NR 509 ADVANCED PHYSICAL ASSESSMENT MIDTERM
LATEST EXAM 2026/2027 | Verified Questions | Chamberlain
University | Pass Guaranteed - A+ Graded
Section 1: Subjective Data Collection & Health History (Q1-10)
Q1. A 58-year-old patient presents with chest discomfort. Using the OLDCARTS
mnemonic, which component is assessed by asking, "Does the pain radiate to your arm,
jaw, or back?"
A. Onset
B. Location
C. Associated symptoms [CORRECT]
D. Timing
Rationale: Radiation of pain is an associated symptom (A in OLDCARTS); onset asks
when it started, location asks where it is, and timing asks how long it lasts and how
often it occurs.
"Correct Answer: C"
Q2. During a comprehensive health history, the nurse practitioner asks about the
patient's parents, siblings, and children. What is the minimum number of generations
required for a standard family history pedigree?
A. One generation
B. Two generations
C. Three generations [CORRECT]
D. Four generations
,Rationale: A standard family history pedigree includes a minimum of three generations
(patient, parents, and grandparents/children) to identify genetic risk patterns for
heritable conditions.
"Correct Answer: C"
Q3. A patient recently immigrated from Vietnam and speaks limited English. Using the
LEARN model for cultural assessment, what is the first step the nurse practitioner
should take?
A. Negotiate a treatment plan
B. Listen to the patient's perception of the illness [CORRECT]
C. Recommend a treatment immediately
D. Ask the patient to learn English
Rationale: The LEARN model begins with Listen (understanding the patient's
perspective), followed by Explain, Acknowledge, Recommend, and Negotiate.
"Correct Answer: B"
Q4. A 72-year-old patient brings a bag of 12 prescription bottles, 4 over-the-counter
medications, and 3 herbal supplements. This process of reviewing all medications is
best described as:
A. Medication reconciliation [CORRECT]
B. Medication administration
C. Pharmacogenomic testing
D. Polypharmacy reduction only
Rationale: Medication reconciliation is the process of comparing a patient's medication
orders against all medications the patient is actually taking (prescription, OTC,
supplements) to avoid errors and interactions.
,"Correct Answer: A"
Q5. When assessing health literacy, which technique is most effective for ensuring
patient understanding?
A. Asking "Do you understand?"
B. Using the teach-back method [CORRECT]
C. Providing written materials only
D. Speaking louder
Rationale: The teach-back method asks patients to explain information in their own
words, which is the most reliable way to confirm comprehension; asking "do you
understand?" often yields false positives.
"Correct Answer: B"
Q6. A patient reports drinking alcohol "socially." To obtain objective data about alcohol
use, the nurse practitioner should use which screening tool?
A. CAGE questionnaire [CORRECT]
B. PHQ-9
C. GAD-7
D. SLUMS
Rationale: The CAGE questionnaire (Cut down, Annoyed, Guilty, Eye-opener) is a
validated screening tool for alcohol use disorders; PHQ-9 screens for depression, GAD-7
for anxiety, and SLUMS for cognitive impairment.
"Correct Answer: A"
, Q7. During the review of systems, a patient denies respiratory symptoms but later
mentions a chronic cough during the physical examination. This discrepancy highlights
the importance of:
A. Skipping the review of systems
B. Correlating subjective data with objective findings [CORRECT]
C. Ignoring the patient's initial report
D. Documenting only the physical examination findings
Rationale: Discrepancies between subjective reports and objective findings require
further investigation; the ROS may have been incomplete or the patient may have
minimized symptoms, necessitating clarification.
"Correct Answer: B"
Q8. A patient states their chief complaint is "I have been feeling tired and weak for the
past two weeks." This statement best represents which component of the health
history?
A. History of present illness
B. Chief complaint [CORRECT]
C. Review of systems
D. Past medical history
Rationale: The chief complaint is a brief statement in the patient's own words describing
the symptom, problem, or reason for the visit; the HPI expands on this with OLDCARTS
details.
"Correct Answer: B"
Q9. When obtaining a social history, which question is most appropriate for assessing
patient safety?
