NR509 MIDTERM EXAM LATEST 2026
ADVANCED PHYSICAL ASSESSMENT –
CHAMBERLAIN | WITH 120 QUESTIONS
AND 100% ACCURATE ANSWERS |
GRADED A+ | GUARANTEED PASS | NR 509
EXAM 2026 [NEW VERSION]
A 47-year-old fitness trainer visits the physician assistant (PA) because of skin
dryness, night sweats, and irregular menstrual periods. It is the PA's first contact
with this patient. The patient notes that "My sex life has really gone downhill
lately" and says that she is considering divorcing her husband of 20 years, stating
that "He's not a bad guy. I just think that I can do better." In which of the following
ways should the clinician proceed?
a. Obtain a menstrual history for the previous 6 months.
b. Help the patient review the pros and cons of divorce.
c. Inform the patient that menopause is a normal part of aging.
d. Conduct a breast examination.
e. Determine the patient's out-of-country travel history. - ANSWER-a. Obtain a
menstrual history for the previous 6 months.
One important examination technique involves using the third fingers of each hand
to determine the health of internal organs. What is the name of this technique?
,a. Auscultation
b. Percussion
c. Inspection
d. Palpation
e. Listening - ANSWER-b. Percussion
The CAGE questionnaire is a short screening examination administered in the
office to evaluate for which of the following?
a. Alcohol misuse
b. Risk for illicit substance abuse
c. Likelihood that the patient complaints are "psychosomatic"
d. Major depressive disorder
e. Bipolar disorder - ANSWER-a. Alcohol misuse
A 53-year-old caterer comes to the clinic for a routine examination. She has type 2
diabetes mellitus, which is well controlled on medication. Her history from her last
visit reveals that she smoked one pack of cigarettes a day at that time. The 5 As
Model is a useful approach to take with trying to help patients to quit smoking.
What is the 5 As Model?
a. Admonish, action, available, assess, alleviating factors
b. Agitate, assist, alleviating factors, able, action
c. Affable, associated manifestations, ask, admonish, available
d. Ask, advise, assess, assist, arrange
e. Arrange, aggravating factors, action, attitude, able - ANSWER-d. Ask, advise,
assess, assist, arrange
,A 21-year-old college student experiences tachycardia following a night of heavy
drinking. She is advised to undergo a stress electrocardiogram (ECG). As she
exercises, the recently calibrated pulse oximeter records a heart rate ranging from
25 beats per minute (bpm) at rest to 50 bpm while jogging. The test is stopped and
re-started twice, and each time the pulse oximeter yields a resting heart rate of 25
and a jogging heart rate of 50. Which aspect of this instrument does the ECG
technician question?
a. Prevalence
b. Validity
c. Sensitivity
d. Specificity
e. Predictive value - ANSWER-b. Validity
A 51-year-old moderately overweight college professor visits the clinic with a
complaint of chest pain after tennis matches. He jokes that his tennis partner "is in
a lot better shape than I am" but says that he is trying to keep up. Later in the day, a
28-year-old female student at the same college reports that "my chest often feels
hot and tight." She also feels stressed on the evening before mid-term exams. The
clinician recommends an immediate evaluation for coronary artery disease (CAD)
for the professor, but not for the student. Why?
a. Positive predictive value of an observation is higher in a group with a higher
prevalence of disease.
b. Positive predictive value of an observation is lower in a group with a higher
prevalence of disease.
c. Negative predictive value of an observation is lower in a group with a higher
prevalence of disease.
, d. Negative predictive value of an observation is higher in a group - ANSWER-a.
Positive predictive value of an observation is higher in a group with a higher
prevalence of disease.
A 23-year-old farm worker submits urine for testing. Three test strips from
Container A show abnormally low pH levels in the urine. However, three test strips
from Container B, purchased more recently, consistently indicate that the pH of
this patient's urine is normal. Which of the following is a true statement about the
test strips?
a. The test strips demonstrate high interobserver reliability.
b. The test strips demonstrate low intraobserver reliability.
c. The test strips demonstrate high intraobserver reliability.
d. The test strips demonstrate high sensitivity.
e. The test strips demonstrate high specificity. - ANSWER-c. The test strips
demonstrate high intraobserver reliability.
A 45-year-old forklift driver presents to the clinic at 4 o'clock in the afternoon
complaining of intense substernal chest pain and nausea. He appears pale and
sweaty. At work that day, he filled in for an absent co-worker and was asked to
perform heavy lifting not normally a part of his job. The physician assistant (PA)
questions the patient in detail about his nausea, eating habits, and digestive history.
