NR 509 Advanced Physical Assessment Final Exam
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2026
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1. A 35-year-old female with a history of migraines presents with worsening symptoms for
the past few weeks, waking up at night with headaches and nausea. Her only medication is
oral contraceptive pills (OCPs). What is the best next step for the Nurse Practitioner (NP)?
A. Immediately order an emergency CT scan of the head
B. Discontinue the OCPs and re-evaluate in two weeks
C. Take a further history and perform a very careful neurological exam
D. Prescribe a triptan medication and schedule a 1-month follow-up Answer: C
2. Which of the following interview techniques is most appropriate when a clinician needs
to pivot from a patient's open narrative to investigate potentially emergent symptoms like
acute chest pain?
A. Asking a series of negative questions like, "You don't have foot swelling, do you?"
B. Moving from open-ended to focused or direct questions
C. Providing continuous reassurance such as, "Don't worry, everything will be fine."
D. Asking leading questions to confirm the clinician’s presumed diagnosis Answer: B
3. When assessing an elderly or apprehensive patient, which description best fits the
concept of patient-centered communication?
A. Structured and clinician-centered with closed questions
B. Validating and empathetic with open-ended transitions
C. Dismissive but efficient to minimize patient fatigue
, D. Rigid adherence to a pre-printed review of systems checklist Answer: B
4. Primary prevention is defined as which of the following?
A. Interventions designed to prevent disease or injury before it occurs
B. Early detection and screening of existing asymptomatic disease
C. Rehabilitation and management of chronic established illnesses
D. Maximizing functional capabilities after a stroke or myocardial infarction Answer: A
5. Secondary prevention measures include which of the following clinical actions?
A. Administering an annual influenza vaccine to an adult
B. Routinely screening an average-risk 50-year-old patient with a mammogram
C. Prescribing physical therapy for a patient with chronic osteoarthritis
D. Providing dietary counseling to a patient newly diagnosed with Type 2 Diabetes Answer: B
6. Which of the following describes a "pertinent negative" in a clinical documentation
note?
A. A symptom the patient possesses but refuses to discuss
B. An expected symptom that is absent, which helps rule out a specific differential diagnosis
C. A negative laboratory finding that indicates an error in testing
D. A family history trait that indicates a low genetic risk profile Answer: B
7. When performing a physical assessment, what is the correct and universal sequence of
examination techniques for most body systems (excluding the abdomen)?
A. Palpation, Percussion, Auscultation, Inspection
B. Inspection, Palpation, Percussion, Auscultation
C. Auscultation, Inspection, Percussion, Palpation
D. Inspection, Auscultation, Palpation, Percussion Answer: B
8. What is the correct sequence of examination techniques utilized during an abdominal
assessment?
A. Inspection, Palpation, Percussion, Auscultation
B. Inspection, Auscultation, Percussion, Palpation
Complete 1-100 Exam Questions Proctored Via
Examplify Chamberlain University With Correct
Answers | 100% Pass Guaranteed | Graded A+ |
2026
FOR MORE INFO ✉ Email:
1. A 35-year-old female with a history of migraines presents with worsening symptoms for
the past few weeks, waking up at night with headaches and nausea. Her only medication is
oral contraceptive pills (OCPs). What is the best next step for the Nurse Practitioner (NP)?
A. Immediately order an emergency CT scan of the head
B. Discontinue the OCPs and re-evaluate in two weeks
C. Take a further history and perform a very careful neurological exam
D. Prescribe a triptan medication and schedule a 1-month follow-up Answer: C
2. Which of the following interview techniques is most appropriate when a clinician needs
to pivot from a patient's open narrative to investigate potentially emergent symptoms like
acute chest pain?
A. Asking a series of negative questions like, "You don't have foot swelling, do you?"
B. Moving from open-ended to focused or direct questions
C. Providing continuous reassurance such as, "Don't worry, everything will be fine."
D. Asking leading questions to confirm the clinician’s presumed diagnosis Answer: B
3. When assessing an elderly or apprehensive patient, which description best fits the
concept of patient-centered communication?
A. Structured and clinician-centered with closed questions
B. Validating and empathetic with open-ended transitions
C. Dismissive but efficient to minimize patient fatigue
, D. Rigid adherence to a pre-printed review of systems checklist Answer: B
4. Primary prevention is defined as which of the following?
A. Interventions designed to prevent disease or injury before it occurs
B. Early detection and screening of existing asymptomatic disease
C. Rehabilitation and management of chronic established illnesses
D. Maximizing functional capabilities after a stroke or myocardial infarction Answer: A
5. Secondary prevention measures include which of the following clinical actions?
A. Administering an annual influenza vaccine to an adult
B. Routinely screening an average-risk 50-year-old patient with a mammogram
C. Prescribing physical therapy for a patient with chronic osteoarthritis
D. Providing dietary counseling to a patient newly diagnosed with Type 2 Diabetes Answer: B
6. Which of the following describes a "pertinent negative" in a clinical documentation
note?
A. A symptom the patient possesses but refuses to discuss
B. An expected symptom that is absent, which helps rule out a specific differential diagnosis
C. A negative laboratory finding that indicates an error in testing
D. A family history trait that indicates a low genetic risk profile Answer: B
7. When performing a physical assessment, what is the correct and universal sequence of
examination techniques for most body systems (excluding the abdomen)?
A. Palpation, Percussion, Auscultation, Inspection
B. Inspection, Palpation, Percussion, Auscultation
C. Auscultation, Inspection, Percussion, Palpation
D. Inspection, Auscultation, Palpation, Percussion Answer: B
8. What is the correct sequence of examination techniques utilized during an abdominal
assessment?
A. Inspection, Palpation, Percussion, Auscultation
B. Inspection, Auscultation, Percussion, Palpation
