NR 509 Advanced Physical Assessment
NR 509 Week 8 Final Exam 2025/2026 COMPLETE
QUESTION AND ANSWER 100% ACCURATE SUMMER-
FALL SEMESTER/CYCLE (CHAMBERLAIN COLLEGE
OF NURSING) GRADED A
1. Question: A 6-year-old female presents to the clinic with sore
throat. The point of care test for Group A Streptococcal infection
is positive. Which of the following indicates the expected
lymphadenopathy presentation in this case?
a) Bilateral cervical lymphadenopathy
b) Unilateral cervical lymphadenopathy
c) Supraclavicular lymphadenopathy
d) Generalized lymphadenopathy
Answer: b) Unilateral cervical lymphadenopathy
2. Question: Which of the following changes are part of the
normal aging process in vision?
a) Increased accommodation ability
b) Decreased ability to perceive colors
c) Reduced tear production
d) Improved night vision
Answer: c) Reduced tear production
,NR 509 Advanced Physical Assessment
3. Question: Identify the anatomical structure in this image
between both of the examiner’s hands and fingertips.
(An image is necessary for this question to be answered
accurately.)
4. Question: A 19-year-old African-American female presents to
the clinic with moderate to severe right lower quadrant
abdominal pain for the last 2 days. She has been experiencing
nausea and vomiting but is unsure if she has had a fever. Which
of the following is a possible differential diagnosis?
a) Appendicitis
b) Ectopic pregnancy
c) Ovarian cyst rupture
d) All of the above
Answer: d) All of the above
5. Question: A 15-day-old infant girl is brought to the outpatient
clinic by her mother on a Monday morning. The mother is
concerned about a rash that seems to have appeared suddenly
after they spent the previous weekend in Florida. The infant is
febrile, eating well, and does not appear distressed. What is the
likely diagnosis based on the history and physical examination
findings of scattered vesicles on an erythematous base?
,NR 509 Advanced Physical Assessment
a) Chickenpox (Varicella)
b) Impetigo
c) Hand-foot-and-mouth disease
d) Molluscum contagiosum
Answer: a) Chickenpox (Varicella)
6. Question: A 48-year-old high school librarian presents with 1
week of heavy discharge causing severe itching. The pH of the
discharge is 4.1 and the KOH whiff test is negative. Wet prep
shows budding hyphae. What vaginitis does this patient most
likely have?
a) Bacterial vaginosis
b) Candidiasis
c) Trichomoniasis
d) Atrophic vaginitis
Answer: b) Candidiasis
7. Question: A 32-year-old female presents with a complaint of a
singular breast mass. The mass is soft, round, mobile, and
tender. What is the most likely cause of the breast mass given
the patient's age?
a) Fibrocystic changes
b) Fibroadenoma
c) Breast cancer
d) Lipoma
Answer: b) Fibroadenoma
, NR 509 Advanced Physical Assessment
8. Question: A 16-year-old female presents with the complaint of
acne. What is the morphology of the predominant skin lesions?
a) Comedones
b) Pustules
c) Cysts
d) Nodules
Answer: a) Comedones
9. Question: You are observing an infant born at 42 weeks
gestation who is able to pull to a stand and uses "mama" and
"dada" specifically. Where would you place this child’s
developmental age?
a) 12 months
b) 18 months
c) 24 months
d) 36 months
Answer: a) 12 months
10. Question: Which of the following vaccinations are safe during
pregnancy?
a) MMR
b) Varicella
c) Influenza (inactivated)
d) Polio
NR 509 Week 8 Final Exam 2025/2026 COMPLETE
QUESTION AND ANSWER 100% ACCURATE SUMMER-
FALL SEMESTER/CYCLE (CHAMBERLAIN COLLEGE
OF NURSING) GRADED A
1. Question: A 6-year-old female presents to the clinic with sore
throat. The point of care test for Group A Streptococcal infection
is positive. Which of the following indicates the expected
lymphadenopathy presentation in this case?
a) Bilateral cervical lymphadenopathy
b) Unilateral cervical lymphadenopathy
c) Supraclavicular lymphadenopathy
d) Generalized lymphadenopathy
Answer: b) Unilateral cervical lymphadenopathy
2. Question: Which of the following changes are part of the
normal aging process in vision?
a) Increased accommodation ability
b) Decreased ability to perceive colors
c) Reduced tear production
d) Improved night vision
Answer: c) Reduced tear production
,NR 509 Advanced Physical Assessment
3. Question: Identify the anatomical structure in this image
between both of the examiner’s hands and fingertips.
(An image is necessary for this question to be answered
accurately.)
4. Question: A 19-year-old African-American female presents to
the clinic with moderate to severe right lower quadrant
abdominal pain for the last 2 days. She has been experiencing
nausea and vomiting but is unsure if she has had a fever. Which
of the following is a possible differential diagnosis?
a) Appendicitis
b) Ectopic pregnancy
c) Ovarian cyst rupture
d) All of the above
Answer: d) All of the above
5. Question: A 15-day-old infant girl is brought to the outpatient
clinic by her mother on a Monday morning. The mother is
concerned about a rash that seems to have appeared suddenly
after they spent the previous weekend in Florida. The infant is
febrile, eating well, and does not appear distressed. What is the
likely diagnosis based on the history and physical examination
findings of scattered vesicles on an erythematous base?
,NR 509 Advanced Physical Assessment
a) Chickenpox (Varicella)
b) Impetigo
c) Hand-foot-and-mouth disease
d) Molluscum contagiosum
Answer: a) Chickenpox (Varicella)
6. Question: A 48-year-old high school librarian presents with 1
week of heavy discharge causing severe itching. The pH of the
discharge is 4.1 and the KOH whiff test is negative. Wet prep
shows budding hyphae. What vaginitis does this patient most
likely have?
a) Bacterial vaginosis
b) Candidiasis
c) Trichomoniasis
d) Atrophic vaginitis
Answer: b) Candidiasis
7. Question: A 32-year-old female presents with a complaint of a
singular breast mass. The mass is soft, round, mobile, and
tender. What is the most likely cause of the breast mass given
the patient's age?
a) Fibrocystic changes
b) Fibroadenoma
c) Breast cancer
d) Lipoma
Answer: b) Fibroadenoma
, NR 509 Advanced Physical Assessment
8. Question: A 16-year-old female presents with the complaint of
acne. What is the morphology of the predominant skin lesions?
a) Comedones
b) Pustules
c) Cysts
d) Nodules
Answer: a) Comedones
9. Question: You are observing an infant born at 42 weeks
gestation who is able to pull to a stand and uses "mama" and
"dada" specifically. Where would you place this child’s
developmental age?
a) 12 months
b) 18 months
c) 24 months
d) 36 months
Answer: a) 12 months
10. Question: Which of the following vaccinations are safe during
pregnancy?
a) MMR
b) Varicella
c) Influenza (inactivated)
d) Polio
