This NR 509 Advanced Physical Assessment Week 5 2026/2027 resource contains 70+ exam-style questions with correct answers covering advanced assessment of the skin, hair, nails, abdomen and gastrointestinal system. Across 41 pages, the document reviews epidermal and dermal anatomy, skin glands, aging changes, pigmentation, dermatologic lesions, pressure ulcers, hydration and circulation findings, abdominal anatomy, bowel sounds, percussion and palpation, ascites, hernias, gastrointestinal disorders and special abdominal assessment techniques. The first page identifies the resource as an updated NR509 Week 5 2026/2027 exam question-and-answer collection.
The skin and integumentary assessment section covers epidermal replacement, sensory receptors in the dermis, eccrine glands, newborn skin permeability, loss of elastin and subcutaneous fat with aging, melanocytes, xerosis and increased sebum production associated with acne. Clinical scenarios also address photosensitivity, peripheral vascular disease, skin indicators of circulatory status, peripheral vasoconstriction, venous pooling, dehydration and changes in skin turgor.
A substantial portion focuses on dermatologic findings and lesion identification. Questions review vitiligo, hyperemia, jaundice, senile angiomas, cutis marmorata, chloasma, seborrheic keratoses, sun-related pigmentation, papules, confluent lesions, lichenification, purpura, impetigo, Kaposi's sarcoma, tinea capitis and trichotillomania. Students also encounter skin-cancer assessment scenarios involving changes in moles, color variation, melanoma warning findings and the characteristic pearly-bordered lesion identified in the document as basal cell carcinoma.
The resource further examines nail findings, pressure injuries and systemic manifestations visible through the skin. Topics include nail clubbing, psoriasis-associated nail pitting, petechiae, bullae, vesicles, nodules and pressure-ulcer staging. Pages 22–24 specifically distinguish lesion types and describe a Stage II pressure ulcer as partial-thickness skin loss involving the epidermis or dermis, with an open blister potentially showing a red-pink wound bed.
The second major content area is abdominal and gastrointestinal physical assessment. Questions address abdominal quadrants, liver percussion, dysphagia, bladder distention, age-related decreases in gastric acid secretion, spleen assessment, abdominal contours, aortic pulsations, hypoactive and hyperactive bowel sounds, borborygmi and the correct examination sequence in which auscultation precedes percussion and palpation. Students also review normal tympany, deep palpation for enlarged organs, right-lower-quadrant tenderness, black tarry stools, ascites and costovertebral-angle pain.
The final pages emphasize special abdominal tests and clinically significant gastrointestinal conditions. These include Murphy sign assessment for cholecystitis, fluid-wave testing for ascites, abdominal hernias, hepatomegaly, left-upper-quadrant spleen assessment, peptic ulcer disease, umbilical hernia, duodenal-ulcer symptom patterns and assessment of suspected appendicitis. The document specifically identifies the Blumberg sign and iliopsoas muscle test as assessment procedures used for suspected appendicitis, while distinguishing Murphy sign as an assessment technique for gallbladder inflammation.
A relevant academic reference for the material is Jarvis, C., Physical Examination & Health Assessment, Elsevier, which covers physical-examination techniques and assessment of the skin, hair, nails and abdomen as well as lifespan considerations. These subject areas closely correspond to the Week 5 concepts represented throughout the uploaded document. Elsevier Physical Examination & Health Assessment
Relevant Students: This resource is particularly relevant to Chamberlain University students enrolled in NR 509 Advanced Physical Assessment, especially graduate nursing, Family Nurse Practitioner and advanced practice nursing students preparing for Week 5 examinations. It is also useful for APRN and nursing students reviewing dermatologic assessment, skin lesions, abdominal examination techniques, gastrointestinal findings, pressure injuries and clinical physical-assessment terminology.
