NR302 FINAL COMPREHENSIVE EXAM 2026/2027 | Health
Assessment | Chamberlain College of Nursing | Brand
New Version | 100% Correct Q&A | Pass Guaranteed - A+
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[Section 1: Health History & Interviewing Techniques (Q1-18)]
Q1. A 45-year-old patient states, "I've been having chest pain for 3 days." The nurse
records this statement in which component of the health history?
A. Review of Systems
B. Chief Complaint
C. Past Medical History
D. Family History
Correct Answer: B
Rationale: The chief complaint is a brief statement in the patient's own words
describing the reason for the visit. A is a systematic review of body systems. C
documents previous illnesses and diagnoses. D documents hereditary conditions
affecting relatives.
Q2. Which interviewing technique is most appropriate when beginning a patient
interview?
A. "You have diabetes, right?"
B. "Tell me what brought you in today."
C. "I see you're here for headaches. Are they severe?"
D. "Your chart says you have hypertension."
Correct Answer: B
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Rationale: Open-ended questions encourage the patient to share information freely
without leading or limiting responses. A, C, and D are closed-ended or leading
questions that restrict the patient's narrative.
Q3. A nurse asks a patient, "Is your pain sharp or dull?" This is an example of:
A. An open-ended question
B. A closed-ended question
C. Active listening
D. Validation
Correct Answer: B
Rationale: This question limits the response to specific choices, making it closed-
ended. A would allow free response. C involves attending to verbal and nonverbal
cues. D acknowledges and confirms the patient's feelings.
Q4. The COLDSPA mnemonic is used to assess:
A. Family history patterns
B. Medication allergies
C. Characteristics of a presenting symptom
D. Social determinants of health
Correct Answer: C
Rationale: COLDSPA stands for Character, Onset, Location, Duration, Severity,
Pattern, and Associated factors—used to analyze a specific symptom in detail. A is
family history. B is allergy documentation. D is social history.
Q5. During a health history, a patient reveals they drink 4–5 beers nightly. This
information is documented in which section?
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A. Past Medical History
B. Family History
C. Social History
D. Review of Systems
Correct Answer: C
Rationale: Alcohol, tobacco, drug use, occupation, and living situation are
documented in Social History. A documents previous diagnoses. B documents
hereditary conditions. D is a body systems review.
Q6. Which statement by the nurse demonstrates therapeutic communication?
A. "Don't worry, everything will be fine."
B. "I understand this is difficult. Tell me more about how you're feeling."
C. "You should have come in sooner."
D. "I know exactly how you feel."
Correct Answer: B
Rationale: This demonstrates empathy, active listening, and encourages further
expression. A is false reassurance (non-therapeutic). C is judgmental. D minimizes the
patient's unique experience.
Q7. A patient says, "I'm afraid my cancer has returned." The nurse responds, "I'm sure
it's nothing serious." This is an example of:
A. Empathy
B. False reassurance
C. Reflection
D. Clarification
Correct Answer: B
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Rationale: False reassurance dismisses patient concerns without addressing them,
blocking therapeutic communication. A shares understanding of feelings. C echoes
content. D seeks to understand meaning.
Q8. The review of systems (ROS) is best described as:
A. A detailed chronological record of all previous illnesses
B. A systematic inventory of subjective symptoms by body system
C. The patient's primary reason for seeking care
D. A list of current medications and dosages
Correct Answer: B
Rationale: ROS is a systematic inquiry about symptoms affecting each body system.
A describes Past Medical History. C describes Chief Complaint. D is medication
reconciliation.
Q9. When obtaining a family history, which question is most appropriate?
A. "Do any diseases run in your family?"
B. "Has anyone in your family died?"
C. "Which family members have had heart disease, diabetes, or cancer, and at what
age were they diagnosed?"
D. "Are your parents still alive?"
Correct Answer: C
Rationale: This specific question targets hereditary conditions with age of onset,
which is essential for genetic risk assessment. A is too vague. B is incomplete. D is
limited in scope.
Q10. Medication reconciliation during the health history includes: