1
MARYVILLE NURS 612: ADVANCED HEALTH ASSESSMENT
Complete Study Guide for Exam 2026 Practice Questions with
Verified Solutions & Detailed Rationales Graded A+ | NGN-
Ready | Comprehensive Review
MARYVILLE NURS 612 STUDY GUIDE EXAM 2026 Complete 150 Questions with Solutions &
Rationales (Graded A+)
SECTION 1: FOUNDATIONAL CONCEPTS & CLINICAL REASONING (Q1-20)
Q1. Which of the following will best facilitate the interview when obtaining a history for a
deaf patient who can read lips?
A. Speaking loudly
B. Speaking slowly
C. Using hand gestures
D. Writing everything down
Correct Answer: B
Rationale: Speaking slowly and clearly allows the deaf patient who reads lips to process the
information effectively. Speaking loudly (A) does not help because the issue is hearing, not
volume. Hand gestures (C) may supplement but are not the primary method. Writing
everything down (D) would be time-consuming and may not be necessary if the patient reads
lips well.
Q2. During a history, the patient indicates he has an uncle and a brother with sickle cell
disease. Which of the following is an appropriate method to document this information?
A. Include it in the family history
B. Include it in the social history
,2
C. Include it in the review of systems
D. Include it in the past medical history
Correct Answer: A
Rationale: Family history documents genetic and hereditary conditions affecting blood
relatives. Sickle cell disease has a strong genetic component, so documenting affected family
members belongs in the family history section. The social history (B) covers lifestyle factors, the
review of systems (C) covers current symptoms, and past medical history (D) documents the
patient's own conditions.
Q3. Which approach is recommended at the onset of an interview?
A. Ask closed-ended questions first
B. Use an open-ended approach; let the patient explain the problem or reason for the visit
C. Begin with a review of systems
D. Start with vital signs assessment
Correct Answer: B
Rationale: An open-ended approach at the beginning of the interview allows the patient to
share their concerns in their own words, establishing rapport and ensuring important
information is not missed. Closed-ended questions (A) should follow after the patient has told
their story. The review of systems (C) comes later in the history. Vital signs (D) are part of the
physical examination.
Q4. Which of the following questions may lead to an inaccurate patient response?
A. "What brought you to the clinic today?"
B. "How can I help you?"
,3
C. "That was a horrible experience, wasn't it?"
D. "What seems to be the problem?"
Correct Answer: C
Rationale: This is a leading question that suggests a specific answer and may cause the patient
to agree rather than provide their true experience. Leading questions can bias the patient's
response and reduce the accuracy of the history. Options A, B, and D are all open-ended
questions that allow the patient to respond freely.
Q5. Repeating a patient's answer is an attempt to:
A. Show empathy
B. Confirm an accurate understanding
C. Change the subject
D. End the interview
Correct Answer: B
Rationale: Repeating or paraphrasing the patient's answer (reflective technique) allows the
examiner to verify that they understood the patient correctly. This technique also shows active
listening and encourages the patient to elaborate. It is not primarily for showing empathy (A),
changing the subject (C), or ending the interview (D).
Q6. During an interview, your patient admits to feeling worthless and having a sleep
disturbance for the past 3 weeks. These are clues that warrant the exploration of:
A. Nutritional status
B. Exercise habits
C. Risk for suicide
D. Medication side effects
, 4
Correct Answer: C
Rationale: Feelings of worthlessness combined with sleep disturbance are red flags for
depression and increase suicide risk. The examiner should directly assess for suicidal ideation,
plan, and intent. While nutrition (A), exercise (B), and medications (D) may be relevant, they are
not the priority when these concerning symptoms are present.
Q7. Jerry, a 26-year-old homosexual man, is having a health history taken. Which question
regarding sexual activity would most likely hamper trust between Jerry and the interviewer?
A. "Are you sexually active?"
B. "Do you use protection during sexual encounters?"
C. "Are you married or do you have a girlfriend?"
D. "How many sexual partners have you had in the past year?"
Correct Answer: C
Rationale: This question assumes heterosexuality and may alienate a homosexual patient,
damaging trust and rapport. Questions should be gender-neutral and non-assumptive, such as
"Are you in a relationship?" or "What is the gender of your sexual partners?" The other options
are appropriate, non-judgmental sexual history questions.
