Questions Test Bank – 200 Qs, Verified Answers, A+
Rationales – Real Exam Format”
Question 1: A 68-year-old Hispanic male presents for his
annual exam. During the health history interview, he
states he often feels “winded” when walking to his
mailbox. Which follow-up question is MOST appropriate
to clarify his symptom?
A. “Do you feel chest pain when you’re walking?”
B. “How far do you walk before you become short of
breath?”
C. “Have you ever had pneumonia in the past?”
D. “Do you have any allergies to medications?”
✅ Correct Answer: B
Rationale: B is correct because quantifying shortness of
breath by asking distance walked elicits functional
limitations and helps determine the severity (e.g.,
exertional dyspnea), which is a key component of a
thorough symptom analysis. A is less appropriate initially
because the patient’s chief complaint is dyspnea, not
chest pain—asking about chest pain could confuse the
,focus. C is incorrect; a history of pneumonia does not
directly clarify his current dyspnea on exertion. D is
unrelated to his presenting symptom of “winded,”
making it an irrelevant follow-up at this time.
Question 2: During an initial interview, a 25-year-old
female patient who speaks limited English nods and
smiles but does not answer your questions verbally.
Which action should the nurse take FIRST?
A. Speak louder and more slowly.
B. Use a certified medical interpreter.
C. Assume she understands and proceed.
D. Have a family member translate.
✅ Correct Answer: B
Rationale: B is correct because using a certified medical
interpreter ensures accurate communication, reduces
risk of misinterpretation, and respects patient safety and
autonomy. A is incorrect; speaking louder or slower does
not solve language barriers. C is unsafe; assuming
comprehension can lead to misunderstandings and poor
care. D is incorrect because relying on a family member
may compromise accuracy, confidentiality, or introduce
bias; best practice is a certified interpreter.
,Question 3: A nurse is collecting a health history from a
45-year-old African American female. When asking about
family history, which question is MOST relevant?
A. “Has anyone in your family ever had breast cancer?”
B. “How often do you exercise each week?”
C. “What is your favorite traditional meal at home?”
D. “Do you have any idea what time you usually wake
up?”
✅ Correct Answer: A
Rationale: A is correct because asking about specific
familial diseases (e.g., breast cancer) is essential for risk
assessment and care planning. B addresses lifestyle, not
family history; it could be asked later but is not relevant
to family history. C addresses cultural dietary habits,
which may be useful later but does not pertain to family
disease history. D is unrelated to family history; it
pertains to the patient’s personal habits.
Question 4: When performing an introductory statement
during a health history interview with a 30-year-old
Middle Eastern male, which statement conveys cultural
sensitivity?
, A. “Tell me about your family’s medical problems.”
B. “Do you practice any home remedies from your
culture?”
C. “You don’t look sick—are you sure something is
wrong?”
D. “I need to ask you some personal questions now.”
✅ Correct Answer: B
Rationale: B is correct because asking about culturally
based home remedies shows respect for the patient’s
beliefs and may reveal important information impacting
care. A is not culturally insensitive per se, but it lacks the
nuance of cultural assessment and might feel too
general. C is judgmental and potentially offensive by
implying doubt about the patient’s complaint. D may be
interpreted as abrupt or disrespectful; a culturally
sensitive approach includes explaining the purpose of
questions.
Question 5: A nursing student is practicing open-ended
interviewing techniques with a 50-year-old Caucasian
female complaining of dizziness. Which statement
demonstrates an open-ended question?
A. “Do you feel dizzy when you stand up quickly?”