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NR 509 Week 2 Exam – 25+ Questions with Verified Answers – HEENT, Vision, Cranial Nerves, Sinuses – Chamberlain University

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This document contains over 25 multiple-choice questions with 100% verified correct answers from Week 2 of the NR 509 Advanced Physical Assessment course at Chamberlain University, designed for the 2025/2026 academic year. It serves as a high-yield review tool for nurse practitioner and advanced nursing students focusing on the head, eyes, ears, nose, and throat (HEENT) systems, as well as foundational neurological and respiratory assessment principles. Topics include cranial nerve evaluation (e.g., trigeminal, facial, accessory), thyroid and lymph node palpation, normal and abnormal eye examination findings (Snellen chart interpretation, corneal light reflex, ptosis, scleral pigmentation), sinus palpation, oral assessments across diverse populations, and tactile fremitus. It also includes expected physiological changes during pregnancy, such as gingival bleeding, and common pediatric considerations like fontanelle assessment. Each question is scenario-based and reflects real clinical reasoning aligned with NP certification exam standards. This makes the material valuable not only for classroom testing but also for board prep and clinical competency evaluation. Best suited for: Family Nurse Practitioner (FNP) students Adult-Gerontology Primary Care NP (AGNP) students MSN/BSN students in health assessment courses AANP and ANCC certification exam candidates Students reviewing HEENT systems, vision testing, and sinus/neck exams Ideal for exam prep, study group sessions, and clinical simulation reviews. Keywords: NR 509, HEENT assessment, vision testing, Snellen chart, cranial nerves, trigeminal nerve, ptosis, thyroid exam, sinus palpation, oral cavity, pregnancy changes, lymph node exam, tactile fremitus, advanced health assessment, Chamberlain University

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NR-509-Week 2 2025/2026 Exam
Questions and Verified Answers |
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1) A mother brings her two month old daughter in for an examination says

"my daughter rolled over against the wall and now I have noticed that she

has the spot soft on the top of her head, is there something terribly wrong?"

The FNP's best response would be: - 🧠 ANSWER ✔✔"That soft spot is

normal and actually allows for growth of the brain during the first year of

your baby's life"

2) During percussion the FNP knows that a dull percussion note elicited

over a lung lobe. This most likely results from: - 🧠 ANSWER ✔✔Increased

density of lung tissue

, 3) The patient is unable to differentiate between sharp and dull stimulation

to both sides of her face. The FNP suspects Damage to: - 🧠 ANSWER

✔✔The trigeminal nerve


4) When examining the face, the FNP is aware that the two pairs of salivary

gland's that are accessible to examination are the _____ glands - 🧠

ANSWER ✔✔Parotid and submandibular


5) A patient comes to the clinic complaining of neck and shoulder pain and

is unable to turn her head. The FNP suspects damage to cranial nerve

____ and proceeds with the examination by____ - 🧠 ANSWER ✔✔XI;

asking the patient you should have her shoulders against resistance

6) When examining a patient's cranial nerve function, the FNP remembers

that the muscles in the neck that are innervated by CN XI are the: - 🧠

ANSWER ✔✔Sternomastoid and trapezius


7) The patient's laboratory data reveal an elevated thyroxine level. The

FNP would proceed with an examination of the _____ gland - 🧠 ANSWER

✔✔Thyroid


8) A patient says that she has recently noticed a lump in the front of her

neck below her "Adams apple" that seems to be getting bigger. During the

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