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NR509 Final Exam Advanced Physical Assessment (PDF) | 2026 Exam Questions, Exams of Nursing

Aurora UniversityNursing

INSTANT PDF DOWNLOAD — NR509 Final Exam Advanced Physical Assessment Questions and Answers for 2026 nursing exam preparation. Includes updated practice questions, verified answers, assessment review materials, study guides, and exam prep resources designed to help nursing students strengthen clinical knowledge and prepare confidently for NR 509 exams. Exam Questions, Study Guide, Practice Test, Verified Answers, Nursing Notes, Final Review, Test Bank, Exam Prep NR509 PDF, NR 509 Exam, Physical Assessment, NR509 Questions, NR509 Answers, Nursing Assessment Exam, Advanced Assessment PDF, NR509 Study Guide, NR509 Practice Test, Nursing Final Exam, Health Assessment Notes, NR509 Test Bank, Nursing Exam Prep, Advanced Physical Exam, NR509 Review Notes, Nursing Questions PDF, Physical Assessment Review, NR509 Final Review, Clinical Assessment Prep, Nursing Study Guide

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NR 509 FINAL EXAM WITH ADVANCED PHYSICAL
ASSESSMENT CHAMBERLAIN WITH CORRECT
QUESTIONS & ANSWERS
1.
A 35-year-old female with a history of migraines presents to the clinic with
worsening symptoms for the past few weeks. She reports waking up at night
with headaches and nausea. Her only medication history is oral contraceptive
pills (OCPs). Otherwise, she states she is healthy. Which of the following
actions if taken by the NP is the best next step?: Take a further history and perform a very
careful neurological exam
2.
A grandmother is accompanying her 9-year-old granddaughter during a
routine physical examination. She asks you privately if her granddaughter has
started puberty yet. During the examination, the NP notes asymmetric
projection of the areola and nipple of the right chest to form a secondary
mound above the level of the breast. The left breast is underdeveloped. These
assessment findings are consistent with which Tanner Stage of development?-
:
IV
3.
Primary prevention is defined as which of the following?: Interventions designed to
prevent disease
4.
Based on the U.S. Preventive Services Task Force (USPSTF) recommenda- tions,
which of the following statements is true about screening for breast
cancer
in
average-risk
women?:
Mammography is recommended every 2 years for women aged
50-74 with
insuflcient evidence for screening women over the age of 75.
5.
Which of the following statements is true regarding recommendations by
the eighth Joint National Committee ( JNC8) for adults aged 60 and older?
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Partial preview of the text

Download NR509 Final Exam Advanced Physical Assessment (PDF) | 2026 Exam Questions and more Exams Nursing in PDF only on Docsity!

NR 509 FINAL EXAM WITH ADVANCED PHYSICAL

ASSESSMENT CHAMBERLAIN WITH CORRECT

QUESTIONS & ANSWERS

  1. A 35-year-old female with a history of migraines presents to the clinic with worsening symptoms for the past few weeks. She reports waking up at night with headaches and nausea. Her only medication history is oral contraceptive pills (OCPs). Otherwise, she states she is healthy. Which of the following actions if taken by the NP is the best next step?: Take a further history and perform a very careful neurological exam
  2. A grandmother is accompanying her 9-year-old granddaughter during a routine physical examination. She asks you privately if her granddaughter has started puberty yet. During the examination, the NP notes asymmetric projection of the areola and nipple of the right chest to form a secondary mound above the level of the breast. The left breast is underdeveloped. These assessment findings are consistent with which Tanner Stage of development?- : IV
  3. Primary prevention is defined as which of the following?: Interventions designed to prevent disease
  4. Based on the U.S. Preventive Services Task Force (USPSTF) recommenda- tions, which of the following statements is true about screening for breast cancer in average-risk women?: Mammography is recommended every 2 years for women aged 50-74 with insuflcient evidence for screening women over the age of 75.
  5. Which of the following statements is true regarding recommendations by the eighth Joint National Committee ( JNC8) for adults aged 60 and older?

