NUR206 Community Nursing Concepts Exam 2 Actual
Exam 2026/2027 | Complete Exam-Style Questions with
Detailed Rationales | Pass Guaranteed – A+ Graded
SECTION 1: Health History and Interviewing Techniques (Questions
1-10)
Q1: A nurse is conducting a comprehensive health history on a 68-year-old patient
admitted for chest pain. Which component of the health history would the nurse obtain
first?
A. Review of systems
B. Past medical history
C. Biographical data
D. Present illness
Correct Answer: C
Rationale: Correct because biographical data is obtained first to establish the patient's
identity, age, gender, occupation, and contact information, providing the foundational
framework for all subsequent assessment data. This matches the standard sequence
of comprehensive health history collection.
Q2: A patient states, "I have been having this pain in my chest for about 3 days now."
Which interviewing technique is the nurse using when responding, "Can you tell me
more about the pain?"
A. Confrontation
B. Clarification
C. Open-ended questioning
D. Reflection
,Correct Answer: C
Rationale: Correct because open-ended questioning encourages the patient to elaborate
on their experience in their own words, promoting therapeutic communication and
gathering comprehensive subjective data. This matches the priority technique for
exploring patient symptoms.
Q3: During the health history, a patient with limited English proficiency becomes silent
and avoids eye contact. Which action by the nurse demonstrates cultural competence?
A. Speaking loudly to ensure understanding
B. Using a professional medical interpreter
C. Asking a family member to translate
D. Continuing the interview in English
Correct Answer: B
Rationale: Correct because using a professional medical interpreter ensures accurate
communication, maintains confidentiality, and respects the patient's cultural and
linguistic needs. This matches HIPAA-compliant, culturally competent care standards.
Q4: A nurse is documenting a patient's present illness using the PQRST method. Which
documentation entry correctly reflects the "Q" component?
A. "Pain began 2 hours ago after eating"
B. "Pain is sharp and stabbing in nature"
C. "Pain radiates to the left shoulder"
D. "Pain is relieved by sitting upright"
Correct Answer: B
Rationale: Correct because the "Q" in PQRST represents Quality, which describes the
characteristics or nature of the symptom, such as sharp, dull, burning, or stabbing. This
matches the standardized documentation framework for symptom assessment.
, Q5: A nurse is interviewing a patient who repeatedly provides vague, unrelated
responses. Which barrier to communication is most likely occurring?
A. Language difference
B. Altered cognition
C. Anxiety
D. Hearing impairment
Correct Answer: C
Rationale: Correct because anxiety can cause patients to provide tangential, vague, or
excessive information as a defense mechanism, interfering with effective data
collection. This matches the assessment finding of a common psychosocial barrier to
therapeutic communication.
Q6: During a health history interview, a patient with a hearing impairment is having
difficulty understanding the nurse. Which action is most appropriate?
A. Shouting directly into the patient's ear
B. Speaking in a normal tone while facing the patient
C. Writing all questions on paper
D. Asking yes/no questions only
Correct Answer: B
Rationale: Correct because speaking in a normal tone while facing the patient allows for
lip-reading and visual cues, which are essential communication strategies for patients
with hearing impairment. This matches evidence-based techniques for communicating
with patients with special needs.
Q7: A nurse is obtaining a medication history from a patient who takes multiple
over-the-counter supplements. Which question is most important to ask?
Exam 2026/2027 | Complete Exam-Style Questions with
Detailed Rationales | Pass Guaranteed – A+ Graded
SECTION 1: Health History and Interviewing Techniques (Questions
1-10)
Q1: A nurse is conducting a comprehensive health history on a 68-year-old patient
admitted for chest pain. Which component of the health history would the nurse obtain
first?
A. Review of systems
B. Past medical history
C. Biographical data
D. Present illness
Correct Answer: C
Rationale: Correct because biographical data is obtained first to establish the patient's
identity, age, gender, occupation, and contact information, providing the foundational
framework for all subsequent assessment data. This matches the standard sequence
of comprehensive health history collection.
Q2: A patient states, "I have been having this pain in my chest for about 3 days now."
Which interviewing technique is the nurse using when responding, "Can you tell me
more about the pain?"
A. Confrontation
B. Clarification
C. Open-ended questioning
D. Reflection
,Correct Answer: C
Rationale: Correct because open-ended questioning encourages the patient to elaborate
on their experience in their own words, promoting therapeutic communication and
gathering comprehensive subjective data. This matches the priority technique for
exploring patient symptoms.
Q3: During the health history, a patient with limited English proficiency becomes silent
and avoids eye contact. Which action by the nurse demonstrates cultural competence?
A. Speaking loudly to ensure understanding
B. Using a professional medical interpreter
C. Asking a family member to translate
D. Continuing the interview in English
Correct Answer: B
Rationale: Correct because using a professional medical interpreter ensures accurate
communication, maintains confidentiality, and respects the patient's cultural and
linguistic needs. This matches HIPAA-compliant, culturally competent care standards.
Q4: A nurse is documenting a patient's present illness using the PQRST method. Which
documentation entry correctly reflects the "Q" component?
A. "Pain began 2 hours ago after eating"
B. "Pain is sharp and stabbing in nature"
C. "Pain radiates to the left shoulder"
D. "Pain is relieved by sitting upright"
Correct Answer: B
Rationale: Correct because the "Q" in PQRST represents Quality, which describes the
characteristics or nature of the symptom, such as sharp, dull, burning, or stabbing. This
matches the standardized documentation framework for symptom assessment.
, Q5: A nurse is interviewing a patient who repeatedly provides vague, unrelated
responses. Which barrier to communication is most likely occurring?
A. Language difference
B. Altered cognition
C. Anxiety
D. Hearing impairment
Correct Answer: C
Rationale: Correct because anxiety can cause patients to provide tangential, vague, or
excessive information as a defense mechanism, interfering with effective data
collection. This matches the assessment finding of a common psychosocial barrier to
therapeutic communication.
Q6: During a health history interview, a patient with a hearing impairment is having
difficulty understanding the nurse. Which action is most appropriate?
A. Shouting directly into the patient's ear
B. Speaking in a normal tone while facing the patient
C. Writing all questions on paper
D. Asking yes/no questions only
Correct Answer: B
Rationale: Correct because speaking in a normal tone while facing the patient allows for
lip-reading and visual cues, which are essential communication strategies for patients
with hearing impairment. This matches evidence-based techniques for communicating
with patients with special needs.
Q7: A nurse is obtaining a medication history from a patient who takes multiple
over-the-counter supplements. Which question is most important to ask?
