History
1. Which of the following is the primary purpose of a health history?
To gather comprehensive information about the patient’s health status
2. What does the acronym OLDCART stand for in symptom analysis?
Onset, Location, Duration, Character, Aggravating/Alleviating factors, Radiation,
Timing
3. When obtaining a patient’s medication history, what is most important to include?
Prescription, over-the-counter, herbal supplements, and adherence
4. A patient reports a family history of diabetes. This is considered:
A risk factor
5. Which question is most appropriate when assessing a patient’s alcohol use?
“How many drinks do you have in a typical week?”
6. When interviewing a patient, the nurse should:
Use open-ended questions first
7. What is the best approach to discuss sensitive topics?
Ensure privacy and maintain a nonjudgmental attitude
8. Which component is part of a psychosocial history?
Support systems and coping strategies
9. What is the first step in collecting a health history?
Introduce self and explain purpose of the interview
10. A patient’s review of systems (ROS) is designed to:
Identify current or past health problems
11. Which statement is true regarding cultural competence?
The nurse should respect cultural beliefs and practices
12. When assessing a patient’s pain, what is crucial?
Location, intensity, quality, and timing
, 13. What does the term “chief complaint” refer to?
The primary reason the patient is seeking care
14. How should a nurse document subjective data?
In the patient’s own words, in quotation marks if possible
15. Which question assesses nutritional status?
“What do you usually eat in a typical day?”
16. When obtaining a sexual history, the nurse should:
Use inclusive and nonjudgmental language
17. A patient reports taking multiple medications. What should the nurse check?
Drug interactions and side effects
18. Which of the following is part of a past medical history?
Surgeries, hospitalizations, and chronic illnesses
19. What is a key element when documenting allergies?
Type of reaction and severity
20. When assessing sleep patterns, the nurse asks:
“How many hours of sleep do you get per night?”
21. Which vital signs are considered baseline data?
Blood pressure, pulse, respirations, temperature, oxygen saturation
22. Why is it important to ask about immunizations?
To prevent vaccine-preventable diseases and assess risk
23. When taking a family history, the nurse should ask about:
Chronic diseases in first-degree relatives
24. Which question assesses functional status?
“Can you perform your daily activities independently?”
25. When assessing tobacco use, the nurse should:
Ask about type, amount, and duration of use
26. A patient’s history of depression should be recorded in:
Mental health history
27. Which question assesses urinary function?
“Do you have difficulty urinating or changes in frequency?”