Exam 3: NUR101 / NUR 101 (Latest 2026/2027 Update) Health ...
OBJECTIVE ASSESSMENT - EXAM
Exam 3: NUR101 / NUR 101 (Latest
2026/2027 Update) Health Assessment
| Guide with Questions and Verified
Answers | 100% Correct | Grade A –
Fortis 2026/2027
75 100% 2026/2027 80%
QUESTIONS VERIFIED ANSWERS EDITION PASSING SCORE
TOPICS COVERED
• Health History and Interviewing • Assessment of Body Systems - Cardiovascular, Abdomen
• Physical Examination Techniques • Special Populations, Documentation
• Assessment of Body Systems - Head, Neck, Thorax, Lungs
• Cultural Considerations and Developmental Assessment
COVER PAGE - 1
, Section 1: Health History and Interviewing
Q1.
A 58-year-old client arrives for a routine wellness visit and appears anxious. The nurse notices the client avoids eye contact
and provides brief, one-word responses. Using therapeutic communication principles, which opening statement best
establishes rapport and encourages the client to share health concerns?
A. "I see you are nervous. Let me tell you exactly what we will do today so you feel prepared."
B. "You seem a little uncomfortable. Tell me what brought you in today and how you have been feeling."
C. "Please fill out this 10-page health history form while I review your chart from last year."
D. "I need to ask you 50 questions about your medical history before we can proceed with the exam."
Correct Answer: B
Open-ended questions that acknowledge the client's emotional state while inviting narrative promote therapeutic rapport. Option A
assumes nervousness without validation. Option C is task-oriented and impersonal. Option D is overwhelming and may increase anxiety.
Q2.
During a health history interview, a 42-year-old client mentions occasional chest tightness when climbing stairs but
dismisses it as "just getting older." The nurse recognizes this as a potential minimizing technique. Which follow-up question
best elicits accurate information without making the client defensive?
A. "You are only 42. That is not old. Are you sure it is not something more serious?"
B. "Chest tightness can sometimes indicate heart problems. Have you discussed this with a cardiologist?"
C. "Can you describe what the tightness feels like, when it started, and what you are doing when it happens?"
D. "Many people your age ignore warning signs. You really should take this more seriously."
Correct Answer: C
Focusing on the characteristics, onset, and provoking factors of the symptom gathers objective data without challenging the client's
perception. Options A and D are confrontational. Option B introduces specialist referral prematurely and may increase anxiety.
Q3.
A nurse is obtaining a medication history from a 67-year-old client who takes 12 different prescriptions. The client cannot
recall all medication names and dosages. Which strategy best ensures a complete and accurate medication list?
A. Asking the client to estimate dosages based on pill color and size
B. Requesting the client bring all medication bottles to the next appointment
C. Contacting the client's pharmacy to obtain a complete medication profile
D. Documenting only the medications the client can remember and noting the rest as unknown
Correct Answer: C
Contacting the pharmacy provides the most accurate and complete medication profile, including dosages, frequencies, and recent
changes. While bringing bottles (B) is helpful, it may not capture recent changes. Estimating (A) is unsafe, and incomplete documentation
(D) compromises patient safety.
Q4.
During a review of systems, a 35-year-old client reports fatigue, weight gain, cold intolerance, and constipation over the
past six months. The nurse recognizes these symptoms as potentially indicating a thyroid disorder. Which additional
question best differentiates hypothyroidism from other conditions with similar presentations?
A. "Have you noticed any changes in your hair texture or skin dryness?"
B. "Do you experience heart palpitations or excessive sweating?"
C. "Have you had any recent infections or fevers?"
D. "Do you have a family history of diabetes mellitus?"
Correct Answer: A
Dry skin and coarse hair are classic physical findings in hypothyroidism that help differentiate it from other causes of fatigue and weight
gain. Palpitations and sweating (B) suggest hyperthyroidism. Recent infections (C) and diabetes history (D) are less specific to thyroid
dysfunction.
R101 / NUR 101 (Latest 2026/2027 Update) Health Assessment | Guide with Questions and Verified Answers | 100% Correct | Grade A – Fortis 2026/2027 | Page 2
, Section 1: Health History and Interviewing (continued)
Q5.
A nurse is interviewing a 24-year-old client who reports a 15-pound weight loss over three months, increased appetite, and
frequent urination. The client also mentions feeling thirsty all the time. Which component of the health history should the
nurse prioritize to further investigate these findings?
A. Family history of autoimmune disorders
B. Social history regarding alcohol and tobacco use
C. History of present illness with detailed symptom timeline
D. Occupational history and exposure to environmental toxins
Correct Answer: C
Polyuria, polydipsia, polyphagia, and weight loss are cardinal symptoms of diabetes mellitus. A detailed history of present illness with
symptom onset, progression, and associated factors is the priority for diagnostic clarification. Family history (A) is relevant but secondary
to current symptom characterization.
Q6.
