Advanced Health Assessment Test 1 - UTA NURS 5220 150+
Multiple Choice Questions with Bold Italic Answers and Italic
Explanations | 20226/2027 | A+ GRADED |Advanced Health
Assessment Test 1
DOMAIN 1: HEALTH HISTORY & INTERVIEWING
1. A nurse practitioner is conducting a health history interview with a new patient. Which of the
following is an example of an open-ended question?
A) "Do you have any chest pain?"
B) "Tell me about your health concerns."
C) "Have you had any surgeries in the past?"
D) "Is your pain sharp or dull?"
Open-ended questions ("Tell me about," "describe") allow the patient to provide narrative information
and are preferred at the beginning of the interview. Closed-ended questions (A, C, D) elicit specific yes/no
or limited responses and should be used later for clarification .
2. A nurse practitioner is interviewing an older adult patient. Which of the following techniques is
MOST appropriate?
A) Use a loud voice to ensure the patient can hear
B) Sit facing the patient at eye level
C) Rush through the interview to avoid fatigue
D) Address the caregiver rather than the patient
Sit facing the patient at eye level to facilitate communication. Avoid assuming hearing impairment; ask
about hearing aids. Speak clearly at a normal volume. Allow extra time. Always address the patient
directly, not the caregiver .
3. Which of the following are components of the HPI (History of Present Illness)? (Select all that
apply.)
A) Onset (when did symptoms begin?)
B) Location (where are the symptoms?)
C) Quality (what does it feel like?)
D) Past medical history
E) Severity (on a scale of 0-10)
,The HPI includes the OLDCARTS mnemonic: Onset, Location, Duration, Characteristics,
Aggravating/Alleviating factors, Radiation, Timing, Severity. Past medical history is part of the PMH, not
HPI .
4. A nurse practitioner is taking a health history from a patient with abdominal pain. Which of the
following questions would elicit the MOST information about the quality of the pain?
A) "How bad is the pain on a scale of 0 to 10?"
B) "Can you describe what the pain feels like?"
C) "Does the pain radiate to your back?"
D) "When did the pain start?"
"Can you describe what the pain feels like?" is an open-ended question that allows the patient to
describe the quality (burning, stabbing, cramping, dull, pressure-like). This yields the most detailed
information about quality .
5. A nurse practitioner is interviewing a patient who is reluctant to share personal information. Which
approach is MOST appropriate?
A) "You must tell me everything or I can't help you."
B) "If you don't tell me, I'll have to ask your family."
C) "I understand this is difficult. Let's start with what you feel comfortable sharing."
D) "Please just answer the questions."
This response acknowledges the patient's reluctance while inviting participation. It respects patient
autonomy and builds rapport. Pushing too hard may cause the patient to withdraw further .
6. A nurse practitioner is interviewing a patient who is crying and appears distressed. Which action is
MOST appropriate?
A) Continue with the interview to gather necessary information
B) Offer tissues and allow the patient time to compose themselves
C) End the interview and reschedule
D) Ask the patient to control their emotions
Allow the patient to express emotions. Offer tissues, provide a moment of silence, and acknowledge the
distress ("This seems very difficult for you"). This builds rapport and trust .
7. A nurse practitioner is interviewing a patient through an interpreter. Which of the following is
CORRECT?
A) Speak directly to the interpreter
B) Speak directly to the patient, maintaining eye contact
C) Use family members as interpreters whenever possible
D) Speak loudly to ensure understanding
,Speak directly to the patient, maintain eye contact, and use a professional medical interpreter. Family
members should not be used due to potential omission, addition, or misinterpretation of information .
8. A nurse practitioner is taking a sexual history. Which of the following is the MOST appropriate
initial question?
A) "Do you have sex with men, women, or both?"
B) "Are you sexually active?"
C) "How many sexual partners have you had?"
D) "Do you use condoms?"
Begin with a general, non-judgmental question about sexual activity. Use a normalizing statement: "I ask
all my patients about sexual health." Then proceed to more specific questions .
9. Which of the following are components of the Past Medical History (PMH)? (Select all that apply.)
A) Childhood illnesses
B) Surgical history
C) Hospitalizations
D) Current medications
E) Allergies
PMH includes childhood illnesses, adult illnesses, surgeries, hospitalizations, accidents/injuries, obstetric
history, immunizations, medications (prescription, OTC, herbal), and allergies. Review of systems is a
separate section .
