NR 509 ADVANCED PHYSICAL ASSESSMENT MIDTERM
LATEST EXAM 2026/2027 | Verified Questions | Chamberlain
University | Pass Guaranteed - A+ Graded
Section 1: Comprehensive Health History & Interviewing (Q1-12)
Q1. A 58-year-old patient presents with chest discomfort. The nurse practitioner asks,
"Can you tell me more about what brought you in today?" Which interviewing technique
is being used?
A. Closed-ended questioning
B. Open-ended questioning [CORRECT]
C. Confrontation
D. Interpretation
Rationale: Open-ended questions invite patients to describe their concerns in their own
words without restricting the response. Closed-ended questions yield yes/no or limited
answers, while confrontation and interpretation are advanced techniques used later in
the interview.
Correct Answer: B
Q2. During a health history, the patient describes abdominal pain. The nurse practitioner
asks, "What does the pain feel like—sharp, dull, burning, or cramping?" Which
component of the HPI is being assessed?
A. Severity
B. Quality [CORRECT]
C. Timing
D. Radiation
Rationale: Quality describes the character or nature of the symptom (sharp, dull,
burning, cramping). Severity is typically rated on a 0-10 scale, timing refers to onset and
duration, and radiation describes where the symptom spreads.
,Correct Answer: B
Q3. A patient states, "I stopped taking my blood pressure medication because I felt fine."
The nurse practitioner responds, "It sounds like you were concerned about taking a
medication when you didn't have symptoms. Can you tell me more about that?" Which
technique is demonstrated?
A. Summarization
B. Empathic response and focused clarification [CORRECT]
C. Transition statement
D. Confrontation
Rationale: This response validates the patient's perspective (empathy) and asks for
further elaboration (focused clarification). Summarization recaps multiple points,
transition statements shift topics, and confrontation directly addresses discrepancies.
Correct Answer: B
Q4. A 45-year-old patient reports drinking alcohol. Which screening tool is the most
widely validated brief instrument for identifying alcohol use disorders in primary care?
A. CAGE questionnaire
B. AUDIT-C [CORRECT]
C. GAD-7
D. PHQ-9
Rationale: The AUDIT-C (Alcohol Use Disorders Identification Test-Consumption) is a
3-item validated screening tool for alcohol use disorders in primary care. The CAGE is
older and less sensitive for detecting risky drinking. GAD-7 and PHQ-9 screen for anxiety
and depression, not substance use.
Correct Answer: B
Q5. A patient who smokes one pack of cigarettes daily has done so for 20 years. What
is the correct pack-years calculation?
A. 10 pack-years
B. 20 pack-years [CORRECT]
C. 40 pack-years
, D. 2 pack-years
Rationale: Pack-years are calculated by multiplying the number of packs smoked per
day by the number of years smoked (1 pack/day × 20 years = 20 pack-years). This
quantifies tobacco exposure and lung cancer risk.
Correct Answer: B
Q6. During a family history assessment, the patient reports that her mother developed
breast cancer at age 42 and her maternal aunt had ovarian cancer at age 45. Which
genetic risk should the nurse practitioner discuss?
A. Lynch syndrome
B. BRCA1/BRCA2 mutation risk [CORRECT]
C. Familial hypercholesterolemia
D. Huntington disease
Rationale: Early-onset breast cancer (under 50) and ovarian cancer in first-degree
relatives are hallmark features of BRCA1/BRCA2 hereditary breast and ovarian cancer
syndrome. Lynch syndrome is associated with colorectal and endometrial cancers.
Correct Answer: B
Q7. A patient reports taking lisinopril, metformin, and a daily multivitamin. The nurse
practitioner asks about the dose, route, frequency, reason for use, and duration for each.
Which process is being performed?
A. Medication reconciliation [CORRECT]
B. Medication administration
C. Prescription writing
D. Medication disposal
Rationale: Medication reconciliation involves creating an accurate list of all medications
(prescription, OTC, supplements), including dose, route, frequency, indication, and
duration, and comparing it to the current medical record to identify discrepancies.
