NR 509 Midterm Exam (2026):
Advanced Physical Assessment –
Chamberlain Complete Question
&Answer Bank with Rationales (200
Questions)
Question Answer Rationale
A patient is unable to The trigeminal nerve (CN V) provides
differentiate between sharp and sensory innervation to the face. Testin
dull stimulation to both sides of Trigeminal nerve sharp/dull discrimination assesses the
her face. The FNP suspects sensory component of this nerve.
damage to which cranial nerve? Damage results in facial sensory defici
A 59-year-old patient with
The chief complaint should be
ulcerative colitis reports black "J.M. is a 59-year-old male
documented in the patient's own wor
stools for the past 24 hours. here for having black
including duration and relevant detail
How should the FNP best stools for the past 24
This maintains accurate, patient-cente
document this reason for hours"
documentation .
seeking care?
This open-ended question assesses
A 29-year-old woman reports
"How would you say the functional impact and opens dialogue
excruciating back pain. Which
pain affects your ability to about the pain's effect on quality of lif
response by the FNP is most
do your daily activities?" aligning with the FIFE model (Function
appropriate?
component) .
,Question Answer Rationale
How should the FNP record a
female patient's obstetric Gravida = total pregnancies; Para = te
history of six pregnancies, four Gravida 6, Para 4, (S) AB 2, births; AB = abortions. This standardiz
live births at term, two living 4 documentation provides complete
spontaneous abortions, and obstetric history .
four living children?
Subjective data consists of informatio
Which statement represents
reported by the patient. "Denies color
subjective data the FNP
"Denies color change" change" is the patient's verbal report,
obtained from the patient
distinguishing it from objective finding
regarding the patient's skin?
observed during examination .
Testicular self-examination is a
Which question is appropriate
recommended health promotion activ
to assess health promotion "Do you perform testicular
for young adult males. Asking directly
activities for a 30-year-old male self-examinations?"
assesses engagement in preventive he
patient?
behaviors .
Pain is not a normal part of aging. It
Which statement indicates the
"Pain indicates pathology always indicates underlying pathology
FNP understands pain
or injury and is not a injury and should be thoroughly
experienced by an elderly
normal process of ageing" evaluated, not dismissed as an expect
person?
age-related change .
The Snellen chart is the standard tool
What chart is most widely used testing visual acuity, assessing distanc
Snellen chart
for visual examination? vision using progressively smaller lette
at 20 feet .
, Question Answer Rationale
The whispered voice test is a simple,
How should the FNP test a effective screening tool for hearing lo
Using the whispered voice
patient's hearing during a The examiner whispers words or numb
test
complete health assessment? from 1-2 feet away while occluding on
ear at a time .
When documenting findings of Extra-ocular movement testing assess
extra-ocular muscle CN III (oculomotor), CN IV (trochlear),
Cranial nerves III, IV, and VI
examination, which cranial CN VI (abducens), which control the si
nerves are being assessed? cardinal directions of gaze .
A patient reports hearing a Crepitus (grating sound) with joint
crunching or grating sound movement and morning stiffness that
when kneeling and morning Osteoarthritis improves with activity are characterist
joint stiffness. What should the findings of osteoarthritis. The knee is
FNP assess for? commonly affected .
Osteoporosis is characterized by
decreased bone mass and density from
What is osteoporosis defined
Loss of bone density loss of bone matrix and mineralization
as?
leading to fragile bones and increased
fracture risk .
Lumbar lordosis (swayback) is the nor
A pregnant woman at 8 months compensatory posture in pregnancy. T
notes posture change and center of gravity shifts anteriorly due t
Lordosis
lower back pain. What is this the enlarging uterus, causing exagger
compensatory posture called? lumbar curvature and often resulting i
lower back pain .
Advanced Physical Assessment –
Chamberlain Complete Question
&Answer Bank with Rationales (200
Questions)
Question Answer Rationale
A patient is unable to The trigeminal nerve (CN V) provides
differentiate between sharp and sensory innervation to the face. Testin
dull stimulation to both sides of Trigeminal nerve sharp/dull discrimination assesses the
her face. The FNP suspects sensory component of this nerve.
damage to which cranial nerve? Damage results in facial sensory defici
A 59-year-old patient with
The chief complaint should be
ulcerative colitis reports black "J.M. is a 59-year-old male
documented in the patient's own wor
stools for the past 24 hours. here for having black
including duration and relevant detail
How should the FNP best stools for the past 24
This maintains accurate, patient-cente
document this reason for hours"
documentation .
seeking care?
This open-ended question assesses
A 29-year-old woman reports
"How would you say the functional impact and opens dialogue
excruciating back pain. Which
pain affects your ability to about the pain's effect on quality of lif
response by the FNP is most
do your daily activities?" aligning with the FIFE model (Function
appropriate?
component) .
,Question Answer Rationale
How should the FNP record a
female patient's obstetric Gravida = total pregnancies; Para = te
history of six pregnancies, four Gravida 6, Para 4, (S) AB 2, births; AB = abortions. This standardiz
live births at term, two living 4 documentation provides complete
spontaneous abortions, and obstetric history .
four living children?
Subjective data consists of informatio
Which statement represents
reported by the patient. "Denies color
subjective data the FNP
"Denies color change" change" is the patient's verbal report,
obtained from the patient
distinguishing it from objective finding
regarding the patient's skin?
observed during examination .
Testicular self-examination is a
Which question is appropriate
recommended health promotion activ
to assess health promotion "Do you perform testicular
for young adult males. Asking directly
activities for a 30-year-old male self-examinations?"
assesses engagement in preventive he
patient?
behaviors .
Pain is not a normal part of aging. It
Which statement indicates the
"Pain indicates pathology always indicates underlying pathology
FNP understands pain
or injury and is not a injury and should be thoroughly
experienced by an elderly
normal process of ageing" evaluated, not dismissed as an expect
person?
age-related change .
The Snellen chart is the standard tool
What chart is most widely used testing visual acuity, assessing distanc
Snellen chart
for visual examination? vision using progressively smaller lette
at 20 feet .
, Question Answer Rationale
The whispered voice test is a simple,
How should the FNP test a effective screening tool for hearing lo
Using the whispered voice
patient's hearing during a The examiner whispers words or numb
test
complete health assessment? from 1-2 feet away while occluding on
ear at a time .
When documenting findings of Extra-ocular movement testing assess
extra-ocular muscle CN III (oculomotor), CN IV (trochlear),
Cranial nerves III, IV, and VI
examination, which cranial CN VI (abducens), which control the si
nerves are being assessed? cardinal directions of gaze .
A patient reports hearing a Crepitus (grating sound) with joint
crunching or grating sound movement and morning stiffness that
when kneeling and morning Osteoarthritis improves with activity are characterist
joint stiffness. What should the findings of osteoarthritis. The knee is
FNP assess for? commonly affected .
Osteoporosis is characterized by
decreased bone mass and density from
What is osteoporosis defined
Loss of bone density loss of bone matrix and mineralization
as?
leading to fragile bones and increased
fracture risk .
Lumbar lordosis (swayback) is the nor
A pregnant woman at 8 months compensatory posture in pregnancy. T
notes posture change and center of gravity shifts anteriorly due t
Lordosis
lower back pain. What is this the enlarging uterus, causing exagger
compensatory posture called? lumbar curvature and often resulting i
lower back pain .
