NU 518 EXAM 2 NEWEST 2026 ACTUAL EXAM TEST
BANK| COMPLETE 450 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+ (MOST RECENT!!)
1. A 72-year-old patient reports feeling “lightheaded” when
standing up. Which interview question best clarifies the symptom?
A) “Do you feel like the room is spinning?”
B) “How often does this happen?”
C) “Does it occur when you change positions?”
D) “Have you fallen because of this?”
Correct: C
Rationale: Orthostatic hypotension symptoms occur with position
change. “Lightheaded” differs from vertigo (spinning). Asking
about triggers first guides differential diagnosis.
2. During a health history, a patient avoids eye contact and
gives one-word answers. The NP should:
1
,A) Move to closed-ended questions to save time
B) Ask “Why are you being uncooperative?”
C) Use open-ended questions and allow silence
D) End the interview and reschedule
Correct: C
Rationale: Silence and open-ended questions build rapport.
Accusatory or rushed approaches increase patient anxiety.
3. Which question best assesses a patient’s functional ability?
A) “Do you have any chronic illnesses?”
B) “Can you prepare your own meals and manage finances?”
C) “What medications do you take?”
D) “Who is your emergency contact?”
Correct: B
Rationale: Functional ability refers to activities of daily living
(ADLs) and instrumental ADLs (IADLs). Meal prep and finances are
IADLs.
2
,4. A patient describes chest pain as “sharp, worse with deep
breath.” The most appropriate follow-up question is:
A) “Does it radiate to your jaw?”
B) “Does it change when you lie down?”
C) “Have you had this before?”
D) “Does it improve with nitroglycerin?”
Correct: B
Rationale: Pleuritic chest pain + positional change suggests
pericarditis or pleurisy. Asking about lying down (often worse
supine) is key.
5. The “OLDCARTS” mnemonic helps assess:
A) Past medical history
B) Chief complaint characteristics
C) Family history
D) Social history
Correct: B
3
, Rationale: OLDCARTS = Onset, Location, Duration, Character,
Aggravating/Relieving factors, Timing, Severity — for symptom
analysis.
6. A patient reports drinking “a few beers on weekends.” The NP
should next ask:
A) “Do you ever drink alone?”
B) “How many drinks in a typical day?”
C) “Why do you drink?”
D) “Have you ever been in rehab?”
Correct: B
Rationale: Quantify amount before judging pattern. Weekend
drinking could mean 2 beers or 15. Specific numbers guide risk
assessment.
7. When a patient gives a vague or inconsistent history, the best
strategy is:
A) Confront the patient directly
4
BANK| COMPLETE 450 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+ (MOST RECENT!!)
1. A 72-year-old patient reports feeling “lightheaded” when
standing up. Which interview question best clarifies the symptom?
A) “Do you feel like the room is spinning?”
B) “How often does this happen?”
C) “Does it occur when you change positions?”
D) “Have you fallen because of this?”
Correct: C
Rationale: Orthostatic hypotension symptoms occur with position
change. “Lightheaded” differs from vertigo (spinning). Asking
about triggers first guides differential diagnosis.
2. During a health history, a patient avoids eye contact and
gives one-word answers. The NP should:
1
,A) Move to closed-ended questions to save time
B) Ask “Why are you being uncooperative?”
C) Use open-ended questions and allow silence
D) End the interview and reschedule
Correct: C
Rationale: Silence and open-ended questions build rapport.
Accusatory or rushed approaches increase patient anxiety.
3. Which question best assesses a patient’s functional ability?
A) “Do you have any chronic illnesses?”
B) “Can you prepare your own meals and manage finances?”
C) “What medications do you take?”
D) “Who is your emergency contact?”
Correct: B
Rationale: Functional ability refers to activities of daily living
(ADLs) and instrumental ADLs (IADLs). Meal prep and finances are
IADLs.
2
,4. A patient describes chest pain as “sharp, worse with deep
breath.” The most appropriate follow-up question is:
A) “Does it radiate to your jaw?”
B) “Does it change when you lie down?”
C) “Have you had this before?”
D) “Does it improve with nitroglycerin?”
Correct: B
Rationale: Pleuritic chest pain + positional change suggests
pericarditis or pleurisy. Asking about lying down (often worse
supine) is key.
5. The “OLDCARTS” mnemonic helps assess:
A) Past medical history
B) Chief complaint characteristics
C) Family history
D) Social history
Correct: B
3
, Rationale: OLDCARTS = Onset, Location, Duration, Character,
Aggravating/Relieving factors, Timing, Severity — for symptom
analysis.
6. A patient reports drinking “a few beers on weekends.” The NP
should next ask:
A) “Do you ever drink alone?”
B) “How many drinks in a typical day?”
C) “Why do you drink?”
D) “Have you ever been in rehab?”
Correct: B
Rationale: Quantify amount before judging pattern. Weekend
drinking could mean 2 beers or 15. Specific numbers guide risk
assessment.
7. When a patient gives a vague or inconsistent history, the best
strategy is:
A) Confront the patient directly
4
