,NR 304 Health Assessment II Exam 4 Prep
Advanced Physical Assessment chamberlain
collage of nursing150 Q&A + Clinical Cases
2026/2027
1. A nurse is collecting a health history from a new patient. Which component of the health
history is most important for identifying the patient's current health concerns?
A. Past medical history
B. Chief complaint
C. Family history
D. Social history
Correct Answer: B
Rationale: The chief complaint is the primary reason the patient is seeking care. It guides the
focus of the assessment and helps prioritize data collection.
2. When documenting the review of systems (ROS), the nurse notes that the patient reports "no
chest pain, shortness of breath, or palpitations." In which section of the chart should this
information be recorded?
A. History of Present Illness (HPI)
B. Past Medical History (PMH)
C. Review of Systems (ROS)
D. Social History
,Correct Answer: C
Rationale: The ROS is a systematic review of symptoms organized by body system. Documenting
the absence of specific symptoms is a standard part of the ROS.
3. A nurse is interviewing a patient who is reluctant to discuss their sexual history. Which
approach is most appropriate?
A. Skip the sexual history to avoid discomfort
B. Ask the patient's partner for the information
C. Use open-ended, non-judgmental questions and assure confidentiality
D. Tell the patient that discussing sexual history is mandatory
Correct Answer: C
Rationale: Sensitive topics require a non-judgmental approach, assurance of confidentiality, and
open-ended questions. Skipping the topic, asking a partner, or issuing mandates can damage
trust.
4. A nurse is using the "PQRSTU" mnemonic to assess a patient's pain. What does the "U" stand
for?
A. Understanding
B. Urgency
C. Unrelenting
D. Underlying cause
Correct Answer: A
Rationale: In the PQRSTU mnemonic, "U" stands for Understanding—the patient's perception of
the pain and what it means to them.
, 5. Which mnemonic is used for assessing the history of present illness?
A. PQRSTU
B. OLDCARTS
C. ADPIE
D. ABCDE
Correct Answer: B
Rationale: OLDCARTS (Onset, Location, Duration, Character, Aggravating/Alleviating factors,
Radiation, Timing, Severity) is a mnemonic used to assess the history of present illness.
6. A nurse is interviewing a patient who recently emigrated from another country. The patient
mentions using herbal remedies alongside prescribed medications. Which action should the
nurse take?
A. Instruct the patient to stop all herbal remedies immediately
B. Document the use of herbal remedies and assess for potential interactions
C. Ignore the herbal remedies because they are not prescribed
D. Report the patient to the provider for non-compliance
Correct Answer: B
Rationale: Culturally competent assessment includes documenting all substances the patient
uses, including herbal and traditional remedies, and assessing for potential drug interactions.
7. A nurse is teaching a patient about health promotion. Which factor is most important to
consider?
Advanced Physical Assessment chamberlain
collage of nursing150 Q&A + Clinical Cases
2026/2027
1. A nurse is collecting a health history from a new patient. Which component of the health
history is most important for identifying the patient's current health concerns?
A. Past medical history
B. Chief complaint
C. Family history
D. Social history
Correct Answer: B
Rationale: The chief complaint is the primary reason the patient is seeking care. It guides the
focus of the assessment and helps prioritize data collection.
2. When documenting the review of systems (ROS), the nurse notes that the patient reports "no
chest pain, shortness of breath, or palpitations." In which section of the chart should this
information be recorded?
A. History of Present Illness (HPI)
B. Past Medical History (PMH)
C. Review of Systems (ROS)
D. Social History
,Correct Answer: C
Rationale: The ROS is a systematic review of symptoms organized by body system. Documenting
the absence of specific symptoms is a standard part of the ROS.
3. A nurse is interviewing a patient who is reluctant to discuss their sexual history. Which
approach is most appropriate?
A. Skip the sexual history to avoid discomfort
B. Ask the patient's partner for the information
C. Use open-ended, non-judgmental questions and assure confidentiality
D. Tell the patient that discussing sexual history is mandatory
Correct Answer: C
Rationale: Sensitive topics require a non-judgmental approach, assurance of confidentiality, and
open-ended questions. Skipping the topic, asking a partner, or issuing mandates can damage
trust.
4. A nurse is using the "PQRSTU" mnemonic to assess a patient's pain. What does the "U" stand
for?
A. Understanding
B. Urgency
C. Unrelenting
D. Underlying cause
Correct Answer: A
Rationale: In the PQRSTU mnemonic, "U" stands for Understanding—the patient's perception of
the pain and what it means to them.
, 5. Which mnemonic is used for assessing the history of present illness?
A. PQRSTU
B. OLDCARTS
C. ADPIE
D. ABCDE
Correct Answer: B
Rationale: OLDCARTS (Onset, Location, Duration, Character, Aggravating/Alleviating factors,
Radiation, Timing, Severity) is a mnemonic used to assess the history of present illness.
6. A nurse is interviewing a patient who recently emigrated from another country. The patient
mentions using herbal remedies alongside prescribed medications. Which action should the
nurse take?
A. Instruct the patient to stop all herbal remedies immediately
B. Document the use of herbal remedies and assess for potential interactions
C. Ignore the herbal remedies because they are not prescribed
D. Report the patient to the provider for non-compliance
Correct Answer: B
Rationale: Culturally competent assessment includes documenting all substances the patient
uses, including herbal and traditional remedies, and assessing for potential drug interactions.
7. A nurse is teaching a patient about health promotion. Which factor is most important to
consider?