Which of the following steps of clinical reasoning has the PA failed to follow?
a. Elicit information about the patient's gastrointestinal (GI) system
b. Localize findings anatomically
c. Match findings against conditions that could cause them
d. Give special consideration to potential life-threatening problems
e. Elicit information about the patient's family history of digestive disorders -
ANSWER-d. Give special consideration to potential life-threatening problems
ADVANCED PHYSICAL ASSESSMENT –
CHAMBERLAIN | WITH 120 QUESTIONS
AND 100% ACCURATE ANSWERS |
GRADED A+ | GUARANTEED PASS | NR 509
EXAM 2026 [NEW VERSION]
A 47-year-old fitness trainer visits the physician assistant (PA) because of skin
dryness, night sweats, and irregular menstrual periods. It is the PA's first contact
with this patient. The patient notes that "My sex life has really gone downhill
lately" and says that she is considering divorcing her husband of 20 years, stating
that "He's not a bad guy. I just think that I can do better." In which of the following
ways should the clinician proceed?
a. Obtain a menstrual history for the previous 6 months.
b. Help the patient review the pros and cons of divorce.
c. Inform the patient that menopause is a normal part of aging.
d. Conduct a breast examination.
e. Determine the patient's out-of-country travel history. - ANSWER-a. Obtain a
menstrual history for the previous 6 months.
One important examination technique involves using the third fingers of each hand
to determine the health of internal organs. What is the name of this technique?
,a. Auscultation
b. Percussion
c. Inspection
d. Palpation
e. Listening - ANSWER-b. Percussion
The CAGE questionnaire is a short screening examination administered in the
office to evaluate for which of the following?
a. Alcohol misuse
b. Risk for illicit substance abuse
c. Likelihood that the patient complaints are "psychosomatic"
d. Major depressive disorder
e. Bipolar disorder - ANSWER-a. Alcohol misuse
A 53-year-old caterer comes to the clinic for a routine examination. She has type 2
diabetes mellitus, which is well controlled on medication. Her history from her last
visit reveals that she smoked one pack of cigarettes a day at that time. The 5 As
Model is a useful approach to take with trying to help patients to quit smoking.
What is the 5 As Model?
a. Admonish, action, available, assess, alleviating factors
b. Agitate, assist, alleviating factors, able, action
c. Affable, associated manifestations, ask, admonish, available
d. Ask, advise, assess, assist, arrange
e. Arrange, aggravating factors, action, attitude, able - ANSWER-d. Ask, advise,
assess, assist, arrange
,A 21-year-old college student experiences tachycardia following a night of heavy
drinking. She is advised to undergo a stress electrocardiogram (ECG). As she
exercises, the recently calibrated pulse oximeter records a heart rate ranging from
25 beats per minute (bpm) at rest to 50 bpm while jogging. The test is stopped and
re-started twice, and each time the pulse oximeter yields a resting heart rate of 25
and a jogging heart rate of 50. Which aspect of this instrument does the ECG
technician question?
a. Prevalence
b. Validity
c. Sensitivity
d. Specificity
e. Predictive value - ANSWER-b. Validity
A 51-year-old moderately overweight college professor visits the clinic with a
complaint of chest pain after tennis matches. He jokes that his tennis partner "is in
a lot better shape than I am" but says that he is trying to keep up. Later in the day, a
28-year-old female student at the same college reports that "my chest often feels
hot and tight." She also feels stressed on the evening before mid-term exams. The
clinician recommends an immediate evaluation for coronary artery disease (CAD)
for the professor, but not for the student. Why?
a. Positive predictive value of an observation is higher in a group with a higher
prevalence of disease.
b. Positive predictive value of an observation is lower in a group with a higher
prevalence of disease.
c. Negative predictive value of an observation is lower in a group with a higher
prevalence of disease.
, d. Negative predictive value of an observation is higher in a group - ANSWER-a.
Positive predictive value of an observation is higher in a group with a higher
prevalence of disease.
A 23-year-old farm worker submits urine for testing. Three test strips from
Container A show abnormally low pH levels in the urine. However, three test strips
from Container B, purchased more recently, consistently indicate that the pH of
this patient's urine is normal. Which of the following is a true statement about the
test strips?
a. The test strips demonstrate high interobserver reliability.
b. The test strips demonstrate low intraobserver reliability.
c. The test strips demonstrate high intraobserver reliability.
d. The test strips demonstrate high sensitivity.
e. The test strips demonstrate high specificity. - ANSWER-c. The test strips
demonstrate high intraobserver reliability.
A 45-year-old forklift driver presents to the clinic at 4 o'clock in the afternoon
complaining of intense substernal chest pain and nausea. He appears pale and
sweaty. At work that day, he filled in for an absent co-worker and was asked to
perform heavy lifting not normally a part of his job. The physician assistant (PA)
questions the patient in detail about his nausea, eating habits, and digestive history.
Which of the following steps of clinical reasoning has the PA failed to follow?
a. Elicit information about the patient's gastrointestinal (GI) system
b. Localize findings anatomically
c. Match findings against conditions that could cause them
d. Give special consideration to potential life-threatening problems
e. Elicit information about the patient's family history of digestive disorders -
ANSWER-d. Give special consideration to potential life-threatening problems
