NR 509 ADVANCED PHYSICAL ASSESSMENT
FINAL EXAM
NR 509 ADVANCED PHYSICAL ASSESSMENT
FINAL EXAM 2 2025/2026 COMPLETE 100
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+ BRAND NEW VERSION 100%
ACCURATE ANSWERS BRAND NEW EXAM
GUARANTEED PASS
1. A girl was born at 10:15 am. 5 minutes later, the nurse finds her heart rate is at 135 bpm, and
that she is crying vigorously and moving all her extremities. Her hands and feet are lightly
bluish while the rest of the body is pinkish. Based on the nurse's finding, what is the baby's
Apgar score?
a. 10
b. 9
c. 8
d. 7
A+ TEST BANK 1
, NR 509 ADVANCED PHYSICAL ASSESSMENT
FINAL EXAM
Ans: (B)
All parameters of the Apgar scoring garner 2 points except for acrocyanosis that is given 1
point. Four perfect scores and a 1 yield 9 as the Apgar score.
1. Which of the following assessment findings in a newborn baby is considered normal?
a. Passage of green sticky stools within the first 24 hours
b. Respirations of 75 per minute while at rest
c. Yellowish skin and sclera after 6 hours of birth
d. Frank bleeding at the umbilicus
Ans: (A)
Meconium is the greenish and sticky stool of the newly born baby. It is normally passed within
24 hours of birth.
1. A new mother asks the nurse how much weight loss is expected of the baby after birth. The
most accurate reply is
a. 10-15%
b. 5-8%
c. 4%
d. None
Ans: (B)
A weight loss of 5-8% of a newborn's weight within 3-4 days of life is normal. This is due to
passage of urine and feces, and also of metabolic and physiologic adjustments to extrauterine
feeding.
1. The nurse is assessing a 3-hour old newborn while in the nursery. Which of the following
findings should the nurse document as abnormal?
A+ TEST BANK 2
, NR 509 ADVANCED PHYSICAL ASSESSMENT
FINAL EXAM
a. Chest circumference 34 cm; Head circumference 32 cm
b. Two 'soft spots' between cranial bones
c. Bluish discolorations at the lumbar area
d. Pinpoint white spots on the baby's nose
Ans: (A)
The circumference of a newborn's head is typically 2cm greater than that of the chest. This
proportion is expected in the next few months. If the head circumference is >2cm larger than
the chest, it can indicate hydrocephalus. On the other hand, if the chest circumference is
equal or bigger than the head, microcephaly is suspected.
1. The nurse collects the following data while assessing a 3-hour old baby. Bluish hands and
feet, pinkish body; bluish discolorations on the lumbosacral area, a reddish mark on the face
and pinpoint white spots on the nose. What is the best nursing action for these findings?
a. Document findings as within normal range
b. Institute airborne precaution
c. Refer to a dermatologist
d. Assess nutritional status
Ans: (A)
The findings are normal in a newborn. The bluish hands and feet with a pinkish body is termed
acrocyanosis. Bluish discolorations on the lumbosacral region are called Mongolian spots, and
the white spots on the nose are milia. The red mark on the face is nevus simplex.
1. A nurse is preparing a 3-day old newborn for discharge. As she evaluates the baby, she
observes a yellowish tinge on the client's forehead after briefly pressing the skin. The nurse
understands that this indicates
a. An infectious liver disorder
b. A normal biologic response
A+ TEST BANK 3
, NR 509 ADVANCED PHYSICAL ASSESSMENT
FINAL EXAM
c. An Rh incompatibility problem
d. Related to breastfeeding
Ans: (B)
Jaundice that appears after 24 hours of birth is called physiologic jaundice. It is caused by
accelerated destruction of fetal RBC's, immature conjugation of bilirubin, and increased
reabsorption of bilirubin from the intestines. These conditions are not pathologic.
1. A 6-year old girl is brought to the clinic by her parents because of fever and painful
urination. After careful assessments and laboratory work, she was diagnosed with urinary
tract infection. Which of the following parent response indicate a probable cause of her
infection?
a. "She likes running around the backyard with our dog."
b. "She enjoys her bubble baths so much."
c. "She is picky with foods and is challenging to feed."
d. "She runs to the bathroom every time she feels she has to pee."
Ans: (B)
Bubble baths are a risk factor for acquiring urinary tract infection in a child. Bubble baths are
therefore not encouraged.
