NR509 Exam Questions With Appropriate Solutions
2025\2026 A+ Grade
Which is true of a third heart sound?
A) not heard in clients w/ acute or chronic AFib
B) marks the onset of atrial systole and contraction
C) caused by deceleration of blood against ventricular wall
D) Reflects normal compliance of the left ventrical
- accurate answers-C
A fellow student asks you how to distinguish jugular venous pulsation (JVP)
from a carotid pulse. Which characteristic is typical of the carotid pulse?
A) soft, rapid, undulating quality
B) level of pulsation changes by position
C) palpable and height unchanged by inspiration
D) light pressure eliminates pulsation
- accurate answers-C
Alarming findings in respiratory health history
- accurate answers-Dyspnea, orthopnea, bendopnea, paroxysmal nocturnal
dyspnea, pain details
Alarming findings of the heart
- accurate answers-Diaphoresis, nausea, anxiety, palpitations, chest pain, pain
details
Alarming findings in history and activity
- accurate answers-Heart disease HTN MI obesity diabetes bleeding disorder
prolonged positioning diet, smoking, substance or alcohol use
Alarming findings in physical exam
- accurate answers-Height, weight BMI trends vital signs heart and lung
sounds
Skilled Interview Techniques
- accurate answers-1. Active listening
2. Empathy
3. Guided questions
4. Open ended to focused questions
,5. Questions that elicit graded response
6. Ask a series of questions at once with Yes or No answers (ROS)
7. Multiple choice answers (character history questions)
8. Clarifying Questions
9. Encourage with continuers (mmhm, head nod, back and forth eye contact)
10. Echoing to encourage more information
11. Nonverbal communication (open posture, mindful of face, eye contact)
12. Validate emotional response
13. Reassure that you will get through next steps together
14. Summarize appointment
Interviewing Process
- accurate answers-generates paient's story and respond to patient cues
Techniques of Guided Questions
- accurate answers-Move from open ended to focused questions
Ask questions for graded responses
Ask a series of questions one at a time
Offer multiple choices for an answer
Clarify what the patient means
Encourage patient with continuers
Use echoing
Setting the stage for the interview
- accurate answers-
Guided questions shows what to the patient?
- accurate answers-Your sustained interest
What two processes have distinct format but compliment each other?
- accurate answers-Interview process
Health history format
Strategies to maintain patient centered care with computerized clinical
settings
- accurate answers-Review clinical record before calling in the patient
Start visit by asking about concerns and building rapport before turning on
the computer
Move computer to patients view
, Document patient encounter in EHR after visit
components of comprehensive health history
- accurate answers-Chief complaint
History of present illness
Past medical w
Medications and Allergies
Family History
Personal and Social History
Review of systems
Five categories of social determinants of health
- accurate answers-Economic Stability
Education access and quality
Health care access and quality
Neighborhood and built environment
Social and Community Context
FIFE model
- accurate answers-Feelings
Ideas
Functioning
Expectations
Interviewing Process
- accurate answers--Demands effective communication and relation skills
-Need ability to elicit accurate information
-Need interpersonal skills to respond to patient's feelings and concerns
Verbal vs. Nonverbal Communication
- accurate answers--Verbal: voice/volume (nurses use verbal communication
extensivley)
-Nonverbal: gestures, posture, silence, spatial relation (reliable indication of
the clients true message)
Types of challenging clients
- accurate answers-involuntary, silent & withdrawn, excessive talker,
overwhelm themselves, often say, "yes...but," deny they need help, overly
2025\2026 A+ Grade
Which is true of a third heart sound?
A) not heard in clients w/ acute or chronic AFib
B) marks the onset of atrial systole and contraction
C) caused by deceleration of blood against ventricular wall
D) Reflects normal compliance of the left ventrical
- accurate answers-C
A fellow student asks you how to distinguish jugular venous pulsation (JVP)
from a carotid pulse. Which characteristic is typical of the carotid pulse?
A) soft, rapid, undulating quality
B) level of pulsation changes by position
C) palpable and height unchanged by inspiration
D) light pressure eliminates pulsation
- accurate answers-C
Alarming findings in respiratory health history
- accurate answers-Dyspnea, orthopnea, bendopnea, paroxysmal nocturnal
dyspnea, pain details
Alarming findings of the heart
- accurate answers-Diaphoresis, nausea, anxiety, palpitations, chest pain, pain
details
Alarming findings in history and activity
- accurate answers-Heart disease HTN MI obesity diabetes bleeding disorder
prolonged positioning diet, smoking, substance or alcohol use
Alarming findings in physical exam
- accurate answers-Height, weight BMI trends vital signs heart and lung
sounds
Skilled Interview Techniques
- accurate answers-1. Active listening
2. Empathy
3. Guided questions
4. Open ended to focused questions
,5. Questions that elicit graded response
6. Ask a series of questions at once with Yes or No answers (ROS)
7. Multiple choice answers (character history questions)
8. Clarifying Questions
9. Encourage with continuers (mmhm, head nod, back and forth eye contact)
10. Echoing to encourage more information
11. Nonverbal communication (open posture, mindful of face, eye contact)
12. Validate emotional response
13. Reassure that you will get through next steps together
14. Summarize appointment
Interviewing Process
- accurate answers-generates paient's story and respond to patient cues
Techniques of Guided Questions
- accurate answers-Move from open ended to focused questions
Ask questions for graded responses
Ask a series of questions one at a time
Offer multiple choices for an answer
Clarify what the patient means
Encourage patient with continuers
Use echoing
Setting the stage for the interview
- accurate answers-
Guided questions shows what to the patient?
- accurate answers-Your sustained interest
What two processes have distinct format but compliment each other?
- accurate answers-Interview process
Health history format
Strategies to maintain patient centered care with computerized clinical
settings
- accurate answers-Review clinical record before calling in the patient
Start visit by asking about concerns and building rapport before turning on
the computer
Move computer to patients view
, Document patient encounter in EHR after visit
components of comprehensive health history
- accurate answers-Chief complaint
History of present illness
Past medical w
Medications and Allergies
Family History
Personal and Social History
Review of systems
Five categories of social determinants of health
- accurate answers-Economic Stability
Education access and quality
Health care access and quality
Neighborhood and built environment
Social and Community Context
FIFE model
- accurate answers-Feelings
Ideas
Functioning
Expectations
Interviewing Process
- accurate answers--Demands effective communication and relation skills
-Need ability to elicit accurate information
-Need interpersonal skills to respond to patient's feelings and concerns
Verbal vs. Nonverbal Communication
- accurate answers--Verbal: voice/volume (nurses use verbal communication
extensivley)
-Nonverbal: gestures, posture, silence, spatial relation (reliable indication of
the clients true message)
Types of challenging clients
- accurate answers-involuntary, silent & withdrawn, excessive talker,
overwhelm themselves, often say, "yes...but," deny they need help, overly
