NR509 MIDTERM Advanced Physical
Assessment - NR509 Examplify
Online Proctored Exam Newest
2026/2027 Complete Actual
Screenshot Exam. CHAMBERLAIN
UNIVERSITY COLLEGE OF NURSING
Question 1
Q1: History taking NR509 Midterm 2026 Chamberlain?
A) Only ROS
B) Comprehensive history OLDCARTS Onset Location Duration Character Aggravating
Relieving Timing Severity, PQRST, HPI 7 attributes location onset character
associated severity timing exacerbating PMH PSH meds reconciliation allergies social
cultural, ROS 14 systems constitutional HEENT cardio resp GI GU neuro musculo
derm ← CORRECT
C) No HPI
D) Only vitals
Correct Answer: B
Rationale: B correct per NR509 Midterm 2026 Chamberlain – History OLDCARTS Onset
Location Duration Character Aggravating Relieving Timing Severity, PQRST, HPI 7
attributes, PMH PSH meds allergies immunization FH SH ROS 14 systems.
Question 2
Q2: Skin lesions NR509 Midterm Examplify?
A) All macules raised
B) Primary lesions macule <1cm flat patch >1cm flat papule <1cm raised plaque
>1cm raised vesicle <1cm fluid bulla >1cm fluid pustule pus wheal edematous nodule
,<1cm solid, secondary scale crust ulcer fissure excoriation lichenification atrophy,
ABCDE melanoma Asymmetry Border Color Diameter Evolution ← CORRECT
C) Vesicle solid
D) No ABCDE
Correct Answer: B
Rationale: B correct per NR509 Midterm – Skin primary macule <1cm flat papule <1cm
raised patch >1cm plaque >1cm vesicle <1cm fluid bulla >1cm pustule pus wheal nodule
secondary scale crust ulcer fissure excoriation lichenification, ABCDE melanoma
Asymmetry Border irregular Color varied Diameter >6mm Evolution.
Question 3
Q3: HEENT NR509 Midterm 2025?
A) No CN needed
B) Head normocephalic atraumatic, eyes PERRLA 2-12mm EOM CN III IV VI visual
acuity Snellen 20/20 fundoscopic disc margins vessels AV nicking papilledema, ears
Weber midline Rinne AC>BC hearing loss conductive vs sensorineural, nose
turbinates pink septum midline, throat tonsils 0-4+ Mallampati, thyroid bruit ←
CORRECT
C) Rinne BC>AC normal
D) Weber lateralizes to normal ear sensorineural
Correct Answer: B
Rationale: B correct per NR509 – HEENT normocephalic atraumatic PERRLA 2-12mm EOM
CN III IV VI fundoscopic disc vessels AV nicking HTN papilledema ICP, Weber midline Rinne
AC>BC normal conductive BC>AC sensorineural AC>BC but decreased both ears, nose
turbinates pink septum.
Question 4
Q4: Cardiac NR509 Midterm Examplify Proctored?
A) Only S1
B) Inspection PMI 5th ICS MCL, palpation thrill, auscultation S1 mitral tricuspid S2
aortic pulmonic S3 CHF volume overload early diastole S4 HTN atrial kick late
diastole, murmurs timing systolic vs diastolic grade I-VI location radiation
,maneuvers inspiration expiration, JVD 4cm above sternal angle abdominojugular,
edema pitting 1-4+, pulses 0-4+ ← CORRECT
C) S3 normal elderly always pathologic never
D) No murmur grading
Correct Answer: B
Rationale: B correct per NR509 Midterm – Cardiac PMI 5th ICS MCL S1 M/T closure S2 A/P
S3 early diastole CHF volume S4 late diastole HTN stiff ventricle murmurs grade I-VI/VI
systolic diastolic location radiation squat Valsalva, JVD <4cm normal edema pitting pulses.
Question 5
Q5: Lung NR509 Midterm Chamberlain?