Q8. When questioning a patient regarding a sensitive issue, such as drug use, it is best to:
A. Avoid the topic entirely
B. Be direct, firm, and to the point
C. Ask in a roundabout way
D. Wait for the patient to bring it up
Correct Answer: B
MARYVILLE NURS 612: ADVANCED HEALTH ASSESSMENT
Complete Study Guide for Exam 2026 Practice Questions with
Verified Solutions & Detailed Rationales Graded A+ | NGN-
Ready | Comprehensive Review
MARYVILLE NURS 612 STUDY GUIDE EXAM 2026 Complete 150 Questions with Solutions &
Rationales (Graded A+)
SECTION 1: FOUNDATIONAL CONCEPTS & CLINICAL REASONING (Q1-20)
Q1. Which of the following will best facilitate the interview when obtaining a history for a
deaf patient who can read lips?
A. Speaking loudly
B. Speaking slowly
C. Using hand gestures
D. Writing everything down
Correct Answer: B
Rationale: Speaking slowly and clearly allows the deaf patient who reads lips to process the
information effectively. Speaking loudly (A) does not help because the issue is hearing, not
volume. Hand gestures (C) may supplement but are not the primary method. Writing
everything down (D) would be time-consuming and may not be necessary if the patient reads
lips well.
Q2. During a history, the patient indicates he has an uncle and a brother with sickle cell
disease. Which of the following is an appropriate method to document this information?
A. Include it in the family history
B. Include it in the social history
,2
C. Include it in the review of systems
D. Include it in the past medical history
Correct Answer: A
Rationale: Family history documents genetic and hereditary conditions affecting blood
relatives. Sickle cell disease has a strong genetic component, so documenting affected family
members belongs in the family history section. The social history (B) covers lifestyle factors, the
review of systems (C) covers current symptoms, and past medical history (D) documents the
patient's own conditions.
Q3. Which approach is recommended at the onset of an interview?
A. Ask closed-ended questions first
B. Use an open-ended approach; let the patient explain the problem or reason for the visit
C. Begin with a review of systems
D. Start with vital signs assessment
Correct Answer: B
Rationale: An open-ended approach at the beginning of the interview allows the patient to
share their concerns in their own words, establishing rapport and ensuring important
information is not missed. Closed-ended questions (A) should follow after the patient has told
their story. The review of systems (C) comes later in the history. Vital signs (D) are part of the
physical examination.
Q4. Which of the following questions may lead to an inaccurate patient response?
A. "What brought you to the clinic today?"
B. "How can I help you?"
,3
C. "That was a horrible experience, wasn't it?"
D. "What seems to be the problem?"
Correct Answer: C
Rationale: This is a leading question that suggests a specific answer and may cause the patient
to agree rather than provide their true experience. Leading questions can bias the patient's
response and reduce the accuracy of the history. Options A, B, and D are all open-ended
questions that allow the patient to respond freely.
Q5. Repeating a patient's answer is an attempt to:
A. Show empathy
B. Confirm an accurate understanding
C. Change the subject
D. End the interview
Correct Answer: B
Rationale: Repeating or paraphrasing the patient's answer (reflective technique) allows the
examiner to verify that they understood the patient correctly. This technique also shows active
listening and encourages the patient to elaborate. It is not primarily for showing empathy (A),
changing the subject (C), or ending the interview (D).
Q6. During an interview, your patient admits to feeling worthless and having a sleep
disturbance for the past 3 weeks. These are clues that warrant the exploration of:
A. Nutritional status
B. Exercise habits
C. Risk for suicide
D. Medication side effects
, 4
Correct Answer: C
Rationale: Feelings of worthlessness combined with sleep disturbance are red flags for
depression and increase suicide risk. The examiner should directly assess for suicidal ideation,
plan, and intent. While nutrition (A), exercise (B), and medications (D) may be relevant, they are
not the priority when these concerning symptoms are present.
Q7. Jerry, a 26-year-old homosexual man, is having a health history taken. Which question
regarding sexual activity would most likely hamper trust between Jerry and the interviewer?
A. "Are you sexually active?"
B. "Do you use protection during sexual encounters?"
C. "Are you married or do you have a girlfriend?"
D. "How many sexual partners have you had in the past year?"
Correct Answer: C
Rationale: This question assumes heterosexuality and may alienate a homosexual patient,
damaging trust and rapport. Questions should be gender-neutral and non-assumptive, such as
"Are you in a relationship?" or "What is the gender of your sexual partners?" The other options
are appropriate, non-judgmental sexual history questions.
Q8. When questioning a patient regarding a sensitive issue, such as drug use, it is best to:
A. Avoid the topic entirely
B. Be direct, firm, and to the point
C. Ask in a roundabout way
D. Wait for the patient to bring it up
Correct Answer: B