Select all that apply.: Target blood pressure should be = 150/90 mmHg but notes that if treatment results in SBP <140 and is "well tolerated and without adverse ettects to health or quality of live, treatment does not need to be adjusted."

In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80 appear optimal for notable reductions in stroke, cardiovascular events, and all-cause mortality.

  1. Which of the following is a useful strategy when examining young children between the ages of 1 and 4?: Have the parent facilitate the exam (e.g., removing clothes, holding the child on lap).
  2. The NP is completing the review of systems on a 4-month-old female during a routine encounter. Which statement from the parent may indicate a cardiac

which of the following?: Active movement against gravity

  1. Which musculoskeletal disorder is paired correctly with the associated sys- temic manifestations?: Lyme disease and expanding erythematous targetoid patch in early illness
  1. A 62-year-old female has a diagnosis of rheumatoid arthritis (RA). Which of the following are expected assessment findings consistent with the diagno- sis?: Swelling of the synovial tissue in joints and tendon sheaths.
  2. A 58-year-old male complains of pain in his knees, hips, hands, wrists, neck, and lower back. Based on the joints involved, the NP suspects that the patient most likely has which condition?: Osteoarthritis
  3. A 55-year-old male has a diagnosis of lumbar spinal stenosis. Which sign should the NP expect to find on examination that is most consistent with the diagnosis?: Flexed forward posture with lower extremity weakness
  4. What is the action(s) of the erector spinae muscle group?: Extension of the spine
  5. A 17-year-old male presents to the clinic for a follow-up appointment. He fractured his left arm 8 weeks ago and remains in a cast. Upon inspection, the NP finds that his shoulder heights are unequal and there is winging of the scapula. The NP suspects contralateral weakness and muscle wasting as the etiology for the winged scapula. Which of the following physical assessment maneuvers should the NP perform to confirm the suspension?: Compare the strength of the trapezius muscles
  6. A 31-year-old female presents to the clinic with a worsening stiff, painful neck. On inspection, the patient's head is laterally deviated toward the shoul- der and rotated. Given this specific physical assessment finding, what condi- tion should the NP suspect as a differential diagnosis?: Torticollis
  7. During an evaluation of an athletic 30-year-old female, the NP conducts an active range of motion evaluation at the neck. All of the following muscles are being assessed when the patient is asked to extend, flex, and rotate the neck, EXCEPT?: Sacrospinalis
  8. A 58-year-old male complains of lower back pain for many years. He denies a recent injury. On examination, the NP finds that the patient has tenderness to palpation over the sacroiliac joint. Which of the following conditions is most
  1. A 53-year-old African American male presents for discussion of his prostate cancer risk and possible screening for this disease. His father was diagnosed at age 82 years with prostate cancer but died recently at age 87 years from a myocardial infarction before the disease progressed. Family history also reveals that his mother died of ovarian cancer when he was age 10 years, and two of his maternal aunts had breast cancer. Which of the following is true about prostate cancer risk for this patient and subsequent screening?: This patient is at an elevated risk of prostate cancer due to his family history; thus, screening modalities should be discussed between the patient and provider.
  2. A 34-year-old female presents to primary care for follow-up regarding anal pain with defecation. A recent referral to GI for anoscopic examination revealed anal fissures that appear to be her source of pain. In addition, today she reports that she has developed episodic abdominal discomfort and sores in her mouth. Which of the following underlying conditions is the NP most likely to find?: Inflammatory bowel disease
  3. A 45-year-old female presents to the primary care clinic. She complains of recently experiencing a change in the patterns of her bowel movements. Her PMH is significant for bleeding ulcers as well as Crohn's disease. Her family medical history includes a maternal aunt who died of colon cancer at age 49 years. Which of the following historical elements would be most concerning for colon cancer in this patient?: recent onset of small-caliber stools
  4. A 67-year-old female presents to the office for an annual check-up. She retired as a police captain at age 66. Now she enjoys gardening and water aerobics several days a week. She states, "staying active keeps me limber". After a careful history and physical examination, the NP documents the follow- ing musculoskeletal system findings: Full range of motion in all joints. Hands with Heberden nodes at the DIP joints, Bouchard nodes at PIP joints. Mild

