NR 509 Exam Questions With Accurate Answers
2025\2026 A+ Grade
The interviewing process
- accurate answers-1 Initiating the encounter
Setting the stage/preparation
Greeting the patient and establishing initial rapport
2 Gathering information
Initiating information gathering
Exploring patient's perspective of illness
Exploring biomedical perspective of disease including relevant background
and context
3 Performing the physical examination
4 Explaining and planning
Provide correct amount and type of information
Negotiate plan of action
Shared decision making
Closing the encounter
Interviewing techniques
- accurate answers-Guided questioning: "Tell me about your abdominal pain.
Where else do you feel it? What makes it worse?"
Validation: "That must have been very scary. It is normal to feel this way after
an event like that."
Partnering: "Thank you for sharing about your anxiety. I think we can come up
with a plan together to help you feel better."
Setting the stage for the examination
- accurate answers-Prepare for the interview. Check your appearance. Make
sure the patient is comfortable and the environment is conducive to the very
personal information soon to be shared. You will find that each interview has
its own rhythm and sequence. Master the steps described. Finally, the
interview has important societal dimensions. Reflect on any biases you have
that color your reactions to the patient and the therapeutic alliance you need
to create.
Gender pronouns
(Identify Patient Title, Name, and Preferred Gender Pronoun)
- accurate answers-Should ask all patients their preferred name and gender
,pronouns, ideally at the beginning of the visit and/or on an intake
questionnaire. This includes formal titles such as Mr., Mrs., Ms. or honorifics
such as Professor or Doctor. This not only provides valuable information
about the patient's identity but is also important in establishing rapport and
showing respect, especially if you are seeing the patient for the first time. This
promotes a welcoming environment, especially those individuals whose
preferred titles or names do not conform to societal norms.
The FIFE model
- accurate answers-The patient's Feelings, including fears or concerns, about
the problem
The patient's Ideas about the nature and the cause of the problem
The effect of the problem on the patient's life and Function
The patient's Expectations of the disease, of the clinician, or of health care,
often based on prior personal or family experiences
Fundamentals of skilled interviewing
- accurate answers-initiating the session,
information gathering,
the physical examination,
explaining and planning,
and closing the session
Verbal and nonverbal communication
- accurate answers-Use Understandable Language
Use Nonstigmatizing Language
Body orientation toward and physical proximity to patient*24
Gaze orientation (eye contact) toward patients*25,26
Head nodding with facial animation*27
Head nodding with gesture*28
Posture
Tone and use of voice
Use of silence
Use of touch
Challenging patient situations and behaviors
- accurate answers-Silent
Talkative
With confusing narrative
,With altered state or cognition
With emotional lability
Angry or aggressive
Flirtatious
Discriminatory
With hearing loss
With low or impaired vision
With limited intelligence
Burdened by personal problems
Nonadherent
With low literacy
With low health literacy
With limited language proficiency
With terminal illness or dying
Comprehensive health histories
- accurate answers-Is appropriate for new patients in the office or hospital
Provides fundamental and personalized knowledge about the patient
Strengthens the clinician-patient relationship
Helps identify or rule out physical causes related to patient concerns
Provides a baseline for future assessments
Creates a platform for health promotion through education and counseling
Develops proficiency in the essential skills of physical examination
Focused health histories
- accurate answers-Is appropriate for established patients, especially during
routine or urgent care visits
Addresses focused concerns or symptoms
Assesses symptoms restricted to a specific body system
Applies examination methods relevant to assessing the concern or problem as
thoroughly and carefully as possible
Determining the scope of the patient assessment
- accurate answers-You will adjust the scope of your history and physical
examination to the situation at hand, keeping several factors in mind: the
magnitude and severity of the patient's problems; the need for thoroughness;
the clinical setting—inpatient or outpatient, primary or subspecialty care; and
the time available.
, The seven attributes of a patient's principal symptoms
- accurate answers-Onset
Location
Duration
Character
Aggravating or Alleviating factors
Radiation
Timing
Modifying of the clinical interview for various clinical settings
- accurate answers-Will encounter patients in a variety of clinical settings
ranging from ambulatory clinics to inpatient wards to busy emergency rooms.
So far we have discussed conducting health history interviews in ideal
situations: quiet, with unlimited time, and with minimal distractions
Ambulatory, Emergency, ICU, Nursing home, Home
Determining the scope of the physical examination
- accurate answers-The decision to perform a comprehensive or focused
physical examination depends on many factors including the patient's
concerns, the information you have gathered from the interview, and time.
The comprehensive examination is a basic "head-to-toe-examination" but
does more than assess body systems.
For the focused examination, you will select the methods relevant to a
thorough assessment of the targeted problem. The patient's symptoms, age,
and health history help determine the scope of the focused examination, as
does your knowledge of disease patterns.
