Actual 2025/2026 with Detailed Rationales | 100%
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Section 1: Health History & Interviewing (Q1–Q14)
Q1: Which component of the comprehensive health history documents the patient's
own words describing the reason for seeking care?
A. Past medical history
B. Chief complaint [CORRECT]
C. Review of systems
D. Family history
Correct Answer: B
Rationale: The chief complaint is recorded in the patient's own words and identifies
the primary reason for the current visit, typically limited to one or two symptoms.
Q2: A nurse asks a patient, "Can you tell me more about how your chest pain
started?" This is an example of which interviewing technique?
A. A closed-ended question
B. A leading question
C. An open-ended question [CORRECT]
D. A clarifying question
Correct Answer: C
Rationale: Open-ended questions encourage patients to elaborate in their own words
and are essential for gathering comprehensive subjective data during the health
history.
Q3: During a health history interview, the nurse maintains eye contact, nods
appropriately, and leans slightly forward. These behaviors demonstrate:
A. Therapeutic use of silence
B. Active listening [CORRECT]
C. Professional boundary setting
D. Nonverbal distraction
Correct Answer: B
,Rationale: Active listening involves both verbal and nonverbal behaviors that
demonstrate attentiveness and encourage the patient to continue sharing
information.
Q4: When obtaining a medication history, the nurse should include all of the
following EXCEPT:
A. Prescription medications
B. Over-the-counter medications
C. Herbal supplements and vitamins
D. Medications prescribed to family members [CORRECT]
Correct Answer: D
Rationale: Medication reconciliation includes all substances the patient takes,
including prescriptions, OTC drugs, and supplements, but does not include
medications prescribed to family members.
Q5: The PQRST mnemonic is used during health history to assess:
A. Pain [CORRECT]
B. Respiratory function
C. Cardiac rhythm
D. Neurological status
Correct Answer: A
Rationale: The PQRST mnemonic (Provocation/Palliation, Quality, Region/Radiation,
Severity, Timing) provides a systematic framework for obtaining a complete pain
history.
Q6: A patient states they stopped taking their blood pressure medication because
they felt better. The nurse recognizes this as an example of:
A. Nonadherence due to misunderstanding [CORRECT]
B. Appropriate self-management
C. A normal response to medication
D. An allergic reaction
Correct Answer: A
Rationale: Stopping medication because symptoms resolved reflects a common
misunderstanding about chronic disease management and indicates the need for
patient education.
Q7: Which action best demonstrates cultural competence during the health history
interview?
, A. Asking all patients the same standardized questions
B. Using medical terminology to ensure accuracy
C. Adapting communication style to the patient's cultural background [CORRECT]
D. Avoiding discussion of cultural beliefs to prevent stereotyping
Correct Answer: C
Rationale: Cultural competence requires adapting communication, questioning, and
interpretation to respect the patient's cultural background, beliefs, and health
practices.
Q8: The review of systems (ROS) is best described as:
A. A detailed physical examination of each body system
B. A systematic inventory of patient-reported symptoms by body system [CORRECT]
C. A list of all previous medical diagnoses
D. A summary of the patient's family history
Correct Answer: B
Rationale: The review of systems is a subjective assessment that systematically
asks about symptoms or concerns in each body system, often revealing issues not
mentioned in the chief complaint.
Q9: During an interview, a patient begins to cry when discussing a recent death. The
most appropriate nursing response is to:
A. Immediately change the subject to a less emotional topic
B. Offer a tissue, maintain silence, and sit with the patient [CORRECT]
C. Ask the patient to control their emotions to continue the interview
D. Leave the room to give the patient privacy
Correct Answer: B
Rationale: Offering support through presence, silence, and simple gestures allows
the patient to express emotions while maintaining therapeutic communication and
rapport.
Q10: Which statement accurately describes the purpose of the family history in a
health assessment?
A. It identifies genetic and familial risk factors for certain diseases [CORRECT]
B. It documents the patient's social support system only
C. It replaces the need for a physical examination
D. It is only relevant for pediatric patients
Correct Answer: A