NR 509 ADVANCED PHYSICAL
ASSESSMENT - EXAM 1
COMPREHENSIVE REVIEW QUESTIONS
WITH VERIFIED ANSWERS (LATEST
2026/ 2027)- CHAMBERLAIN
1. During a comprehensive health history, a patient reports their chief complaint as ‘chest
pain’. Which of the following is considered subjective data?
A. Blood pressure of 140/90 mmHg
B. Presence of a grade II systolic murmur
C. Patient states the pain feels like an elephant on their chest
D. Electrocardiogram showing ST-segment elevation
Answer: C
Conceptual Explanation: Subjective data consists of information provided by the patient
(symptoms), such as their description of pain. Objective data (signs) are measurable
findings observed by the clinician during the physical exam or through testing.
2. When assessing a patient’s risk for melanoma, which ‘ABCDE’ criterion is correctly matched
with its definition?
A. D - Diameter greater than 6mm
,B. B - Brightness of color
C. A - Appearance of the lesion
D. E - Erythema of the surrounding skin
Answer: A
Conceptual Explanation: The ABCDE criteria for melanoma include: Asymmetry, Border
irregularity, Color variation, Diameter > 6mm, and Evolving (change in size, shape, or
color).
3. A clinician performs the Weber test on a patient who complains of hearing loss in the right
ear. The sound lateralizes to the right ear. This finding is suggestive of:
A. Sensorineural hearing loss in the right ear
B. Normal hearing in both ears
C. Conductive hearing loss in the right ear
D. Sensorineural hearing loss in the left ear
Answer: C
Conceptual Explanation: In the Weber test, sound lateralizing to the ‘bad’ ear indicates
conductive hearing loss, while lateralization to the ‘good’ ear indicates sensorineural
hearing loss.
, 4. Which cranial nerve is responsible for the motor function of the muscles of mastication
(chewing) and sensory function of the face?
A. CN VII (Facial)
B. CN XII (Hypoglossal)
C. CN IX (Glossopharyngeal)
D. CN V (Trigeminal)
Answer: D
Conceptual Explanation: CN V (Trigeminal) has three sensory branches (ophthalmic,
maxillary, mandibular) and controls the motor function of the muscles used for chewing.
5. When palpating the lymph nodes of the neck, which node is located at the angle of the
mandible?
A. Submental
B. Tonsillar (Jugulodigastric)
C. Submandibular
D. Superficial cervical
Answer: B
Conceptual Explanation: The tonsillar node is located specifically at the angle of the
mandible. The submandibular nodes are halfway between the angle and the tip of the
mandible.
ASSESSMENT - EXAM 1
COMPREHENSIVE REVIEW QUESTIONS
WITH VERIFIED ANSWERS (LATEST
2026/ 2027)- CHAMBERLAIN
1. During a comprehensive health history, a patient reports their chief complaint as ‘chest
pain’. Which of the following is considered subjective data?
A. Blood pressure of 140/90 mmHg
B. Presence of a grade II systolic murmur
C. Patient states the pain feels like an elephant on their chest
D. Electrocardiogram showing ST-segment elevation
Answer: C
Conceptual Explanation: Subjective data consists of information provided by the patient
(symptoms), such as their description of pain. Objective data (signs) are measurable
findings observed by the clinician during the physical exam or through testing.
2. When assessing a patient’s risk for melanoma, which ‘ABCDE’ criterion is correctly matched
with its definition?
A. D - Diameter greater than 6mm
,B. B - Brightness of color
C. A - Appearance of the lesion
D. E - Erythema of the surrounding skin
Answer: A
Conceptual Explanation: The ABCDE criteria for melanoma include: Asymmetry, Border
irregularity, Color variation, Diameter > 6mm, and Evolving (change in size, shape, or
color).
3. A clinician performs the Weber test on a patient who complains of hearing loss in the right
ear. The sound lateralizes to the right ear. This finding is suggestive of:
A. Sensorineural hearing loss in the right ear
B. Normal hearing in both ears
C. Conductive hearing loss in the right ear
D. Sensorineural hearing loss in the left ear
Answer: C
Conceptual Explanation: In the Weber test, sound lateralizing to the ‘bad’ ear indicates
conductive hearing loss, while lateralization to the ‘good’ ear indicates sensorineural
hearing loss.
, 4. Which cranial nerve is responsible for the motor function of the muscles of mastication
(chewing) and sensory function of the face?
A. CN VII (Facial)
B. CN XII (Hypoglossal)
C. CN IX (Glossopharyngeal)
D. CN V (Trigeminal)
Answer: D
Conceptual Explanation: CN V (Trigeminal) has three sensory branches (ophthalmic,
maxillary, mandibular) and controls the motor function of the muscles used for chewing.
5. When palpating the lymph nodes of the neck, which node is located at the angle of the
mandible?
A. Submental
B. Tonsillar (Jugulodigastric)
C. Submandibular
D. Superficial cervical
Answer: B
Conceptual Explanation: The tonsillar node is located specifically at the angle of the
mandible. The submandibular nodes are halfway between the angle and the tip of the
mandible.
