NUR 2092 Health Assessment Final Exam Review
Rasmussen College Actual Exam 2026/2027 Complete
Exam-Style Questions with Detailed Rationales | 100%
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Part I: Foundations of Health Assessment & Health History (Questions 1-18)
Q1: A nurse is beginning a comprehensive health history with a new patient. After introducing herself
and explaining the process, what is the most appropriate first question to ask?
A. "Do you have any allergies to medications?"
B. "What brings you in today?"
C. "Have you ever been hospitalized before?" [CORRECT]
D. "Tell me about your family's health history."
Correct Answer: C
Rationale: The best answer is C. Starting with open-ended questions like "What brings you in today?"
allows the patient to describe their concerns in their own words and establishes rapport before moving
into more structured questioning. This aligns with therapeutic communication principles taught in the
NUR 2092 curriculum.
Q2: During a health history interview, a patient becomes emotional while describing a recent loss.
Which response by the nurse best demonstrates therapeutic communication?
A. "Don't worry, everything will be fine soon."
B. "I know exactly how you feel right now."
C. "This must be really difficult for you. I'm here to listen." [CORRECT]
D. "Let's move on to your medical history so we can finish on time."
Correct Answer: C
Rationale: The best answer is C. Acknowledging the patient's feelings and offering your presence shows
empathy and supports the therapeutic relationship without minimizing their experience or making
assumptions about their emotions.
Q3: A 68-year-old patient tells the nurse, "I take a water pill every morning and a little white pill for my
heart." Which documentation approach best captures this information?
A. Record exactly what the patient said in quotes within the medication section.
B. Ask the patient to bring in all medication bottles at the next visit.
C. Clarify the medication names, dosages, and frequencies before documenting. [CORRECT]
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D. Document "patient takes diuretic and cardiac medication" based on common knowledge.
Correct Answer: C
Rationale: The best answer is C. The nurse must verify specific medication names, doses, and schedules
rather than relying on vague descriptions, as this prevents medication errors and ensures accurate
assessment data.
Q4: Which component of the health history specifically explores whether a symptom is constant or
comes and goes?
A. Severity
B. Timing
C. Quality
D. Associated factors
Correct Answer: B
Rationale: The best answer is B. Timing in the OLDCART or PQRST framework addresses when the
symptom occurs, whether it is continuous or intermittent, and if there are any patterns to its
appearance.
Q5: A nurse is using Gordon's Functional Health Patterns to organize assessment data. When assessing
the "Health Perception–Health Management" pattern, which question is most appropriate?
A. "How many hours of sleep do you get each night?"
B. "What do you do to stay healthy, and how do you decide when to see a doctor?" [CORRECT]
C. "Describe your typical daily diet."
D. "How do you usually handle stress?"
Correct Answer: B
Rationale: The best answer is B. The Health Perception–Health Management pattern focuses on the
patient's self-view of health, health practices, and their approach to seeking medical care, making this
question the best fit.
Q6: During a focused health history for a patient with chest pain, the nurse asks about the pain's
location, radiation, and character. These questions are part of which assessment framework?
A. Review of Systems
B. PQRST method [CORRECT]
C. Functional health patterns
D. COLDSPA mnemonic
Correct Answer: B
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Rationale: The best answer is B. The PQRST method (Provocation/Palliation, Quality, Region/Radiation,
Severity, Timing) provides a structured way to assess pain and other symptoms thoroughly.
Q7: A nurse notices that a patient avoids eye contact and gives very short answers during the health
history. What is the nurse's best initial action?
A. Document that the patient is uncooperative and move to the physical exam.
B. Consider cultural or personal factors that may influence communication and adjust the approach
accordingly. [CORRECT]
C. Tell the patient that eye contact is important for building trust.
D. Ask the patient's family member to answer the questions instead.
Correct Answer: B
Rationale: The best answer is B. Avoiding eye contact may reflect cultural norms, anxiety, or shyness
rather than uncooperativeness, so the nurse should adapt the communication style rather than making
negative assumptions.
Q8: Which finding would the nurse document in the "Social History" section rather than the "Past
Medical History"?
A. History of appendectomy at age 12
B. Current tobacco use of one pack per day [CORRECT]
C. Diagnosis of hypertension five years ago
D. Childhood asthma that resolved in adolescence
Correct Answer: B
Rationale: The best answer is B. Social history includes lifestyle factors such as tobacco use, alcohol
consumption, occupation, and living situation, whereas past medical history focuses on illnesses,
surgeries, and diagnosed conditions.
Q9: A patient states, "I get short of breath when I walk up one flight of stairs, but it goes away after I
rest for a few minutes." This statement best represents which part of symptom analysis?
A. Severity
B. Quality
C. Associated symptoms
D. Aggravating and relieving factors [CORRECT]
Correct Answer: D
Rationale: The best answer is D. The patient is describing what makes the symptom worse (walking up
stairs) and what makes it better (rest), which directly addresses aggravating and relieving factors in
symptom assessment.