FCCA 274A Exam
1. Which statement by an older adult during the health history indicates the person is at
a high risk for falls and needs further evaluation?
a. “My spouse’s things clutter my house.”
b. “I recently had cataract surgery.”
c. “It helps me when I focus on one thing at a time.”
d. “I will be 64-years-old this month.”
2. The RN is making a home visit to conduct a health history for a patient who will
require assistance in the home following an extensive surgical procedure. As the RN
prepares to depart the residence, the child below is whimpering. The patient says “He
does not talk. He’s whining because he is clumsy and fell down again.” What action is
the RN responsible to perform in relationship to this child?
a. Contact Child Protective Services.
b. Make arrangements for a follow-up visit.
c. Assess the family members’ response to stress.
d. Conduct a focused assessment on the child.
3. During a spiritual assessment, which question by the RN helps explore a person’s
inner strength?
a. “What religious community do you belong to?”
b. “Do you routinely attend religious services?”
c. “What beliefs help you cope with life’s difficulties?”
d. “Would speaking with a chaplain help you and your family?”
4. How does the RN conclude a routine health history interview with the parent of an
infant?
a. “Is there anything more you would like to discuss?”
b. “The physical examination should not take too much time.”
c. “You are providing good care for your baby.”
d. “How are you feeling now about the baby’s health? “
,5. The RN is obtaining a health history from a middle-aged adult patient. Which
question allows for comprehensive data regarding the patient’s physical fitness?
a. “Can you describe your typical daily activity level?”
b. “How often do you reach your target heart rate?”
c. “Do you routinely participate in a sports activity?”
d. “What benefits do you experience when exercising?”
6. During a health assessment, the RN asks “Do you have an advance health care
directive?” The patient asks “Why do I need that? Is my condition that serious?” What
is the appropriate response by the RN?
a. “A power of attorney can make your health care decisions if you are unable.”
b. “The written form will direct the health care team not to perform resuscitation
activities.”
c. “Documenting your desired treatment goals will help guide your health care.”
d. “Once completed and witnessed, the form is legally binding in all states.”
7. While conducting a health history for a 12-year-old, a parent asks the RN “Do you
think it is a good idea for my child to get the Human Papillomavirus (HPV) vaccine?”
What is the appropriate response by the RN?
a. “The vaccine is not needed until your child becomes sexually active.”
b. “The vaccine needs to be given in early adolescence to be effective.”
c. “The recommendation is to begin the series of injections now to provide
protection.”
d. “The best protection for your child is to reinforce abstinence from sexual relations.”
8. The patient states “I had some dizzy spells at home.” What is the RN’s initial
response?
a. “Did you feel faint?”
b. “Was the room spinning?”
c. “Were you anxious?”
d. “What do you mean by dizzy?”
9. Which statements made by a parent to the RN raises concerns about a child’s risk
for maltreatment? Select all that apply
a. “I restricted use of all electronic toys because of my child’s behavior.”
b. “I really did not plan or want to have children until I finished school.”
c. “Some days this baby is nothing but trouble.”
d. “I wish my child would not cry when my new significant other is present.”
e. “A glass or two of wine during the day helps me cope with the stress of
parenting.”
, 10. In providing culturally competent care, which question by the RN during the health
history will provide information regarding the patient’s health beliefs?
a. “What kinds of treatment do you think help you?”
b. “How long have you lived in the United States?”
c. “When was the last time you obtained healthcare?”
d. “Does your family eat heart healthy foods?”
11. The RN is performing a health history on a 14-year-old male who states “I was born
the wrong gender. I don’t like my body parts.” What areas should the RN assess as
potential issues associated with the client’s concern? Select all that apply.
a. Anxiety
b. Delusions
c. Depression
d. Dissociations
e. Mania
12. When asked by the RN during a health history, the young adolescent states “I have
a few cigarettes occasionally with my friends.” What is an appropriate initial response
by the RN?
a. “When you smoke, do you also drink alcohol?”
b. “Do your parents know and approve of you smoking?”
c. “Did you know once you start smoking, it is difficult to quit?”
d. “Can you tell me more about your cigarette use?”
13. The RN is reviewing the health history of a woman who is considering pregnancy.
Which patient statement indicates to the RN the need for genetic referral?
a. “My husband needs to quit smoking cigarettes.”
b. “I am 32-years-old and will be a first time older mother.”
c. “I had pre-eclampsia during my last pregnancy.”
d. “My husband had a cleft lip repair as a child.”
14. When the RN explores family history during a health assessment, which patient
statement identifies a potential area of concern?
a. “My father committed suicide at the age of 35.”
b. “My aunt died from a ruptured appendix when she was 10-years-old.”
c. “My sister developed a hearing impairment after she took antibiotics as a child.”
d. “My grandfather is 80-years-old and has dementia.”
15. When an RN performs medication reconciliation during the health history, which
statement by a patient who is in the first trimester of pregnancy requires intervention?
a. “I drink orange juice when I take my iron tablets.”
b. “I take naproxen (Aleve) when I have headaches.”
c. “I got my influenza vaccine one month ago.”
d. “I drink one cup of coffee every morning.”
