Nightingale College | 2 Full Practice Exams with
NGN Case Scenarios & Verified Answers |
2026/2027 Edition | Instant Digital Download
Core Health Assessment Topics
Domain Topic Area Questions
I Health History & Interview Techniques 1–25
II General Survey & Vital Signs 26–45
III Integumentary & Lymphatic Assessment 46–60
IV Head, Neck, & Neurological Assessment 61–85
V Eye & Ear Assessment 86–105
VI Respiratory Assessment 106–125
VII Cardiovascular & Peripheral Vascular Assessment 126–150
VIII Abdominal Assessment 151–170
IX Musculoskeletal Assessment 171–185
X NGN Case Scenarios & Clinical Judgment 186–200
,✅ FULL 200-QUESTION PRACTICE EXAM
PRACTICE EXAM 1: HEALTH HISTORY & INTERVIEW
TECHNIQUES (Questions 1–25)
Question 1
A nurse is conducting a health history interview with a newly admitted client. Which
question is most appropriate to ask when exploring the client's reason for seeking care?
A. "What brings you to the hospital today?"
B. "Why did you decide to come in now?"
C. "What is your medical history?"
D. "Do you have any pain?"
Correct Answer: A
Rationale: "What brings you to the hospital today?" is an open-ended question that
allows the client to describe their chief complaint in their own words. "Why" questions
(B) can feel accusatory. Medical history (C) is explored later. Pain (D) is too narrow for an
initial question.
Question 2
A nurse is interviewing a client who is anxious and provides vague answers. Which
communication technique should the nurse use to clarify the client's responses?
A. Asking "why" questions to explore the reason for vagueness
B. Using closed-ended questions to obtain specific information
C. Restating the client's responses in the nurse's own words
D. Changing the subject to reduce the client's anxiety
Correct Answer: C
Rationale: Restating or paraphrasing the client's responses helps clarify information and
demonstrates active listening. "Why" questions (A) can increase anxiety. Closed-ended
, questions (B) may limit information. Changing the subject (D) avoids addressing the
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client's concerns.
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Question 3 K
A client reports a history of hypertension, diabetes, and arthritis. The nurse documents
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this information under which component of the health history?
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A. Chief complaint
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B. History of present illness
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C. Past medical history
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D. Family history
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Correct Answer: C K K
Rationale: Past medical history includes the client's previous and current medical
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diagnoses. Chief complaint (A) is the reason for seeking care. History of present illness (B)
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describes the current episode. Family history (D) includes relatives' health conditions.
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Question 4 K
A nurse is assessing a client's family history. Which question is most appropriate to
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identify genetic risk factors?
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A. "Have you ever had any surgeries?"
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B. "Do you have any allergies to medications?"
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C. "Has anyone in your family been diagnosed with heart disease or cancer?"
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D. "What is your current occupation?"
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Correct Answer: C K K
Rationale: Family history questions should identify health conditions that may have a
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genetic component, such as heart disease, cancer, diabetes, or hypertension. Surgeries
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(A), allergies (B), and occupation (D) are not family history questions.
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Question 5 K
A client states, "I've been feeling tired all the time lately." Which response by the nurse is
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most therapeutic?
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