10. A nurse practitioner is documenting the chief complaint. Which of the following is the BEST
example of a chief complaint?
A) "The patient has a fever and cough."
B) "Chest pain for 2 days."
C) "Patient states, 'I have a terrible headache that started this morning.'"
D) "Rule out myocardial infarction."
The chief complaint should be in the patient's own words as much as possible. It should be brief but
descriptive. Direct quotes are ideal .
11. A nurse practitioner is assessing a patient's health literacy. Which of the following findings
suggests limited health literacy?
A) The patient brings a list of questions to the appointment
B) The patient asks for written instructions
, C) The patient says, "I forgot my glasses; can you read the prescription label to me?"
D) The patient discusses their chronic illness in detail
Difficulty reading prescription labels, frequently missed appointments, poor adherence to treatment, and
inability to name medications or describe their purpose may indicate limited health literacy. Ask about
confidence with medical forms .
12. The "Review of Systems" (ROS) is best described as:
A) An in-depth physical examination of each body system
B) A history of the present illness
C) A systematic review of symptoms that the patient has experienced
D) A summary of past medical problems
The ROS is a comprehensive inventory of symptoms organized by body system. It is obtained by asking
specific questions about each system, even if the patient did not volunteer symptoms .
13. A nurse practitioner is assessing a patient's family history. The MOST important information to
obtain includes:
A) Names and ages of all immediate family members
B) Health status and cause of death of parents, siblings, and children
C) Occupation of family members
D) Educational level of family members
Family history of genetic disorders, chronic diseases (heart disease, diabetes, cancer), and cause of death
helps identify hereditary risk factors. Include age at onset and age at death .
14. A nurse practitioner is taking a social history. Which of the following should be included? (Select
all that apply.)
A) Tobacco use
B) Alcohol consumption
C) Illicit drug use
D) Living situation
E) Occupation
Social history includes tobacco use, alcohol consumption, illicit drug use, living situation, occupation,
education, support systems, and activities of daily living .
15. A nurse practitioner is assessing a patient for possible abuse. Which question is MOST
appropriate?
Multiple Choice Questions with Bold Italic Answers and Italic
Explanations | 20226/2027 | A+ GRADED |Advanced Health
Assessment Test 1
DOMAIN 1: HEALTH HISTORY & INTERVIEWING
1. A nurse practitioner is conducting a health history interview with a new patient. Which of the
following is an example of an open-ended question?
A) "Do you have any chest pain?"
B) "Tell me about your health concerns."
C) "Have you had any surgeries in the past?"
D) "Is your pain sharp or dull?"
Open-ended questions ("Tell me about," "describe") allow the patient to provide narrative information
and are preferred at the beginning of the interview. Closed-ended questions (A, C, D) elicit specific yes/no
or limited responses and should be used later for clarification .
2. A nurse practitioner is interviewing an older adult patient. Which of the following techniques is
MOST appropriate?
A) Use a loud voice to ensure the patient can hear
B) Sit facing the patient at eye level
C) Rush through the interview to avoid fatigue
D) Address the caregiver rather than the patient
Sit facing the patient at eye level to facilitate communication. Avoid assuming hearing impairment; ask
about hearing aids. Speak clearly at a normal volume. Allow extra time. Always address the patient
directly, not the caregiver .
3. Which of the following are components of the HPI (History of Present Illness)? (Select all that
apply.)
A) Onset (when did symptoms begin?)
B) Location (where are the symptoms?)
C) Quality (what does it feel like?)
D) Past medical history
E) Severity (on a scale of 0-10)
,The HPI includes the OLDCARTS mnemonic: Onset, Location, Duration, Characteristics,
Aggravating/Alleviating factors, Radiation, Timing, Severity. Past medical history is part of the PMH, not
HPI .
4. A nurse practitioner is taking a health history from a patient with abdominal pain. Which of the
following questions would elicit the MOST information about the quality of the pain?
A) "How bad is the pain on a scale of 0 to 10?"
B) "Can you describe what the pain feels like?"
C) "Does the pain radiate to your back?"
D) "When did the pain start?"
"Can you describe what the pain feels like?" is an open-ended question that allows the patient to
describe the quality (burning, stabbing, cramping, dull, pressure-like). This yields the most detailed
information about quality .
