NSG 1530 Foundation of Physical Assessment

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Sample questions from NSG 1530 Foundation of Physical Assessment

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.During a community clinic visit, a client says, "I have had headaches for two weeks." Which response best begins an exploration of the symptom?

   • A.You probably need to drink more water.
   • B.Why did you wait two weeks to seek care?
   • C.Do you have a history of migraines?
   • D.Where is the pain, and what does it feel like?

   Rationale: Asking about location and quality uses open-ended symptom assessment and avoids assuming a cause. Asking about migraine history may be useful later but narrows the interview prematurely. Advice and a judgmental question can discourage disclosure before the symptom is fully characterized.

2. 2.Which question is most appropriate when clarifying a client's use of nonprescription medications?

   • A.Do you take only the medications prescribed by your provider?
   • B.You do not take herbal products, do you?
   • C.Do you take any medications, vitamins, herbs, or supplements?
   • D.Why are you taking so many medications?

   Rationale: A neutral, inclusive question helps identify prescription and nonprescription substances, including supplements. The other questions are leading or judgmental and may cause the client to omit information. A complete medication history includes products the client may not consider to be medications.

3. 3.During a home visit, an older adult with hearing difficulty is interviewed about a recent fall. Which actions support effective communication? Select all that apply.

   • A.Shout directly into the client's ear.
   • B.Reduce competing background noise.
   • C.Speak clearly at a moderate pace.
   • D.Face the client in a well-lit area.
   • E.Ask the client's companion to answer every question.

   Rationale: Facing the client in good light supports lip reading, while clear moderate-paced speech and reduced background noise improve communication. Shouting can distort speech and is not an appropriate default response to hearing loss. The client should answer personally when able; a companion can supplement information with the client's permission.

4. 4.A client states, "I am not sure I can afford the inhaler." Which response best uses a therapeutic interviewing technique?

   • A.Your health is more important than money.
   • B.Tell me more about your concerns regarding the cost.
   • C.Why did you not mention this at your last visit?
   • D.You should ask your provider for a cheaper inhaler.

   Answer and rationale are in the full material.

5. 5.Which information belongs in the chief concern section of a health history?

   • A.The client's reason for seeking care, preferably in the client's own words
   • B.A list of all physical examination findings
   • C.The nurse's interpretation of the likely diagnosis
   • D.The provider's plan for follow-up testing

   Answer and rationale are in the full material.