NR509 Week 4 Midterm Exam July 2026
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+ |
,Question 1
During a health history, a patient reports "chest pain." Which
question should the clinician ask first?
A. "Does the pain spread to your back?"
B. "Have you taken any medications for this pain?"
C. "Can you describe the pain from start to finish, including onset,
location, duration, and character?"
D. "Is the pain sharp or dull?"
Correct answer (placed before the correct option ONLY)
C. "Can you describe the pain from start to finish, including
onset, location, duration, and character?"
RATIONALE: Beginning with an open-ended question allows
the patient to provide a complete narrative of their symptom, which
is essential for accurate characterization before moving to more
specific closed-ended questions. This approach follows the principle
of funneling from general to specific during the interview process.
Question 2
A 55-year-old patient has a blood pressure of 138/88 mmHg on two
separate visits. According to ACC/AHA guidelines, this is classified
as:
,A. Normal blood pressure
B. Elevated blood pressure
C. Stage 1 hypertension
D. Stage 2 hypertension
Correct answer (placed before the correct option ONLY)
C. Stage 1 hypertension
RATIONALE: According to the 2017 ACC/AHA guidelines, Stage
1 hypertension is defined as systolic blood pressure between 130-139
mmHg or diastolic blood pressure between 80-89 mmHg. This
patient's reading of 138/88 falls within this category on two separate
occasions, confirming the diagnosis.
Question 3
Which communication technique is most effective when
interviewing an adolescent about sensitive topics?
A. Using direct yes or no questions to minimize embarrassment
B. Speaking primarily to the parent to obtain accurate information
C. Using open-ended, non-judgmental questions while ensuring
privacy
D. Avoiding sensitive topics entirely during the initial visit
Correct answer (placed before the correct option ONLY)
C. Using open-ended, non-judgmental questions while ensuring
privacy
, RATIONALE: Adolescents require a confidential, non-
threatening environment to discuss sensitive health topics. Open-
ended, non-judgmental questioning encourages honest disclosure
while respecting autonomy. The clinician should establish privacy
and explain confidentiality parameters before exploring sensitive
areas.
Question 4
A 45-year-old patient reports "chest tightness" that began 3 hours
ago. He rates the pain as 7/10. It radiates to his left jaw. Which
component of the HPI does "radiates to his left jaw" represent?
A. Timing
B. Severity
C. Location
D. Radiation
Correct answer (placed before the correct option ONLY)
D. Radiation
RATIONALE: Radiation refers to the extension or spread of pain
from its original site to other areas. Cardiac pain commonly radiates
to the jaw, neck, and left arm through shared neural pathways.
Documentation of radiation patterns assists in determining the
underlying etiology and urgency of intervention.
Question 5
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+ |
,Question 1
During a health history, a patient reports "chest pain." Which
question should the clinician ask first?
A. "Does the pain spread to your back?"
B. "Have you taken any medications for this pain?"
C. "Can you describe the pain from start to finish, including onset,
location, duration, and character?"
D. "Is the pain sharp or dull?"
Correct answer (placed before the correct option ONLY)
C. "Can you describe the pain from start to finish, including
onset, location, duration, and character?"
RATIONALE: Beginning with an open-ended question allows
the patient to provide a complete narrative of their symptom, which
is essential for accurate characterization before moving to more
specific closed-ended questions. This approach follows the principle
of funneling from general to specific during the interview process.
Question 2
A 55-year-old patient has a blood pressure of 138/88 mmHg on two
separate visits. According to ACC/AHA guidelines, this is classified
as:
,A. Normal blood pressure
B. Elevated blood pressure
C. Stage 1 hypertension
D. Stage 2 hypertension
Correct answer (placed before the correct option ONLY)
C. Stage 1 hypertension
RATIONALE: According to the 2017 ACC/AHA guidelines, Stage
1 hypertension is defined as systolic blood pressure between 130-139
mmHg or diastolic blood pressure between 80-89 mmHg. This
patient's reading of 138/88 falls within this category on two separate
occasions, confirming the diagnosis.
Question 3
Which communication technique is most effective when
interviewing an adolescent about sensitive topics?
A. Using direct yes or no questions to minimize embarrassment
B. Speaking primarily to the parent to obtain accurate information
C. Using open-ended, non-judgmental questions while ensuring
privacy
D. Avoiding sensitive topics entirely during the initial visit
Correct answer (placed before the correct option ONLY)
C. Using open-ended, non-judgmental questions while ensuring
privacy
, RATIONALE: Adolescents require a confidential, non-
threatening environment to discuss sensitive health topics. Open-
ended, non-judgmental questioning encourages honest disclosure
while respecting autonomy. The clinician should establish privacy
and explain confidentiality parameters before exploring sensitive
areas.
Question 4
A 45-year-old patient reports "chest tightness" that began 3 hours
ago. He rates the pain as 7/10. It radiates to his left jaw. Which
component of the HPI does "radiates to his left jaw" represent?
A. Timing
B. Severity
C. Location
D. Radiation
Correct answer (placed before the correct option ONLY)
D. Radiation
RATIONALE: Radiation refers to the extension or spread of pain
from its original site to other areas. Cardiac pain commonly radiates
to the jaw, neck, and left arm through shared neural pathways.
Documentation of radiation patterns assists in determining the
underlying etiology and urgency of intervention.
Question 5
