NR 302 HEALTH ASSESSMENT I
EXAM 2 REVIEW: 350 ACTUAL EXAM
QUESTIONS & CORRECT ANSWERS
ALREADY GRADED A+ |
CHAMBERLAIN NR302 / NR-302
TEST BANK (LATEST 2026/2027)
1. A 45-year-old woman presents to the clinic for the first time. The nurse is
preparing to take her health history and wants to begin the interview in a
patient-centered manner. What is the most appropriate opening statement to
initiate the interview?
A. What brings you to the clinic today?
B. Do you have any chronic medical conditions I should know about?
C. Are you currently taking any prescription medications?
D. When was the date of your last physical examination?
Correct Answer: A
Rationale: An open-ended question such as asking what brings her to the clinic allows
the patient to describe her concerns in her own words and establishes a patient-
centered approach. Closed-ended questions that elicit yes or no answers should follow
after the chief concern is fully explored. Starting with closed questions limits the
patient's narrative and may cause the nurse to miss important contextual information.
2. A 68-year-old man arrives at the emergency department reporting chest
pain. The nurse uses the OLDCARTS mnemonic to structure the symptom
assessment. The patient rates his pain as 7 out of 10 on a numeric scale. Which
component of OLDCARTS is the nurse addressing with this rating?
A. Onset of the symptom
B. Severity of the symptom
C. Region of the symptom
D. Timing of the symptom
Correct Answer: B
Rationale: In the OLDCARTS mnemonic, the letter S stands for Severity, which prompts
the nurse to ask the patient to rate the symptom intensity, typically on a 0 to 10 scale.
,O is Onset, R is Region or Radiation, and T is Timing. Severity quantification helps
prioritize urgency and evaluate response to interventions over time.
3. A nurse is interviewing a 30-year-old woman who recently immigrated and
speaks limited English. A trained medical interpreter is available to facilitate the
interview. Where should the nurse position the interpreter relative to the
patient for optimal communication?
A. Directly between the nurse and the patient, facing the nurse
B. Behind the patient, outside the line of sight of the nurse
C. Beside the patient and slightly behind, allowing eye contact between nurse and
patient
D. In front of the patient, blocking visual contact with the nurse
Correct Answer: C
Rationale: The interpreter should sit beside and slightly behind the patient so that the
nurse and patient can maintain direct eye contact and communicate with each other.
This positioning reinforces the therapeutic nurse-patient relationship while the
interpreter facilitates understanding. Placing the interpreter between the two parties
disrupts direct communication.
4. A 34-year-old patient arrives for their first annual physical in three years.
During the health history interview, the nurse notices the patient frequently
looks down and provides one-word responses. The nurse suspects the patient
may be experiencing anxiety about the examination findings. Which
interviewing technique would best encourage the patient to share more
detailed information?
A. Ask a series of closed-ended questions to gather facts quickly
B. Use silence for 10-15 seconds while maintaining eye contact
C. Immediately reassure the patient that everything will be fine
D. Switch to reviewing the family history to change the subject
Correct Answer: B
Rationale: Silence is a powerful therapeutic communication technique that gives
patients time to organize their thoughts and feelings without pressure. Closed-ended
questions (A) would further limit responses. Immediate reassurance (C) may dismiss the
patient's concerns, and switching topics (D) avoids addressing the underlying anxiety.
5. During a health history interview with a 67-year-old patient recently
diagnosed with type 2 diabetes, the nurse asks about medication adherence.
The patient states, "I take my pills when I remember, but I don't see the point
since I feel fine." Which response by the nurse demonstrates the most effective
use of clarification?
A. "You should take your medication exactly as prescribed every day."
B. "It sounds like you don't believe the medication is helping you. Can you tell me
,more about that?"
C. "Many patients with diabetes feel fine until complications develop."
D. "Your doctor prescribed that medication for a reason, so you need to follow the
instructions."
Correct Answer: B
Rationale: Clarification involves restating the patient's message to confirm
understanding and inviting elaboration, which helps identify barriers to adherence.
Options A and D are authoritarian and shut down communication, while C provides
education before understanding the patient's perspective.
👁️ Eyes & Visual System
6. When examining the eye, the nurse notices that the patient's eyelid margins
approximate completely. The nurse recognizes that this assessment finding:
A. Is expected
B. Indicates ptosis
C. Suggests exophthalmos
D. Requires further evaluation
Correct Answer: A
Rationale: The palpebral fissure is the elliptical open space between the eyelids, and,
when closed, the lid margins approximate completely, which is a normal finding.
