, NU 325 Exam 4 – Health Assessment –
(2026) Practice Exam
50 Questions with Correct Answers &
Detailed Rationales
Exam 4 Overview
Exam 4 covers the following new
material:
• Neurological Mental Status Exam
• Functional Assessment of the Older Adult
• General Survey, Measurement, Vital
Signs
• Pain Assessment – The Fifth Vital Sign
• Previous material (minimal)
,SECTION 1: Health History &
Communication (Questions 1-10)
1. The nurse is obtaining a health history
from a new patient. Which question is an
example of an open-ended question?
A) "Do you have any chest pain?"
B) "Tell me about your health concerns."
C) "Have you had this pain before?"
D) "Is the pain worse with activity?"
Answer: B
Rationale: Open-ended questions allow the
patient to narrate freely and provide more
detailed information. Closed-ended
questions elicit yes/no or short factual
answers.
, 2. A patient states, "I feel like my heart is
k k k k k k k k k
racing." This statement should be
k k k k k
documented as:
k k
A) A sign
k k
B) A symptom
k k
C) An objective finding
k k k
D) A diagnosis
k k
Answer: B k
Rationale: A symptom is a subjective k k k k k
sensation that the patient experiences and
k k k k k k
reports. A sign is an objective finding observed
k k k k k k k k
by the examiner.
k k k
3. The nurse asks a patient, "What makes
k k k k k k k
the pain worse?" This question assesses:
k k k k k k
A) Quality of the symptom
k k k k
B) Aggravating factors
k k
(2026) Practice Exam
50 Questions with Correct Answers &
Detailed Rationales
Exam 4 Overview
Exam 4 covers the following new
material:
• Neurological Mental Status Exam
• Functional Assessment of the Older Adult
• General Survey, Measurement, Vital
Signs
• Pain Assessment – The Fifth Vital Sign
• Previous material (minimal)
,SECTION 1: Health History &
Communication (Questions 1-10)
1. The nurse is obtaining a health history
from a new patient. Which question is an
example of an open-ended question?
A) "Do you have any chest pain?"
B) "Tell me about your health concerns."
C) "Have you had this pain before?"
D) "Is the pain worse with activity?"
Answer: B
Rationale: Open-ended questions allow the
patient to narrate freely and provide more
detailed information. Closed-ended
questions elicit yes/no or short factual
answers.
, 2. A patient states, "I feel like my heart is
k k k k k k k k k
racing." This statement should be
k k k k k
documented as:
k k
A) A sign
k k
B) A symptom
k k
C) An objective finding
k k k
D) A diagnosis
k k
Answer: B k
Rationale: A symptom is a subjective k k k k k
sensation that the patient experiences and
k k k k k k
reports. A sign is an objective finding observed
k k k k k k k k
by the examiner.
k k k
3. The nurse asks a patient, "What makes
k k k k k k k
the pain worse?" This question assesses:
k k k k k k
A) Quality of the symptom
k k k k
B) Aggravating factors
k k
