NR509 / NR 509 FINAL EXAM (Latest
Version 2026) Advanced Physical Assessment
| Questions & Correct Answers | 100%
Correct | Grade A - Chamberlain
Which of the following best describes the role of the health practitioner in caring
for the aging American population?
a. Prepare all persons age ≥65 years for the eventuality that they will become frail.
b. Understand that the older population is generally homogenous with little
variation in needs.
c. Evaluate geriatric conditions in terms of functionality and quality of life rather
than via traditional disease models.
d. Employ the same disease models used to treat younger patients with chronic
disease.
e. Assure that all elders complete an annual physical examination. -
ANSWER c. Evaluate geriatric conditions in terms of functionality
and quality of life rather than via traditional disease models.
Which of the following is true about hair in the aging adult?
a. Age-related hair loss in males is normal only after age 50 years.
b. Age-related hair loss on the scalp is abnormal in women and should be evaluated
to rule out underlying pathology.
c. Although hair loss occurs in both sexes, hair on the head, trunk, legs, and pubic
hair is invariably spared any age-related changes.
d. Women may experience the development of sparse coarse facial hair in their
mid-50s.
e. Age-related hair changes are the same for all individuals regardless of ethnicity
or race. - ANSWER d. Women may experience the
development of sparse coarse facial hair in their mid-50s.
,A 75-year-old female in generally good health presents to a new primary care
provider after she recently moved to a new city. She takes no prescribed
medications, but she has been told in the past that her blood pressure was
borderline elevated and might require treatment at some time in the future. Which
of the following findings during the physical examine is consistent with the normal
aging process and not a sign of cardiovascular disease?
a. A narrowed pulse pressure with increased systolic and diastolic components
b. A widened pulse pressure with increased systolic pressure (up to 140) and
decreased diastolic pressure
c. An unchanged pulse pressure with equal increases in both systolic and diastolic
pressures
d. A drop in systolic pressure of 25 mm Hg when rising from a supine to standing
position
e. An isolated increase in systolic blood pressure to >150 mm Hg -
ANSWER b. A widened pulse pressure with increased systolic
pressure (up to 140) and decreased diastolic pressure
A 66-year-old recently retired restaurant worker presents to his primary care
provider with a concern about hearing loss. He relates a history of difficulty
distinguishing voices in crowded settings when significant background noise
exists, which hastened his retirement. Which of the following is true about this
patient's experience with hearing and the aging process?
a. His experience is consistent with the normal aging process.
b. Any hearing impairment that causes functional decline warrants formal testing
and evaluation.
c. Early age-related hearing loss initially affects lower-pitched sounds.
d. Decreased hearing acuity associated with aging is formally known as
hypoacusis.
e. Age-related declines in hearing does not begin until age ≥75 years. -
ANSWER b. Any hearing impairment that causes functional decline
warrants formal testing and evaluation.
,Medications carry both risks and benefits for older patients. Although the risks of
polypharmacy (the use of many medications at once) are very well known, many
older patients take many medications for a variety of conditions. Which of the
following best describes medication prescribing and utilization in the older adult
population?
a. Although older patients take more medications than younger adults, their rate of
hospitalization for drug-related adverse reactions is the same.
b. Older patients rarely take or have adverse effects from sleep medications.
c. Only half of all older patients take at least one drug daily.
d. Individuals age >65 years account for 30% of all prescribed drugs.
e. Medications prescribed for known indications are not considered to be a
modifiable risk factor for adverse events.
Submit - ANSWER d. Individuals age >65 years account for
30% of all prescribed drugs.
Which of the following is true about the presentation of pain in the older adult?
a. Older patients are more likely to report pain symptoms than younger patients.
b. The prevalence of pain is greater in community-dwelling older adults compared
to those living in nursing homes.
c. The American Geriatrics Society (AGS) prefers the term "persistent pain" over
the term "chronic pain."
d. Pain is often overtreated in the aging population due to overreporting and
exaggeration of symptoms.
e. The majority of pain complaints in this population are due to cardiac or
gastrointestinal (GI) syndromes. - ANSWER c. The American
Geriatrics Society (AGS) prefers the term "persistent pain" over the term "chronic
pain."
