NR 509 ADVANCED PHYSICAL
ASSESSMENT COMPREHENSIVE EXAM
QUESTIONS WITH VERIFIED ANSWERS
(LATEST 2026/ 2027)- CHAMBERLAIN
1. During an abdominal assessment, which is the correct sequence of examination
techniques?
A. Inspection, Palpation, Percussion, Auscultation
B. Auscultation, Inspection, Palpation, Percussion
C. Inspection, Auscultation, Percussion, Palpation
D. Percussion, Palpation, Auscultation, Inspection
Answer: C
Conceptual Explanation: Auscultation is performed before percussion and palpation to
avoid altering bowel sounds or inducing false peristalsis.
2. A patient presents with a ‘curtain-like’ shadow over their field of vision and sudden flashes
of light. Which condition is most likely?
A. Retinal Detachment
B. Acute Angle-Closure Glaucoma
C. Cataracts
,D. Macular Degeneration
Answer: A
Conceptual Explanation: Flashing lights (photopsia) and a curtain-like visual loss are
hallmark symptoms of retinal detachment.
3. When assessing for tactile fremitus, the nurse practitioner notes increased vibrations over
the right lower lobe. This suggests:
A. Pneumothorax
B. Lobar Pneumonia
C. Pleural Effusion
D. Asthma
Answer: B
Conceptual Explanation: Tactile fremitus is increased in conditions where lung tissue is
consolidated, such as pneumonia, because sound travels better through solid/liquid than
air.
4. Which cranial nerve is responsible for the movement of the tongue?
A. Cranial Nerve IX (Glossopharyngeal)
B. Cranial Nerve X (Vagus)
C. Cranial Nerve XI (Spinal Accessory)
D. Cranial Nerve XII (Hypoglossal)
, Answer: D
Conceptual Explanation: Cranial Nerve XII (Hypoglossal) controls the motor movement of
the tongue.
5. A 65-year-old male has a palpable thrill and a loud, harsh systolic murmur heard best at the
second right intercostal space. This is characteristic of:
A. Mitral Regurgitation
B. Aortic Stenosis
C. Aortic Regurgitation
D. Mitral Stenosis
Answer: B
Conceptual Explanation: Aortic stenosis is a systolic murmur typically heard at the right
second intercostal space, often radiating to the carotids.
6. The Phalen’s test and Tinel’s sign are used to assess for which condition?
A. Rheumatoid Arthritis
B. De Quervain’s Tenosynovitis
C. Ganglion Cyst
D. Carpal Tunnel Syndrome
Answer: D
ASSESSMENT COMPREHENSIVE EXAM
QUESTIONS WITH VERIFIED ANSWERS
(LATEST 2026/ 2027)- CHAMBERLAIN
1. During an abdominal assessment, which is the correct sequence of examination
techniques?
A. Inspection, Palpation, Percussion, Auscultation
B. Auscultation, Inspection, Palpation, Percussion
C. Inspection, Auscultation, Percussion, Palpation
D. Percussion, Palpation, Auscultation, Inspection
Answer: C
Conceptual Explanation: Auscultation is performed before percussion and palpation to
avoid altering bowel sounds or inducing false peristalsis.
2. A patient presents with a ‘curtain-like’ shadow over their field of vision and sudden flashes
of light. Which condition is most likely?
A. Retinal Detachment
B. Acute Angle-Closure Glaucoma
C. Cataracts
,D. Macular Degeneration
Answer: A
Conceptual Explanation: Flashing lights (photopsia) and a curtain-like visual loss are
hallmark symptoms of retinal detachment.
3. When assessing for tactile fremitus, the nurse practitioner notes increased vibrations over
the right lower lobe. This suggests:
A. Pneumothorax
B. Lobar Pneumonia
C. Pleural Effusion
D. Asthma
Answer: B
Conceptual Explanation: Tactile fremitus is increased in conditions where lung tissue is
consolidated, such as pneumonia, because sound travels better through solid/liquid than
air.
4. Which cranial nerve is responsible for the movement of the tongue?
A. Cranial Nerve IX (Glossopharyngeal)
B. Cranial Nerve X (Vagus)
C. Cranial Nerve XI (Spinal Accessory)
D. Cranial Nerve XII (Hypoglossal)
, Answer: D
Conceptual Explanation: Cranial Nerve XII (Hypoglossal) controls the motor movement of
the tongue.
5. A 65-year-old male has a palpable thrill and a loud, harsh systolic murmur heard best at the
second right intercostal space. This is characteristic of:
A. Mitral Regurgitation
B. Aortic Stenosis
C. Aortic Regurgitation
D. Mitral Stenosis
Answer: B
Conceptual Explanation: Aortic stenosis is a systolic murmur typically heard at the right
second intercostal space, often radiating to the carotids.
6. The Phalen’s test and Tinel’s sign are used to assess for which condition?
A. Rheumatoid Arthritis
B. De Quervain’s Tenosynovitis
C. Ganglion Cyst
D. Carpal Tunnel Syndrome
Answer: D
