Assessment Midterm Exam Practice Exam
2026/2027 | Practice Questions & Study Guide
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Question 1
A nurse is beginning a comprehensive health assessment of an
adult patient. Which action is most appropriate during the
initial phase of the interview?
A. Begin with highly specific questions about the patient's chief
complaint
B. Ask the patient to describe the reason for seeking care in
their own words
C. Immediately obtain a complete list of previous surgical
procedures
D. Begin the physical examination before discussing the
patient's concerns
,Correct Answer: B. Ask the patient to describe the reason for
seeking care in their own words
Rationale: Allowing the patient to describe the reason for
seeking care in their own words establishes the patient's
perspective and helps the nurse identify the chief concern
without prematurely restricting the patient's response. Open-
ended questions are particularly useful at the beginning of an
interview because they encourage the patient to provide
information that may not have been anticipated by the
examiner. Beginning with highly specific questions can limit the
information obtained, while immediately focusing on surgical
history or beginning the physical examination does not
appropriately establish the patient's primary concerns.
Question 2
During a health history, a patient states, "I've been feeling tired
lately." Which response by the nurse is best for obtaining
additional information?
A. "You probably need to get more sleep."
B. "Are you tired because you have been working more?"
C. "Tell me more about what you mean by feeling tired."
D. "Have you been diagnosed with anemia before?"
,Correct Answer: C. "Tell me more about what you mean by
feeling tired."
Rationale: The patient's statement is broad and requires
clarification. Asking the patient to explain what "tired" means
allows the nurse to determine whether the patient is
experiencing fatigue, sleepiness, weakness, decreased
endurance, or another symptom. The other responses
prematurely suggest a cause or narrow the discussion before
the symptom has been adequately characterized. Effective
health assessment requires clarification before interpretation.
Question 3
Which documentation entry best demonstrates objective data?
A. Patient states, "My stomach hurts badly."
B. Patient reports feeling dizzy when standing.
C. Patient appears anxious about the examination.
D. Blood pressure is 148/88 mm Hg and pulse is 96 beats/min.
Correct Answer: D. Blood pressure is 148/88 mm Hg and pulse
is 96 beats/min.
Rationale: Objective data are findings that the examiner can
observe, measure, or verify through physical examination, vital
signs, or diagnostic assessment. Blood pressure and pulse are
measurable findings and therefore represent objective data. The
, patient's statements about pain and dizziness are subjective
data because they originate from the patient's experience.
Although anxiety may be observable, "appears anxious" is less
precise than documenting specific observable behaviors or
measurable findings.
Question 4
A nurse is assessing pain in an adult patient who is alert and
able to communicate. Which assessment method is most
appropriate?
A. Ask the patient's family member to estimate the pain level
B. Use the patient's self-reported pain rating as the primary
source of information
C. Determine pain severity only by observing facial expressions
D. Assume the patient has severe pain if the patient is guarding
the abdomen
Correct Answer: B. Use the patient's self-reported pain rating
as the primary source of information
Rationale: Pain is subjective, and the patient's self-report is
considered the most reliable indicator when the patient is able
to communicate. Behavioral observations such as guarding,
grimacing, or changes in activity can provide supporting
information but cannot independently establish pain intensity.