CHAMBERL AIN COLLEGE OF NURSING
School of Nursing · NR 509
NR 509 — Advanced Physical Assessment
Academic Year: 2026/2027
Final Exam · Comprehensive Question Bank
Question 1
The quadrivalent HPV vaccine prevents infection from which HPV subtypes?
A. 16 and 18 only
B. 6, 11, 16, and 18
C. 6 and 11 only
D. 31, 33, 45, and 52
CORRECT ANSWER: B. 6, 11, 16, and 18
RATIONALE:
The quadrivalent HPV vaccine prevents infection from HPV subtypes 16 and 18 (which
cause most cervical cancers) as well as 6 and 11 (which cause 90% of genital warts). The
bivalent vaccine prevents infection from subtypes 16 and 18 only.
, Question 2
An 8-month-old child can typically:
A. Walk independently
B. Say "dada" and "mama," indicate wants, feed self, and sit without support
C. Stand without support
D. Speak in sentences
CORRECT ANSWER:
B. Say "dada" and "mama," indicate wants, feed self, and sit without support
RATIONALE:
An 8-month-old can typically say "dada" and "mama," indicate wants, feed themselves, and
sit without support. They cannot stand or walk independently yet.
Question 3
Which of the following are signs/symptoms of BPH?
A. Fever, dysuria, tender prostate
B. Irritative symptoms (urgency, frequency, nocturia) and obstructive symptoms
(decreased stream, incomplete emptying, straining)
C. Hematuria and flank pain
D. Scrotal swelling and pain
CORRECT ANSWER:
B. Irritative symptoms (urgency, frequency, nocturia) and obstructive symptoms
(decreased stream, incomplete emptying, straining)
RATIONALE:
BPH presents with irritative symptoms (urgency, frequency, nocturia) and obstructive
symptoms (decreased stream, incomplete emptying, straining). The prostate may be
symmetrically enlarged, smooth, firm, with possible obliteration of the median sulcus.
, Question 4
Which of the following is a risk factor for breast cancer?
A. Breastfeeding for more than 1 year
B. Early menarche
C. Late menopause
D. Both B and C
CORRECT ANSWER: D. Both B and C
RATIONALE:
Risk factors for breast cancer include early menarche, late menopause, family history,
inherited genetic mutations, personal history, high endogenous hormone levels, breast
tissue density, proliferative lesions with atypia, postmenopausal obesity, smoking, alcohol,
physical inactivity, and type of contraception. Breastfeeding for less than 1 year is a risk
factor; more than 1 year is protective.
Question 5
Which of the following causes of increased JVP is related to obstruction of venous
return?
A. Superior vena cava obstruction
B. Tricuspid stenosis
C. Cardiac tamponade
D. All of the above
CORRECT ANSWER: D. All of the above
RATIONALE:
Elevated JVP can be caused by acute and chronic heart failure, tricuspid stenosis, chronic
pulmonary hypertension, superior vena cava obstruction, cardiac tamponade, and
constrictive pericarditis. All of these conditions impair venous return to the heart.
, Question 6
A breast mass that is soft to firm, round, mobile, and often tender is characteristic of:
A. Breast cancer
B. Fibroadenoma
C. Breast cyst
D. Lipoma
CORRECT ANSWER: C. Breast cyst
RATIONALE:
Breast cysts are soft to firm, round, mobile, and often tender. They are benign fluid-filled
sacs that are common in premenopausal women.
Question 7
What do you feel when palpating the chest wall?
A. Left ventricle
B. Right ventricle
C. Aorta
D. Pulmonary artery
CORRECT ANSWER: B. Right ventricle
RATIONALE:
When palpating the chest wall, you feel the right ventricle. The left ventricle is not directly
palpable on the chest wall as it is more posterior.
School of Nursing · NR 509
NR 509 — Advanced Physical Assessment
Academic Year: 2026/2027
Final Exam · Comprehensive Question Bank
Question 1
The quadrivalent HPV vaccine prevents infection from which HPV subtypes?
A. 16 and 18 only
B. 6, 11, 16, and 18
C. 6 and 11 only
D. 31, 33, 45, and 52
CORRECT ANSWER: B. 6, 11, 16, and 18
RATIONALE:
The quadrivalent HPV vaccine prevents infection from HPV subtypes 16 and 18 (which
cause most cervical cancers) as well as 6 and 11 (which cause 90% of genital warts). The
bivalent vaccine prevents infection from subtypes 16 and 18 only.
, Question 2
An 8-month-old child can typically:
A. Walk independently
B. Say "dada" and "mama," indicate wants, feed self, and sit without support
C. Stand without support
D. Speak in sentences
CORRECT ANSWER:
B. Say "dada" and "mama," indicate wants, feed self, and sit without support
RATIONALE:
An 8-month-old can typically say "dada" and "mama," indicate wants, feed themselves, and
sit without support. They cannot stand or walk independently yet.
Question 3
Which of the following are signs/symptoms of BPH?
A. Fever, dysuria, tender prostate
B. Irritative symptoms (urgency, frequency, nocturia) and obstructive symptoms
(decreased stream, incomplete emptying, straining)
C. Hematuria and flank pain
D. Scrotal swelling and pain
CORRECT ANSWER:
B. Irritative symptoms (urgency, frequency, nocturia) and obstructive symptoms
(decreased stream, incomplete emptying, straining)
RATIONALE:
BPH presents with irritative symptoms (urgency, frequency, nocturia) and obstructive
symptoms (decreased stream, incomplete emptying, straining). The prostate may be
symmetrically enlarged, smooth, firm, with possible obliteration of the median sulcus.
, Question 4
Which of the following is a risk factor for breast cancer?
A. Breastfeeding for more than 1 year
B. Early menarche
C. Late menopause
D. Both B and C
CORRECT ANSWER: D. Both B and C
RATIONALE:
Risk factors for breast cancer include early menarche, late menopause, family history,
inherited genetic mutations, personal history, high endogenous hormone levels, breast
tissue density, proliferative lesions with atypia, postmenopausal obesity, smoking, alcohol,
physical inactivity, and type of contraception. Breastfeeding for less than 1 year is a risk
factor; more than 1 year is protective.
Question 5
Which of the following causes of increased JVP is related to obstruction of venous
return?
A. Superior vena cava obstruction
B. Tricuspid stenosis
C. Cardiac tamponade
D. All of the above
CORRECT ANSWER: D. All of the above
RATIONALE:
Elevated JVP can be caused by acute and chronic heart failure, tricuspid stenosis, chronic
pulmonary hypertension, superior vena cava obstruction, cardiac tamponade, and
constrictive pericarditis. All of these conditions impair venous return to the heart.
, Question 6
A breast mass that is soft to firm, round, mobile, and often tender is characteristic of:
A. Breast cancer
B. Fibroadenoma
C. Breast cyst
D. Lipoma
CORRECT ANSWER: C. Breast cyst
RATIONALE:
Breast cysts are soft to firm, round, mobile, and often tender. They are benign fluid-filled
sacs that are common in premenopausal women.
Question 7
What do you feel when palpating the chest wall?
A. Left ventricle
B. Right ventricle
C. Aorta
D. Pulmonary artery
CORRECT ANSWER: B. Right ventricle
RATIONALE:
When palpating the chest wall, you feel the right ventricle. The left ventricle is not directly
palpable on the chest wall as it is more posterior.
