Verified Practice Questions with Detailed Rationales –
Actual Exam Qs, 100% Correct”
Question 1: A 65-year-old Asian woman presents for her
first annual physical. During the health history interview,
which question is MOST appropriate for gathering her
dietary habits?
A. “Do you eat fruits and vegetables every day?”
B. “Describe a typical day’s meals and snacks for you.”
C. “How many calories do you consume in a day?”
D. “Do you avoid any foods for religious reasons?”
✅ Correct Answer: B
Rationale: Option B is open-ended and elicits a
comprehensive dietary pattern without leading the
patient. It aligns with evidence-based interviewing by
allowing the patient to describe habits in her own words.
Option A is a closed yes/no question and may not
capture overall dietary patterns. Option C asks for
,precise calorie counts, which most patients cannot
accurately estimate. Option D is a valid question if
cultural or religious food restrictions are suspected;
however, evidence-based practice prioritizes a broad,
open-ended dietary assessment before narrowing to
cultural or religious specifics.
Question 2: A 30-year-old male patient from a rural farm
community presents with fatigue. The nurse is obtaining
his health history. Which statement BEST follows
evidence-based interviewing techniques?
A. “You probably don’t exercise much if you live on a
farm, do you?”
B. “Tell me about your daily activities and any work-
related physical demands.”
C. “Are you too tired to do your farming work?”
D. “You must eat a lot of fast food; is that true?”
✅ Correct Answer: B
Rationale: Option B is open-ended and nonjudgmental,
allowing the patient to explain daily activities. It follows
evidence-based interviewing by eliciting information
without assumptions. Option A is leading and assumes
lack of exercise. Option C is closed-ended and assumes
,fatigue is preventing work, which may bias responses.
Option D is presumptive and not evidence-based; it
stereotypes rural lifestyles and can alienate the patient.
Question 3: When assessing alcohol use in a 19-year-old
college student during a health history interview, which
screening question aligns with best practice?
A. “How often do you drink alcohol?”
B. “Do you ever binge drink on weekends?”
C. “How many drinks do you have on a typical day when
you drink?”
D. “Do you think you have a problem with alcohol?”
✅ Correct Answer: C
Rationale: Option C is from the AUDIT-C screening tool, a
validated approach for quantifying alcohol consumption
(number of drinks). It is evidence-based and helps
identify patterns of risk. Option A is too vague; it doesn’t
quantify consumption. Option B focuses on binge
drinking but is still closed and leading. Option D asks the
patient to self-identify a problem, which underestimates
consumption and may not elicit accurate information.
, Question 4: A 45-year-old African-American woman
expresses concern about breast cancer risk. Which family
history question is MOST critical to include?
A. “Has any female relative ever had any type of cancer?”
B. “Did your mother or sister ever undergo
mammography?”
C. “Did any first-degree relative have breast or ovarian
cancer?”
D. “Has anyone in your family ever been diagnosed with
heart disease?”
✅ Correct Answer: C
Rationale: Option C specifically targets first-degree
relatives (mother, sister, daughter) with breast or ovarian
cancer, which significantly increases the patient’s risk.
This is evidence-based for risk stratification. Option A is
too broad and doesn’t specify type or degree of relation.
Option B asks about screening behaviors rather than
actual diagnoses. Option D is important for
cardiovascular risk but not for breast cancer risk
assessment.
Question 5: During health history, a 28-year-old Hispanic
male with type 2 diabetes expresses difficulty adhering