Concerning alcohol consumption in older adults, which of the following is true?
a. The CAGE screening for alcohol abuse retains the same sensitivity and
specificity it has for younger populations.
b. The detection of alcohol abuse is higher in older patients than younger patients
due to more frequent ambulatory interactions with health care providers.
, c. Symptoms and signs of alcohol abuse are more overt and easier to notice during
outpatient encounters in older patients than in younger patients.
d. Alcohol alone does not cause cognitive impairment in older patients.
e. Alcohol consumption is responsible for 10% of all hospitalizations in patients
age >65 years. - ANSWER a. The CAGE screening for
alcohol abuse retains the same sensitivity and specificity it has for younger
populations.
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 months. During one
fall, she struck her head, causing a bruise over the right eye. She attributes these
episodes to environmental factors: Once she tripped over a rug, and once she
misjudged the depth of the curb while crossing the street. Which of the following
would be the best approach to this patient?
a. Advise the patient to be more careful and attentive to her surroundings and
provide reassurance that two episodes is not a cause for concern.
b. Advise her that she may require a walker or a cane to provide better balance.
c. Advise her that falls are associated with aging and that no preventive measures
have proven effective.
d. Perform a comprehensive assessment of fall risk and plan preventive inte -
ANSWER d. Perform a comprehensive assessment of fall risk and
plan preventive interventions.
A 44-year-old female mathematician presents to clinic with a complaint of a mass
in the right breast. Her partner noticed this mass 2 days ago, and the patient feels
guilty because she has only had one mammogram and does not engage in breast
self-examination (BSE) on any regular basis. She has no family history of breast
cancer, and her prior mammogram was ordered as a routine screening test at age 43
years after a brief discussion with her primary care provider. After a thorough
investigation reveals a benign cyst, what advice should be given to this patient
about screening for breast cancer in her age group?
Version 2026) Advanced Physical Assessment
| Questions & Correct Answers | 100%
Correct | Grade A - Chamberlain
Which of the following best describes the role of the health practitioner in caring
for the aging American population?
a. Prepare all persons age ≥65 years for the eventuality that they will become frail.
b. Understand that the older population is generally homogenous with little
variation in needs.
c. Evaluate geriatric conditions in terms of functionality and quality of life rather
than via traditional disease models.
d. Employ the same disease models used to treat younger patients with chronic
disease.
e. Assure that all elders complete an annual physical examination. -
ANSWER c. Evaluate geriatric conditions in terms of functionality
and quality of life rather than via traditional disease models.
Which of the following is true about hair in the aging adult?
a. Age-related hair loss in males is normal only after age 50 years.
b. Age-related hair loss on the scalp is abnormal in women and should be evaluated
to rule out underlying pathology.
c. Although hair loss occurs in both sexes, hair on the head, trunk, legs, and pubic
hair is invariably spared any age-related changes.
d. Women may experience the development of sparse coarse facial hair in their
mid-50s.
e. Age-related hair changes are the same for all individuals regardless of ethnicity
or race. - ANSWER d. Women may experience the
development of sparse coarse facial hair in their mid-50s.
,A 75-year-old female in generally good health presents to a new primary care
provider after she recently moved to a new city. She takes no prescribed
medications, but she has been told in the past that her blood pressure was
borderline elevated and might require treatment at some time in the future. Which
of the following findings during the physical examine is consistent with the normal
aging process and not a sign of cardiovascular disease?