A 71-year-old client with mild cognitive impairment is accompanied by an adult daughter who frequently interrupts and
answers questions directed at the client. The nurse needs to assess the client's own understanding of their health status.
Which approach best balances respect for the client with acknowledgment of the caregiver's involvement?
A. Asking the daughter to wait in the hallway for the entire interview
B. Directing questions to the client first, then validating with the daughter for accuracy
C. Allowing the daughter to answer all questions to save time
D. Telling the client that their daughter seems to know more about their health than they do
Correct Answer: B
Directing questions to the client first respects autonomy and assesses the client's own understanding, while validating with the caregiver
ensures accuracy. Removing the daughter (A) may cause distress. Allowing the daughter to answer everything (C) undermines the
client's autonomy. Option D is demeaning.
Q7.
During a health history, a 29-year-old client reports a family history significant for breast cancer in a maternal aunt at age
45 and colon cancer in a paternal grandfather at age 72. The nurse is constructing a genogram. Which symbol and notation
correctly represents the maternal aunt's breast cancer on the genogram?
A. A square with a slash and "BrCA, 45" in the upper right quadrant
B. A circle with a slash and "BrCA, 45" in the lower right quadrant
C. A diamond with "BrCA" inside and age 45 below
D. A circle with a diagonal line and "BrCA dx 45" noted beside it
Correct Answer: B
In standard genogram notation, females are represented by circles, and a slash indicates a health condition with the diagnosis and age
noted. Maternal relatives appear on the mother's side. Squares (A) represent males. Diamonds (C) represent ambiguous gender. A
diagonal line (D) typically indicates death, not illness.
Q8.
A nurse is conducting a spiritual assessment as part of a comprehensive health history on a 55-year-old client recently
diagnosed with terminal cancer. The client states, "I am not religious, but I find peace in nature and meditation." Which
assessment tool best captures this client's spiritual needs and coping resources?
A. The FICA Spiritual History Tool focusing on faith, importance, community, and address in care
B. The DIRE Score for opioid risk assessment
C. The CIWA-Ar for alcohol withdrawal assessment
D. The Braden Scale for pressure injury risk
Correct Answer: A
The FICA tool assesses Faith/beliefs, Importance, Community, and Address in care, accommodating both religious and non-religious
spiritual practices like nature and meditation. The DIRE (B), CIWA-Ar (C), and Braden Scale (D) are unrelated to spiritual assessment.
R101 / NUR 101 (Latest 2026/2027 Update) Health Assessment | Guide with Questions and Verified Answers | 100% Correct | Grade A – Fortis 2026/2027 | Page 3
OBJECTIVE ASSESSMENT - EXAM
Exam 3: NUR101 / NUR 101 (Latest
2026/2027 Update) Health Assessment
| Guide with Questions and Verified
Answers | 100% Correct | Grade A –
Fortis 2026/2027
75 100% 2026/2027 80%
QUESTIONS VERIFIED ANSWERS EDITION PASSING SCORE
TOPICS COVERED
• Health History and Interviewing • Assessment of Body Systems - Cardiovascular, Abdomen
• Physical Examination Techniques • Special Populations, Documentation
• Assessment of Body Systems - Head, Neck, Thorax, Lungs
• Cultural Considerations and Developmental Assessment
COVER PAGE - 1
, Section 1: Health History and Interviewing
Q1.
A 58-year-old client arrives for a routine wellness visit and appears anxious. The nurse notices the client avoids eye contact
and provides brief, one-word responses. Using therapeutic communication principles, which opening statement best
establishes rapport and encourages the client to share health concerns?
A. "I see you are nervous. Let me tell you exactly what we will do today so you feel prepared."
B. "You seem a little uncomfortable. Tell me what brought you in today and how you have been feeling."
C. "Please fill out this 10-page health history form while I review your chart from last year."
D. "I need to ask you 50 questions about your medical history before we can proceed with the exam."
Correct Answer: B
Open-ended questions that acknowledge the client's emotional state while inviting narrative promote therapeutic rapport. Option A
assumes nervousness without validation. Option C is task-oriented and impersonal. Option D is overwhelming and may increase anxiety.
Q2.
During a health history interview, a 42-year-old client mentions occasional chest tightness when climbing stairs but
dismisses it as "just getting older." The nurse recognizes this as a potential minimizing technique. Which follow-up question
best elicits accurate information without making the client defensive?
A. "You are only 42. That is not old. Are you sure it is not something more serious?"
B. "Chest tightness can sometimes indicate heart problems. Have you discussed this with a cardiologist?"
C. "Can you describe what the tightness feels like, when it started, and what you are doing when it happens?"
D. "Many people your age ignore warning signs. You really should take this more seriously."
Correct Answer: C
Focusing on the characteristics, onset, and provoking factors of the symptom gathers objective data without challenging the client's
perception. Options A and D are confrontational. Option B introduces specialist referral prematurely and may increase anxiety.
Q3.
