NR509 ADVANCED HEALTH
ASSESSMENT EXAM STUDY GUIDE
QUESTIONS AND ANSWERS 2026/2027
UPDATE || 100% GUARANTEED PASS
1. While assessing a patient for a split S2, where is the most appropriate anatomical location
to place the stethoscope?
A. Second right intercostal space at the sternal border
B. Second left intercostal space at the sternal border
C. Fifth left intercostal space at the midclavicular line
D. Fourth left intercostal space at the sternal border
Answer: B
Conceptual Explanation: The second left intercostal space is the pulmonic area, where the
closure of the pulmonic valve (P2) is best heard, allowing for the detection of an S2 split.
2. A patient presents with a ‘tearing’ chest pain radiating to the back. Which condition should
the clinician prioritize?
A. Aortic Dissection
B. Pericarditis
C. Myocardial Infarction
,D. Pulmonary Embolism
Answer: A
Conceptual Explanation: Tearing or ripping chest pain that radiates to the back is a classic
presentation of an aortic dissection, a surgical emergency.
3. During the physical exam, a clinician notes a patient has a positive Murphy sign. This
finding is most suggestive of which condition?
A. Acute Appendicitis
B. Nephrolithiasis
C. Acute Cholecystitis
D. Diverticulitis
Answer: C
Conceptual Explanation: A positive Murphy sign (arrest of inspiration upon palpation of
the right upper quadrant) indicates gallbladder inflammation, typically acute cholecystitis.
4. In a patient with suspected bacterial pneumonia, what would the clinician expect to find
during percussion of the affected lung field?
A. Resonance
B. Hyperresonance
C. Tympany
D. Dullness
, Answer: D
Conceptual Explanation: Dullness replaces resonance when fluid or solid tissue
(consolidation) replaces air-containing lung space, as seen in pneumonia.
5. Which cranial nerve is being tested when the clinician asks the patient to shrug their
shoulders against resistance?
A. CN X (Vagus)
B. CN XII (Hypoglossal)
C. CN XI (Spinal Accessory)
D. CN IX (Glossopharyngeal)
Answer: C
Conceptual Explanation: CN XI innervates the trapezius and sternocleidomastoid
muscles; shoulder shrugging tests the trapezius strength.
6. A 65-year-old male presents with difficulty starting his urinary stream and a weak flow. On
DRE, the prostate is enlarged, smooth, and non-tender. What is the most likely diagnosis?
A. Prostatitis
B. Benign Prostatic Hyperplasia (BPH)
C. Prostate Cancer
D. Urolithiasis
Answer: B
ASSESSMENT EXAM STUDY GUIDE
QUESTIONS AND ANSWERS 2026/2027
UPDATE || 100% GUARANTEED PASS
1. While assessing a patient for a split S2, where is the most appropriate anatomical location
to place the stethoscope?
A. Second right intercostal space at the sternal border
B. Second left intercostal space at the sternal border
C. Fifth left intercostal space at the midclavicular line
D. Fourth left intercostal space at the sternal border
Answer: B
Conceptual Explanation: The second left intercostal space is the pulmonic area, where the
closure of the pulmonic valve (P2) is best heard, allowing for the detection of an S2 split.
2. A patient presents with a ‘tearing’ chest pain radiating to the back. Which condition should
the clinician prioritize?
A. Aortic Dissection
B. Pericarditis
C. Myocardial Infarction
,D. Pulmonary Embolism
Answer: A
Conceptual Explanation: Tearing or ripping chest pain that radiates to the back is a classic
presentation of an aortic dissection, a surgical emergency.
3. During the physical exam, a clinician notes a patient has a positive Murphy sign. This
finding is most suggestive of which condition?
A. Acute Appendicitis
B. Nephrolithiasis
C. Acute Cholecystitis
D. Diverticulitis
Answer: C
Conceptual Explanation: A positive Murphy sign (arrest of inspiration upon palpation of
the right upper quadrant) indicates gallbladder inflammation, typically acute cholecystitis.
4. In a patient with suspected bacterial pneumonia, what would the clinician expect to find
during percussion of the affected lung field?
A. Resonance
B. Hyperresonance
C. Tympany
D. Dullness
, Answer: D
Conceptual Explanation: Dullness replaces resonance when fluid or solid tissue
(consolidation) replaces air-containing lung space, as seen in pneumonia.
5. Which cranial nerve is being tested when the clinician asks the patient to shrug their
shoulders against resistance?
A. CN X (Vagus)
B. CN XII (Hypoglossal)
C. CN XI (Spinal Accessory)
D. CN IX (Glossopharyngeal)
Answer: C
Conceptual Explanation: CN XI innervates the trapezius and sternocleidomastoid
muscles; shoulder shrugging tests the trapezius strength.
6. A 65-year-old male presents with difficulty starting his urinary stream and a weak flow. On
DRE, the prostate is enlarged, smooth, and non-tender. What is the most likely diagnosis?
A. Prostatitis
B. Benign Prostatic Hyperplasia (BPH)
C. Prostate Cancer
D. Urolithiasis
Answer: B