Techniques of examination (Note: Be familiar with specific techniques in body
system chapters)
- accurate answers-Inspection
Auscultation
Palpation
Percussion
The head-to-toe physical assessment
- accurate answers-General Survey
Vital Signs
Skin
2025\2026 A+ Grade
The interviewing process
- accurate answers-1 Initiating the encounter
Setting the stage/preparation
Greeting the patient and establishing initial rapport
2 Gathering information
Initiating information gathering
Exploring patient's perspective of illness
Exploring biomedical perspective of disease including relevant background
and context
3 Performing the physical examination
4 Explaining and planning
Provide correct amount and type of information
Negotiate plan of action
Shared decision making
Closing the encounter
Interviewing techniques
- accurate answers-Guided questioning: "Tell me about your abdominal pain.
Where else do you feel it? What makes it worse?"
Validation: "That must have been very scary. It is normal to feel this way after
an event like that."
Partnering: "Thank you for sharing about your anxiety. I think we can come up
with a plan together to help you feel better."
Setting the stage for the examination
- accurate answers-Prepare for the interview. Check your appearance. Make
sure the patient is comfortable and the environment is conducive to the very
personal information soon to be shared. You will find that each interview has
its own rhythm and sequence. Master the steps described. Finally, the
interview has important societal dimensions. Reflect on any biases you have
that color your reactions to the patient and the therapeutic alliance you need
to create.
Gender pronouns
(Identify Patient Title, Name, and Preferred Gender Pronoun)
- accurate answers-Should ask all patients their preferred name and gender
,pronouns, ideally at the beginning of the visit and/or on an intake
questionnaire. This includes formal titles such as Mr., Mrs., Ms. or honorifics
such as Professor or Doctor. This not only provides valuable information
about the patient's identity but is also important in establishing rapport and
showing respect, especially if you are seeing the patient for the first time. This
promotes a welcoming environment, especially those individuals whose
preferred titles or names do not conform to societal norms.
The FIFE model
- accurate answers-The patient's Feelings, including fears or concerns, about
the problem
The patient's Ideas about the nature and the cause of the problem
The effect of the problem on the patient's life and Function
The patient's Expectations of the disease, of the clinician, or of health care,
often based on prior personal or family experiences
Fundamentals of skilled interviewing
- accurate answers-initiating the session,
information gathering,
the physical examination,
explaining and planning,
and closing the session
Verbal and nonverbal communication
- accurate answers-Use Understandable Language
Use Nonstigmatizing Language
Body orientation toward and physical proximity to patient*24
Gaze orientation (eye contact) toward patients*25,26
Head nodding with facial animation*27
Head nodding with gesture*28
Posture
Tone and use of voice
Use of silence
Use of touch
Challenging patient situations and behaviors
- accurate answers-Silent
Talkative
With confusing narrative
,With altered state or cognition
With emotional lability
Angry or aggressive
Flirtatious
Discriminatory
With hearing loss
With low or impaired vision
With limited intelligence
Burdened by personal problems
Nonadherent
With low literacy
With low health literacy
With limited language proficiency
With terminal illness or dying
Comprehensive health histories
- accurate answers-Is appropriate for new patients in the office or hospital
Provides fundamental and personalized knowledge about the patient
Strengthens the clinician-patient relationship
Helps identify or rule out physical causes related to patient concerns
Provides a baseline for future assessments
Creates a platform for health promotion through education and counseling
Develops proficiency in the essential skills of physical examination
Focused health histories
- accurate answers-Is appropriate for established patients, especially during
routine or urgent care visits
Addresses focused concerns or symptoms
Assesses symptoms restricted to a specific body system
Applies examination methods relevant to assessing the concern or problem as
thoroughly and carefully as possible
Determining the scope of the patient assessment
- accurate answers-You will adjust the scope of your history and physical
examination to the situation at hand, keeping several factors in mind: the
magnitude and severity of the patient's problems; the need for thoroughness;
the clinical setting—inpatient or outpatient, primary or subspecialty care; and
the time available.
, The seven attributes of a patient's principal symptoms
- accurate answers-Onset
Location
Duration
Character
Aggravating or Alleviating factors
Radiation
Timing
Modifying of the clinical interview for various clinical settings
- accurate answers-Will encounter patients in a variety of clinical settings
ranging from ambulatory clinics to inpatient wards to busy emergency rooms.
So far we have discussed conducting health history interviews in ideal
situations: quiet, with unlimited time, and with minimal distractions
Ambulatory, Emergency, ICU, Nursing home, Home
Determining the scope of the physical examination
- accurate answers-The decision to perform a comprehensive or focused
physical examination depends on many factors including the patient's
concerns, the information you have gathered from the interview, and time.
The comprehensive examination is a basic "head-to-toe-examination" but
does more than assess body systems.
For the focused examination, you will select the methods relevant to a
thorough assessment of the targeted problem. The patient's symptoms, age,
and health history help determine the scope of the focused examination, as
does your knowledge of disease patterns.
Techniques of examination (Note: Be familiar with specific techniques in body
system chapters)
- accurate answers-Inspection
Auscultation
Palpation
Percussion
The head-to-toe physical assessment
- accurate answers-General Survey
Vital Signs
Skin
