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NR509 FINAL TD (2025) ACTUAL EXAM
## COMPREHENSIVE 200+ QUESTIONS & VERIFIED
ACCURATE SOLUTIONS (DETAILED &
ELABORATED)
### 2026 TEST | GRADED A+ | 100% CORRECT
# SECTION 1: ADVANCED HEALTH HISTORY & INTERVIEWING
TECHNIQUES (20 Questions)
**Q1. A patient presents with chest pain. Which question is most appropriate to
ask first when using the OLDCARTS (Onset, Location, Duration, Character,
Aggravating/Alleviating factors, Radiation, Timing, Severity) mnemonic?**
A) "On a scale of 0 to 10, how severe is your pain?"
B) "When did the pain start?"
C) "What makes the pain better or worse?"
D) "Does the pain go anywhere else?"
**Correct Answer: B**
*Rationale: OLDCARTS begins with Onset. Determining when symptoms started
helps establish the timeline and urgency. Severity, radiation, and aggravating
factors are assessed subsequently.*
**Q2. A 45-year-old patient reports episodic palpitations. Which component of the
history is most critical to assess?**
A) Family history of diabetes
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B) Use of caffeine, alcohol, or stimulants
C) Previous surgical history
D) Immunization status
**Correct Answer: B**
*Rationale: Palpitations are commonly triggered by stimulants (caffeine, nicotine,
decongestants), alcohol, and illicit drugs (cocaine, methamphetamine). Identifying
triggers guides management.*
**Q3. A patient reports a 10-pound unintentional weight loss over 2 months.
Which follow-up question is most important?**
A) "Have you been dieting?"
B) "Do you have a fever, night sweats, or fatigue?"
C) "Did you change your exercise routine?"
D) "Are you taking any herbal supplements?"
**Correct Answer: B**
*Rationale: Unintentional weight loss + constitutional symptoms (fever, night
sweats, fatigue) raises concern for malignancy, chronic infection (TB, HIV), or
inflammatory disease (rheumatologic).*
**Q4. Which interviewing technique is most likely to increase the amount of
information a patient provides?**
A) Closed-ended questions
B) Leading questions
C) Open-ended questions
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D) Multiple-choice questions
**Correct Answer: C**
*Rationale: Open-ended questions (e.g., "Tell me about your symptoms") allow
patients to describe their concerns in their own words, yielding richer data than
yes/no questions.*
**Q5. A patient says, "I don't know why I'm here. My wife made me come." The
nurse's best response is:**
A) "Why don't you want to be here?"
B) "You sound frustrated. Tell me what’s been happening."
C) "Your wife must be worried about you."
D) "I’ll schedule you for a later appointment when you’re ready."
**Correct Answer: B**
*Rationale: Validating the patient's emotion and using an open-ended approach
builds rapport and uncovers underlying concerns without defensiveness.*
**Q6. During a health history, a patient reports a history of hypertension, type 2
diabetes, and gout. Which information belongs in the "past medical history"
section?**
A) Father with myocardial infarction at age 55
B) Takes lisinopril and metformin
C) Works as a construction worker
D) Drinks 3 beers per weekend
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**Correct Answer: B**
*Rationale: Medications are part of past medical history. Family history (father’s
MI) goes in family history. Occupation is social history. Alcohol use is social
history.*
**Q7. The "review of systems" (ROS) serves which primary purpose?**
A) To establish the chief complaint
B) To identify symptoms the patient may have forgotten to mention
C) To determine the patient’s insurance coverage
D) To perform a physical examination
**Correct Answer: B**
*Rationale: The ROS is a systematic head-to-toe inventory of symptoms that helps
identify additional concerns not raised in the chief complaint or HPI.*
**Q8. A patient reports a "lump in my breast." Which question is most important to
assess risk for breast cancer?**
A) "Do you have pain in the lump?"
B) "Have you ever had a mammogram?"
C) "Do you have a family history of breast or ovarian cancer, particularly in first-
degree relatives?"
D) "Are you taking birth control pills?"
