,NR 302 Exam 1 Health Assessment I | Questions And Answers |
2026/2027 CHAMBERLAIN
1.** A nurse is conducting a health history interview. Which statement is an
example of an open-ended question?
A) "Are you having any pain?"
B) "Tell me about your usual daily activities."
C) "Do you take any medications?"
D) "Is your appetite good?"
**Correct Answer:** B) "Tell me about your usual daily activities."
**Rationale:** Open-ended questions encourage the patient to provide a
narrative response rather than a simple yes or no. "Tell me about…" allows
the patient to share detailed information. The other options are closed-ended
questions that limit responses to short or single-word answers.
**2.** Which of the following is an example of subjective data?
A) Blood pressure 120/80 mmHg
B) Patient reports feeling nauseated
C) Temperature 98.6°F
D) Pupils equal and reactive to light
**Correct Answer:** B) Patient reports feeling nauseated
**Rationale:** Subjective data are what the patient reports or feels, such as
symptoms, feelings, or perceptions. Objective data are measurable,
,observable, and verifiable, such as vital signs and physical examination
findings.
**3.** During the health history, the patient states, "I feel like I can't catch
my breath." The nurse should document this as:
A) Shortness of breath
B) Dyspnea
C) Patient reports difficulty breathing
D) Orthopnea
**Correct Answer:** C) Patient reports difficulty breathing
**Rationale:** Subjective data should be documented using the patient's
exact words or a clear paraphrase in quotation marks. Documenting "patient
reports difficulty breathing" accurately reflects the patient's statement
without imposing the nurse's interpretation.
**4.** A nurse is performing a health history on an adult client. To establish a
trusting relationship and gather the most accurate data, which seating
arrangement should the nurse utilize during the interview?
A) Stand at the foot of the bed looking down at the client
B) Sit facing the client at eye level at a distance of 4 to 5 feet
C) Sit directly next to the client on the edge of the examination table
D) Position a desk between the nurse and the client to maintain a barrier
**Correct Answer:** B) Sit facing the client at eye level at a distance of 4 to 5
feet
, **Rationale:** Sitting at eye level with the client establishes equality and
rapport during the interview. A distance of 4 to 5 feet respects the client's
personal space while allowing the nurse to observe non-verbal
communication effectively.
**5.** In the nursing process, the diagnosis phase includes which of the
following actions? (Select all that apply.)
A) Cluster data together
B) Make inferences
C) Collect data
D) Prioritize goals
**Correct Answer:** A) Cluster data together; B) Make inferences
**Rationale:** During the diagnosis phase of the nursing process, the nurse
analyzes assessment data to cluster it together and make inferences to
identify problems. Collecting data (C) is part of the assessment phase, and
prioritizing goals (D) is part of the planning phase.
**6.** A nurse is reviewing the steps of the nursing process. Which step
involves the collection of subjective and objective data?
A) Assessment
B) Diagnosis
C) Planning
D) Evaluation
2026/2027 CHAMBERLAIN
1.** A nurse is conducting a health history interview. Which statement is an
example of an open-ended question?
A) "Are you having any pain?"
B) "Tell me about your usual daily activities."
C) "Do you take any medications?"
D) "Is your appetite good?"
**Correct Answer:** B) "Tell me about your usual daily activities."
**Rationale:** Open-ended questions encourage the patient to provide a
narrative response rather than a simple yes or no. "Tell me about…" allows
the patient to share detailed information. The other options are closed-ended
questions that limit responses to short or single-word answers.
**2.** Which of the following is an example of subjective data?
A) Blood pressure 120/80 mmHg
B) Patient reports feeling nauseated
C) Temperature 98.6°F
D) Pupils equal and reactive to light
**Correct Answer:** B) Patient reports feeling nauseated
**Rationale:** Subjective data are what the patient reports or feels, such as
symptoms, feelings, or perceptions. Objective data are measurable,
,observable, and verifiable, such as vital signs and physical examination
findings.
**3.** During the health history, the patient states, "I feel like I can't catch
my breath." The nurse should document this as:
A) Shortness of breath
B) Dyspnea
C) Patient reports difficulty breathing
D) Orthopnea
**Correct Answer:** C) Patient reports difficulty breathing
**Rationale:** Subjective data should be documented using the patient's
exact words or a clear paraphrase in quotation marks. Documenting "patient
reports difficulty breathing" accurately reflects the patient's statement
without imposing the nurse's interpretation.
**4.** A nurse is performing a health history on an adult client. To establish a
trusting relationship and gather the most accurate data, which seating
arrangement should the nurse utilize during the interview?
A) Stand at the foot of the bed looking down at the client
B) Sit facing the client at eye level at a distance of 4 to 5 feet
C) Sit directly next to the client on the edge of the examination table
D) Position a desk between the nurse and the client to maintain a barrier
**Correct Answer:** B) Sit facing the client at eye level at a distance of 4 to 5
feet
, **Rationale:** Sitting at eye level with the client establishes equality and
rapport during the interview. A distance of 4 to 5 feet respects the client's
personal space while allowing the nurse to observe non-verbal
communication effectively.
**5.** In the nursing process, the diagnosis phase includes which of the
following actions? (Select all that apply.)
A) Cluster data together
B) Make inferences
C) Collect data
D) Prioritize goals
**Correct Answer:** A) Cluster data together; B) Make inferences
**Rationale:** During the diagnosis phase of the nursing process, the nurse
analyzes assessment data to cluster it together and make inferences to
identify problems. Collecting data (C) is part of the assessment phase, and
prioritizing goals (D) is part of the planning phase.
**6.** A nurse is reviewing the steps of the nursing process. Which step
involves the collection of subjective and objective data?
A) Assessment
B) Diagnosis
C) Planning
D) Evaluation