7. During ocular examinations, the nurse keeps in mind that movement of the
extraocular muscles is:
A. Stimulated by CNs III, IV, and VI
B. Controlled by CNs II and III only
C. Regulated by the sympathetic nervous system
D. Dependent on the optic nerve alone
Correct Answer: A
Rationale: Movement of the extraocular muscles is stimulated by three CNs: III, IV, and
VI.
8. The nurse is performing an external eye examination. Which statement
regarding the outer layer of the eye is true?
A. The outer layer of the eye is very sensitive to touch.
B. The outer layer is the choroid, which prevents light reflection.
C. The outer layer contains the retina where light is converted to nerve impulses.
D. The outer layer is insensitive to pain.
, Correct Answer: A
Rationale: The cornea and the sclera make up the outer layer of the eye. The cornea is
very sensitive to touch. The middle layer, the choroid, has dark pigmentation to prevent
light from reflecting internally. The trigeminal nerve (CN V) and the facial nerve (CN
VII) are stimulated when the outer surface of the eye is stimulated. The retina, in the
inner layer of the eye, is where light waves are changed into nerve impulses.
9. When examining a patient's eyes, the nurse recalls that stimulation of the
sympathetic branch of the autonomic nervous system:
A. Elevates the eyelid and dilates pupil
B. Constricts the pupil and raises the eyelid
C. Has no effect on the pupils
D. Causes pupillary constriction
Correct Answer: A
Rationale: Sympathetic stimulation elevates the eyelid and dilates the pupil.
10. The nurse is reviewing causes of increased intraocular pressure. Which of
these factors determines intraocular pressure?
A. Amount of aqueous produced and resistance to its outflow at the angle of the
anterior chamber
B. Thickness of the cornea
C. Size of the lens
D. Integrity of the vitreous humor
Correct Answer: A
Rationale: Intraocular pressure is determined by the amount of aqueous produced and
the resistance to its outflow at the angle of the anterior chamber.
11. The nurse is conducting a visual examination. Which of these statements
regarding visual pathways and visual fields is true?
A. The image formed on the retina is upside down and reversed from its actual
appearance in the outside world.
B. The image is upright and accurate.
C. The image is inverted but not reversed.
D. The image is processed identically to a camera.
Correct Answer: A
Rationale: The image formed on the retina is upside down and reversed from its actual
appearance in the outside world.
12. The nurse is testing a patient's visual accommodation, which refers to which
action?
A. Pupillary constriction when looking at a near object
B. Pupillary dilation in response to light
EXAM 2 REVIEW: 350 ACTUAL EXAM
QUESTIONS & CORRECT ANSWERS
ALREADY GRADED A+ |
CHAMBERLAIN NR302 / NR-302
TEST BANK (LATEST 2026/2027)
1. A 45-year-old woman presents to the clinic for the first time. The nurse is
preparing to take her health history and wants to begin the interview in a
patient-centered manner. What is the most appropriate opening statement to
initiate the interview?
A. What brings you to the clinic today?
B. Do you have any chronic medical conditions I should know about?
C. Are you currently taking any prescription medications?
D. When was the date of your last physical examination?
Correct Answer: A
Rationale: An open-ended question such as asking what brings her to the clinic allows
the patient to describe her concerns in her own words and establishes a patient-
centered approach. Closed-ended questions that elicit yes or no answers should follow
after the chief concern is fully explored. Starting with closed questions limits the
patient's narrative and may cause the nurse to miss important contextual information.
2. A 68-year-old man arrives at the emergency department reporting chest
pain. The nurse uses the OLDCARTS mnemonic to structure the symptom
assessment. The patient rates his pain as 7 out of 10 on a numeric scale. Which
component of OLDCARTS is the nurse addressing with this rating?
A. Onset of the symptom
B. Severity of the symptom
C. Region of the symptom
D. Timing of the symptom
Correct Answer: B
Rationale: In the OLDCARTS mnemonic, the letter S stands for Severity, which prompts
the nurse to ask the patient to rate the symptom intensity, typically on a 0 to 10 scale.
,O is Onset, R is Region or Radiation, and T is Timing. Severity quantification helps
prioritize urgency and evaluate response to interventions over time.
3. A nurse is interviewing a 30-year-old woman who recently immigrated and
speaks limited English. A trained medical interpreter is available to facilitate the
interview. Where should the nurse position the interpreter relative to the
patient for optimal communication?
A. Directly between the nurse and the patient, facing the nurse
B. Behind the patient, outside the line of sight of the nurse
C. Beside the patient and slightly behind, allowing eye contact between nurse and
patient
D. In front of the patient, blocking visual contact with the nurse
Correct Answer: C
Rationale: The interpreter should sit beside and slightly behind the patient so that the
nurse and patient can maintain direct eye contact and communicate with each other.