1. A nurse assessing an 8-year old found him positive for the trendelenburg sign. Which of the
following is a correct interpretation of this finding?
a. The knees flex when the neck is flexed
b. The pelvis tilts toward the unaffected hip when asked to stand on the leg of the affected
side
c. The pelvis tilts toward the affected side when asked to stand on the leg of the affected side
d. There is resistance when the neck is flexed
A+ TEST BANK 4
FINAL EXAM
NR 509 ADVANCED PHYSICAL ASSESSMENT
FINAL EXAM 2 2025/2026 COMPLETE 100
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+ BRAND NEW VERSION 100%
ACCURATE ANSWERS BRAND NEW EXAM
GUARANTEED PASS
1. A girl was born at 10:15 am. 5 minutes later, the nurse finds her heart rate is at 135 bpm, and
that she is crying vigorously and moving all her extremities. Her hands and feet are lightly
bluish while the rest of the body is pinkish. Based on the nurse's finding, what is the baby's
Apgar score?
a. 10
b. 9
c. 8
d. 7
A+ TEST BANK 1
, NR 509 ADVANCED PHYSICAL ASSESSMENT
FINAL EXAM
Ans: (B)
All parameters of the Apgar scoring garner 2 points except for acrocyanosis that is given 1
point. Four perfect scores and a 1 yield 9 as the Apgar score.
1. Which of the following assessment findings in a newborn baby is considered normal?
a. Passage of green sticky stools within the first 24 hours
b. Respirations of 75 per minute while at rest
c. Yellowish skin and sclera after 6 hours of birth
d. Frank bleeding at the umbilicus
Ans: (A)
Meconium is the greenish and sticky stool of the newly born baby. It is normally passed within
24 hours of birth.
1. A new mother asks the nurse how much weight loss is expected of the baby after birth. The
most accurate reply is
a. 10-15%
b. 5-8%
c. 4%
d. None
Ans: (B)
A weight loss of 5-8% of a newborn's weight within 3-4 days of life is normal. This is due to
passage of urine and feces, and also of metabolic and physiologic adjustments to extrauterine
feeding.
1. The nurse is assessing a 3-hour old newborn while in the nursery. Which of the following
findings should the nurse document as abnormal?
A+ TEST BANK 2
, NR 509 ADVANCED PHYSICAL ASSESSMENT
FINAL EXAM
a. Chest circumference 34 cm; Head circumference 32 cm
b. Two 'soft spots' between cranial bones
c. Bluish discolorations at the lumbar area
d. Pinpoint white spots on the baby's nose
Ans: (A)
The circumference of a newborn's head is typically 2cm greater than that of the chest. This
proportion is expected in the next few months. If the head circumference is >2cm larger than
the chest, it can indicate hydrocephalus. On the other hand, if the chest circumference is
equal or bigger than the head, microcephaly is suspected.
1. The nurse collects the following data while assessing a 3-hour old baby. Bluish hands and
feet, pinkish body; bluish discolorations on the lumbosacral area, a reddish mark on the face
and pinpoint white spots on the nose. What is the best nursing action for these findings?
a. Document findings as within normal range
b. Institute airborne precaution
c. Refer to a dermatologist
d. Assess nutritional status
Ans: (A)
The findings are normal in a newborn. The bluish hands and feet with a pinkish body is termed
acrocyanosis. Bluish discolorations on the lumbosacral region are called Mongolian spots, and
the white spots on the nose are milia. The red mark on the face is nevus simplex.
1. A nurse is preparing a 3-day old newborn for discharge. As she evaluates the baby, she
observes a yellowish tinge on the client's forehead after briefly pressing the skin. The nurse
understands that this indicates
a. An infectious liver disorder
b. A normal biologic response
A+ TEST BANK 3
, NR 509 ADVANCED PHYSICAL ASSESSMENT
FINAL EXAM
c. An Rh incompatibility problem
d. Related to breastfeeding
Ans: (B)
Jaundice that appears after 24 hours of birth is called physiologic jaundice. It is caused by
accelerated destruction of fetal RBC's, immature conjugation of bilirubin, and increased
reabsorption of bilirubin from the intestines. These conditions are not pathologic.
1. A 6-year old girl is brought to the clinic by her parents because of fever and painful
urination. After careful assessments and laboratory work, she was diagnosed with urinary
tract infection. Which of the following parent response indicate a probable cause of her
infection?
a. "She likes running around the backyard with our dog."
b. "She enjoys her bubble baths so much."
c. "She is picky with foods and is challenging to feed."
d. "She runs to the bathroom every time she feels she has to pee."
Ans: (B)
Bubble baths are a risk factor for acquiring urinary tract infection in a child. Bubble baths are
therefore not encouraged.
1. A nurse assessing an 8-year old found him positive for the trendelenburg sign. Which of the
following is a correct interpretation of this finding?
a. The knees flex when the neck is flexed
b. The pelvis tilts toward the unaffected hip when asked to stand on the leg of the affected
side
c. The pelvis tilts toward the affected side when asked to stand on the leg of the affected side
d. There is resistance when the neck is flexed
A+ TEST BANK 4