LATEST EXAM 2026/2027 | Verified Questions | Chamberlain
University | Pass Guaranteed - A+ Graded
Section 1: Subjective Data Collection & Health History (Q1-10)
Q1. A 58-year-old patient presents with chest discomfort. Using the OLDCARTS
mnemonic, which component is assessed by asking, "Does the pain radiate to your arm,
jaw, or back?"
A. Onset
B. Location
C. Associated symptoms [CORRECT]
D. Timing
Rationale: Radiation of pain is an associated symptom (A in OLDCARTS); onset asks
when it started, location asks where it is, and timing asks how long it lasts and how
often it occurs.
"Correct Answer: C"
Q2. During a comprehensive health history, the nurse practitioner asks about the
patient's parents, siblings, and children. What is the minimum number of generations
required for a standard family history pedigree?
A. One generation
B. Two generations
C. Three generations [CORRECT]
D. Four generations
,Rationale: A standard family history pedigree includes a minimum of three generations
(patient, parents, and grandparents/children) to identify genetic risk patterns for
heritable conditions.
"Correct Answer: C"
Q3. A patient recently immigrated from Vietnam and speaks limited English. Using the
LEARN model for cultural assessment, what is the first step the nurse practitioner
should take?
A. Negotiate a treatment plan
B. Listen to the patient's perception of the illness [CORRECT]
C. Recommend a treatment immediately
D. Ask the patient to learn English
Rationale: The LEARN model begins with Listen (understanding the patient's
perspective), followed by Explain, Acknowledge, Recommend, and Negotiate.
"Correct Answer: B"
Q4. A 72-year-old patient brings a bag of 12 prescription bottles, 4 over-the-counter
medications, and 3 herbal supplements. This process of reviewing all medications is
best described as:
A. Medication reconciliation [CORRECT]
B. Medication administration
C. Pharmacogenomic testing
D. Polypharmacy reduction only
Rationale: Medication reconciliation is the process of comparing a patient's medication
orders against all medications the patient is actually taking (prescription, OTC,
supplements) to avoid errors and interactions.
,"Correct Answer: A"
Q5. When assessing health literacy, which technique is most effective for ensuring
patient understanding?
A. Asking "Do you understand?"
B. Using the teach-back method [CORRECT]
C. Providing written materials only
D. Speaking louder
Rationale: The teach-back method asks patients to explain information in their own
words, which is the most reliable way to confirm comprehension; asking "do you
understand?" often yields false positives.
"Correct Answer: B"
Q6. A patient reports drinking alcohol "socially." To obtain objective data about alcohol
use, the nurse practitioner should use which screening tool?
A. CAGE questionnaire [CORRECT]
B. PHQ-9
C. GAD-7
D. SLUMS
Rationale: The CAGE questionnaire (Cut down, Annoyed, Guilty, Eye-opener) is a
validated screening tool for alcohol use disorders; PHQ-9 screens for depression, GAD-7
for anxiety, and SLUMS for cognitive impairment.
"Correct Answer: A"
, Q7. During the review of systems, a patient denies respiratory symptoms but later
mentions a chronic cough during the physical examination. This discrepancy highlights
the importance of:
A. Skipping the review of systems
B. Correlating subjective data with objective findings [CORRECT]
C. Ignoring the patient's initial report
D. Documenting only the physical examination findings
Rationale: Discrepancies between subjective reports and objective findings require
further investigation; the ROS may have been incomplete or the patient may have
minimized symptoms, necessitating clarification.
"Correct Answer: B"
Q8. A patient states their chief complaint is "I have been feeling tired and weak for the
past two weeks." This statement best represents which component of the health
history?
A. History of present illness
B. Chief complaint [CORRECT]
C. Review of systems
D. Past medical history
Rationale: The chief complaint is a brief statement in the patient's own words describing
the symptom, problem, or reason for the visit; the HPI expands on this with OLDCARTS
details.
"Correct Answer: B"
Q9. When obtaining a social history, which question is most appropriate for assessing
patient safety?
