BSN 246 HESI Health Assessment Exam V1 Practice
Test Actual 2025/2026 with Detailed Rationales | 100%
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SECTION 1: HEALTH HISTORY & INTERVIEWING (12 Questions)
Q1: A nurse is conducting a comprehensive health history. Which component
includes the patient's description of the reason for seeking care in their own words?
A. Past medical history
B. Family history
C. Chief complaint
D. Review of systems
Correct Answer: C
Rationale: The chief complaint is the patient's subjective statement in their own
words describing the reason for the visit, typically recorded in quotation marks.
Q2: During a health history interview, a patient states, "I have been having chest pain
for the past three days." Which follow-up question best uses the OLDCART
mnemonic to gather additional symptom data?
,A. "Do you have any allergies to medications?"
B. "Can you describe the onset, location, duration, characteristics, aggravating
factors, relieving factors, and treatment for the chest pain?"
C. "When was your last physical examination?"
D. "Does anyone in your family have heart disease?"
Correct Answer: B
Rationale: OLDCART is a systematic symptom assessment tool that guides the
nurse to ask about onset, location, duration, characteristics, aggravating/relieving
factors, and treatment for each symptom.
Q3: A nurse is interviewing a patient who recently immigrated from another country.
Which action best demonstrates culturally competent interviewing?
A. Using medical jargon to ensure the patient understands healthcare terminology
B. Asking the patient about their cultural beliefs regarding health and illness
C. Avoiding eye contact with all patients to show respect
D. Assuming the patient shares the same health beliefs as the dominant culture
Correct Answer: B
,Rationale: Culturally competent interviewing involves actively exploring the patient's
cultural beliefs, values, and practices regarding health to provide individualized,
respectful care.
Q4: Which communication technique involves restating the patient's message in the
nurse's own words to confirm understanding?
A. Reflection
B. Paraphrasing
C. Clarification
D. Confrontation
Correct Answer: B
Rationale: Paraphrasing involves restating the patient's message in the nurse's own
words to verify comprehension and encourage the patient to elaborate on their
concerns.
Q5: A nurse is obtaining a family history from a patient. Which piece of information is
most important to include?
A. The patient's current dietary preferences
B. Age and health status of first-degree relatives and causes of death for deceased
relatives
C. The patient's exercise routine
, D. The patient's religious affiliation
Correct Answer: B
Rationale: Family history documents the age, health status, and cause of death of
first-degree relatives to identify genetic predispositions and hereditary disease
patterns.
Q6: During a health history, a patient becomes tearful when discussing the recent
death of a spouse. Which is the most appropriate nursing response?
A. "Let's move on to your physical symptoms so you don't get too upset."
B. "I can see this is difficult for you. Take your time. I'm here to listen."
C. "You should try to stay strong and not cry during the interview."
D. "I'll come back when you're finished crying."
Correct Answer: B
Rationale: Acknowledging the patient's emotion, offering presence, and allowing time
to process grief demonstrates empathy and supports a therapeutic nurse-patient
relationship.
Q7: Which component of the health history documents the patient's use of
prescription medications, over-the-counter drugs, herbal supplements, and allergies?
A. Social history
Test Actual 2025/2026 with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
SECTION 1: HEALTH HISTORY & INTERVIEWING (12 Questions)
Q1: A nurse is conducting a comprehensive health history. Which component
includes the patient's description of the reason for seeking care in their own words?
A. Past medical history
B. Family history
C. Chief complaint
D. Review of systems
Correct Answer: C
Rationale: The chief complaint is the patient's subjective statement in their own
words describing the reason for the visit, typically recorded in quotation marks.
Q2: During a health history interview, a patient states, "I have been having chest pain
for the past three days." Which follow-up question best uses the OLDCART
mnemonic to gather additional symptom data?
,A. "Do you have any allergies to medications?"
B. "Can you describe the onset, location, duration, characteristics, aggravating
factors, relieving factors, and treatment for the chest pain?"
C. "When was your last physical examination?"
D. "Does anyone in your family have heart disease?"
Correct Answer: B
Rationale: OLDCART is a systematic symptom assessment tool that guides the
nurse to ask about onset, location, duration, characteristics, aggravating/relieving
factors, and treatment for each symptom.
Q3: A nurse is interviewing a patient who recently immigrated from another country.
Which action best demonstrates culturally competent interviewing?
A. Using medical jargon to ensure the patient understands healthcare terminology
B. Asking the patient about their cultural beliefs regarding health and illness
C. Avoiding eye contact with all patients to show respect
D. Assuming the patient shares the same health beliefs as the dominant culture
Correct Answer: B
,Rationale: Culturally competent interviewing involves actively exploring the patient's
cultural beliefs, values, and practices regarding health to provide individualized,
respectful care.
Q4: Which communication technique involves restating the patient's message in the
nurse's own words to confirm understanding?
A. Reflection
B. Paraphrasing
C. Clarification
D. Confrontation
Correct Answer: B
Rationale: Paraphrasing involves restating the patient's message in the nurse's own
words to verify comprehension and encourage the patient to elaborate on their
concerns.
Q5: A nurse is obtaining a family history from a patient. Which piece of information is
most important to include?
A. The patient's current dietary preferences
B. Age and health status of first-degree relatives and causes of death for deceased
relatives
C. The patient's exercise routine
, D. The patient's religious affiliation
Correct Answer: B
Rationale: Family history documents the age, health status, and cause of death of
first-degree relatives to identify genetic predispositions and hereditary disease
patterns.
Q6: During a health history, a patient becomes tearful when discussing the recent
death of a spouse. Which is the most appropriate nursing response?
A. "Let's move on to your physical symptoms so you don't get too upset."
B. "I can see this is difficult for you. Take your time. I'm here to listen."
C. "You should try to stay strong and not cry during the interview."
D. "I'll come back when you're finished crying."
Correct Answer: B
Rationale: Acknowledging the patient's emotion, offering presence, and allowing time
to process grief demonstrates empathy and supports a therapeutic nurse-patient
relationship.
Q7: Which component of the health history documents the patient's use of
prescription medications, over-the-counter drugs, herbal supplements, and allergies?
A. Social history