pain with flexion, extension, and rotation of both hips. Full range of motion in the knees, with moderate crepitus. No effusion but bony enlargement along the tibiofemoral joint line bilaterally. Both feet with hallux valgus at the first MTP joints. Which of the following is the most accurate interpretation of these findings?: These findings suggest osteoarthritis

unmyelinated ganglion cell axons of the retina.: Cotton wool spots

  1. A 66-year-old female presents to the office for a focused visit to discuss hypertension management strategies. During the interview, the patient asks the NP if she could be screened today for cervical cancer/HPV. Review of her medical record reveals she was screened at ages 57, 60, and 63, with no abnormal findings, and no history of cancer. What is the best action the NP should take regarding the patient's request for screening?: Deny her request, inform

the patient that she has had three negative screenings in the last 10 years and no longer requires screening, and focus on the reason for the visit.

  1. Of the following statements, which is true regarding the human papillo- mavirus (HPV) vaccine?: The vaccine can protect against anogenital lesions
  2. A 21-year-old female presents for her first annual exam. She reports con- cern because her female partner was recently diagnosed with condyloma acuminata and wonders if she could also be infected. If true, what physical assessment findings would the NP expect to find during the speculum exam- ination?: Raised friable or lobed lesions
  3. An 18-year-old female presents to the clinic complaining of a thick and yel- low vaginal discharge along with recent pelvic pain. Her history is significant for pelvic inflammatory disease (PID). During the speculum examination, the NP would expect to find purulent discharge in the following area(s) which is consistent with the diagnosis of PID?: Cervical os
  4. A 23-year-old female presents to the clinic. She has decided to discontinue using condoms and would like a different birth control option. Her last pelvic exam was 2 years ago when she had a negative Pap smear and STI screening. Her LMP was 2 days ago, and she is still spotting. She last had sex with her boyfriend 1 week ago. Condoms were used. The NP elects to postpone her speculum exam during this office encounter. What is the best evidence-based rationale for the decision to postpone her exam?: She is on her menses
  5. A 24-year-old female presents to the clinic for an annual exam. The NP proceeds to perform a Pap smear and understands that the most important area on the cervix to obtain cells for the Pap smear is where?: Transformation zone
  6. A 45-year-old female presents to the clinic for heavy periods and pelvic pain during her menses. She reached menarche at age 13 years and has had regular periods except during her pregnancies. She is a G4P3013 and does not use birth control as her husband has had a vasectomy. She states this has

normal. Her body mass index (BMI) is 27. Which of the following is the most likely interpretation of these findings?: These findings suggest uterine fibroids

  1. A 48-year-old female presents to the clinic with complaints of heavy vaginal discharge and severe itching for 1 week. On visualization of the vulva, a thick, white, curdy discharge is seen at the introitus. On speculum examination, there is a copious amount of this discharge. The pH of the discharge is 4. and the KOH whiff test is negative, with no unusual smell. Wet prep shows budding hyphae. Which of the following is the most accurate interpretation of these findings?: These findings suggest candida vaginitis
  2. Cervical motion tenderness and/or adnexal tenderness are hallmarks of all the following conditions, EXCEPT?: Bacterial vaginosis
  3. A 30-year-old female presents to the clinic with complaints of a bad-smelling vaginal discharge with some mild itching for about 3 weeks. She denies pain with urination or with sexual intercourse. She also reports that the smell increased after intercourse and during her period last week. After a careful history and physical assessment, the NP documents the following pelvic and anorectal examination findings: Bilateral shotty inguinal adenopa- thy. External genitalia without erythema or lesions. Vaginal mucosa and cervix coated with thin white homogeneous discharge with a mild fishy odor. After swabbing the cervix, no discharge is visible in the cervical os. Uterus midline; no adnexal masses. Rectal vault without masses. Stool brown and negative for fecal blood. pH of vaginal discharge >4.5. Which of the following is the most accurate interpretation of these findings?: These findings suggest bacterial vaginosis
  4. The NP knows it is possible to palpate multiple structures in relation to the inguinal canal and related hernias while performing a physical examination on male patients. Which of the following is not palpable during an external examination of the abdominal wall or inguinal region?: Internal inguinal rings
  1. What are the most predominant risk factors for prostate cancer?: Age Ethnicity Family history

bowel sounds heard. Liver percusses to 7 cm in the midclavicular line; edge not felt. Spleen and kidneys not felt. No palpable masses. No CVA tenderness. Psoas sign positive. Blumberg sign positive. Which of the following is the most accurate interpretation of these findings?: These findings suggest acute peritonitis

