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NR509
NR 509/ NR509 Midterm Exam Study Review Advanced Physical
Assessment (Latest ) Questions with Verified Answers -
Chamberlain
1. A patient presents with sharp, aching chest pain that increases with breathing. To
which anatomic area should the nurse localize this symptom?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine
CORRECT ANSWER: A
Rationale: Pleuritic or musculoskeletal chest pain, such as from costochondritis, is
typically worsened by chest wall movement or deep inspiration, which aligns with
the symptoms described.
2. A patient is evaluated for shortness of breath. To which anatomic region should
the nurse assign this symptom?
A) Reproductive
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B) Urinary
C) Cardiac
D) Hematologic
CORRECT ANSWER: C
Rationale: Shortness of breath is a hallmark symptom of cardiac disorders such as
congestive heart failure, making it the most likely origin among the options
provided.
3. A patient presents with a cough. Which anatomic region can be responsible for
this symptom?
A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine
CORRECT ANSWER: C
Rationale: Cardiac conditions, like heart failure, can cause a cough due to
pulmonary congestion, making it a possible anatomic source.
4. A 22-year-old patient presents with new bilateral wrist and finger pain, subjective
fever, and a family history of rheumatoid arthritis. Which pathologic process is
most likely?
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A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic
CORRECT ANSWER: B
Rationale: The presentation is most consistent with an inflammatory arthritis,
such as rheumatoid arthritis, given the symmetric joint involvement, fever, and
family history.
5. A 47-year-old patient with intermittent neck pain for several years reports
increased discomfort after wallpapering. Pain resolves with rest. No fever,
trauma, or rash is noted. What is the most likely pathologic process?
A) Infectious
B) Neoplastic
C) Degenerative
D) Traumatic
CORRECT ANSWER: C
Rationale: Chronic, intermittent neck pain exacerbated by activity and relieved by
rest, without signs of infection or trauma, is most consistent with degenerative
arthritis.
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6. A 15-year-old presents with a 3-week history of sneezing, itchy watery eyes, clear
nasal discharge, ear pain, and nonproductive cough. Which process is most likely?
A) Infection
B) Inflammation
C) Allergic
D) Vascular
CORRECT ANSWER: C
Rationale: The cluster of symptoms is classic for allergic rhinitis, which often
includes ocular and nasal symptoms.
7. A 19-year-old with fever, headache, and neck pain is concerned about meningitis.
Which physical exam finding is most consistent with meningitis?
A) Normocephalic head, sharp discs, supple neck with full ROM
B) Normocephalic head, sharp discs, paraspinous muscle spasm with limited right
ROM
C) Normocephalic head, blurred disc margins, neck tender to palpation, unable to
perform ROM
D) Normocephalic head, blurred disc margins, supple neck with full ROM
CORRECT ANSWER: C
NR509
NR509
NR 509/ NR509 Midterm Exam Study Review Advanced Physical
Assessment (Latest ) Questions with Verified Answers -
Chamberlain
1. A patient presents with sharp, aching chest pain that increases with breathing. To
which anatomic area should the nurse localize this symptom?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine
CORRECT ANSWER: A
Rationale: Pleuritic or musculoskeletal chest pain, such as from costochondritis, is
typically worsened by chest wall movement or deep inspiration, which aligns with
the symptoms described.
2. A patient is evaluated for shortness of breath. To which anatomic region should
the nurse assign this symptom?
A) Reproductive
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B) Urinary
C) Cardiac
D) Hematologic
CORRECT ANSWER: C
Rationale: Shortness of breath is a hallmark symptom of cardiac disorders such as
congestive heart failure, making it the most likely origin among the options
provided.
3. A patient presents with a cough. Which anatomic region can be responsible for
this symptom?
A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine
CORRECT ANSWER: C
Rationale: Cardiac conditions, like heart failure, can cause a cough due to
pulmonary congestion, making it a possible anatomic source.
4. A 22-year-old patient presents with new bilateral wrist and finger pain, subjective
fever, and a family history of rheumatoid arthritis. Which pathologic process is
most likely?
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A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic
CORRECT ANSWER: B
Rationale: The presentation is most consistent with an inflammatory arthritis,
such as rheumatoid arthritis, given the symmetric joint involvement, fever, and
family history.
5. A 47-year-old patient with intermittent neck pain for several years reports
increased discomfort after wallpapering. Pain resolves with rest. No fever,
trauma, or rash is noted. What is the most likely pathologic process?
A) Infectious
B) Neoplastic
C) Degenerative
D) Traumatic
CORRECT ANSWER: C
Rationale: Chronic, intermittent neck pain exacerbated by activity and relieved by
rest, without signs of infection or trauma, is most consistent with degenerative
arthritis.
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6. A 15-year-old presents with a 3-week history of sneezing, itchy watery eyes, clear
nasal discharge, ear pain, and nonproductive cough. Which process is most likely?
A) Infection
B) Inflammation
C) Allergic
D) Vascular
CORRECT ANSWER: C
Rationale: The cluster of symptoms is classic for allergic rhinitis, which often
includes ocular and nasal symptoms.
7. A 19-year-old with fever, headache, and neck pain is concerned about meningitis.
Which physical exam finding is most consistent with meningitis?
A) Normocephalic head, sharp discs, supple neck with full ROM
B) Normocephalic head, sharp discs, paraspinous muscle spasm with limited right
ROM
C) Normocephalic head, blurred disc margins, neck tender to palpation, unable to
perform ROM
D) Normocephalic head, blurred disc margins, supple neck with full ROM
CORRECT ANSWER: C
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