, (Exam 1 & 2) NURS 5220 Health Assessment –
Complete Package Bundle (PDF)
1. You are conducting a health history on a new patient.
Which action best establishes trust?
A) Asking only closed-ended questions
B) Maintaining eye contact appropriate to the patient's
culture
C) Completing the review of systems before the history of
present illness
D) Typing notes continuously during the conversation
Answer: B
Rationale: Appropriate eye contact (culturally sensitive)
builds rapport. Continuous typing (D) reduces connection.
Open-ended questions should come first, not only closed-
ended (A).
2. A patient describes chest pain as "like an elephant
sitting on my chest." This is an example of:
A) Past medical history
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,B) Review of systems
C) History of present illness (HPI) quality
D) Functional assessment
Answer: C
Rationale: Quality (descriptive words) is one of the 7
attributes of an HPI (OLDCARTS: Onset, Location, Duration,
Character, Aggravating/Relieving, Timing, Severity).
3. Which question best assesses the "timing" of a symptom?
A) "What were you doing when it started?"
B) "Does it come and go or stay constant?"
C) "How bad is it on a scale of 0 to 10?"
D) "What makes it better?"
Answer: B
Rationale: Timing refers to frequency and constancy.
"What were you doing?" assesses onset/context. Severity
is separate. Relieving factors are separate.
4. A patient avoids answering a question about domestic
violence. Your best response is:
3
, A) "I'll come back to that later."
k k k k k
B) "Why won't you answer me?"
k k k k
C) "You musttell me for your safety."
k k k k k k
D) "Let'smoveon,it's notrequired."
k k k k k
Answer:A
k k
Rationale: Pausing and returning later respects the
k k k k k k
k patient'semotionalreadinesswhileensuringthetopicis not
k k k k k k k k
k abandoned. Forcing or ignoring both harm rapport. k k k k k k
5. Which part of the health history is typically collected
k k k k k k k k
first?
k
A) Review of systems k k
B) Past medical history
k k
C) Chief concern k
D) Familyhistory k
Answer: C
k k
Rationale: The chiefconcern (or chief complaint) isthe
k k k k k k k k
k patient's reason for seeking care and guides the entire
k k k k k k k k
interview.
k
4