ASSESSMENT II
Comprehensive 150-Question Final Examination with
Rationales
This 150-question Health Assessment I Final Exam for Chamberlain University's
NR302 course comprehensively covers foundational health assessment concepts
including the health history interview (subjective vs. objective data, PQRSTU, OLDCARTS,
communication techniques), physical examination techniques (inspection, palpation,
percussion, auscultation), and systematic assessment of all body systems including pain,
mental status, respiratory, cardiovascular, abdominal, musculoskeletal, and neurological
examinations. Each question is presented in a multiple-choice format with the correct
answer followed by a detailed rationale in italics that explains the clinical reasoning,
assessment technique, normal versus abnormal findings, and proper documentation
practices essential for nursing practice. This exam serves as a complete study resource
for nursing students preparing for the NR302 final examination, skills check-offs, or the
NCLEX-RN health assessment questions.
Instructions: Select the best answer for each question. Rationales
are provided in italics.
Section 1: Health Assessment Fundamentals & Interviewing
(Questions 1-25)
,1. Which of the following best describes evidence-based nursing practice?
A) Completing a literature search to find relevant articles that encourage good practices
B) Combining clinical expertise with nursing research to provide the best care while
considering patient values
C) Appraising one or two articles as they relate to patient ethnicity
D) Finding value-based resources to justify nursing actions
Answer: B
2. A patient tells the nurse, "I feel very nervous and nauseated, and I feel like I will
vomit." This data would be classified as:
A) Objective
B) Reflective
C) Subjective
D) Introspective
Answer: C
3. The nurse observes that a patient's skin is pale and cool to the touch. This is an
example of:
A) Subjective data
B) Objective data
C) Historical data
D) Secondary data
Answer: B
4. The nursing process is a five-step framework that includes:
A) Admission, Discharge, Transfer
B) Screening, Triage, Referral, Follow-up
C) Assessment, Diagnosis, Planning, Implementation, Evaluation
D) Observation, Documentation, Reporting
Answer: C
,5. A nurse asks a patient, "Can you tell me what brought you to the hospital
today?" This is an example of which type of question?
A) Closed-ended question
B) Leading question
C) Open-ended question
D) Direct question
Answer: C
6. The nurse is interviewing a patient and states, "Can you tell me exactly what you
feel when you are having difficulty catching your breath?" Which communication
technique is the nurse utilizing?
A) Attending to cues
B) Paraphrasing
C) Focusing
D) Summarizing
Answer: C
7. Which of the following is an example of a closed-ended question?
A) "How does your pain feel?"
B) "What concerns you most about your surgery?"
C) "Have you had any fever or chills?"
D) "Tell me about your usual day."
Answer: C
8. The nurse says to the client, "It sounds like you do not like your new job
because it is more stressful than you anticipated." Which type of communication is
the nurse utilizing?
A) Questioning
B) Paraphrasing
C) Attending
D) Listening
Answer: B
, 9. During an interview, the nurse states, "You mentioned shortness of breath. Tell
me more about that." Which verbal skill is used?
A) Reflection
B) Facilitation
C) Direct question
D) Open-ended question
Answer: D
10. The nurse is obtaining a family health history when the client reports that a
grandparent has type 1 diabetes. Where should the nurse document this
information?
A) Present health/illness
B) Family genogram
C) Past medical history
D) Health belief model
Answer: B
11. When reading a medical record, the nurse sees: "Patient states, 'I have had a
cold for about a week, and now I am having difficulty breathing.'" This is an
example of:
A) Past health history
B) Review of systems
C) Functional assessment
D) Reason for seeking care
Answer: D
12. The "review of systems" (ROS) is a systematic approach to:
A) Perform a head-to-toe physical examination
B) Ask about past medical history
C) Collect subjective data about each body system