Health History Study Guide &
Practice Questions -
2026/2027 | Nursing
Assessment
,ips & Tricks: TJ Health Interview
Student: Hello! Diana Shadow: Hi. I'm Preceptor Diana. I will explain
the details of this assignment and your objectives, just
as a preceptor would in real life. Pay close attention to
this information as it will help guide your exam. At the
end of this prebrief, you will answer a short question
about the upcoming assignment. During the simulation,
you may return to these instructions at any time by
scrolling to the top of your transcript.
Student: What is the situation? Diana Shadow: Your patient is Tina Jones:, a 28-year-
old African American woman who has just been
admitted to Shadow General Hospital for a painful foot
wound. Your role in this simulation is that of a
healthcare provider who will take Ms. Jones' health
history, a key component of her admission process.
Student: What are my objectives in this Diana Shadow: A health history requires you to ask
assessment? questions related to Ms. Jones' past and present
health, from her current foot wound to her pre-existing
conditions. You will also want to review Ms. Jones'
systems, psychosocial history, and family medical
history. These assessments together will give you a
comprehensive picture of Ms. Jones' overall health. If
you discover any disease states, ask about symptoms
and the patient's experiences of them. Your questioning
should cover a broad array of the symptoms'
characteristics. Throughout the conversation, you
should educate and empathize with Ms. Jones when
appropriate to increase her health literacy and sense of
well-being. Regardless of whether you have assessed
Ms. Jones previously, ask all questions that are
necessary for obtaining a complete health history.
While you should communicate with patients using
accessible, everyday language, it is standard practice
to use professional medical terminology everywhere
else, such as in documenting physical findings and
nursing notes. You may complete the exam activities in
any order and move between them as needed. After
obtaining Ms. Jones' health history, you will complete
an information processing activity. You will identify and
prioritize diagnoses, then create a plan to address the
identified diagnoses.
,Student: What else will this exam Diana Shadow: You will complete nursing tasks to
involve? protect the patients safety, privacy, and health. You can
document your findings, including vital signs, in the
Electronic Health Record. This record provides
necessary information for healthcare professionals who
will continue patient care. Besides Subjective Data
Collection, and Education and Empathy, there are
activities within the simulation that provide valuable
practice for their real-world counterparts, but they are
not automatically graded by the simulation.
Student: How will I be evaluated? Diana Shadow: In this assignment, you will be
evaluated on your Subjective Data Collection, as well
as your Education and Empathy. Your success in
Education and Empathy is based on whether you
promptly respond after identifying a moment worthy of
therapeutic communication. The evaluation of your
interview is dependent on how you word your questions
therapeutically and precisely and explore all relevant
topics with comprehensive breadth and depth. You will
also be evaluated on your ability to collect data and
form nursing diagnoses in the information processing
activity. This assignment takes on average between 90
and 110 minutes. This exam may take longer than in
real life, because in this safe simulation, students of all
experience levels can take time to hone and review
their skills. You can pause and resume the assignment
at any time; your work is always saved automatically.
Student: How does this assignment Diana Shadow: In this assessment, you will become
prepare me for the real world? familiarized with the structure and content of a health
history exam so that with real-life patients, you can: º
ask effective and comprehensive questions º obtain a
thorough health history º evaluate the patient's risk of
disease, infection, injury, and complications º educate
and empathize º reflect on your experience and identify
areas to improve º identify and prioritize nursing
diagnoses º and develop a plan to address nursing
diagnoses.
Diana Shadow: In 1 or 2 sentences, Student: So that you understand if there are any
answer this question to help prepare for problems related to their chief complaint. Also, to help
the upcoming exam: Why is it important treat their current condition.
to obtain a patient's complete health
history?
, Diana Shadow: Time to begin.
Patient Exam - Vital Signs: Height: 170 cm, Weight: 90 kg, BMI: 31, Random blood
glucose: 238, Temperature: 102.4° F, Blood pressure:
138/90 mmHg, Heart rate: 90, Respiratory rate: 18, O2
sat: 98%
Patient Exam - Interview:
Student: Hello, my name is Catlain, I Tina Jones: Hey.
am your nurse today.
Student: Can you confirm your name? Tina Jones: Tina Jones:.
Student: Why did you come in today? Tina Jones: I got this scrape on my foot a while ago,
and it got really infected. It's killing me.
Student: What additional symptoms Tina Jones: I mean, it's all red and swollen, and there's
have you experienced? pus, it feels hot, it hurts like hell... It's got all that going
on.
Student: Can you rate your current pain Tina Jones: ...Like a 7. It hurts a lot, but whatever pain
level on a scale of 0 to 10? med the ER gave me is helping a little bit.
Student: Please describe the pain. Tina Jones: It's throbbing and like, sharp if I try to put
weight on it.
Student: How did you hurt your foot? Tina Jones: I was changing a light bulb, and I had to
use our little stepstool to reach it. My foot slid off the
bottom step and it got all scraped up. I didn't realize
how sharp the edge was!