5. A nurse practitioner is interviewing a patient who is reluctant to share personal information. Which
approach is MOST appropriate?
A) "You must tell me everything or I can't help you."
B) "If you don't tell me, I'll have to ask your family."
C) "I understand this is difficult. Let's start with what you feel comfortable sharing."
D) "Please just answer the questions."
This response acknowledges the patient's reluctance while inviting participation. It respects patient
autonomy and builds rapport. Pushing too hard may cause the patient to withdraw further .
6. A nurse practitioner is interviewing a patient who is crying and appears distressed. Which action is
MOST appropriate?
A) Continue with the interview to gather necessary information
B) Offer tissues and allow the patient time to compose themselves
C) End the interview and reschedule
D) Ask the patient to control their emotions
Allow the patient to express emotions. Offer tissues, provide a moment of silence, and acknowledge the
distress ("This seems very difficult for you"). This builds rapport and trust .
7. A nurse practitioner is interviewing a patient through an interpreter. Which of the following is
CORRECT?
A) Speak directly to the interpreter
B) Speak directly to the patient, maintaining eye contact
C) Use family members as interpreters whenever possible
D) Speak loudly to ensure understanding
,Speak directly to the patient, maintain eye contact, and use a professional medical interpreter. Family
members should not be used due to potential omission, addition, or misinterpretation of information .
8. A nurse practitioner is taking a sexual history. Which of the following is the MOST appropriate
initial question?
A) "Do you have sex with men, women, or both?"
B) "Are you sexually active?"
C) "How many sexual partners have you had?"
D) "Do you use condoms?"
Begin with a general, non-judgmental question about sexual activity. Use a normalizing statement: "I ask
all my patients about sexual health." Then proceed to more specific questions .
9. Which of the following are components of the Past Medical History (PMH)? (Select all that apply.)
A) Childhood illnesses
B) Surgical history
C) Hospitalizations
D) Current medications
E) Allergies
PMH includes childhood illnesses, adult illnesses, surgeries, hospitalizations, accidents/injuries, obstetric
history, immunizations, medications (prescription, OTC, herbal), and allergies. Review of systems is a
separate section .
10. A nurse practitioner is documenting the chief complaint. Which of the following is the BEST
example of a chief complaint?
A) "The patient has a fever and cough."
B) "Chest pain for 2 days."
C) "Patient states, 'I have a terrible headache that started this morning.'"
D) "Rule out myocardial infarction."
The chief complaint should be in the patient's own words as much as possible. It should be brief but
descriptive. Direct quotes are ideal .
11. A nurse practitioner is assessing a patient's health literacy. Which of the following findings
suggests limited health literacy?
A) The patient brings a list of questions to the appointment
B) The patient asks for written instructions
, C) The patient says, "I forgot my glasses; can you read the prescription label to me?"
D) The patient discusses their chronic illness in detail
Difficulty reading prescription labels, frequently missed appointments, poor adherence to treatment, and
inability to name medications or describe their purpose may indicate limited health literacy. Ask about
confidence with medical forms .
12. The "Review of Systems" (ROS) is best described as:
A) An in-depth physical examination of each body system
B) A history of the present illness
C) A systematic review of symptoms that the patient has experienced
D) A summary of past medical problems
The ROS is a comprehensive inventory of symptoms organized by body system. It is obtained by asking
specific questions about each system, even if the patient did not volunteer symptoms .
13. A nurse practitioner is assessing a patient's family history. The MOST important information to
obtain includes:
A) Names and ages of all immediate family members
B) Health status and cause of death of parents, siblings, and children
C) Occupation of family members
D) Educational level of family members
Family history of genetic disorders, chronic diseases (heart disease, diabetes, cancer), and cause of death
helps identify hereditary risk factors. Include age at onset and age at death .
14. A nurse practitioner is taking a social history. Which of the following should be included? (Select
all that apply.)
A) Tobacco use
B) Alcohol consumption
C) Illicit drug use
D) Living situation
E) Occupation
Social history includes tobacco use, alcohol consumption, illicit drug use, living situation, occupation,
education, support systems, and activities of daily living .
15. A nurse practitioner is assessing a patient for possible abuse. Which question is MOST
appropriate?
