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1. A nurse is conducting a health history interview with a 65-
year-old male patient who complains of chest pain. Which of
the following questions is most appropriate to ask first?
a) Do you have any history of heart disease or hypertension?
b) How would you rate your pain on a scale of 0 to 10?
c) When did the pain start and what were you doing at that
time?
d) What does the pain feel like and where is it located? *
Rationale: The most appropriate question to ask first is the one
that assesses the quality and location of the pain, as this can
help determine the possible cause and severity of the chest
pain. The other questions are also important, but they can be
asked later.
2. A nurse is performing a physical examination on a 25-yearold female patient who is pregnant for the first time. Which of
the following findings is normal during pregnancy?
a) Increased blood pressure
b) Decreased respiratory rate
c) Increased heart rate *
d) Decreased urinary output
Rationale: The normal physiological changes during pregnancy
include an increase in heart rate, cardiac output, blood volume,
and respiratory rate. Blood pressure usually remains stable or
slightly decreases in the first trimester, then increases
gradually in the second and third trimesters. Urinary output
also increases due to increased renal blood flow and
glomerular filtration rate.
3. A nurse is assessing the cranial nerves of a 45-year-old maleÂ
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