**Correct Answer: C**
NR509 FINAL TD (2025) ACTUAL EXAM
## COMPREHENSIVE 200+ QUESTIONS & VERIFIED
ACCURATE SOLUTIONS (DETAILED &
ELABORATED)
### 2026 TEST | GRADED A+ | 100% CORRECT
# SECTION 1: ADVANCED HEALTH HISTORY & INTERVIEWING
TECHNIQUES (20 Questions)
**Q1. A patient presents with chest pain. Which question is most appropriate to
ask first when using the OLDCARTS (Onset, Location, Duration, Character,
Aggravating/Alleviating factors, Radiation, Timing, Severity) mnemonic?**
A) "On a scale of 0 to 10, how severe is your pain?"
B) "When did the pain start?"
C) "What makes the pain better or worse?"
D) "Does the pain go anywhere else?"
**Correct Answer: B**
*Rationale: OLDCARTS begins with Onset. Determining when symptoms started
helps establish the timeline and urgency. Severity, radiation, and aggravating
factors are assessed subsequently.*
**Q2. A 45-year-old patient reports episodic palpitations. Which component of the
history is most critical to assess?**
A) Family history of diabetes
,2|Page
B) Use of caffeine, alcohol, or stimulants
C) Previous surgical history
D) Immunization status
**Correct Answer: B**
*Rationale: Palpitations are commonly triggered by stimulants (caffeine, nicotine,
decongestants), alcohol, and illicit drugs (cocaine, methamphetamine). Identifying
triggers guides management.*
**Q3. A patient reports a 10-pound unintentional weight loss over 2 months.
Which follow-up question is most important?**
A) "Have you been dieting?"
B) "Do you have a fever, night sweats, or fatigue?"
C) "Did you change your exercise routine?"
D) "Are you taking any herbal supplements?"
**Correct Answer: B**
*Rationale: Unintentional weight loss + constitutional symptoms (fever, night
sweats, fatigue) raises concern for malignancy, chronic infection (TB, HIV), or
inflammatory disease (rheumatologic).*
**Q4. Which interviewing technique is most likely to increase the amount of
information a patient provides?**
A) Closed-ended questions
B) Leading questions
C) Open-ended questions
,3|Page
D) Multiple-choice questions
**Correct Answer: C**
*Rationale: Open-ended questions (e.g., "Tell me about your symptoms") allow
patients to describe their concerns in their own words, yielding richer data than
yes/no questions.*
**Q5. A patient says, "I don't know why I'm here. My wife made me come." The
nurse's best response is:**
A) "Why don't you want to be here?"
B) "You sound frustrated. Tell me what’s been happening."
C) "Your wife must be worried about you."
D) "I’ll schedule you for a later appointment when you’re ready."
**Correct Answer: B**
*Rationale: Validating the patient's emotion and using an open-ended approach
builds rapport and uncovers underlying concerns without defensiveness.*
**Q6. During a health history, a patient reports a history of hypertension, type 2
diabetes, and gout. Which information belongs in the "past medical history"
section?**
A) Father with myocardial infarction at age 55
B) Takes lisinopril and metformin
C) Works as a construction worker
D) Drinks 3 beers per weekend
, 4|Page
**Correct Answer: B**
*Rationale: Medications are part of past medical history. Family history (father’s
MI) goes in family history. Occupation is social history. Alcohol use is social
history.*
**Q7. The "review of systems" (ROS) serves which primary purpose?**
A) To establish the chief complaint
B) To identify symptoms the patient may have forgotten to mention
C) To determine the patient’s insurance coverage
D) To perform a physical examination
**Correct Answer: B**
*Rationale: The ROS is a systematic head-to-toe inventory of symptoms that helps
identify additional concerns not raised in the chief complaint or HPI.*
**Q8. A patient reports a "lump in my breast." Which question is most important to
assess risk for breast cancer?**
A) "Do you have pain in the lump?"
B) "Have you ever had a mammogram?"
C) "Do you have a family history of breast or ovarian cancer, particularly in first-
degree relatives?"
D) "Are you taking birth control pills?"
**Correct Answer: C**
