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Midterm Exam: NR 509/ NR509 Midterm Exam Advanced Physical
Assessment (Latest 2026/ 2027) Questions with Verified Answers -
Chamberlain
Prose1 Stuvia
THIS DOCUMENT CONTAINS :
NR 509/ NR509 Midterm Exam
NR509 Midterm Exam Advanced Physical Assessment
Latest 2026/ 2027
Questions with Verified Answers - Chamberlain
,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.
Explanation:
This patient is presenting with multiple, loosely connected complaints—irregular menses, pelvic pain,
insomnia, and thoughts about leaving her job. That pattern raises the possibility of psychosocial stress,
mood disturbance, or a broader underlying issue (e.g., anxiety, depression, perimenopause, or stress-
related somatic symptoms), not just a single gynecologic problem.
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 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
Explanation:
This patient clearly states that her concerns were previously dismissed because she is a professional
athlete. She is now seeking a provider who will take her symptoms seriously, explore them fully, and
partner with her in care. That is the core of patient-centered care.
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?
a. Providing serial reassurances such as, "Don't worry, you're going to be fine."
b. Asking a series of negative questions such as, "You don't have any swelling in your feet, do you?"
c. Nonverbally cuing the patient to focus on his narrative regarding a motor vehicle accident
d. (MVA) that led to back pain
e. Asking leading questions that focus on the presumed diag –
Answer-f. Moving from open-ended to focused questions
Explanation:
In a patient interview, the clinician typically begins with open-ended questions to allow the patient to
describe their concerns in their own words. This helps build rapport and ensures that important
information isn’t missed.
However, if the clinician suspects a potentially serious or emergent condition (like decompensated heart
failure or acute chest pain), it is appropriate to narrow the interview to focused, specific questions that
target the urgent problem.
, A 59-year-old patient presents to his primary care provider with a history of several episodes of sharp
epigastric pain. His father died of pancreatic cancer at age 52 years, and the patient recalls to the
clinician that, "His pain was just like mine is now ..." The patient then pauses several seconds. The
clinician replies, "Just like?" after which the patient restarts his narrative. Which of the following is an
example of the interviewing techniques employed by the clinician?
a. Clarifying
b. Echoing
c. Encouraging with continuers d. Eliciting a graded response
e. Asking a leading question –
Answer-b. Echoing
Explanation:
Echoing is an interview technique in which the clinician repeats a key word or phrase from the patient’s
statement to prompt further elaboration. It is often done without adding new content, simply to
encourage the patient to continue and clarify their story.
A 14-year-old male presents to a new primary care provider after his family relocates to a state. The
patient underwent treatment for sarcoma when he was age 11 years, including an above-the-knee
amputation. He has learned to successfully navigate with a prosthetic leg and even engage in
competitive athletics at school. He does not like to speak of his experience with cancer and often makes
up humorous stories to tell new acquaintances about his amputation (such as, "I got bit by a squirrel and
they had to amputate."). Although he is very well engaged in most of the visit with the new clinician,
when the topic of cancer arises, he demurs to his father, who accompanies him to this appointment.
Which of the following statements is most likely to be helpful in cementing the patient's trust in the new
provider
a. "That sounds like a frightening experience that you are recovering well from."
b. "You are becoming an adult –
Answer-a. "That sounds like a frightening experience that you are recovering well from."
Explanation:
This adolescent patient has a history of serious illness and amputation, and he demonstrates coping
strategies like humor and deflecting discussion of cancer. When a patient avoids a topic, the goal of the
Midterm Exam: NR 509/ NR509 Midterm Exam Advanced Physical
Assessment (Latest 2026/ 2027) Questions with Verified Answers -
Chamberlain
Prose1 Stuvia
THIS DOCUMENT CONTAINS :
NR 509/ NR509 Midterm Exam
NR509 Midterm Exam Advanced Physical Assessment
Latest 2026/ 2027
Questions with Verified Answers - Chamberlain
,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.
Explanation:
This patient is presenting with multiple, loosely connected complaints—irregular menses, pelvic pain,
insomnia, and thoughts about leaving her job. That pattern raises the possibility of psychosocial stress,
mood disturbance, or a broader underlying issue (e.g., anxiety, depression, perimenopause, or stress-
related somatic symptoms), not just a single gynecologic problem.
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 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
Explanation:
This patient clearly states that her concerns were previously dismissed because she is a professional
athlete. She is now seeking a provider who will take her symptoms seriously, explore them fully, and
partner with her in care. That is the core of patient-centered care.
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?
a. Providing serial reassurances such as, "Don't worry, you're going to be fine."
b. Asking a series of negative questions such as, "You don't have any swelling in your feet, do you?"
c. Nonverbally cuing the patient to focus on his narrative regarding a motor vehicle accident
d. (MVA) that led to back pain
e. Asking leading questions that focus on the presumed diag –
Answer-f. Moving from open-ended to focused questions
Explanation:
In a patient interview, the clinician typically begins with open-ended questions to allow the patient to
describe their concerns in their own words. This helps build rapport and ensures that important
information isn’t missed.
However, if the clinician suspects a potentially serious or emergent condition (like decompensated heart
failure or acute chest pain), it is appropriate to narrow the interview to focused, specific questions that
target the urgent problem.
, A 59-year-old patient presents to his primary care provider with a history of several episodes of sharp
epigastric pain. His father died of pancreatic cancer at age 52 years, and the patient recalls to the
clinician that, "His pain was just like mine is now ..." The patient then pauses several seconds. The
clinician replies, "Just like?" after which the patient restarts his narrative. Which of the following is an
example of the interviewing techniques employed by the clinician?
a. Clarifying
b. Echoing
c. Encouraging with continuers d. Eliciting a graded response
e. Asking a leading question –
Answer-b. Echoing
Explanation:
Echoing is an interview technique in which the clinician repeats a key word or phrase from the patient’s
statement to prompt further elaboration. It is often done without adding new content, simply to
encourage the patient to continue and clarify their story.
A 14-year-old male presents to a new primary care provider after his family relocates to a state. The
patient underwent treatment for sarcoma when he was age 11 years, including an above-the-knee
amputation. He has learned to successfully navigate with a prosthetic leg and even engage in
competitive athletics at school. He does not like to speak of his experience with cancer and often makes
up humorous stories to tell new acquaintances about his amputation (such as, "I got bit by a squirrel and
they had to amputate."). Although he is very well engaged in most of the visit with the new clinician,
when the topic of cancer arises, he demurs to his father, who accompanies him to this appointment.
Which of the following statements is most likely to be helpful in cementing the patient's trust in the new
provider
a. "That sounds like a frightening experience that you are recovering well from."
b. "You are becoming an adult –
Answer-a. "That sounds like a frightening experience that you are recovering well from."
Explanation:
This adolescent patient has a history of serious illness and amputation, and he demonstrates coping
strategies like humor and deflecting discussion of cancer. When a patient avoids a topic, the goal of the
