NR509 Week 8 Final Exam – Advanced
Physical Assessment NR509 Final Exam
(Week 8) Chamberlain University
NR509 Final
Section 1: Health History & Interviewing (Q1–25)
Q1. Which of the following is the most appropriate opening question for a new
patient?
A) "Do you have any pain?"
B) "What brings you in today?"
C) "Why are you here?"
D) "Is there anything wrong?"
Rationale: B. Open-ended questions establish rapport and allow the patient to
express their primary concern in their own words. Options A, C, and D are closed
or leading.
,Q2. A patient says, "I've been feeling dizzy." Your best response is:
A) "How long have you felt dizzy?"
B) "Describe exactly what you mean by 'dizzy'."
C) "Do you also have headaches?"
D) "That's common with low blood pressure."
Rationale: B. The term "dizzy" is vague. Clarification (vertigo vs. lightheadedness
vs. disequilibrium) is essential.
Q3. Which mnemonic is used for psychosocial assessment of adolescents?
A) OLD CARTS
B) COLDSPA
C) H.E.A.D.S.S.
D) SAMPLE
Rationale: C. H.E.A.D.S.S. (Home, Education, Activities, Drugs, Sexuality, Suicide) is
standard for adolescent psychosocial history.
,Q4. A patient hints, "Some families are better off without certain members." You
should:
A) Change the subject
B) Ask directly, "Are you thinking of harming yourself?"
C) Say, "Tell me more about what you mean."
D) Document and move on
Rationale: C. Explore cryptic statements neutrally to assess for depression,
suicidal ideation, or abuse.
Q5. Which is an example of a leading question?
A) "How often do you drink alcohol?"
B) "You don't have chest pain, do you?"
C) "What helps your headache?"
D) "When did this start?"
Rationale: B. Leading questions suggest a desired answer and bias the patient's
response.
, Q6. When assessing alcohol use, the most nonjudgmental question is:
A) "How many drinks do you have per day?"
B) "Do you ever black out?"
C) "How often do you have a drink containing alcohol?"
D) "Why do you drink so much?"
Rationale: C. This open-ended, frequency-based question is recommended by the
NIAAA.
Q7. A patient reports being "tired all the time." The first priority is:
A) Order a CBC
B) Ask, "What does 'tired' mean to you?"
C) Recommend more sleep
D) Screen for depression
Rationale: B. Clarify the vague term before narrowing differentials.
Q8. Which is a closed-ended question?
A) "What happened?"
Physical Assessment NR509 Final Exam
(Week 8) Chamberlain University
NR509 Final
Section 1: Health History & Interviewing (Q1–25)
Q1. Which of the following is the most appropriate opening question for a new
patient?
A) "Do you have any pain?"
B) "What brings you in today?"
C) "Why are you here?"
D) "Is there anything wrong?"
Rationale: B. Open-ended questions establish rapport and allow the patient to
express their primary concern in their own words. Options A, C, and D are closed
or leading.
,Q2. A patient says, "I've been feeling dizzy." Your best response is:
A) "How long have you felt dizzy?"
B) "Describe exactly what you mean by 'dizzy'."
C) "Do you also have headaches?"
D) "That's common with low blood pressure."
Rationale: B. The term "dizzy" is vague. Clarification (vertigo vs. lightheadedness
vs. disequilibrium) is essential.
Q3. Which mnemonic is used for psychosocial assessment of adolescents?
A) OLD CARTS
B) COLDSPA
C) H.E.A.D.S.S.
D) SAMPLE
Rationale: C. H.E.A.D.S.S. (Home, Education, Activities, Drugs, Sexuality, Suicide) is
standard for adolescent psychosocial history.
,Q4. A patient hints, "Some families are better off without certain members." You
should:
A) Change the subject
B) Ask directly, "Are you thinking of harming yourself?"
C) Say, "Tell me more about what you mean."
D) Document and move on
Rationale: C. Explore cryptic statements neutrally to assess for depression,
suicidal ideation, or abuse.
Q5. Which is an example of a leading question?
A) "How often do you drink alcohol?"
B) "You don't have chest pain, do you?"
C) "What helps your headache?"
D) "When did this start?"
Rationale: B. Leading questions suggest a desired answer and bias the patient's
response.
, Q6. When assessing alcohol use, the most nonjudgmental question is:
A) "How many drinks do you have per day?"
B) "Do you ever black out?"
C) "How often do you have a drink containing alcohol?"
D) "Why do you drink so much?"
Rationale: C. This open-ended, frequency-based question is recommended by the
NIAAA.
Q7. A patient reports being "tired all the time." The first priority is:
A) Order a CBC
B) Ask, "What does 'tired' mean to you?"
C) Recommend more sleep
D) Screen for depression
Rationale: B. Clarify the vague term before narrowing differentials.
Q8. Which is a closed-ended question?
A) "What happened?"
