Page 1 of 62
GRAND CANYON NUR 634 FINAL EXAM
2025|200+ QUESTIONS AND
ANSWERS|LATEST UPDATE|ALREADY
GRADED A+
1. A 45-year-old male presents with "chest pressure when I
run." What is the BEST way to phrase the opening question to
assess his reason for visit?
A) "Tell me about the chest pressure you've been having."
B) "Have you had any shortness of breath?"
C) "Does the pain radiate to your arm?"
D) "Describe the quality of your chest pain."
Answer: A) "Tell me about the chest pressure you've been
having."
Rationale: Open-ended questions allow the patient to describe
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symptoms in their own words, facilitating rapport and
comprehensive data gathering.
2. During a health history, the patient says, "I've had this
lump for a month." Which of the following is an example of a
leading question?
A) "When did you first notice the lump?"
B) "Does the lump cause you pain?"
C) "Does the lump feel hard or soft to you?"
D) "Have you noticed any changes in the lump since it
appeared?"
Answer: C) "Does the lump feel hard or soft to you?"
Rationale: This suggests a specific descriptor and may bias the
patient's response; non-leading questions would be "Describe the
texture of the lump."
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3. A 72-year-old female reports recent falls at home. When
assessing functional ability, which question is most
appropriate?
A) "How many times did you fall last month?"
B) "Are you able to safely prepare meals and perform light
housekeeping?"
C) "Why do you keep falling?"
D) "Have you discussed this with your family?"
Answer: B) "Are you able to safely prepare meals and perform
light housekeeping?"
Rationale: IADL (instrumental activities of daily living) assessment
helps determine functional status and safety risks, guiding
interventions.
4. A 30-year-old male states, "I never go to doctors, but my
wife made me come." What is the best initial response?
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A) "I see, but it's important to take care of your health."
B) "I appreciate you coming in. What's your understanding
of why your wife was concerned?"
C) "Well, you're here now, so let's focus on what's wrong."
D) "It's good you came; regular check-ups save lives."
Answer: B) "I appreciate you coming in. What's your
understanding of why your wife was concerned?"
Rationale: Acknowledges his feelings while using a neutral, open-
ended question to explore his perspective and health beliefs.
5. Which of the following is the MOST important factor in
building a therapeutic relationship during the initial health
history?
A) A private setting free of interruptions
B) The use of open-ended questions
C) Demonstration of empathy and active listening
GRAND CANYON NUR 634 FINAL EXAM
2025|200+ QUESTIONS AND
ANSWERS|LATEST UPDATE|ALREADY
GRADED A+
1. A 45-year-old male presents with "chest pressure when I
run." What is the BEST way to phrase the opening question to
assess his reason for visit?
A) "Tell me about the chest pressure you've been having."
B) "Have you had any shortness of breath?"
C) "Does the pain radiate to your arm?"
D) "Describe the quality of your chest pain."
Answer: A) "Tell me about the chest pressure you've been
having."
Rationale: Open-ended questions allow the patient to describe
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symptoms in their own words, facilitating rapport and
comprehensive data gathering.
2. During a health history, the patient says, "I've had this
lump for a month." Which of the following is an example of a
leading question?
A) "When did you first notice the lump?"
B) "Does the lump cause you pain?"
C) "Does the lump feel hard or soft to you?"
D) "Have you noticed any changes in the lump since it
appeared?"
Answer: C) "Does the lump feel hard or soft to you?"
Rationale: This suggests a specific descriptor and may bias the
patient's response; non-leading questions would be "Describe the
texture of the lump."
,Page 3 of 62
3. A 72-year-old female reports recent falls at home. When
assessing functional ability, which question is most
appropriate?
A) "How many times did you fall last month?"
B) "Are you able to safely prepare meals and perform light
housekeeping?"
C) "Why do you keep falling?"
D) "Have you discussed this with your family?"
Answer: B) "Are you able to safely prepare meals and perform
light housekeeping?"
Rationale: IADL (instrumental activities of daily living) assessment
helps determine functional status and safety risks, guiding
interventions.
4. A 30-year-old male states, "I never go to doctors, but my
wife made me come." What is the best initial response?
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A) "I see, but it's important to take care of your health."
B) "I appreciate you coming in. What's your understanding
of why your wife was concerned?"
C) "Well, you're here now, so let's focus on what's wrong."
D) "It's good you came; regular check-ups save lives."
Answer: B) "I appreciate you coming in. What's your
understanding of why your wife was concerned?"
Rationale: Acknowledges his feelings while using a neutral, open-
ended question to explore his perspective and health beliefs.
5. Which of the following is the MOST important factor in
building a therapeutic relationship during the initial health
history?
A) A private setting free of interruptions
B) The use of open-ended questions
C) Demonstration of empathy and active listening