a. A narrowed pulse pressure with increased systolic and diastolic components
b. A widened pulse pressure with increased systolic pressure (up to 140) and
decreased diastolic pressure
c. An unchanged pulse pressure with equal increases in both systolic and diastolic
pressures
d. A drop in systolic pressure of 25 mm Hg when rising from a supine to standing
position
e. An isolated increase in systolic blood pressure to >150 mm Hg -
ANSWER b. A widened pulse pressure with increased systolic
pressure (up to 140) and decreased diastolic pressure
A 66-year-old recently retired restaurant worker presents to his primary care
provider with a concern about hearing loss. He relates a history of difficulty
distinguishing voices in crowded settings when significant background noise
exists, which hastened his retirement. Which of the following is true about this
patient's experience with hearing and the aging process?
a. His experience is consistent with the normal aging process.
b. Any hearing impairment that causes functional decline warrants formal testing
and evaluation.
c. Early age-related hearing loss initially affects lower-pitched sounds.
d. Decreased hearing acuity associated with aging is formally known as
hypoacusis.
e. Age-related declines in hearing does not begin until age ≥75 years. -
ANSWER b. Any hearing impairment that causes functional decline
warrants formal testing and evaluation.
,Medications carry both risks and benefits for older patients. Although the risks of
polypharmacy (the use of many medications at once) are very well known, many
older patients take many medications for a variety of conditions. Which of the
following best describes medication prescribing and utilization in the older adult
population?
a. Although older patients take more medications than younger adults, their rate of
hospitalization for drug-related adverse reactions is the same.
b. Older patients rarely take or have adverse effects from sleep medications.
c. Only half of all older patients take at least one drug daily.
d. Individuals age >65 years account for 30% of all prescribed drugs.
e. Medications prescribed for known indications are not considered to be a
modifiable risk factor for adverse events.
Submit - ANSWER d. Individuals age >65 years account for
30% of all prescribed drugs.
Which of the following is true about the presentation of pain in the older adult?
a. Older patients are more likely to report pain symptoms than younger patients.
b. The prevalence of pain is greater in community-dwelling older adults compared
to those living in nursing homes.
c. The American Geriatrics Society (AGS) prefers the term "persistent pain" over
the term "chronic pain."
d. Pain is often overtreated in the aging population due to overreporting and
exaggeration of symptoms.
e. The majority of pain complaints in this population are due to cardiac or
gastrointestinal (GI) syndromes. - ANSWER c. The American
Geriatrics Society (AGS) prefers the term "persistent pain" over the term "chronic
pain."
Concerning alcohol consumption in older adults, which of the following is true?
a. The CAGE screening for alcohol abuse retains the same sensitivity and
specificity it has for younger populations.
b. The detection of alcohol abuse is higher in older patients than younger patients
due to more frequent ambulatory interactions with health care providers.
, c. Symptoms and signs of alcohol abuse are more overt and easier to notice during
outpatient encounters in older patients than in younger patients.
d. Alcohol alone does not cause cognitive impairment in older patients.
e. Alcohol consumption is responsible for 10% of all hospitalizations in patients
age >65 years. - ANSWER a. The CAGE screening for
alcohol abuse retains the same sensitivity and specificity it has for younger
populations.
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 months. During one
fall, she struck her head, causing a bruise over the right eye. She attributes these
episodes to environmental factors: Once she tripped over a rug, and once she
misjudged the depth of the curb while crossing the street. Which of the following
would be the best approach to this patient?
a. Advise the patient to be more careful and attentive to her surroundings and
provide reassurance that two episodes is not a cause for concern.
b. Advise her that she may require a walker or a cane to provide better balance.
c. Advise her that falls are associated with aging and that no preventive measures
have proven effective.
d. Perform a comprehensive assessment of fall risk and plan preventive inte -
ANSWER d. Perform a comprehensive assessment of fall risk and
plan preventive interventions.
A 44-year-old female mathematician presents to clinic with a complaint of a mass
in the right breast. Her partner noticed this mass 2 days ago, and the patient feels
guilty because she has only had one mammogram and does not engage in breast
self-examination (BSE) on any regular basis. She has no family history of breast
cancer, and her prior mammogram was ordered as a routine screening test at age 43
years after a brief discussion with her primary care provider. After a thorough
investigation reveals a benign cyst, what advice should be given to this patient
about screening for breast cancer in her age group?