  1. The NP student is precepting with a provider in a geriatric-based clinic. The provider asks the student if he is familiar with the 10-Minute Geriatric Screener. Which of the following statements best demonstrates that the NP understands this assessment tool?: The tool assesses for functional deficits which are strong predictors of patient outcomes in the elderly.
  2. The NP conducted a physical assessment on a 79-year-old male who lives independently in subsidized housing. The documentation for the Head, Eyes, Ears, Nose, Throat (HEENT) findings are as follows: Scalp without lesions. Skull NC/AT. Conjunctiva pink, sclera muddy. Pupils 2 mm constricting to 1 mm, round, regular, equally reactive to light and accommodation. Extraocular movements intact. Disc margins sharp, without hemorrhages or exudates. Mild arteriolar narrowing. TMs with good cone of light. Weber midline. AC > BC. Nasal mucosa erythematous, septum deviated to the right, turbinates mildly enlarged. No sinus tenderness. Oral mucosa pink. Dentition fair. Caries present. Tongue midline, slight beefy redness. Pharynx is mildly erythema- tous with cobblestoning. Which of the following is the most accurate inter- pretation of the findings?: The patient has chronic allergies
  3. The staff NP in a nursing home is conducting a physical assessment on an 84-year-old male resident who is pleasant, active, and cooperative. The skin findings in this image are observed during the examination. The staff and patient deny any known injury or trauma. The NP should document these findings as consistent with which of the following?

ADA Description: Extensor surface of the right forearm with emphasis on well-demarcated vividly purple macules and patches: Actinic purpura

  1. An 80-year-old woman who lives alone at home presents with concerns about maintaining her independent living status. She continues to drive and care for herself and her pet dog but reports two falls over the past 4

Which of the following would be the best approach to this patient?: Perform a comprehensive assessment of fall risk and plan preventive interventions

  1. Concerning alcohol consumption in older adults, which of the following is true?: The CAGE screening for alcohol abuse retains the same sensitivity and specificity it has for younger populations
  2. Which of the following statements are true about the presentation of pain and pain assessment in the older adult? Select all that apply: Older patients are less likely to report pain symptoms than younger patients

The American Geriatrics Society (AGS) prefers the term "persistent pain" over the term "chronic pain".

  1. Which of the following physical assessment findings regarding blood pres- sure is consistent with the normal aging process and not a sign of cardiovas- cular disease?: A net increase in pulse pressure with an increase in systolic pressure and a decrease in diastolic pressure
  2. Which of the following statements best demonstrates that the NP under- stands their role in caring for the aging population?: I will evaluate geriatric conditions in terms of functionality and quality of life rather than via traditional disease models.
  3. Which of the following physiologic and psychologic changes are expected assessment findings with the normal aging process? Select all that apply:
  4. A 25-year-old female presents to the clinic after a positive home pregnancy test. She confides in you that her live-in, male partner has been verbally threatening her. She denies interest in involving law enforcement. Addition- ally, she reports that she has a 3- year-old daughter who lives in the home. What is the appropriate next step by the NP?: Ask open-ended questions, allow her to make decisions that she feels are best for herself given the circumstance, and provide immediate or long-term referrals to domestic violence resources
  5. A 42-year-old female is at 39-weeks gestation. She reports no major issues except swelling in her feet and shortness of breath which she assumed is normal for pregnancy. On exam, the NP notes a diastolic murmur. Which of

the following is true about her presentation and the appropriate next step by the NP?: A diastolic murmur during pregnancy is likely pathological; further investigation and work-up is warranted