1. Which statement by an older adult during the health history indicates the person is at
a high risk for falls and needs further evaluation?
a. “My spouse’s things clutter my house.”
b. “I recently had cataract surgery.”
c. “It helps me when I focus on one thing at a time.”
d. “I will be 64-years-old this month.”
2. The RN is making a home visit to conduct a health history for a patient who will
require assistance in the home following an extensive surgical procedure. As the RN
prepares to depart the residence, the child below is whimpering. The patient says “He
does not talk. He’s whining because he is clumsy and fell down again.” What action is
the RN responsible to perform in relationship to this child?
a. Contact Child Protective Services.
b. Make arrangements for a follow-up visit.
c. Assess the family members’ response to stress.
d. Conduct a focused assessment on the child.
3. During a spiritual assessment, which question by the RN helps explore a person’s
inner strength?
a. “What religious community do you belong to?”
b. “Do you routinely attend religious services?”
c. “What beliefs help you cope with life’s difficulties?”
d. “Would speaking with a chaplain help you and your family?”
4. How does the RN conclude a routine health history interview with the parent of an
infant?
a. “Is there anything more you would like to discuss?”
b. “The physical examination should not take too much time.”
c. “You are providing good care for your baby.”
d. “How are you feeling now about the baby’s health? “
,5. The RN is obtaining a health history from a middle-aged adult patient. Which
question allows for comprehensive data regarding the patient’s physical fitness?
a. “Can you describe your typical daily activity level?”
b. “How often do you reach your target heart rate?”
c. “Do you routinely participate in a sports activity?”
d. “What benefits do you experience when exercising?”
6. During a health assessment, the RN asks “Do you have an advance health care
directive?” The patient asks “Why do I need that? Is my condition that serious?” What
is the appropriate response by the RN?
a. “A power of attorney can make your health care decisions if you are unable.”
b. “The written form will direct the health care team not to perform resuscitation
activities.”
c. “Documenting your desired treatment goals will help guide your health care.”
d. “Once completed and witnessed, the form is legally binding in all states.”
7. While conducting a health history for a 12-year-old, a parent asks the RN “Do you
think it is a good idea for my child to get the Human Papillomavirus (HPV) vaccine?”
What is the appropriate response by the RN?
a. “The vaccine is not needed until your child becomes sexually active.”
b. “The vaccine needs to be given in early adolescence to be effective.”
c. “The recommendation is to begin the series of injections now to provide
protection.”
d. “The best protection for your child is to reinforce abstinence from sexual relations.”
8. The patient states “I had some dizzy spells at home.” What is the RN’s initial
response?
a. “Did you feel faint?”
b. “Was the room spinning?”
c. “Were you anxious?”
d. “What do you mean by dizzy?”
9. Which statements made by a parent to the RN raises concerns about a child’s risk
for maltreatment? Select all that apply
a. “I restricted use of all electronic toys because of my child’s behavior.”
b. “I really did not plan or want to have children until I finished school.”
c. “Some days this baby is nothing but trouble.”
d. “I wish my child would not cry when my new significant other is present.”
e. “A glass or two of wine during the day helps me cope with the stress of
parenting.”
, 10. In providing culturally competent care, which question by the RN during the health
history will provide information regarding the patient’s health beliefs?
a. “What kinds of treatment do you think help you?”
b. “How long have you lived in the United States?”
c. “When was the last time you obtained healthcare?”
d. “Does your family eat heart healthy foods?”
11. The RN is performing a health history on a 14-year-old male who states “I was born
the wrong gender. I don’t like my body parts.” What areas should the RN assess as
potential issues associated with the client’s concern? Select all that apply.
a. Anxiety
b. Delusions
c. Depression
d. Dissociations
e. Mania
12. When asked by the RN during a health history, the young adolescent states “I have
a few cigarettes occasionally with my friends.” What is an appropriate initial response
by the RN?
a. “When you smoke, do you also drink alcohol?”
b. “Do your parents know and approve of you smoking?”
c. “Did you know once you start smoking, it is difficult to quit?”
d. “Can you tell me more about your cigarette use?”
13. The RN is reviewing the health history of a woman who is considering pregnancy.
Which patient statement indicates to the RN the need for genetic referral?
a. “My husband needs to quit smoking cigarettes.”
b. “I am 32-years-old and will be a first time older mother.”
c. “I had pre-eclampsia during my last pregnancy.”
d. “My husband had a cleft lip repair as a child.”
14. When the RN explores family history during a health assessment, which patient
statement identifies a potential area of concern?
a. “My father committed suicide at the age of 35.”
b. “My aunt died from a ruptured appendix when she was 10-years-old.”
c. “My sister developed a hearing impairment after she took antibiotics as a child.”
d. “My grandfather is 80-years-old and has dementia.”
15. When an RN performs medication reconciliation during the health history, which
statement by a patient who is in the first trimester of pregnancy requires intervention?
a. “I drink orange juice when I take my iron tablets.”
b. “I take naproxen (Aleve) when I have headaches.”
c. “I got my influenza vaccine one month ago.”
d. “I drink one cup of coffee every morning.”
