NR509 ADVANCED PHYSICAL
ASSESSMENT PRACTICE EXAM
QUESTIONS AND ANSWERS 2026/2027
UPDATE || 100% GUARANTEED PASS
1. During a Weber test, the patient reports that the sound lateralizes to the right ear. The
Rinne test shows that AC > BC in the left ear and BC > AC in the right ear. What is the most
likely diagnosis?
A. Sensorineural hearing loss in the right ear
B. Sensorineural hearing loss in the left ear
C. Conductive hearing loss in the right ear
D. Conductive hearing loss in the left ear
Answer: C
Conceptual Explanation: In conductive hearing loss, the sound lateralizes to the impaired
ear during the Weber test, and Bone Conduction (BC) is greater than or equal to Air
Conduction (AC) in the Rinne test.
2. When performing a funduscopic examination, the clinician notes small, rounded, red spots
in the periphery of the retina. These are most likely:
A. Cotton wool spots
,B. Hard exudates
C. Microaneurysms
D. Drusen
Answer: C
Conceptual Explanation: Microaneurysms are tiny, round, red spots commonly seen in
diabetic retinopathy. Cotton wool spots are white/gray with fuzzy borders.
3. A 65-year-old patient presents with a low-pitched, early diastolic gallop heard best at the
apex with the bell of the stethoscope. This sound is:
A. S4, indicating decreased ventricular compliance
B. S3, indicating volume overload
C. An opening snap of the mitral valve
D. An ejection click of the aortic valve
Answer: B
Conceptual Explanation: An S3 gallop is a low-pitched diastolic sound occurring in early
diastole, often associated with heart failure or volume overload.
4. On palpation of the chest, increased tactile fremitus is noted over the right lower lobe.
Which condition is most consistent with this finding?
A. Lobar pneumonia
B. Pleural effusion
, C. Asthma
D. Pneumothorax
Answer: A
Conceptual Explanation: Tactile fremitus is increased in conditions where the lung
becomes consolidated (e.g., pneumonia) because sound travels better through solid/liquid
than air.
5. The clinician performs the Psoas sign by having the patient lie supine and lift the right leg
against resistance. Pain in the RLQ during this maneuver suggests:
A. Cholecystitis
B. Appendicitis
C. Diverticulitis
D. Pelvic Inflammatory Disease
Answer: B
Conceptual Explanation: The Psoas sign is a classic physical exam finding for retrocecal
appendicitis, where the inflamed appendix irritates the psoas muscle.
6. A patient complains of numbness and tingling in the thumb, index, and middle fingers.
Phalen’s test is positive. This indicates compression of which nerve?
A. Ulnar nerve
B. Median nerve
ASSESSMENT PRACTICE EXAM
QUESTIONS AND ANSWERS 2026/2027
UPDATE || 100% GUARANTEED PASS
1. During a Weber test, the patient reports that the sound lateralizes to the right ear. The
Rinne test shows that AC > BC in the left ear and BC > AC in the right ear. What is the most
likely diagnosis?
A. Sensorineural hearing loss in the right ear
B. Sensorineural hearing loss in the left ear
C. Conductive hearing loss in the right ear
D. Conductive hearing loss in the left ear
Answer: C
Conceptual Explanation: In conductive hearing loss, the sound lateralizes to the impaired
ear during the Weber test, and Bone Conduction (BC) is greater than or equal to Air
Conduction (AC) in the Rinne test.
2. When performing a funduscopic examination, the clinician notes small, rounded, red spots
in the periphery of the retina. These are most likely:
A. Cotton wool spots
,B. Hard exudates
C. Microaneurysms
D. Drusen
Answer: C
Conceptual Explanation: Microaneurysms are tiny, round, red spots commonly seen in
diabetic retinopathy. Cotton wool spots are white/gray with fuzzy borders.
3. A 65-year-old patient presents with a low-pitched, early diastolic gallop heard best at the
apex with the bell of the stethoscope. This sound is:
A. S4, indicating decreased ventricular compliance
B. S3, indicating volume overload
C. An opening snap of the mitral valve
D. An ejection click of the aortic valve
Answer: B
Conceptual Explanation: An S3 gallop is a low-pitched diastolic sound occurring in early
diastole, often associated with heart failure or volume overload.
4. On palpation of the chest, increased tactile fremitus is noted over the right lower lobe.
Which condition is most consistent with this finding?
A. Lobar pneumonia
B. Pleural effusion
, C. Asthma
D. Pneumothorax
Answer: A
Conceptual Explanation: Tactile fremitus is increased in conditions where the lung
becomes consolidated (e.g., pneumonia) because sound travels better through solid/liquid
than air.
5. The clinician performs the Psoas sign by having the patient lie supine and lift the right leg
against resistance. Pain in the RLQ during this maneuver suggests:
A. Cholecystitis
B. Appendicitis
C. Diverticulitis
D. Pelvic Inflammatory Disease
Answer: B
Conceptual Explanation: The Psoas sign is a classic physical exam finding for retrocecal
appendicitis, where the inflamed appendix irritates the psoas muscle.
6. A patient complains of numbness and tingling in the thumb, index, and middle fingers.
Phalen’s test is positive. This indicates compression of which nerve?
A. Ulnar nerve
B. Median nerve
