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 male