NR509 Advanced Physical Assessment
Final Exam Examplify Online Proctored
Exam Newest 2025/2026 Complete
Actual Screenshot Exam. Chamberlain
University/ Final Nr 509 Advanced
physical Exam.
250 practice questions are representative of the content
and format you may encounter on the NR509 final
examination at Chamberlain. Focus on understanding
clinical reasoning, differential diagnosis, and appropriate
management strategies. Use these questions to reinforce
your knowledge of advanced health assessment and to
identify areas requiring further study .
,
, Musculoskeletal & Neurological
1. A 31-year-old female presents with a worsening stiff, painful neck.
On inspection, the patient's head is laterally deviated toward the
shoulder and rotated. What condition should the NP suspect?
A) Torticollis ✓
B) Ankylosing spondylitis
C) Osteoarthritis (OA)
D) Spondylolisthesis
Rationale: Torticollis presents with lateral head deviation toward the shoulder
with rotation. This is a musculoskeletal finding where the sternocleidomastoid
muscle is contracted, causing the characteristic head position .
2. A 62-year-old female has a diagnosis of rheumatoid arthritis (RA).
Which assessment finding is consistent with this diagnosis?
A) Swelling of synovial tissue in joints and tendon sheaths ✓
B) First metatarsophalangeal joint involvement
C) Asymmetrical joint distribution
D) Tophi in subcutaneous tissue
Rationale: RA is characterized by symmetric inflammatory synovitis affecting
joints and tendon sheaths. The MTP joint is more associated with gout,
asymmetry with osteoarthritis, and tophi with gout .
3. A patient experiences sharp, aching chest pain that increases with
breathing. What is the most likely cause?
A) Musculoskeletal (costochondritis) ✓
, B) Cardiac ischemia
C) Pulmonary embolism
D) Pleuritis
Rationale: Sharp chest pain worsening with breathing (pleuritic) often
indicates musculoskeletal conditions like costochondritis. The description of
sharp, aching pain is a key differentiator from cardiac causes .
Cardiac & Pulmonary
4. A 67-year-old with a recent heart attack reports shortness of breath,
orthopnea, increased JVP, an S3 gallop, crackles, and edema. This
represents:
A) Pathophysiologic problem ✓
B) Psychopathologic problem
Rationale: These findings are consistent with congestive heart failure—a
physiologic response to reduced cardiac function following myocardial
infarction. The physical manifestations (JVP elevation, S3, crackles, edema)
are classic CHF signs .
5. A 55-year-old smoker has diminished breath sounds on respiratory
exam. What is the likely finding?
A) COPD ✓
B) Pneumonia
C) Asthma
D) Pulmonary embolism
Final Exam Examplify Online Proctored
Exam Newest 2025/2026 Complete
Actual Screenshot Exam. Chamberlain
University/ Final Nr 509 Advanced
physical Exam.
250 practice questions are representative of the content
and format you may encounter on the NR509 final
examination at Chamberlain. Focus on understanding
clinical reasoning, differential diagnosis, and appropriate
management strategies. Use these questions to reinforce
your knowledge of advanced health assessment and to
identify areas requiring further study .
,
, Musculoskeletal & Neurological
1. A 31-year-old female presents with a worsening stiff, painful neck.
On inspection, the patient's head is laterally deviated toward the
shoulder and rotated. What condition should the NP suspect?
A) Torticollis ✓
B) Ankylosing spondylitis
C) Osteoarthritis (OA)
D) Spondylolisthesis
Rationale: Torticollis presents with lateral head deviation toward the shoulder
with rotation. This is a musculoskeletal finding where the sternocleidomastoid
muscle is contracted, causing the characteristic head position .
2. A 62-year-old female has a diagnosis of rheumatoid arthritis (RA).
Which assessment finding is consistent with this diagnosis?
A) Swelling of synovial tissue in joints and tendon sheaths ✓
B) First metatarsophalangeal joint involvement
C) Asymmetrical joint distribution
D) Tophi in subcutaneous tissue
Rationale: RA is characterized by symmetric inflammatory synovitis affecting
joints and tendon sheaths. The MTP joint is more associated with gout,
asymmetry with osteoarthritis, and tophi with gout .
3. A patient experiences sharp, aching chest pain that increases with
breathing. What is the most likely cause?
A) Musculoskeletal (costochondritis) ✓
, B) Cardiac ischemia
C) Pulmonary embolism
D) Pleuritis
Rationale: Sharp chest pain worsening with breathing (pleuritic) often
indicates musculoskeletal conditions like costochondritis. The description of
sharp, aching pain is a key differentiator from cardiac causes .
Cardiac & Pulmonary
4. A 67-year-old with a recent heart attack reports shortness of breath,
orthopnea, increased JVP, an S3 gallop, crackles, and edema. This
represents:
A) Pathophysiologic problem ✓
B) Psychopathologic problem
Rationale: These findings are consistent with congestive heart failure—a
physiologic response to reduced cardiac function following myocardial
infarction. The physical manifestations (JVP elevation, S3, crackles, edema)
are classic CHF signs .
5. A 55-year-old smoker has diminished breath sounds on respiratory
exam. What is the likely finding?
A) COPD ✓
B) Pneumonia
C) Asthma
D) Pulmonary embolism