Keywords: NR 509 Week 5, NR509 Week 5 2026, NR , NR 509 exam questions and answers, NR 509 Advanced Physical Assessment, NR 509 Week 5 exam, Chamberlain NR 509, advanced physical assessment questions, FNP physical assessment exam, skin assessment nursing, dermatology assessment questions, skin lesion identification, epidermis and dermis, eccrine glands, xerosis, vitiligo, melanoma assessment, basal cell carcinoma, pressure ulcer staging, nail clubbing, jaundice assessment, skin turgor, abdominal assessment nursing, gastrointestinal assessment, abdominal percussion, abdominal palpation, bowel sounds assessment, borborygmi, ascites assessment, Murphy sign, Blumberg sign, iliopsoas test, appendicitis assessment, cholecystitis assessment, peptic ulcer disease, duodenal ulcer, hepatomegaly, abdominal hernia, dysphagia, spleen assessment, FNP exam questions, advanced nursing assessment
Content preview
NR509 Week 5 2026/2027 Exam
Questions and Correct
Answers | New Update
The nurse educator is preparing an education module for the nursing
staff on the epidermal layer of skin. Which of these statements would be
included in the module? The epidermis is:
a. Highly vascular.
b. Thick and tough.
c... Thin and nonstratified.
d. Replaced every 4 weeks. - ANSWER ✔✔d. Replaced every 4
weeks.
,The nurse educator is preparing an education module for the nursing
staff on the dermis layer of skin. Which of these statements would be
included in the module? The dermis:
a. Contains mostly fat cells.
b. Consists mostly of keratin.
c. Is replaced every 4 weeks.
d. Contains sensory receptors. - ANSWER ✔✔d. Contains sensory
receptors.
The nurse is examining a patient who tells the nurse, "I sure sweat a lot,
especially on my face and feet but it doesn't have an odor." The nurse
knows that this condition could be related to:
a. Eccrine glands.
b.. Apocrine glands.
c. Disorder of the stratum corneum.
d. Disorder of the stratum germinativum. - ANSWER ✔✔a. Eccrine
glands.
A newborn infant is in the clinic for a well-baby checkup. The nurse
observes the infant for the possibility of fluid loss because of which of
these factors?
,a. Subcutaneous fat deposits are high in the newborn.
b. Sebaceous glands are overproductive in the newborn.
c. The newborn's skin is more permeable than that of the adult.
d. The amount of vernix caseosa dramatically rises in the newborn. -
ANSWER ✔✔c. The newborn's skin is more permeable than that of
the adult.
The nurse is bathing an 80-year-old man and notices that his skin is
wrinkled, thin, lax, and dry. This finding would be related to which factor
in the older adult?
a. Increased vascularity of the skin
b. Increased numbers of sweat and sebaceous glands
c. An increase in elastin and a decrease in subcutaneous fat
d. An increased loss of elastin and a decrease in subcutaneous fat -
ANSWER ✔✔d. An increased loss of elastin and a decrease in
subcutaneous fat
During the aging process, the hair can look gray or white and begin to
feel thin and fine. The nurse knows that this occurs because of a
decrease in the number of functioning:
a. Metrocytes.
COPYRIGHT©NINJANERD 2026/2027. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, b. Fungacytes.
c... Phagocytes.
d. Melanocytes. - ANSWER ✔✔d. Melanocytes.
During an examination, the nurse finds that a patient has excessive
dryness of the skin. The best term to describe this condition is:
a. Xerosis.
b. Pruritus.
c. Alopecia.
d. Seborrhea. - ANSWER ✔✔a. Xerosis.
A 22-year-old woman comes to the clinic because of severe sunburn
and states, "I was out in the sun for just a couple of minutes." The nurse
begins a medication review with her, paying special attention to which
medication class?
a. Nonsteroidal antiinflammatory drugs for pain
b. Tetracyclines for acne
c. Proton pump inhibitors for heartburn
d. Thyroid replacement hormone for hypothyroidism - ANSWER
✔✔b. Tetracyclines for acne