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NUR 504 Advanced Health Assessment Exam 1 2026/2027 |
Actual Exam Questions with Verified Answers & Detailed
Rationales | NGN Grade A Study Guide.
1.
A nurse is conducting a health assessment for a new patient. Which of the following is
an example of subjective data?
A. Height and weight
B. A patient's recall of his or her past health conditions
C. Results from an abdominal CT scan
D. Complete blood count
CORRECT ANSWER: B
Rationale: Subjective data consists of information reported by the patient, including
feelings, perceptions, and recalled experiences. The patient's recall of past health
conditions is subjective, while height, weight, and lab/diagnostic results are objective
data.
2.
A nursing instructor is teaching students about data collection during a health history.
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Which of the following is true regarding the data taken in a health history?
A. Most health history data are objective and measurable.
B. Objective data are error-free, quantifiable data.
C. Subjective data, being inherently less accurate, are of less value than objective data.
D. A successful individualized plan of care must incorporate subjective data.
CORRECT ANSWER: D
Rationale: While subjective data relies on the patient's report and may be influenced by
recall or perception, it is essential for understanding the patient's experience, concerns,
and context. An effective, individualized plan of care must integrate both subjective and
objective data.
3.
A nurse is learning about therapeutic communication techniques. According to Coulehan
and Block, which term is defined as "listening to the total communication . . . and letting
the patient know that you are really hearing"?
A. Cultural competence
B. Patience
C. Empathy
D. Top-tier communication
CORRECT ANSWER: C
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Rationale: Coulehan and Block define empathy in the clinical context as the ability to
understand the patient's experience and feelings and to communicate that
understanding back to the patient. It involves active listening and validating the
patient's perspective.
4.
A provider is preparing to take a health history for a new patient. He takes the patient to
a private room, asks the patient to don a hospital gown, steps out, then returns, asks
permission to conduct the history, sits at eye level, discreetly observes for sensory
deficits, asks permission to take notes, gives the patient time to answer, avoids technical
terms, and observes nonverbal behaviors. Which mistake did the provider make?
A. He should have allowed the patient to remain fully clothed in their own clothing for
their comfort.
B. He should not have omitted technical terminology; patients like having a chance to
learn.
C. He should have seated himself at a higher level to establish authority.
D. He should have taken notes without asking permission to appear more professional.
CORRECT ANSWER: A
Rationale: Having a patient undress and don a gown before the history is inappropriate
and can increase anxiety. The history should be taken with the patient fully clothed to
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promote comfort and equality. The physical exam, which requires undressing, comes
after the history.
5.
A nurse is differentiating between types of health histories. Which of the following is
true of both comprehensive and focused health histories?
A. They both include identifying data.
B. They both include a social history.
C. They both include a family history.
D. They are both conducted in emergency situations.
CORRECT ANSWER: A
Rationale: Both comprehensive and focused health histories begin with identifying data
(e.g., name, age, date of birth). A focused history, used for specific problems, may omit
detailed social or family history, which are standard components of a comprehensive
history.
6.
A nurse is using the PQRST mnemonic to assess a patient's pain. Which component of
PQRST involves asking the patient to describe the location of the symptoms?
A. Precipitating factors
B. Quality
NUR 504 Advanced Health Assessment Exam 1 2026/2027 |
Actual Exam Questions with Verified Answers & Detailed
Rationales | NGN Grade A Study Guide.
1.
A nurse is conducting a health assessment for a new patient. Which of the following is
an example of subjective data?
A. Height and weight
B. A patient's recall of his or her past health conditions
C. Results from an abdominal CT scan
D. Complete blood count
CORRECT ANSWER: B
Rationale: Subjective data consists of information reported by the patient, including
feelings, perceptions, and recalled experiences. The patient's recall of past health
conditions is subjective, while height, weight, and lab/diagnostic results are objective
data.
2.
A nursing instructor is teaching students about data collection during a health history.
,2|Page
Which of the following is true regarding the data taken in a health history?
A. Most health history data are objective and measurable.
B. Objective data are error-free, quantifiable data.
C. Subjective data, being inherently less accurate, are of less value than objective data.
D. A successful individualized plan of care must incorporate subjective data.
CORRECT ANSWER: D
Rationale: While subjective data relies on the patient's report and may be influenced by
recall or perception, it is essential for understanding the patient's experience, concerns,
and context. An effective, individualized plan of care must integrate both subjective and
objective data.
3.
A nurse is learning about therapeutic communication techniques. According to Coulehan
and Block, which term is defined as "listening to the total communication . . . and letting
the patient know that you are really hearing"?
A. Cultural competence
B. Patience
C. Empathy
D. Top-tier communication
CORRECT ANSWER: C
,3|Page
Rationale: Coulehan and Block define empathy in the clinical context as the ability to
understand the patient's experience and feelings and to communicate that
understanding back to the patient. It involves active listening and validating the
patient's perspective.
4.
A provider is preparing to take a health history for a new patient. He takes the patient to
a private room, asks the patient to don a hospital gown, steps out, then returns, asks
permission to conduct the history, sits at eye level, discreetly observes for sensory
deficits, asks permission to take notes, gives the patient time to answer, avoids technical
terms, and observes nonverbal behaviors. Which mistake did the provider make?
A. He should have allowed the patient to remain fully clothed in their own clothing for
their comfort.
B. He should not have omitted technical terminology; patients like having a chance to
learn.
C. He should have seated himself at a higher level to establish authority.
D. He should have taken notes without asking permission to appear more professional.
CORRECT ANSWER: A
Rationale: Having a patient undress and don a gown before the history is inappropriate
and can increase anxiety. The history should be taken with the patient fully clothed to
, 4|Page
promote comfort and equality. The physical exam, which requires undressing, comes
after the history.
5.
A nurse is differentiating between types of health histories. Which of the following is
true of both comprehensive and focused health histories?
A. They both include identifying data.
B. They both include a social history.
C. They both include a family history.
D. They are both conducted in emergency situations.
CORRECT ANSWER: A
Rationale: Both comprehensive and focused health histories begin with identifying data
(e.g., name, age, date of birth). A focused history, used for specific problems, may omit
detailed social or family history, which are standard components of a comprehensive
history.
6.
A nurse is using the PQRST mnemonic to assess a patient's pain. Which component of
PQRST involves asking the patient to describe the location of the symptoms?
A. Precipitating factors
B. Quality
