85%
CHAMBERLAIN UNIVERSITY
Final Exam: NR 509/ NR509 Advanced Physical Assessment
Final Questions with Verified Answers (2026/2027 Update)-
Chamberlain 2026/2027
ADVANCED PHYSICAL ASSESSMENT · Official Exam 2026/2027
100 85% CERTIFIED
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Health History & Documentation Q1-Q20
Section 2 Physical Examination Techniques & General Survey Q21-Q40
Section 3 HEENT & Integumentary Assessment Q41-Q60
Section 4 Cardiovascular, Respiratory & Thoracic Assessment Q61-Q80
Section 5 Abdominal, Musculoskeletal & Neurological Assessment Q81-Q100
Instructions: Select the single best answer for each question. This exam is designed for NR509 Advanced Physical
Assessment final exam preparation. Passing score: 85% (85 questions correct).
Final Exam: NR 509/ NR509 Advanced Physical Assessment Final Questions with Verified Answers (2026/2027 Update)- Chamberlain 2026/2027 - 2026/2027 | Passing
Score: 85% | Page 1 of 1
, SECTION 1 | Health History & Documentation | Q1-Q20 | Final Exam: NR 509/ NR509 Advanced Physical
Assessment Final Questions with Verified Answers (2026/2027 Update)- Chamberlain 2026/2027 2026/2027
Q1 Question 1 of 100
A 52-year-old male presents to the primary care clinic for the first time. The nurse practitioner begins
by asking the patient about his current health concerns and reasons for the visit. Which component of
the health history is being obtained during this interaction?
A. Family history identifying hereditary risk factors across generations
B. Review of systems that systematically surveys each organ system for symptoms
C. Past medical history documenting previous illnesses and hospitalizations
D. Chief complaint that captures the patient's primary reason for seeking care in their own words
Correct Answer: D
Rationale:
The chief complaint is the first component of the health history and captures the patient's primary reason for seeking
care in their own words. The review of systems is a systematic organ-by-organ survey performed later, past medical
history documents previous conditions, and family history identifies hereditary risks.
Q2 Question 2 of 100
A 35-year-old female is being interviewed for a comprehensive health history. She reports that her
mother died of breast cancer at age 48 and her maternal aunt was diagnosed with ovarian cancer.
The nurse practitioner documents this information under which section of the health history?
A. Family history recording first-degree and second-degree relative health conditions with ages of onset
B. Review of systems surveying for current signs and symptoms of malignancy
C. Past medical history documenting the patient's own previous diagnoses
D. Social history capturing lifestyle factors and health risk behaviors
Correct Answer: C
Rationale:
Family history records health conditions in blood relatives, particularly first-degree relatives (parents, siblings, children)
and second-degree relatives (grandparents, aunts, uncles), along with ages of onset and death. Past medical history
covers the patient's own conditions, review of systems surveys current symptoms, and social history covers lifestyle
factors.
Final Exam: NR 509/ NR509 Advanced Physical Assessment Final Questions with Verified Answers (2026/2027 Update)- Chamberlain 2026/2027 - 2026/2027 | Passing
Score: 85% | Page 2 of 2
, Q3 Question 3 of 100
A 68-year-old male with chronic obstructive pulmonary disease provides a medication list that
includes albuterol, tiotropium, prednisone, and oxygen therapy at 2 liters per minute. The nurse
practitioner should document the current medications and also verify which additional detail about
each medication?
A. The pharmacy where each medication was originally filled
B. The prescriber's name and contact information for each medication
C. Dosage, frequency, route, and adherence for each medication the patient currently takes
D. The insurance authorization status for each prescribed medication
Correct Answer: A
Rationale:
Current medications should be documented with the specific dosage, frequency of administration, route, and the
patient's adherence to each medication. While prescriber information, pharmacy details, and insurance status may be
relevant for care coordination, they are not standard components of the medication history.
Q4 Question 4 of 100
A 45-year-old female reports intermittent chest pain that occurs with emotional stress and is relieved
by rest. She describes the pain as a squeezing pressure rated 4 out of 10 that lasts approximately 5
minutes. Using the OLDCARTS mnemonic, which element is represented by the statement that the
pain is relieved by rest?
A. Relieving factors that identify what alleviates the symptom, represented by the R in OLDCARTS
B. Timing that describes the duration and pattern of the symptom, represented by the T
C. Character that describes the quality or nature of the symptom, represented by the C
D. Onset that describes when the symptom first began, represented by the O
Correct Answer: B
Rationale:
In the OLDCARTS mnemonic, relieving factors are represented by the R and identify what alleviates or improves the
symptom. Onset (O) describes when it began, character (C) describes the quality, and timing (T) describes duration
and pattern. Rest relieving the pain is a relieving factor.
Final Exam: NR 509/ NR509 Advanced Physical Assessment Final Questions with Verified Answers (2026/2027 Update)- Chamberlain 2026/2027 - 2026/2027 | Passing
Score: 85% | Page 3 of 3
, Q5 Question 5 of 100
A nurse practitioner is conducting a health history interview with a 60-year-old Vietnamese-speaking
female who has limited English proficiency. The patient's adult daughter offers to interpret. What is
the most appropriate action?
A. Conduct the interview using simple English and gestures to communicate directly with the patient
B. Accept the daughter's offer to interpret since she knows the patient best and can provide context
C. Arrange for a trained medical interpreter rather than using the patient's family member as
interpreter
D. Postpone the interview until the patient can bring a professional interpreter to the visit
Correct Answer: C
Rationale:
A trained medical interpreter should be used instead of family members, as family members may editorialize, omit
information, or filter responses through their own perspective. Using simple English and gestures risks
miscommunication, and postponing care is inappropriate when interpreter services are available.
Q6 Question 6 of 100
A 28-year-old male presents with a persistent cough. During the health history, the nurse practitioner
asks, 'You don't smoke cigarettes, do you?' Which type of question does this represent, and what is
its primary limitation?
A. A leading question that may bias the patient's response toward the expected answer
B. An open-ended question that allows the patient to elaborate on their smoking history
C. A closed-ended question that efficiently obtains specific information about tobacco use
D. A neutral question that does not influence the direction of the patient's response
Correct Answer: B
Rationale:
A leading question suggests the expected answer and may bias the patient's response, in this case implying that the
patient does not smoke. Open-ended questions allow elaboration, closed-ended questions efficiently obtain specific
data, and neutral questions do not influence responses.
Final Exam: NR 509/ NR509 Advanced Physical Assessment Final Questions with Verified Answers (2026/2027 Update)- Chamberlain 2026/2027 - 2026/2027 | Passing
Score: 85% | Page 4 of 4