V4 Latest 2026-2027 Nightingale College
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1. Which question is most appropriate when beginning a health history?
A. “Do you have chest pain?”
B. “Tell me what brought you in today.”
C. “Is your pain a 7 out of 10?”
D. “Have you had this problem before?”
CORRECT ANSWER: B
Rationale:
An open-ended question encourages the patient to describe the chief concern in their own
words and provides more comprehensive information.
2. Which interviewing technique is most therapeutic when a patient becomes silent while
discussing a difficult topic?
A. Change the subject immediately
B. Use therapeutic silence
C. Ask several questions rapidly
D. Tell the patient to continue talking
, CORRECT ANSWER: B
Rationale:
Therapeutic silence gives the patient time to organize thoughts and emotions without feeling
pressured.
3. Which finding should the nurse document as subjective data?
A. Blood pressure of 148/88 mmHg
B. Temperature of 38.2°C
C. Patient reports, “I feel dizzy.”
D. Respiratory rate of 24/min
CORRECT ANSWER: C
Rationale:
Subjective data are symptoms or information reported by the patient. Vital signs and observable
findings are objective data.
4. Which assessment technique should generally be performed first?
A. Palpation
B. Percussion
C. Inspection
D. Auscultation
, CORRECT ANSWER: C
Rationale:
Inspection involves observing the patient and is generally the first component of the physical
assessment sequence.
5. Which technique involves using the hands to assess texture, temperature, tenderness, or
masses?
A. Inspection
B. Palpation
C. Percussion
D. Auscultation
CORRECT ANSWER: B
Rationale:
Palpation uses the hands and fingers to assess physical characteristics such as tenderness,
temperature, texture, and masses.
6. Which technique involves tapping the body surface to assess underlying structures?
A. Inspection
B. Palpation
C. Percussion
D. Auscultation
, CORRECT ANSWER: C
Rationale:
Percussion produces sounds and vibrations that can provide information about the underlying
tissue.
7. Which technique is used to listen to internal body sounds?
A. Inspection
B. Palpation
C. Percussion
D. Auscultation
CORRECT ANSWER: D
Rationale:
Auscultation uses a stethoscope to assess sounds such as heart, lung, and bowel sounds.
8. When assessing the abdomen, which sequence is generally used?
A. Palpation → percussion → auscultation → inspection
B. Inspection → auscultation → percussion → palpation
C. Auscultation → palpation → inspection → percussion
D. Percussion → palpation → inspection → auscultation