Correct Answer: A
LATEST EXAM 2026/2027 | Verified Questions | Chamberlain
University | Pass Guaranteed - A+ Graded
Section 1: Comprehensive Health History & Interviewing (Q1-12)
Q1. A 58-year-old patient presents with chest discomfort. The nurse practitioner asks,
"Can you tell me more about what brought you in today?" Which interviewing technique
is being used?
A. Closed-ended questioning
B. Open-ended questioning [CORRECT]
C. Confrontation
D. Interpretation
Rationale: Open-ended questions invite patients to describe their concerns in their own
words without restricting the response. Closed-ended questions yield yes/no or limited
answers, while confrontation and interpretation are advanced techniques used later in
the interview.
Correct Answer: B
Q2. During a health history, the patient describes abdominal pain. The nurse practitioner
asks, "What does the pain feel like—sharp, dull, burning, or cramping?" Which
component of the HPI is being assessed?
A. Severity
B. Quality [CORRECT]
C. Timing
D. Radiation
Rationale: Quality describes the character or nature of the symptom (sharp, dull,
burning, cramping). Severity is typically rated on a 0-10 scale, timing refers to onset and
duration, and radiation describes where the symptom spreads.
,Correct Answer: B
Q3. A patient states, "I stopped taking my blood pressure medication because I felt fine."
The nurse practitioner responds, "It sounds like you were concerned about taking a
medication when you didn't have symptoms. Can you tell me more about that?" Which
technique is demonstrated?
A. Summarization
B. Empathic response and focused clarification [CORRECT]
C. Transition statement
D. Confrontation
Rationale: This response validates the patient's perspective (empathy) and asks for
further elaboration (focused clarification). Summarization recaps multiple points,
transition statements shift topics, and confrontation directly addresses discrepancies.
Correct Answer: B
Q4. A 45-year-old patient reports drinking alcohol. Which screening tool is the most
widely validated brief instrument for identifying alcohol use disorders in primary care?
A. CAGE questionnaire
B. AUDIT-C [CORRECT]
C. GAD-7
D. PHQ-9
Rationale: The AUDIT-C (Alcohol Use Disorders Identification Test-Consumption) is a
3-item validated screening tool for alcohol use disorders in primary care. The CAGE is
older and less sensitive for detecting risky drinking. GAD-7 and PHQ-9 screen for anxiety
and depression, not substance use.
Correct Answer: B
Q5. A patient who smokes one pack of cigarettes daily has done so for 20 years. What
is the correct pack-years calculation?
A. 10 pack-years
B. 20 pack-years [CORRECT]
C. 40 pack-years
, D. 2 pack-years
Rationale: Pack-years are calculated by multiplying the number of packs smoked per
day by the number of years smoked (1 pack/day × 20 years = 20 pack-years). This
quantifies tobacco exposure and lung cancer risk.
Correct Answer: B
Q6. During a family history assessment, the patient reports that her mother developed
breast cancer at age 42 and her maternal aunt had ovarian cancer at age 45. Which
genetic risk should the nurse practitioner discuss?
A. Lynch syndrome
B. BRCA1/BRCA2 mutation risk [CORRECT]
C. Familial hypercholesterolemia
D. Huntington disease
Rationale: Early-onset breast cancer (under 50) and ovarian cancer in first-degree
relatives are hallmark features of BRCA1/BRCA2 hereditary breast and ovarian cancer
syndrome. Lynch syndrome is associated with colorectal and endometrial cancers.
Correct Answer: B
Q7. A patient reports taking lisinopril, metformin, and a daily multivitamin. The nurse
practitioner asks about the dose, route, frequency, reason for use, and duration for each.
Which process is being performed?
A. Medication reconciliation [CORRECT]
B. Medication administration
C. Prescription writing
D. Medication disposal
Rationale: Medication reconciliation involves creating an accurate list of all medications
(prescription, OTC, supplements), including dose, route, frequency, indication, and
duration, and comparing it to the current medical record to identify discrepancies.
Correct Answer: A