A nurse is obtaining a medication history from a 67-year-old client who takes 12 different prescriptions. The client cannot
recall all medication names and dosages. Which strategy best ensures a complete and accurate medication list?
A. Asking the client to estimate dosages based on pill color and size
B. Requesting the client bring all medication bottles to the next appointment
C. Contacting the client's pharmacy to obtain a complete medication profile
D. Documenting only the medications the client can remember and noting the rest as unknown
Correct Answer: C
Contacting the pharmacy provides the most accurate and complete medication profile, including dosages, frequencies, and recent
changes. While bringing bottles (B) is helpful, it may not capture recent changes. Estimating (A) is unsafe, and incomplete documentation
(D) compromises patient safety.
Q4.
During a review of systems, a 35-year-old client reports fatigue, weight gain, cold intolerance, and constipation over the
past six months. The nurse recognizes these symptoms as potentially indicating a thyroid disorder. Which additional
question best differentiates hypothyroidism from other conditions with similar presentations?
A. "Have you noticed any changes in your hair texture or skin dryness?"
B. "Do you experience heart palpitations or excessive sweating?"
C. "Have you had any recent infections or fevers?"
D. "Do you have a family history of diabetes mellitus?"
Correct Answer: A
Dry skin and coarse hair are classic physical findings in hypothyroidism that help differentiate it from other causes of fatigue and weight
gain. Palpitations and sweating (B) suggest hyperthyroidism. Recent infections (C) and diabetes history (D) are less specific to thyroid
dysfunction.
R101 / NUR 101 (Latest 2026/2027 Update) Health Assessment | Guide with Questions and Verified Answers | 100% Correct | Grade A – Fortis 2026/2027 | Page 2
, Section 1: Health History and Interviewing (continued)
Q5.
A nurse is interviewing a 24-year-old client who reports a 15-pound weight loss over three months, increased appetite, and
frequent urination. The client also mentions feeling thirsty all the time. Which component of the health history should the
nurse prioritize to further investigate these findings?
A. Family history of autoimmune disorders
B. Social history regarding alcohol and tobacco use
C. History of present illness with detailed symptom timeline
D. Occupational history and exposure to environmental toxins
Correct Answer: C
Polyuria, polydipsia, polyphagia, and weight loss are cardinal symptoms of diabetes mellitus. A detailed history of present illness with
symptom onset, progression, and associated factors is the priority for diagnostic clarification. Family history (A) is relevant but secondary
to current symptom characterization.
Q6.
A 71-year-old client with mild cognitive impairment is accompanied by an adult daughter who frequently interrupts and
answers questions directed at the client. The nurse needs to assess the client's own understanding of their health status.
Which approach best balances respect for the client with acknowledgment of the caregiver's involvement?
A. Asking the daughter to wait in the hallway for the entire interview
B. Directing questions to the client first, then validating with the daughter for accuracy
C. Allowing the daughter to answer all questions to save time
D. Telling the client that their daughter seems to know more about their health than they do
Correct Answer: B
Directing questions to the client first respects autonomy and assesses the client's own understanding, while validating with the caregiver
ensures accuracy. Removing the daughter (A) may cause distress. Allowing the daughter to answer everything (C) undermines the
client's autonomy. Option D is demeaning.
Q7.
During a health history, a 29-year-old client reports a family history significant for breast cancer in a maternal aunt at age
45 and colon cancer in a paternal grandfather at age 72. The nurse is constructing a genogram. Which symbol and notation
correctly represents the maternal aunt's breast cancer on the genogram?
A. A square with a slash and "BrCA, 45" in the upper right quadrant
B. A circle with a slash and "BrCA, 45" in the lower right quadrant
C. A diamond with "BrCA" inside and age 45 below
D. A circle with a diagonal line and "BrCA dx 45" noted beside it
Correct Answer: B
In standard genogram notation, females are represented by circles, and a slash indicates a health condition with the diagnosis and age
noted. Maternal relatives appear on the mother's side. Squares (A) represent males. Diamonds (C) represent ambiguous gender. A
diagonal line (D) typically indicates death, not illness.
Q8.
A nurse is conducting a spiritual assessment as part of a comprehensive health history on a 55-year-old client recently
diagnosed with terminal cancer. The client states, "I am not religious, but I find peace in nature and meditation." Which
assessment tool best captures this client's spiritual needs and coping resources?
A. The FICA Spiritual History Tool focusing on faith, importance, community, and address in care
B. The DIRE Score for opioid risk assessment
C. The CIWA-Ar for alcohol withdrawal assessment
D. The Braden Scale for pressure injury risk
Correct Answer: A
The FICA tool assesses Faith/beliefs, Importance, Community, and Address in care, accommodating both religious and non-religious
spiritual practices like nature and meditation. The DIRE (B), CIWA-Ar (C), and Braden Scale (D) are unrelated to spiritual assessment.
R101 / NUR 101 (Latest 2026/2027 Update) Health Assessment | Guide with Questions and Verified Answers | 100% Correct | Grade A – Fortis 2026/2027 | Page 3
