1|Page
NR 509 Advanced Physical Assessment Midterm &
Final Exams COMPLETE EXAM!!! (2026) | Actual
Exams | Comprehensive Health Assessment
Package||NEWEST EXAM!!!
A 35-year-old female with a history of migraines presents
to the clinic with worsening symptoms for the past few
weeks. She reports waking up at night with headaches
and nausea. Her only medication history is oral
contraceptive pills (OCPs). Otherwise, she states she is
healthy. Which of the following actions if taken by the NP
is the best next step? - Answer-Take a further history and
perform a very careful neurological exam
A grandmother is accompanying her 9-year-old
granddaughter during a routine physical examination. She
asks you privately if her granddaughter has started
puberty yet. During the examination, the NP notes
asymmetric projection of the areola and nipple of the right
chest to form a secondary mound above the level of the
breast. The left breast is underdeveloped. These
assessment findings are consistent with which Tanner
Stage of development? - Answer-IV
Primary prevention is defined as which of the following? -
Answer-Interventions designed to prevent disease
,2|Page
Based on the U.S. Preventive Services Task Force
(USPSTF) recommendations, which of the following
statements is true about screening for breast cancer in
average-risk women? - Answer-Mammography is
recommended every 2 years for women aged 50-74 with
insufficient evidence for screening women over the age of
75.
Which of the following statements is true regarding
recommendations by the eighth Joint National Committee
(JNC8) for adults aged 60 and older? Select all that apply.
- Answer-Target blood pressure should be </= 150/90
mmHg but notes that if treatment results in SBP <140 and
is "well tolerated and without adverse effects to health or
quality of live, treatment does not need to be adjusted."
In those aged 80 or older, blood pressure targets of 140 to
<150/70 to 80 appear optimal for notable reductions in
stroke, cardiovascular events, and all-cause mortality.
Which of the following is a useful strategy when examining
young children between the ages of 1 and 4? - Answer-
,3|Page
Have the parent facilitate the exam (e.g., removing
clothes, holding the child on lap).
The NP is completing the review of systems on a 4-month-
old female during a routine encounter. Which statement
from the parent may indicate a cardiac problem in the
infant and require a more thorough subjective history? -
Answer-"It often takes the baby more than 30 minutes to
finish a bottle."
A 16-year-old male presents to the clinic with a history of a
congenital right upper eyelid drooping as represented in
this image. He has no complaints and denies injury or
trauma. Which cranial nerve (CN) is involved in this
condition?
Patient with eyelid drooping - Answer-CNIII
Which cranial nerve (CN) innervates the muscles of the
pharynx and provides sensory fibers to portions of the
tympanic membrane, auditory canal, pharynx, and the
posterior third of the tongue? - Answer-CN IX
, 4|Page
The NP should suspect injury to which cranial nerve (CN)
if a patient presents with complaints of photosensitivity
and uneven pupils after being struck in the eye with a
baseball? - Answer-CNIII
Which of the following statements is true regarding risks
and rapid recognition of suspected stroke? Select all that
apply - Answer-Obesity doubles the risk of stroke even
without associated glucose intolerance
Hypertension is the leading risk factor for both ischemic
and hemorrhagic stroke
The combination of both receptive and expressive aphasia
is a characteristic of which type of speech disorder? -
Answer-global aphasia
The NP is assessing a 42-year-old female who presents to
the clinic with recurring headaches. What is an effective
question to ask the patient? - Answer-Do you have any
aura prior to the headaches?
NR 509 Advanced Physical Assessment Midterm &
Final Exams COMPLETE EXAM!!! (2026) | Actual
Exams | Comprehensive Health Assessment
Package||NEWEST EXAM!!!
A 35-year-old female with a history of migraines presents
to the clinic with worsening symptoms for the past few
weeks. She reports waking up at night with headaches
and nausea. Her only medication history is oral
contraceptive pills (OCPs). Otherwise, she states she is
healthy. Which of the following actions if taken by the NP
is the best next step? - Answer-Take a further history and
perform a very careful neurological exam
A grandmother is accompanying her 9-year-old
granddaughter during a routine physical examination. She
asks you privately if her granddaughter has started
puberty yet. During the examination, the NP notes
asymmetric projection of the areola and nipple of the right
chest to form a secondary mound above the level of the
breast. The left breast is underdeveloped. These
assessment findings are consistent with which Tanner
Stage of development? - Answer-IV
Primary prevention is defined as which of the following? -
Answer-Interventions designed to prevent disease
,2|Page
Based on the U.S. Preventive Services Task Force
(USPSTF) recommendations, which of the following
statements is true about screening for breast cancer in
average-risk women? - Answer-Mammography is
recommended every 2 years for women aged 50-74 with
insufficient evidence for screening women over the age of
75.
Which of the following statements is true regarding
recommendations by the eighth Joint National Committee
(JNC8) for adults aged 60 and older? Select all that apply.
- Answer-Target blood pressure should be </= 150/90
mmHg but notes that if treatment results in SBP <140 and
is "well tolerated and without adverse effects to health or
quality of live, treatment does not need to be adjusted."
In those aged 80 or older, blood pressure targets of 140 to
<150/70 to 80 appear optimal for notable reductions in
stroke, cardiovascular events, and all-cause mortality.
Which of the following is a useful strategy when examining
young children between the ages of 1 and 4? - Answer-
,3|Page
Have the parent facilitate the exam (e.g., removing
clothes, holding the child on lap).
The NP is completing the review of systems on a 4-month-
old female during a routine encounter. Which statement
from the parent may indicate a cardiac problem in the
infant and require a more thorough subjective history? -
Answer-"It often takes the baby more than 30 minutes to
finish a bottle."
A 16-year-old male presents to the clinic with a history of a
congenital right upper eyelid drooping as represented in
this image. He has no complaints and denies injury or
trauma. Which cranial nerve (CN) is involved in this
condition?
Patient with eyelid drooping - Answer-CNIII
Which cranial nerve (CN) innervates the muscles of the
pharynx and provides sensory fibers to portions of the
tympanic membrane, auditory canal, pharynx, and the
posterior third of the tongue? - Answer-CN IX
, 4|Page
The NP should suspect injury to which cranial nerve (CN)
if a patient presents with complaints of photosensitivity
and uneven pupils after being struck in the eye with a
baseball? - Answer-CNIII
Which of the following statements is true regarding risks
and rapid recognition of suspected stroke? Select all that
apply - Answer-Obesity doubles the risk of stroke even
without associated glucose intolerance
Hypertension is the leading risk factor for both ischemic
and hemorrhagic stroke
The combination of both receptive and expressive aphasia
is a characteristic of which type of speech disorder? -
Answer-global aphasia
The NP is assessing a 42-year-old female who presents to
the clinic with recurring headaches. What is an effective
question to ask the patient? - Answer-Do you have any
aura prior to the headaches?
