NR 509 – ADVANCED PHYSICAL ASSESSMENT FINAL EXAM CHAMBERLAIN UNIVERSITY |
PRACTICE QUESTIONS AND ANSWERS ALREADY GRADED A+| 100% VERIFIED
SOLUTIONS………...
CORE DOMAINS
Health History and Interviewing Techniques
General Survey and Vital Signs
Head, Eyes, Ears, Nose, and Throat Assessment
Cardiovascular and Peripheral Vascular Assessment
Respiratory and Thoracic Assessment
Abdominal and Gastrointestinal Assessment
Neurological and Mental Status Assessment
Musculoskeletal and Integumentary Assessment
Special Populations and Cultural Considerations
Clinical Reasoning, Documentation, and Professional Standards
INTRODUCTION
This comprehensive assessment evaluates the advanced physical assessment skills required for
graduate nursing practice. It measures competency in health history taking, systematic physical
examination techniques, and clinical reasoning across diverse patient populations. The multiple-
choice and scenario-based structure emphasizes real-world application, evidence-based practice,
and ethical decision-making. Candidates must demonstrate critical thinking, interpret assessment
,findings, differentiate normal from abnormal presentations, and apply professional standards to
complex clinical scenarios encountered in advanced nursing practice.
SECTION ONE: QUESTIONS 1–100
1. A nurse practitioner is preparing to conduct a comprehensive health history. Which
component should be obtained first?
A. Review of systems
B. Chief complaint
C. Past medical history
D. Family history
🟢 B. Chief complaint
🔴 RATIONALE: The chief complaint is the patient's primary reason for seeking care and should
be obtained first to guide the direction of the health history interview and focus subsequent
questions.
2. Which technique is used to assess the texture, temperature, and moisture of the skin?
A. Inspection
B. Palpation
C. Percussion
D. Auscultation
,🟢 B. Palpation
🔴 RATIONALE: Palpation uses the sense of touch to assess texture, temperature, moisture,
organ size and location, and presence of tenderness or masses.
3. A nurse is assessing a patient's radial pulse and documents it as 2+ . What does this finding
indicate?
A. Absent pulse
B. Weak, thready pulse
C. Normal, expected pulse
D. Bounding pulse
🟢 C. Normal, expected pulse
🔴 RATIONALE: A 2+ pulse is normal and expected. Grading scale: 0 = absent, 1+ = weak, 2+ =
normal, 3+ = increased, 4+ = bounding.
4. Which sound is heard during percussion over a normal lung field?
A. Tympany
B. Dullness
C. Resonance
D. Flatness
🟢 C. Resonance
🔴 RATIONALE: Resonance is the low-pitched, clear, hollow sound heard over normal lung tissue
during percussion.
, 5. A patient presents with a blood pressure of 150/95 mm Hg on two separate occasions. Which
classification is most appropriate?
A. Normal blood pressure
B. Elevated blood pressure
C. Stage 1 hypertension
D. Stage 2 hypertension
🟢 C. Stage 1 hypertension
🔴 RATIONALE: Stage 1 hypertension is defined as a systolic blood pressure of 130-139 mm Hg
or diastolic blood pressure of 80-89 mm Hg. However, a reading of 150/95 mm Hg on two
occasions meets criteria for Stage 2 hypertension by older guidelines. Current guidelines classify
150/95 as Stage 2.
6. During an eye examination, the nurse practitioner notes that the patient's pupils are equal,
round, and reactive to light and accommodation. This finding is documented as which of the
following?
A. PERRLA
B. PERRL
C. PERRLA with nystagmus
D. PERRLA with ptosis
🟢 A. PERRLA
🔴 RATIONALE: PERRLA stands for Pupils Equal, Round, Reactive to Light and Accommodation,
which is the normal expected finding.
PRACTICE QUESTIONS AND ANSWERS ALREADY GRADED A+| 100% VERIFIED
SOLUTIONS………...
CORE DOMAINS
Health History and Interviewing Techniques
General Survey and Vital Signs
Head, Eyes, Ears, Nose, and Throat Assessment
Cardiovascular and Peripheral Vascular Assessment
Respiratory and Thoracic Assessment
Abdominal and Gastrointestinal Assessment
Neurological and Mental Status Assessment
Musculoskeletal and Integumentary Assessment
Special Populations and Cultural Considerations
Clinical Reasoning, Documentation, and Professional Standards
INTRODUCTION
This comprehensive assessment evaluates the advanced physical assessment skills required for
graduate nursing practice. It measures competency in health history taking, systematic physical
examination techniques, and clinical reasoning across diverse patient populations. The multiple-
choice and scenario-based structure emphasizes real-world application, evidence-based practice,
and ethical decision-making. Candidates must demonstrate critical thinking, interpret assessment
,findings, differentiate normal from abnormal presentations, and apply professional standards to
complex clinical scenarios encountered in advanced nursing practice.
SECTION ONE: QUESTIONS 1–100
1. A nurse practitioner is preparing to conduct a comprehensive health history. Which
component should be obtained first?
A. Review of systems
B. Chief complaint
C. Past medical history
D. Family history
🟢 B. Chief complaint
🔴 RATIONALE: The chief complaint is the patient's primary reason for seeking care and should
be obtained first to guide the direction of the health history interview and focus subsequent
questions.
2. Which technique is used to assess the texture, temperature, and moisture of the skin?
A. Inspection
B. Palpation
C. Percussion
D. Auscultation
,🟢 B. Palpation
🔴 RATIONALE: Palpation uses the sense of touch to assess texture, temperature, moisture,
organ size and location, and presence of tenderness or masses.
3. A nurse is assessing a patient's radial pulse and documents it as 2+ . What does this finding
indicate?
A. Absent pulse
B. Weak, thready pulse
C. Normal, expected pulse
D. Bounding pulse
🟢 C. Normal, expected pulse
🔴 RATIONALE: A 2+ pulse is normal and expected. Grading scale: 0 = absent, 1+ = weak, 2+ =
normal, 3+ = increased, 4+ = bounding.
4. Which sound is heard during percussion over a normal lung field?
A. Tympany
B. Dullness
C. Resonance
D. Flatness
🟢 C. Resonance
🔴 RATIONALE: Resonance is the low-pitched, clear, hollow sound heard over normal lung tissue
during percussion.
, 5. A patient presents with a blood pressure of 150/95 mm Hg on two separate occasions. Which
classification is most appropriate?
A. Normal blood pressure
B. Elevated blood pressure
C. Stage 1 hypertension
D. Stage 2 hypertension
🟢 C. Stage 1 hypertension
🔴 RATIONALE: Stage 1 hypertension is defined as a systolic blood pressure of 130-139 mm Hg
or diastolic blood pressure of 80-89 mm Hg. However, a reading of 150/95 mm Hg on two
occasions meets criteria for Stage 2 hypertension by older guidelines. Current guidelines classify
150/95 as Stage 2.
6. During an eye examination, the nurse practitioner notes that the patient's pupils are equal,
round, and reactive to light and accommodation. This finding is documented as which of the
following?
A. PERRLA
B. PERRL
C. PERRLA with nystagmus
D. PERRLA with ptosis
🟢 A. PERRLA
🔴 RATIONALE: PERRLA stands for Pupils Equal, Round, Reactive to Light and Accommodation,
which is the normal expected finding.
