NR 509 Exam Questions With Accurate Solutions
2025\2026 A+ Grade
General Assessment
- accurate answers-Constitutional
If you are conducting an annual physical examination, you are more likely to
conduct a detailed and complete head-to-toe examination than if you are
seeing an otherwise healthy patient in an outpatient clinic for a chief
complaint of rhinitis.
- accurate answers-
The level of detail provided by the physical examination should relate to the
specific purpose of the visit or examination, the health of the individual, and
the findings on the exam.
- accurate answers-
Regardless of the focus for the exam, most physical assessments begin with a
general survey of the patient's appearance, height, and weight.
- accurate answers-
Your observations of the patient's appearance begin as soon as you encounter
the patient.
- accurate answers-
When performing percussion, you will tap on the surface to help determine
the underlying structure. Note that only one finger rests on the surface being
percussed, and that finger is struck by one finger on the opposite hand using a
flicking action of the wrist. For best results, the striking finger should strike
the finger resting on the surface quickly and firmly and then immediately be
removed to prevent over dampening of the sound produced by the technique.
- accurate answers-
Chest Assessment
- accurate answers-
The last step of the physical assessment of the chest includes auscultation for
both normal and abnormal breath sounds, which are categorized as bronchial,
bronchovesicular, vesicular, and adventitious (crackles or rales and wheezes
,or rhonchi).
- accurate answers-
Location of the sound also determines if it is a normal or abnormal finding.
- accurate answers-
Be able to identify each sound but also to know where each sound should, or
should not, be heard.
- accurate answers-
Skin Assessment
- accurate answers-
The American Cancer Society (ACS) and the AAD recommend full-body
examinations for patients over age 50 years or at high risk, because melanoma
can appear in any location.
- accurate answers-
General Appearance
- accurate answers-
Is there clutching of the chest, pallor, diaphoresis, labored breathing,
wheezing, or coughing? Is there wincing, diaphoresis, protectiveness of a
painful area, grimacing, or an unusual posture favoring one limb or region of
the body?
- accurate answers-
Breath odors can reveal the presence of alcohol or acetone (diabetes),
pulmonary infections, uremia, or liver failure.
- accurate answers-
Odors can be important diagnostic clues, like the fruity odor of diabetes or the
scent of alcohol.
- accurate answers-
How is the patient dressed? Is the clothing suitable for the temperature and
weather? Is it clean and appropriate to the setting?
- accurate answers-
, Never assume that alcohol on a patient's breath explains changes in mental
status or neurologic findings.
- accurate answers-
Patients often prefer sitting upright in left-sided heart failure and leaning
forward with arms braced in chronic obstructive pulmonary disease.
- accurate answers-
Anxious patients appear agitated and restless.
- accurate answers-
Patients in pain often avoid movement.
- accurate answers-
Make note of any weight changes.There is generalized fat distribution in
simple obesity and truncal fat with relatively thin limbs in Cushing syndrome
and metabolic syndrome.
- accurate answers-
Causes of weight loss include malignancy, diabetes mellitus, hyperthyroidism,
chronic infection, depression, diuresis, and successful dieting.
- accurate answers-
The Vital Signs—blood pressure, heart rate, respiratory rate, and
temperature—provide critical initial information that often influences the
tempo and direction of your evaluation.
- accurate answers-
Hypertension Definitions
- accurate answers-
White coat hypertension (isolated clinic hypertension): White coat
hypertension is defined as blood pressure ≥140/90 in medical settings and
mean awake ambulatory readings <135/85. Doesn't require treatment.
- accurate answers-
Masked hypertension: Masked hypertension, defined as office blood pres-sure
<140/90, but an elevated daytime blood pressure of >135/85 on home or
2025\2026 A+ Grade
General Assessment
- accurate answers-Constitutional
If you are conducting an annual physical examination, you are more likely to
conduct a detailed and complete head-to-toe examination than if you are
seeing an otherwise healthy patient in an outpatient clinic for a chief
complaint of rhinitis.
- accurate answers-
The level of detail provided by the physical examination should relate to the
specific purpose of the visit or examination, the health of the individual, and
the findings on the exam.
- accurate answers-
Regardless of the focus for the exam, most physical assessments begin with a
general survey of the patient's appearance, height, and weight.
- accurate answers-
Your observations of the patient's appearance begin as soon as you encounter
the patient.
- accurate answers-
When performing percussion, you will tap on the surface to help determine
the underlying structure. Note that only one finger rests on the surface being
percussed, and that finger is struck by one finger on the opposite hand using a
flicking action of the wrist. For best results, the striking finger should strike
the finger resting on the surface quickly and firmly and then immediately be
removed to prevent over dampening of the sound produced by the technique.
- accurate answers-
Chest Assessment
- accurate answers-
The last step of the physical assessment of the chest includes auscultation for
both normal and abnormal breath sounds, which are categorized as bronchial,
bronchovesicular, vesicular, and adventitious (crackles or rales and wheezes
,or rhonchi).
- accurate answers-
Location of the sound also determines if it is a normal or abnormal finding.
- accurate answers-
Be able to identify each sound but also to know where each sound should, or
should not, be heard.
- accurate answers-
Skin Assessment
- accurate answers-
The American Cancer Society (ACS) and the AAD recommend full-body
examinations for patients over age 50 years or at high risk, because melanoma
can appear in any location.
- accurate answers-
General Appearance
- accurate answers-
Is there clutching of the chest, pallor, diaphoresis, labored breathing,
wheezing, or coughing? Is there wincing, diaphoresis, protectiveness of a
painful area, grimacing, or an unusual posture favoring one limb or region of
the body?
- accurate answers-
Breath odors can reveal the presence of alcohol or acetone (diabetes),
pulmonary infections, uremia, or liver failure.
- accurate answers-
Odors can be important diagnostic clues, like the fruity odor of diabetes or the
scent of alcohol.
- accurate answers-
How is the patient dressed? Is the clothing suitable for the temperature and
weather? Is it clean and appropriate to the setting?
- accurate answers-
, Never assume that alcohol on a patient's breath explains changes in mental
status or neurologic findings.
- accurate answers-
Patients often prefer sitting upright in left-sided heart failure and leaning
forward with arms braced in chronic obstructive pulmonary disease.
- accurate answers-
Anxious patients appear agitated and restless.
- accurate answers-
Patients in pain often avoid movement.
- accurate answers-
Make note of any weight changes.There is generalized fat distribution in
simple obesity and truncal fat with relatively thin limbs in Cushing syndrome
and metabolic syndrome.
- accurate answers-
Causes of weight loss include malignancy, diabetes mellitus, hyperthyroidism,
chronic infection, depression, diuresis, and successful dieting.
- accurate answers-
The Vital Signs—blood pressure, heart rate, respiratory rate, and
temperature—provide critical initial information that often influences the
tempo and direction of your evaluation.
- accurate answers-
Hypertension Definitions
- accurate answers-
White coat hypertension (isolated clinic hypertension): White coat
hypertension is defined as blood pressure ≥140/90 in medical settings and
mean awake ambulatory readings <135/85. Doesn't require treatment.
- accurate answers-
Masked hypertension: Masked hypertension, defined as office blood pres-sure
<140/90, but an elevated daytime blood pressure of >135/85 on home or
