NSG 5340 Advanced Health Assessment
Final Exam Latest Updated 2026/2027
All Questions with Answers
1. During a comprehensive health history interview, the MSN prepared nurse
must ask about sensitive topics, guidelines for broaching sensitive topics,
include which of the following? - ANSWER-Do not be judgmental
2. Which situation calls for a comprehensive health assessment versus a
focused assessment? - ANSWER-A new patient office visit
3. What is the first step in performing a comprehensive health history? -
ANSWER-Identifying data
4. During a comprehensive adult health history, which is part of the past history
portion of the interview? (Select all that apply.) - ANSWER-Adult illnesses
Childhood illnesses
Health maintenance
5. When interviewing an older adult patient, which is important to keep in
mind? - ANSWER-Older adults may underreport symptomatology.
6. Review of systems generally consists of yes-or-no questions. - ANSWER-
True
7. Which health interview question is the most open-ended? - ANSWER-How
would you describe your back pain?
8. A patient is having difficulty describing the characteristics of their
symptoms. What is the best approach? - ANSWER-Offer the patient
multiple-choice ANSWERs.
9. The MSN-prepared nurse is unfamiliar with the patient's chronic illness.
What is the nurse's best response? - ANSWER-"I don't know a lot about
your illness, but I will learn now."
10.Which statement by the clinician to a patient best conveys empathy? -
ANSWER-"That sounds really challenging."
,11.When using a trained interpreter during a health interview, always address
your questions to the patient. - ANSWER-True
12.The "T" in OLD CARTS stands for which of the following terms? -
ANSWER-Timing
13.Which of the following is not a stage of the health interview? - ANSWER-
Musculoskeletal maneuvers
14.Which of the following is the final stage of the health interview? -
ANSWER-Self-reflection
15.Which are effective strategies that let the patient know you are listening?
(Select all that apply.) - ANSWER-Nod your head.
Follow the patient's lead.
Say, "Tell me more about..."
16.Clinical reasoning begins during the health interview. - ANSWER-True
17."Tell me about your cough" - ANSWER-Open-ended
18."When did the pain begin" - ANSWER-Focused
19.""What brought you in today" - ANSWER-Open-ended
20."Does your cough bring up mucous" - ANSWER-Focused
21."How can I help you" - ANSWER-Open-ended
22."Show me where it hurts" - ANSWER-Focused
23.Interview Stages - ANSWER-Stage 1 - Greeting and establishing rapport
Stage 2 - Establishing agenda
Stage 3 - Inviting the patient's story
Stage 4 - Exploring the patient's perspective
Stage 5 - Identifying and responding to the patient's emotional cues
Stage 6 - Expanding and clarifying the patient's story
Stage 7 - Generating and testing a diagnostic hypothesis
Stage 8- Sharing the treatment plan
, Stage 9 - Closing the interview and visit
Stage 10 - Taking time for self-reflection
24.A tearful patient tells you they are worried that the lump on their forearm is
cancerous. Which response best conveys empathy? - ANSWER-"It must be
frightening to find a lump on your skin"
25.Which of the following is a question that elicits a graded response? -
ANSWER-"How many feet can you walk before feeling short of breath?"
26.The "D" in OLD CARTS stands for which of the following - ANSWER-
Duration
27.Which is the best way to close the health interview? - ANSWER-Allow time
for the patient to ask questions
28.What are the three dimensions of cultural humility? - ANSWER-Self-
awareness
Respectful communication
Collaborative partnerships
29.What is the foundation of nursing practice? - ANSWER-Assessment
30.What is a health history? - ANSWER-A comprehensive and focused record
of a pts health status
31.Why is it important to obtain an age-appropriate health history - ANSWER-
To identify the patient's risk factors for disease
To identify the patient's current health status
To identify the patient's developmental stage
32.What are lifestyle factors? - ANSWER-Factors that affect a patient's health-
related to their personal choices and behaviors
33.What are environmental factors? - ANSWER-Factors that affect a patient's
health-related to their environment
34.What is the importance of starting with general questions when conducting a
health interview? - ANSWER-It allows the patient to feel comfortable
It helps the healthcare provider gather relevant information efficently
Final Exam Latest Updated 2026/2027
All Questions with Answers
1. During a comprehensive health history interview, the MSN prepared nurse
must ask about sensitive topics, guidelines for broaching sensitive topics,
include which of the following? - ANSWER-Do not be judgmental
2. Which situation calls for a comprehensive health assessment versus a
focused assessment? - ANSWER-A new patient office visit
3. What is the first step in performing a comprehensive health history? -
ANSWER-Identifying data
4. During a comprehensive adult health history, which is part of the past history
portion of the interview? (Select all that apply.) - ANSWER-Adult illnesses
Childhood illnesses
Health maintenance
5. When interviewing an older adult patient, which is important to keep in
mind? - ANSWER-Older adults may underreport symptomatology.
