NR 509 ADVANCED PHYSICAL ASSESSMENT MIDTERM
REVIEW 2026 | COMPLETE Q&A WITH VERIFIED
SOLUTIONS
Questions 1–200
1. A comprehensive health history should begin with
which component?
A) Past medical history
B) Biographical data (name, age, gender, occupation, source
of history)
C) Review of systems
D) Family history
,Answer B: Biographical data (name, age, gender,
occupation, source of history)
Rationale: Biographical data establishes patient identity
and context before proceeding to the chief complaint.
2. The "OLDCARTS" mnemonic is used to assess which
part of the health history?
A) Past medical history
B) History of present illness (HPI)
C) Family history
D) Review of systems
Answer B: History of present illness (HPI)
Rationale: OLDCARTS (Onset, Location, Duration,
Character, Aggravating/Relieving factors, Timing, Severity)
structures HPI.
,3. Open-ended questions are preferred during the
health history interview because they:
A) Save time during the interview
B) Encourage the patient to provide detailed narrative
information
C) Are easier to document
D) Limit the patient's response to yes/no answers
Answer B: Encourage the patient to provide detailed
narrative information
Rationale: Open-ended questions allow patients to express
concerns in their own words, providing richer clinical data.
4. A patient reports chest pain that worsens with
exertion and improves with rest. This symptom is most
consistent with:
A) Pericarditis
B) Angina pectoris
C) Pleuritic pain
, D) Musculoskeletal pain
Answer B: Angina pectoris
Rationale: Exertional chest pain relieved by rest is classic
for stable angina from coronary artery disease.
5. Which of the following is the correct sequence for a
comprehensive physical examination?
A) Palpation, inspection, percussion, auscultation
B) Inspection, palpation, percussion, auscultation (except
for abdomen)
C) Auscultation, inspection, palpation, percussion
D) Percussion, auscultation, inspection, palpation
Answer B: Inspection, palpation, percussion,
auscultation (except for abdomen)
Rationale: Inspection is always first; auscultation precedes
palpation/percussion for the abdomen to avoid altering
bowel sounds.
REVIEW 2026 | COMPLETE Q&A WITH VERIFIED
SOLUTIONS
Questions 1–200
1. A comprehensive health history should begin with
which component?
A) Past medical history
B) Biographical data (name, age, gender, occupation, source
of history)
C) Review of systems
D) Family history
,Answer B: Biographical data (name, age, gender,
occupation, source of history)
Rationale: Biographical data establishes patient identity
and context before proceeding to the chief complaint.
2. The "OLDCARTS" mnemonic is used to assess which
part of the health history?
A) Past medical history
B) History of present illness (HPI)
C) Family history
D) Review of systems
Answer B: History of present illness (HPI)
Rationale: OLDCARTS (Onset, Location, Duration,
Character, Aggravating/Relieving factors, Timing, Severity)
structures HPI.
,3. Open-ended questions are preferred during the
health history interview because they:
A) Save time during the interview
B) Encourage the patient to provide detailed narrative
information
C) Are easier to document
D) Limit the patient's response to yes/no answers
Answer B: Encourage the patient to provide detailed
narrative information
Rationale: Open-ended questions allow patients to express
concerns in their own words, providing richer clinical data.
4. A patient reports chest pain that worsens with
exertion and improves with rest. This symptom is most
consistent with:
A) Pericarditis
B) Angina pectoris
C) Pleuritic pain
, D) Musculoskeletal pain
Answer B: Angina pectoris
Rationale: Exertional chest pain relieved by rest is classic
for stable angina from coronary artery disease.
5. Which of the following is the correct sequence for a
comprehensive physical examination?
A) Palpation, inspection, percussion, auscultation
B) Inspection, palpation, percussion, auscultation (except
for abdomen)
C) Auscultation, inspection, palpation, percussion
D) Percussion, auscultation, inspection, palpation
Answer B: Inspection, palpation, percussion,
auscultation (except for abdomen)
Rationale: Inspection is always first; auscultation precedes
palpation/percussion for the abdomen to avoid altering
bowel sounds.
