NUR 245 Exam 2 – Questions & Answers with
Rationale
TABLE OF CONTENTS
1. Comprehensive Health History
2. Interviewing and Communication
3. General Survey and Health Assessment
4. Vital Signs and Pain Assessment
5. Head, Face, Eyes, Ears, Nose, and Throat
6. Neck and Lymphatic Assessment
7. Cardiovascular and Peripheral Vascular Assessment
8. Respiratory Assessment
9. Abdominal and Gastrointestinal Assessment
10.Musculoskeletal and Neurologic Assessment
11.Skin, Hair, and Nails
12.Health Promotion, Prevention, and Clinical Judgment
SECTION 1: COMPREHENSIVE HEALTH HISTORY
Question 1
What is the primary purpose of obtaining a comprehensive health history?
A. To establish a definitive medical diagnosis
B. To collect information about the client's health and health risks
C. To prescribe medications
D. To replace the physical examination
Answer: B. To collect information about the client's health and health risks
,Rationale: A comprehensive health history provides subjective information
about the client's current concerns, past health, medications, family history,
lifestyle, psychosocial status, and health risks.
Question 2
Which component of the health history identifies the client's main reason for
seeking care?
A. Family history
B. Chief concern
C. Social history
D. Review of systems
Answer: B. Chief concern
Rationale: The chief concern identifies the primary reason the client is seeking
healthcare and is often documented in the client's own words.
Question 3
Which statement is an appropriate way to document a client's chief concern?
A. "Patient is difficult."
B. "Patient has a serious illness."
C. "I have been having chest pressure for 2 hours."
D. "Patient probably has angina."
Answer: C. "I have been having chest pressure for 2 hours."
Rationale: The chief concern should reflect the client's reason for seeking care
and may be documented using the client's own words.
Question 4
What does the history of present illness primarily describe?
A. The client's childhood illnesses
B. Details surrounding the current health concern
,C. The client's family tree
D. The client's insurance information
Answer: B. Details surrounding the current health concern
Rationale: The history of present illness explores onset, location, quality,
severity, timing, associated symptoms, and factors affecting the current
problem.
Question 5
Which framework is useful for assessing a symptom comprehensively?
A. PQRST
B. ABCD only
C. BMI
D. Glasgow Coma Scale
Answer: A. PQRST
Rationale: PQRST helps assess provocation/palliation, quality,
region/radiation, severity, and timing.
Question 6
Which question assesses symptom quality?
A. "When did it start?"
B. "Where does it occur?"
C. "What does the pain feel like?"
D. "How severe is it?"
Answer: C. "What does the pain feel like?"
Rationale: Quality describes the character of a symptom, such as burning,
sharp, dull, aching, or throbbing.
Question 7
Which question assesses radiation?
, A. "Does the pain move anywhere else?"
B. "How bad is it?"
C. "When did it begin?"
D. "What makes it better?"
Answer: A. "Does the pain move anywhere else?"
Rationale: Radiation refers to whether a symptom spreads or travels from its
original location.
Question 8
Which information belongs in the past medical history?
A. Current chief concern only
B. Previous illnesses, surgeries, hospitalizations, and significant health events
C. Current vital signs only
D. The client's favorite foods
Answer: B. Previous illnesses, surgeries, hospitalizations, and significant
health events
Rationale: Past medical history provides information about previous health
conditions and healthcare experiences.
Question 9
Why should the nurse ask about previous surgeries?
A. To determine the client's income
B. Previous procedures may affect current health and assessment findings
C. Surgery history is irrelevant after discharge
D. It replaces medication history
Answer: B. Previous procedures may affect current health and assessment
findings
Rationale: Surgical history can reveal altered anatomy, complications,
implants, and conditions relevant to current care.
Question 10
Rationale
TABLE OF CONTENTS
1. Comprehensive Health History
2. Interviewing and Communication
3. General Survey and Health Assessment
4. Vital Signs and Pain Assessment
5. Head, Face, Eyes, Ears, Nose, and Throat
6. Neck and Lymphatic Assessment
7. Cardiovascular and Peripheral Vascular Assessment
8. Respiratory Assessment
9. Abdominal and Gastrointestinal Assessment
10.Musculoskeletal and Neurologic Assessment
11.Skin, Hair, and Nails
12.Health Promotion, Prevention, and Clinical Judgment
SECTION 1: COMPREHENSIVE HEALTH HISTORY
Question 1
What is the primary purpose of obtaining a comprehensive health history?
A. To establish a definitive medical diagnosis
B. To collect information about the client's health and health risks
C. To prescribe medications
D. To replace the physical examination
Answer: B. To collect information about the client's health and health risks
,Rationale: A comprehensive health history provides subjective information
about the client's current concerns, past health, medications, family history,
lifestyle, psychosocial status, and health risks.
Question 2
Which component of the health history identifies the client's main reason for
seeking care?
A. Family history
B. Chief concern
C. Social history
D. Review of systems
Answer: B. Chief concern
Rationale: The chief concern identifies the primary reason the client is seeking
healthcare and is often documented in the client's own words.
Question 3
Which statement is an appropriate way to document a client's chief concern?
A. "Patient is difficult."
B. "Patient has a serious illness."
C. "I have been having chest pressure for 2 hours."
D. "Patient probably has angina."
Answer: C. "I have been having chest pressure for 2 hours."
Rationale: The chief concern should reflect the client's reason for seeking care
and may be documented using the client's own words.
Question 4
What does the history of present illness primarily describe?
A. The client's childhood illnesses
B. Details surrounding the current health concern
,C. The client's family tree
D. The client's insurance information
Answer: B. Details surrounding the current health concern
Rationale: The history of present illness explores onset, location, quality,
severity, timing, associated symptoms, and factors affecting the current
problem.
Question 5
Which framework is useful for assessing a symptom comprehensively?
A. PQRST
B. ABCD only
C. BMI
D. Glasgow Coma Scale
Answer: A. PQRST
Rationale: PQRST helps assess provocation/palliation, quality,
region/radiation, severity, and timing.
Question 6
Which question assesses symptom quality?
A. "When did it start?"
B. "Where does it occur?"
C. "What does the pain feel like?"
D. "How severe is it?"
Answer: C. "What does the pain feel like?"
Rationale: Quality describes the character of a symptom, such as burning,
sharp, dull, aching, or throbbing.
Question 7
Which question assesses radiation?
, A. "Does the pain move anywhere else?"
B. "How bad is it?"
C. "When did it begin?"
D. "What makes it better?"
Answer: A. "Does the pain move anywhere else?"
Rationale: Radiation refers to whether a symptom spreads or travels from its
original location.
Question 8
Which information belongs in the past medical history?
A. Current chief concern only
B. Previous illnesses, surgeries, hospitalizations, and significant health events
C. Current vital signs only
D. The client's favorite foods
Answer: B. Previous illnesses, surgeries, hospitalizations, and significant
health events
Rationale: Past medical history provides information about previous health
conditions and healthcare experiences.
Question 9
Why should the nurse ask about previous surgeries?
A. To determine the client's income
B. Previous procedures may affect current health and assessment findings
C. Surgery history is irrelevant after discharge
D. It replaces medication history
Answer: B. Previous procedures may affect current health and assessment
findings
Rationale: Surgical history can reveal altered anatomy, complications,
implants, and conditions relevant to current care.
Question 10
