NR 509 WEEK 4 MIDTERM EXAM -
ADVANCED PHYSICAL ASSESSMENT -
CHAMBERLAIN UNIVERSITY QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES | INSTANT
DOWNLOAD PD
100 practice questions with answer rationales
COURSE NR 509 WEEK 4 Midterm Exam - Advanced Physical Assessment...
QUESTIONS 100
PREPARED August 2026
,NR 509 WEEK 4 Midterm Exam - Advanced Physical Assessment...
Exam Overview
This academic exam resource gives Nursing School a focused 100-question practice set for WEEK -
Advanced Physical Assessment - Chamberlain University And Correct Plu. The material is written to
support careful review, practical reasoning, and steady preparation without promotional claims or
repeated title wording. Questions use clear professional language, credible answer choices, and
concise rationales that help students understand why one option is best. The document provides
high-quality academic material for independent revision, classroom reinforcement, and identifying
knowledge gaps before assessments. Students should pair it with course notes, textbooks, instructor
guidance, and current academic standards for the strongest preparation. Each.
Question 1: Which technique is used to assess the resonance of air-filled lung tissue during
physical examination?
A. Auscultation
B. Inspection
C. Palpation
D. Percussion
Answer: D
Rationale: Percussion evaluates underlying density and air content by tapping on body surfaces.
Question 2: A systolic blood pressure difference greater than 10 mm Hg during inspiration
is most consistent with which finding?
A. Pulse deficit
B. Orthostatic hypotension
C. Pulsus paradoxus
D. Bradycardia
Answer: C
Rationale: A marked inspiratory drop in systolic pressure is characteristic of pulsus paradoxus.
Question 3: When examining the abdomen, which sequence should generally be followed?
A. Inspection, auscultation, percussion, palpation
B. Inspection, palpation, percussion, auscultation
C. Auscultation, inspection, palpation, percussion
D. Percussion, auscultation, inspection, palpation
Answer: A
Rationale: Auscultation should occur before percussion and palpation to avoid altering bowel sounds.
Page 1 of 28
, NR 509 WEEK 4 Midterm Exam - Advanced Physical Assessment...
Question 4: A patient says, 'I feel sick and weak.' Which documentation is the best example
of a subjective symptom?
A. Temperature 38.2°C
B. Skin warm and dry
C. Reports nausea and fatigue
D. Respirations 18/min
Answer: C
Rationale: Subjective findings are reported by the patient and cannot be directly measured.
Question 5: What is the normal location of the point of maximal impulse (PMI) in an
adult?
A. Right 2nd intercostal space, midclavicular line
B. Epigastric area below the xiphoid
C. Left 2nd intercostal space, sternal border
D. Left 5th intercostal space, midclavicular line
Answer: D
Rationale: The PMI is typically palpated at the left fifth intercostal space near the midclavicular line.
Question 6: When performing a comprehensive physical examination, which general
approach is used to avoid altering bowel sounds and abdominal tenderness before
assessment of the abdomen?
A. Inspect, auscultate, percuss, then palpate
B. Inspect, palpate, percuss, then auscultate
C. Percuss, auscultate, inspect, then palpate
D. Auscultate, inspect, palpate, then percuss
Answer: A
Rationale: Auscultation comes before percussion and palpation in the abdomen because touching or
tapping can stimulate peristalsis and change bowel sounds. The common error is to follow the usual
head-to-toe sequence, but the abdomen is an exception.
Question 7: A nurse notes that the point of maximal impulse is displaced to the left and
inferiorly in an adult. What does this most strongly suggest?
A. Normal variation from deep inspiration
B. Right atrial hypertrophy
C. Pericardial effusion
D. Left ventricular enlargement
Page 2 of 28
ADVANCED PHYSICAL ASSESSMENT -
CHAMBERLAIN UNIVERSITY QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES | INSTANT
DOWNLOAD PD
100 practice questions with answer rationales
COURSE NR 509 WEEK 4 Midterm Exam - Advanced Physical Assessment...
QUESTIONS 100
PREPARED August 2026
,NR 509 WEEK 4 Midterm Exam - Advanced Physical Assessment...
Exam Overview
This academic exam resource gives Nursing School a focused 100-question practice set for WEEK -
Advanced Physical Assessment - Chamberlain University And Correct Plu. The material is written to
support careful review, practical reasoning, and steady preparation without promotional claims or
repeated title wording. Questions use clear professional language, credible answer choices, and
concise rationales that help students understand why one option is best. The document provides
high-quality academic material for independent revision, classroom reinforcement, and identifying
knowledge gaps before assessments. Students should pair it with course notes, textbooks, instructor
guidance, and current academic standards for the strongest preparation. Each.
Question 1: Which technique is used to assess the resonance of air-filled lung tissue during
physical examination?
A. Auscultation
B. Inspection
C. Palpation
D. Percussion
Answer: D
Rationale: Percussion evaluates underlying density and air content by tapping on body surfaces.
Question 2: A systolic blood pressure difference greater than 10 mm Hg during inspiration
is most consistent with which finding?
A. Pulse deficit
B. Orthostatic hypotension
C. Pulsus paradoxus
D. Bradycardia
Answer: C
Rationale: A marked inspiratory drop in systolic pressure is characteristic of pulsus paradoxus.
Question 3: When examining the abdomen, which sequence should generally be followed?
A. Inspection, auscultation, percussion, palpation
B. Inspection, palpation, percussion, auscultation
C. Auscultation, inspection, palpation, percussion
D. Percussion, auscultation, inspection, palpation
Answer: A
Rationale: Auscultation should occur before percussion and palpation to avoid altering bowel sounds.
Page 1 of 28
, NR 509 WEEK 4 Midterm Exam - Advanced Physical Assessment...
Question 4: A patient says, 'I feel sick and weak.' Which documentation is the best example
of a subjective symptom?
A. Temperature 38.2°C
B. Skin warm and dry
C. Reports nausea and fatigue
D. Respirations 18/min
Answer: C
Rationale: Subjective findings are reported by the patient and cannot be directly measured.
Question 5: What is the normal location of the point of maximal impulse (PMI) in an
adult?
A. Right 2nd intercostal space, midclavicular line
B. Epigastric area below the xiphoid
C. Left 2nd intercostal space, sternal border
D. Left 5th intercostal space, midclavicular line
Answer: D
Rationale: The PMI is typically palpated at the left fifth intercostal space near the midclavicular line.
Question 6: When performing a comprehensive physical examination, which general
approach is used to avoid altering bowel sounds and abdominal tenderness before
assessment of the abdomen?
A. Inspect, auscultate, percuss, then palpate
B. Inspect, palpate, percuss, then auscultate
C. Percuss, auscultate, inspect, then palpate
D. Auscultate, inspect, palpate, then percuss
Answer: A
Rationale: Auscultation comes before percussion and palpation in the abdomen because touching or
tapping can stimulate peristalsis and change bowel sounds. The common error is to follow the usual
head-to-toe sequence, but the abdomen is an exception.
Question 7: A nurse notes that the point of maximal impulse is displaced to the left and
inferiorly in an adult. What does this most strongly suggest?
A. Normal variation from deep inspiration
B. Right atrial hypertrophy
C. Pericardial effusion
D. Left ventricular enlargement
Page 2 of 28
