NR509 / NR 509 Midterm Exam
2026 /2027 Advanced Physical
Assessment Provided with 100%
correct Answers
Course
NR509 NR 509-Advanced Physical Assessment MID-TERM EXAM
(NR509NR509)
1. During a comprehensive health history, which question best explores the patient's chief
complaint using the OLDCARTS framework?
A. "What medications do you take?"
B. "Can you describe when your symptoms started, what makes them better or worse, where
they occur, and how severe they are?"
C. "Do you exercise regularly?"
D. "Have you ever had surgery?"
✅ Correct Answer: B
Rationale
The OLDCARTS mnemonic (Onset, Location, Duration, Characteristics, Aggravating factors,
Relieving factors, Timing, Severity) helps obtain a thorough history of the present illness and is
essential for diagnostic reasoning.
2. Which component of the health history usually provides the greatest percentage of
diagnostic information?
A. Laboratory testing
B. Imaging studies
C. Comprehensive history
D. Physical examination alone
✅ Correct Answer: C
Rationale
,Approximately 70–80% of diagnoses are established primarily through a well-conducted patient
history.
3. Which interviewing technique best encourages patients to provide detailed information?
A. Closed-ended questions
B. Leading questions
C. Open-ended questions
D. Multiple questions at once
✅ Correct Answer: C
Rationale
Open-ended questions allow patients to express concerns freely before focused questioning
begins.
4. Which cranial nerve is assessed by testing visual acuity?
A. CN II
B. CN III
C. CN V
D. CN VIII
✅ Correct Answer: A
Rationale
The optic nerve (CN II) is responsible for visual acuity and visual fields.
5. Which cranial nerve controls most extraocular movements?
A. CN II
B. CN III
C. CN VII
D. CN XII
,✅ Correct Answer: B
Rationale
The oculomotor nerve controls most eye movements, eyelid elevation, and pupillary
constriction.
6. Which finding is expected during a normal funduscopic examination?
A. Sharp optic disc margins
B. Blurred optic disc
C. Retinal hemorrhages
D. Cotton-wool spots
✅ Correct Answer: A
Rationale
A healthy optic disc has distinct margins and a physiologic cup.
7. Which maneuver evaluates meningeal irritation?
A. Romberg test
B. Brudzinski sign
C. Babinski reflex
D. Phalen test
✅ Correct Answer: B
Rationale
Flexion of the neck causing involuntary hip and knee flexion suggests meningeal irritation.
8. Which assessment finding suggests increased intracranial pressure?
A. Papilledema
B. Clear optic disc
, C. Equal pupils only
D. Normal visual fields
✅ Correct Answer: A
Rationale
Papilledema results from optic nerve swelling secondary to increased intracranial pressure.
9. Which pulse is palpated lateral to the flexor carpi radialis tendon?
A. Radial pulse
B. Femoral pulse
C. Popliteal pulse
D. Dorsalis pedis pulse
✅ Correct Answer: A
Rationale
The radial artery is located at the lateral wrist near the thumb.
10. Normal capillary refill time is:
A. Less than 2 seconds
B. 5 seconds
C. 8 seconds
D. 10 seconds
✅ Correct Answer: A
Rationale
Capillary refill under 2 seconds indicates adequate peripheral perfusion.
11. Which heart sound is produced by closure of the mitral and tricuspid valves?
A. S1
2026 /2027 Advanced Physical
Assessment Provided with 100%
correct Answers
Course
NR509 NR 509-Advanced Physical Assessment MID-TERM EXAM
(NR509NR509)
1. During a comprehensive health history, which question best explores the patient's chief
complaint using the OLDCARTS framework?
A. "What medications do you take?"
B. "Can you describe when your symptoms started, what makes them better or worse, where
they occur, and how severe they are?"
C. "Do you exercise regularly?"
D. "Have you ever had surgery?"
✅ Correct Answer: B
Rationale
The OLDCARTS mnemonic (Onset, Location, Duration, Characteristics, Aggravating factors,
Relieving factors, Timing, Severity) helps obtain a thorough history of the present illness and is
essential for diagnostic reasoning.
2. Which component of the health history usually provides the greatest percentage of
diagnostic information?
A. Laboratory testing
B. Imaging studies
C. Comprehensive history
D. Physical examination alone
✅ Correct Answer: C
Rationale
,Approximately 70–80% of diagnoses are established primarily through a well-conducted patient
history.
3. Which interviewing technique best encourages patients to provide detailed information?
A. Closed-ended questions
B. Leading questions
C. Open-ended questions
D. Multiple questions at once
✅ Correct Answer: C
Rationale
Open-ended questions allow patients to express concerns freely before focused questioning
begins.
4. Which cranial nerve is assessed by testing visual acuity?
A. CN II
B. CN III
C. CN V
D. CN VIII
✅ Correct Answer: A
Rationale
The optic nerve (CN II) is responsible for visual acuity and visual fields.
5. Which cranial nerve controls most extraocular movements?
A. CN II
B. CN III
C. CN VII
D. CN XII
,✅ Correct Answer: B
Rationale
The oculomotor nerve controls most eye movements, eyelid elevation, and pupillary
constriction.
6. Which finding is expected during a normal funduscopic examination?
A. Sharp optic disc margins
B. Blurred optic disc
C. Retinal hemorrhages
D. Cotton-wool spots
✅ Correct Answer: A
Rationale
A healthy optic disc has distinct margins and a physiologic cup.
7. Which maneuver evaluates meningeal irritation?
A. Romberg test
B. Brudzinski sign
C. Babinski reflex
D. Phalen test
✅ Correct Answer: B
Rationale
Flexion of the neck causing involuntary hip and knee flexion suggests meningeal irritation.
8. Which assessment finding suggests increased intracranial pressure?
A. Papilledema
B. Clear optic disc
, C. Equal pupils only
D. Normal visual fields
✅ Correct Answer: A
Rationale
Papilledema results from optic nerve swelling secondary to increased intracranial pressure.
9. Which pulse is palpated lateral to the flexor carpi radialis tendon?
A. Radial pulse
B. Femoral pulse
C. Popliteal pulse
D. Dorsalis pedis pulse
✅ Correct Answer: A
Rationale
The radial artery is located at the lateral wrist near the thumb.
10. Normal capillary refill time is:
A. Less than 2 seconds
B. 5 seconds
C. 8 seconds
D. 10 seconds
✅ Correct Answer: A
Rationale
Capillary refill under 2 seconds indicates adequate peripheral perfusion.
11. Which heart sound is produced by closure of the mitral and tricuspid valves?
A. S1
