1|Page
NR 509 Advanced Physical Assessment Midterm Exam
2026 | Actual Exam | Comprehensive Health
Assessment | Advanced Practice Nursing
Standards||Newest Exam!!!
A 17-year-old male presents to a sexually transmitted
disease clinic at the behest of his brother, who convinced
the patient to attend the clinic after he disclosed that he
prefers homosexual partners but is afraid that his last
partner may have given him an infection. The patient
expresses to the intake nurse that he is unashamed of his
sexual orientation and will not stay through the visit if he
feels that he is dismissed or discriminated against
because of it. The nurse practitioner receives this
communication prior to entering the examination room and
decides to employ active listening to best connect with the
patient at this critical juncture in his care with the clinic.
Which of the following is an example of an active listening
technique?
a. Ignoring visual cues to focus on the patient's exact
words
b. Setting aside the patient's emotional state to focus on
his medical needs
,2|Page
c. Paring down the patient's conce - Answer-d. Using
nonverbal communication to encourage the patient to
expand their narrative
A 42-year-old female mathematician presents for follow-up
care regarding a new diagnosis of systemic lupus
erythematosus 6 months ago after a lengthy diagnostic
process during which she was debilitated with fatigue and
joint pain. Since her diagnosis, she has been minimally
compliant with medications and has switched her
rheumatology provider twice. She continues to feel ill, and,
in explanation for her lack of adherence to the prescribed
treatment, she simply says, "I don't like it." At this initial
visit with her third rheumatology provider, the clinician
elects to explore the issues behind her noncompliance
before engaging in diagnostics and treatment using the
FIFE model. Which of the following best defines the
elements of the FIFE model?
a. Focus, intensity, function, and evaluation
b. Facts, intensity, focus, and evidence
c. Feelings, ideas, function, and expectations
d. Feelings, impression, fantasy, and em - Answer-c.
Feelings, ideas, function, and expectations
,3|Page
A 39-year-old nurse who is a well-established patient
complains of irregular menstrual periods and pelvic pain.
She says that she is having trouble sleeping and asks
whether she could be given a "sleeping pill." The patient
also says she is thinking of leaving her job. What is the
best "next step" in caring for this patient?
a. Perform a pelvic examination.
b. Obtain a urine sample for testing.
c. Obtain a more complete description of problems.
d. Obtain blood for testing.
e. Ask about recent travel destinations. - Answer-c. Obtain
a more complete description of problems.
A 29-year-old female professional athlete presents to a
new primary care provider with chronic menstrual
complaints. She remarks to the nursing staff that, in the
past, she has experienced a dismissal of her complaints
because of her high level of physical fitness and
conditioning. She is seeking a care provider who will
explore the issue in more detail and work with her
particular concerns. Which of the following is the
, 4|Page
description of the patient-centered care this individual
seeks?
a. Structured and clinician-centered with open-ended
questions
b. Validating and empathetic with open-ended questions
c. Dismissive and concrete with open-ended questions
d. Affirming and reassuring with close-ended questions
e. Factual and structured with active listening - Answer-b.
Validating and empathetic with open-ended questions
A 63-year-old male presents to establish care at a new
primary care clinic to discuss issues with pain and fatigue.
The clinician conducting the visit begins with general
historical questions but quickly becomes suspicious that
the patient is suffering from decompensated heart failure.
When the patient mentions that he has had vague chest
pain since last night, the clinician feels that the focus must
be redirected to this potentially emergent condition. Which
of the following interview techniques is the most
appropriate to effectively manage this visit?
NR 509 Advanced Physical Assessment Midterm Exam
2026 | Actual Exam | Comprehensive Health
Assessment | Advanced Practice Nursing
Standards||Newest Exam!!!
A 17-year-old male presents to a sexually transmitted
disease clinic at the behest of his brother, who convinced
the patient to attend the clinic after he disclosed that he
prefers homosexual partners but is afraid that his last
partner may have given him an infection. The patient
expresses to the intake nurse that he is unashamed of his
sexual orientation and will not stay through the visit if he
feels that he is dismissed or discriminated against
because of it. The nurse practitioner receives this
communication prior to entering the examination room and
decides to employ active listening to best connect with the
patient at this critical juncture in his care with the clinic.
Which of the following is an example of an active listening
technique?
a. Ignoring visual cues to focus on the patient's exact
words
b. Setting aside the patient's emotional state to focus on
his medical needs
,2|Page
c. Paring down the patient's conce - Answer-d. Using
nonverbal communication to encourage the patient to
expand their narrative
A 42-year-old female mathematician presents for follow-up
care regarding a new diagnosis of systemic lupus
erythematosus 6 months ago after a lengthy diagnostic
process during which she was debilitated with fatigue and
joint pain. Since her diagnosis, she has been minimally
compliant with medications and has switched her
rheumatology provider twice. She continues to feel ill, and,
in explanation for her lack of adherence to the prescribed
treatment, she simply says, "I don't like it." At this initial
visit with her third rheumatology provider, the clinician
elects to explore the issues behind her noncompliance
before engaging in diagnostics and treatment using the
FIFE model. Which of the following best defines the
elements of the FIFE model?
a. Focus, intensity, function, and evaluation
b. Facts, intensity, focus, and evidence
c. Feelings, ideas, function, and expectations
d. Feelings, impression, fantasy, and em - Answer-c.
Feelings, ideas, function, and expectations
,3|Page
A 39-year-old nurse who is a well-established patient
complains of irregular menstrual periods and pelvic pain.
She says that she is having trouble sleeping and asks
whether she could be given a "sleeping pill." The patient
also says she is thinking of leaving her job. What is the
best "next step" in caring for this patient?
a. Perform a pelvic examination.
b. Obtain a urine sample for testing.
c. Obtain a more complete description of problems.
d. Obtain blood for testing.
e. Ask about recent travel destinations. - Answer-c. Obtain
a more complete description of problems.
A 29-year-old female professional athlete presents to a
new primary care provider with chronic menstrual
complaints. She remarks to the nursing staff that, in the
past, she has experienced a dismissal of her complaints
because of her high level of physical fitness and
conditioning. She is seeking a care provider who will
explore the issue in more detail and work with her
particular concerns. Which of the following is the
, 4|Page
description of the patient-centered care this individual
seeks?
a. Structured and clinician-centered with open-ended
questions
b. Validating and empathetic with open-ended questions
c. Dismissive and concrete with open-ended questions
d. Affirming and reassuring with close-ended questions
e. Factual and structured with active listening - Answer-b.
Validating and empathetic with open-ended questions
A 63-year-old male presents to establish care at a new
primary care clinic to discuss issues with pain and fatigue.
The clinician conducting the visit begins with general
historical questions but quickly becomes suspicious that
the patient is suffering from decompensated heart failure.
When the patient mentions that he has had vague chest
pain since last night, the clinician feels that the focus must
be redirected to this potentially emergent condition. Which
of the following interview techniques is the most
appropriate to effectively manage this visit?
