NR 509 WEEK 4 MIDTERM EXAM COMPLETE 2026 ACTUAL
EXAM QUESTIONS 1-100 NR-509 ADVANCED PHYSICAL
ASSESSMENT NR 509 MIDTERM AND FINALS EXAMPLIFY
ONLINE PROCTORED EXAM QUESTIONS AND ANSWERS |
100% PASS GUARANTEED | GRADED A+ QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
Introduction
The NR 509 Advanced Physical Assessment Midterm Examination assesses advanced health history-taking,
physical examination techniques, clinical reasoning, and documentation skills required of the advanced
practice nurse. It evaluates inspection, palpation, percussion, auscultation, differential diagnosis, and
developmentally appropriate assessment across the lifespan. Candidates must recognize normal and abnormal
findings, prioritize patient safety, and apply evidence-based practice. Multiple-choice and scenario-based items
emphasize real-world clinical application, critical thinking, and safe decision-making in advanced physical
assessment.
1. A nurse practitioner visualizes the tympanic membrane
using an otoscope. The cone of light is seen at the 5 o’clock
position in the right ear. Which of the following does this
finding indicate?
text
,Otoscopic view:
A.
Perforated tympanic membrane
B. Normal right tympanic membrane
C. Acute otitis media
D. Serous effusion
Correct answer: B
RATIONALE: A cone of light at the 5 o’clock position in the
right ear is a normal otoscopic finding. It reflects light off the intact,
translucent tympanic membrane. Perforation, otitis media, and
effusion would present with different findings.
2. The nurse practitioner assesses the pupillary light reflex.
When the right eye is stimulated, both pupils constrict. Which
cranial nerves are responsible for this response?
, A. CN I
and CN II
B. CN II and CN III
C. CN III and CN IV
D. CN V and CN VII
Correct answer: B
RATIONALE: The afferent limb of the pupillary light reflex is
carried by CN II (optic nerve), and the efferent limb is carried by
CN III (oculomotor nerve). This produces direct and consensual
constriction.
3. During chest expansion assessment, the nurse notes the
right side expands 4 cm and the left side expands 2 cm. Which
condition should the nurse suspect?
text
Anterior chest:
, Right expansion = 4 cm
Left expansion = 2 cm
A. Normal symmetric expansion
B. Left-sided pneumonia or pleural effusion
C. Right-sided pneumothorax
D. Bilateral COPD
Correct answer: B
RATIONALE: Asymmetric chest expansion with decreased
expansion on the left suggests a left-sided pulmonary problem such
as pneumonia, pleural effusion, or atelectasis.
4. The nurse practitioner is documenting abdominal findings.
In which quadrant is the appendix located?
text
RUQ | LUQ
EXAM QUESTIONS 1-100 NR-509 ADVANCED PHYSICAL
ASSESSMENT NR 509 MIDTERM AND FINALS EXAMPLIFY
ONLINE PROCTORED EXAM QUESTIONS AND ANSWERS |
100% PASS GUARANTEED | GRADED A+ QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
Introduction
The NR 509 Advanced Physical Assessment Midterm Examination assesses advanced health history-taking,
physical examination techniques, clinical reasoning, and documentation skills required of the advanced
practice nurse. It evaluates inspection, palpation, percussion, auscultation, differential diagnosis, and
developmentally appropriate assessment across the lifespan. Candidates must recognize normal and abnormal
findings, prioritize patient safety, and apply evidence-based practice. Multiple-choice and scenario-based items
emphasize real-world clinical application, critical thinking, and safe decision-making in advanced physical
assessment.
1. A nurse practitioner visualizes the tympanic membrane
using an otoscope. The cone of light is seen at the 5 o’clock
position in the right ear. Which of the following does this
finding indicate?
text
,Otoscopic view:
A.
Perforated tympanic membrane
B. Normal right tympanic membrane
C. Acute otitis media
D. Serous effusion
Correct answer: B
RATIONALE: A cone of light at the 5 o’clock position in the
right ear is a normal otoscopic finding. It reflects light off the intact,
translucent tympanic membrane. Perforation, otitis media, and
effusion would present with different findings.
2. The nurse practitioner assesses the pupillary light reflex.
When the right eye is stimulated, both pupils constrict. Which
cranial nerves are responsible for this response?
, A. CN I
and CN II
B. CN II and CN III
C. CN III and CN IV
D. CN V and CN VII
Correct answer: B
RATIONALE: The afferent limb of the pupillary light reflex is
carried by CN II (optic nerve), and the efferent limb is carried by
CN III (oculomotor nerve). This produces direct and consensual
constriction.
3. During chest expansion assessment, the nurse notes the
right side expands 4 cm and the left side expands 2 cm. Which
condition should the nurse suspect?
text
Anterior chest:
, Right expansion = 4 cm
Left expansion = 2 cm
A. Normal symmetric expansion
B. Left-sided pneumonia or pleural effusion
C. Right-sided pneumothorax
D. Bilateral COPD
Correct answer: B
RATIONALE: Asymmetric chest expansion with decreased
expansion on the left suggests a left-sided pulmonary problem such
as pneumonia, pleural effusion, or atelectasis.
4. The nurse practitioner is documenting abdominal findings.
In which quadrant is the appendix located?
text
RUQ | LUQ