6. Review of systems generally consists of yes-or-no questions. - ANSWER-
True
7. Which health interview question is the most open-ended? - ANSWER-How
would you describe your back pain?
8. A patient is having difficulty describing the characteristics of their
symptoms. What is the best approach? - ANSWER-Offer the patient
multiple-choice ANSWERs.
9. The MSN-prepared nurse is unfamiliar with the patient's chronic illness.
What is the nurse's best response? - ANSWER-"I don't know a lot about
your illness, but I will learn now."
10.Which statement by the clinician to a patient best conveys empathy? -
ANSWER-"That sounds really challenging."
,11.When using a trained interpreter during a health interview, always address
your questions to the patient. - ANSWER-True
12.The "T" in OLD CARTS stands for which of the following terms? -
ANSWER-Timing
13.Which of the following is not a stage of the health interview? - ANSWER-
Musculoskeletal maneuvers
14.Which of the following is the final stage of the health interview? -
ANSWER-Self-reflection
15.Which are effective strategies that let the patient know you are listening?
(Select all that apply.) - ANSWER-Nod your head.
Follow the patient's lead.
Say, "Tell me more about..."
16.Clinical reasoning begins during the health interview. - ANSWER-True
17."Tell me about your cough" - ANSWER-Open-ended
18."When did the pain begin" - ANSWER-Focused
19.""What brought you in today" - ANSWER-Open-ended
20."Does your cough bring up mucous" - ANSWER-Focused
21."How can I help you" - ANSWER-Open-ended
22."Show me where it hurts" - ANSWER-Focused
23.Interview Stages - ANSWER-Stage 1 - Greeting and establishing rapport
Stage 2 - Establishing agenda
Stage 3 - Inviting the patient's story
Stage 4 - Exploring the patient's perspective
Stage 5 - Identifying and responding to the patient's emotional cues
Stage 6 - Expanding and clarifying the patient's story
Stage 7 - Generating and testing a diagnostic hypothesis
Stage 8- Sharing the treatment plan
, Stage 9 - Closing the interview and visit
Stage 10 - Taking time for self-reflection
24.A tearful patient tells you they are worried that the lump on their forearm is
cancerous. Which response best conveys empathy? - ANSWER-"It must be
frightening to find a lump on your skin"
25.Which of the following is a question that elicits a graded response? -
ANSWER-"How many feet can you walk before feeling short of breath?"
26.The "D" in OLD CARTS stands for which of the following - ANSWER-
Duration
27.Which is the best way to close the health interview? - ANSWER-Allow time
for the patient to ask questions
28.What are the three dimensions of cultural humility? - ANSWER-Self-
awareness
Respectful communication
Collaborative partnerships
29.What is the foundation of nursing practice? - ANSWER-Assessment
30.What is a health history? - ANSWER-A comprehensive and focused record
of a pts health status
31.Why is it important to obtain an age-appropriate health history - ANSWER-
To identify the patient's risk factors for disease
To identify the patient's current health status
To identify the patient's developmental stage
32.What are lifestyle factors? - ANSWER-Factors that affect a patient's health-
related to their personal choices and behaviors
33.What are environmental factors? - ANSWER-Factors that affect a patient's
health-related to their environment
34.What is the importance of starting with general questions when conducting a
health interview? - ANSWER-It allows the patient to feel comfortable
It helps the healthcare provider gather relevant information efficently