This positioning reinforces the therapeutic nurse-patient relationship while the
interpreter facilitates understanding. Placing the interpreter between the two parties
disrupts direct communication.
4. A 34-year-old patient arrives for their first annual physical in three years.
During the health history interview, the nurse notices the patient frequently
looks down and provides one-word responses. The nurse suspects the patient
may be experiencing anxiety about the examination findings. Which
interviewing technique would best encourage the patient to share more
detailed information?
A. Ask a series of closed-ended questions to gather facts quickly
B. Use silence for 10-15 seconds while maintaining eye contact
C. Immediately reassure the patient that everything will be fine
D. Switch to reviewing the family history to change the subject
Correct Answer: B
Rationale: Silence is a powerful therapeutic communication technique that gives
patients time to organize their thoughts and feelings without pressure. Closed-ended
questions (A) would further limit responses. Immediate reassurance (C) may dismiss the
patient's concerns, and switching topics (D) avoids addressing the underlying anxiety.
5. During a health history interview with a 67-year-old patient recently
diagnosed with type 2 diabetes, the nurse asks about medication adherence.
The patient states, "I take my pills when I remember, but I don't see the point
since I feel fine." Which response by the nurse demonstrates the most effective
use of clarification?
A. "You should take your medication exactly as prescribed every day."
B. "It sounds like you don't believe the medication is helping you. Can you tell me
,more about that?"
C. "Many patients with diabetes feel fine until complications develop."
D. "Your doctor prescribed that medication for a reason, so you need to follow the
instructions."
Correct Answer: B
Rationale: Clarification involves restating the patient's message to confirm
understanding and inviting elaboration, which helps identify barriers to adherence.
Options A and D are authoritarian and shut down communication, while C provides
education before understanding the patient's perspective.
👁️ Eyes & Visual System
6. When examining the eye, the nurse notices that the patient's eyelid margins
approximate completely. The nurse recognizes that this assessment finding:
A. Is expected
B. Indicates ptosis
C. Suggests exophthalmos
D. Requires further evaluation
Correct Answer: A
Rationale: The palpebral fissure is the elliptical open space between the eyelids, and,
when closed, the lid margins approximate completely, which is a normal finding.
7. During ocular examinations, the nurse keeps in mind that movement of the
extraocular muscles is:
A. Stimulated by CNs III, IV, and VI
B. Controlled by CNs II and III only
C. Regulated by the sympathetic nervous system
D. Dependent on the optic nerve alone
Correct Answer: A
Rationale: Movement of the extraocular muscles is stimulated by three CNs: III, IV, and
VI.
8. The nurse is performing an external eye examination. Which statement
regarding the outer layer of the eye is true?
A. The outer layer of the eye is very sensitive to touch.
B. The outer layer is the choroid, which prevents light reflection.
C. The outer layer contains the retina where light is converted to nerve impulses.
D. The outer layer is insensitive to pain.
, Correct Answer: A
Rationale: The cornea and the sclera make up the outer layer of the eye. The cornea is
very sensitive to touch. The middle layer, the choroid, has dark pigmentation to prevent
light from reflecting internally. The trigeminal nerve (CN V) and the facial nerve (CN
VII) are stimulated when the outer surface of the eye is stimulated. The retina, in the
inner layer of the eye, is where light waves are changed into nerve impulses.
9. When examining a patient's eyes, the nurse recalls that stimulation of the
sympathetic branch of the autonomic nervous system:
A. Elevates the eyelid and dilates pupil
B. Constricts the pupil and raises the eyelid
C. Has no effect on the pupils
D. Causes pupillary constriction
Correct Answer: A
Rationale: Sympathetic stimulation elevates the eyelid and dilates the pupil.
10. The nurse is reviewing causes of increased intraocular pressure. Which of
these factors determines intraocular pressure?
A. Amount of aqueous produced and resistance to its outflow at the angle of the
anterior chamber
B. Thickness of the cornea
C. Size of the lens
D. Integrity of the vitreous humor
Correct Answer: A
Rationale: Intraocular pressure is determined by the amount of aqueous produced and
the resistance to its outflow at the angle of the anterior chamber.
11. The nurse is conducting a visual examination. Which of these statements
regarding visual pathways and visual fields is true?
A. The image formed on the retina is upside down and reversed from its actual
appearance in the outside world.
B. The image is upright and accurate.
C. The image is inverted but not reversed.
D. The image is processed identically to a camera.
Correct Answer: A
Rationale: The image formed on the retina is upside down and reversed from its actual
appearance in the outside world.
12. The nurse is testing a patient's visual accommodation, which refers to which
action?
A. Pupillary constriction when looking at a near object
B. Pupillary dilation in response to light
