fatigue are subjective data, while BP and ambulation are
objective data
6.) A 65-year-old patient with COPD is hesitant to start a prescribed inhaler, stating, “I don’t
think I really need it. I’ve been managing fine without it.” The NP responds: “I understand
that starting a new medication can be overwhelming. Many patients feel the same way at
first, but we’ll work together to make sure it helps you. How about we discuss your
concerns?” Which communication techniques are PRIMARILY demonstrated in this response?
a. Summarizing and reassurance
b. Active listening and nonverbal communication
