Bank Actual 2025/2026 with Detailed Rationales | 100%
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SECTION 1: Health History & Interviewing (12 questions)
Q1: During a comprehensive health history interview, the nurse asks, "What brings
you to the clinic today?" This type of question is best described as:
A. A closed-ended question to obtain specific data
B. A focused question to narrow the differential diagnosis
C. An open-ended question to elicit the patient's chief complaint [CORRECT]
D. A leading question to guide the patient's response
Correct Answer: C
Rationale: Open-ended questions encourage patients to describe their concerns in
their own words and are the preferred technique for initiating the interview and
obtaining the chief complaint.
Q2: A patient states, "I have been feeling really down since my spouse passed away
last month." The nurse responds, "It sounds like you are experiencing grief after a
significant loss." This communication technique is an example of:
A. Confrontation
B. Reflection
,C. Summarization
D. Empathetic understanding [CORRECT]
Correct Answer: D
Rationale: Empathetic understanding acknowledges the patient's feelings and
validates their emotional experience, strengthening the therapeutic relationship and
encouraging further disclosure.
Q3: When documenting the history of present illness (HPI), the nurse uses the
mnemonic OLDCART. Which component does the "C" represent?
A. Characteristics of the symptom
B. Contributing factors
C. Chronology of events
D. Context of the symptom [CORRECT]
Correct Answer: D
Rationale: OLDCART stands for Onset, Location, Duration, Characteristics,
Aggravating/Alleviating factors, Relieving factors, and Treatment; the "C" represents
Context (what the patient was doing when the symptom occurred).
Q4: A 45-year-old patient reports a family history of breast cancer in a maternal aunt.
The nurse recognizes that this history is considered:
A. A first-degree relative with significant genetic risk
B. A second-degree relative that may contribute to risk assessment [CORRECT]
C. An insignificant finding because only maternal history matters
, D. A third-degree relative requiring no further screening recommendations
Correct Answer: B
Rationale: Aunts are second-degree relatives; while their history contributes to risk
assessment, first-degree relatives (parents, siblings, children) carry stronger genetic
implications for screening recommendations.
Q5: During a medication reconciliation, the nurse discovers a patient takes both
prescribed atenolol and over-the-counter St. John's wort. The nurse recognizes that
documenting herbal supplements is essential because:
A. Herbal supplements are always contraindicated with prescription medications
B. Many supplements have significant drug interactions and affect treatment
outcomes [CORRECT]
C. Insurance companies require documentation of all supplements for
reimbursement
D. Supplements are inert and only documented for allergy purposes
Correct Answer: B
Rationale: Herbal supplements like St. John's wort can cause significant drug
interactions (e.g., reducing efficacy of antihypertensives, antidepressants, and oral
contraceptives), making complete documentation critical for patient safety.
Q6: A nurse is interviewing a patient who speaks limited English. The most
appropriate action to ensure accurate health history collection is:
A. Ask the patient's bilingual family member to translate during the interview
B. Use a professional medical interpreter and speak directly to the patient [CORRECT]