A) No fremitus
B) Inspection AP diameter 1:2 barrel 1:1 COPD tripod, palpation tactile fremitus
increased consolidation decreased effusion obstruction, percussion resonance
hyperresonance COPD air dullness fluid, auscultation vesicular over peripheral
bronchial over trachea crackles fine coarse wheezes rhonchi stridor pleural rub,
egophony bronchophony whispered pectoriloquy consolidation ← CORRECT
C) Fremitus decreased consolidation
D) Hyperresonance effusion
Correct Answer: B
Rationale: B correct per NR509 Midterm – Lung AP 1:2 barrel 1:1 COPD fremitus increased
consolidation decreased effusion obstruction percussion resonance normal hyperresonance
COPD pneumothorax dullness effusion auscultation vesicular bronchial crackles fine HF
coarse pneumonia wheeze asthma rhonchi stridor upper airway rub, consolidation
egophony E to A.
Question 6
Q6: Per NR509 MIDTERM Advanced Physical Assessment Examplify Proctored 2025/2026
Chamberlain – which is correct?
A) Incorrect – violates NR509 history OLDCARTS, skin lesions primary secondary ABCDE,
HEENT PERRLA Weber Rinne, cardiac S3 S4 murmurs JVD, lung AP fremitus percussion
auscultation per Midterm
, B) Incorrect – violates NR509 history OLDCARTS, skin lesions primary secondary ABCDE,
HEENT PERRLA Weber Rinne, cardiac S3 S4 murmurs JVD, lung AP fremitus percussion
auscultation per Midterm
C) Correct per NR509 MIDTERM 2025/2026 p.26 – history OLDCARTS PQRST HPI ROS
14 systems, skin primary macule <1cm flat papule <1cm raised vesicle fluid bulla
pustule wheal secondary scale crust ABCDE melanoma Asymmetry Border Color
Diameter Evolution, HEENT PERRLA EOM CN III IV VI Weber Rinne AC>BC
fundoscopic disc AV nicking, cardiac PMI 5th ICS MCL S1 S2 S3 CHF S4 HTN murmurs
I-VI JVD 4cm edema pitting pulses 0-4+, lung AP 1:2 fremitus consolidation resonance
crackles wheezes egophony ← CORRECT
D) Incorrect – violates NR509 history OLDCARTS, skin lesions primary secondary ABCDE,
HEENT PERRLA Weber Rinne, cardiac S3 S4 murmurs JVD, lung AP fremitus percussion
auscultation per Midterm
Correct Answer: C
Rationale: C correct per NR509 MIDTERM Advanced Physical Assessment - NR509
Examplify Online Proctored 2025/2026 Chamberlain – Direct actual screenshot exam
explanation.
Question 7
Q7: Per NR509 MIDTERM Advanced Physical Assessment Examplify Proctored 2025/2026
Chamberlain – which is correct?
A) Incorrect – violates NR509 history OLDCARTS, skin lesions primary secondary ABCDE,
HEENT PERRLA Weber Rinne, cardiac S3 S4 murmurs JVD, lung AP fremitus percussion
auscultation per Midterm
B) Incorrect – violates NR509 history OLDCARTS, skin lesions primary secondary ABCDE,
HEENT PERRLA Weber Rinne, cardiac S3 S4 murmurs JVD, lung AP fremitus percussion
auscultation per Midterm
C) Incorrect – violates NR509 history OLDCARTS, skin lesions primary secondary ABCDE,
HEENT PERRLA Weber Rinne, cardiac S3 S4 murmurs JVD, lung AP fremitus percussion
auscultation per Midterm
D) Correct per NR509 MIDTERM 2025/2026 p.27 – history OLDCARTS PQRST HPI ROS
14 systems, skin primary macule <1cm flat papule <1cm raised vesicle fluid bulla
pustule wheal secondary scale crust ABCDE melanoma Asymmetry Border Color
Diameter Evolution, HEENT PERRLA EOM CN III IV VI Weber Rinne AC>BC
fundoscopic disc AV nicking, cardiac PMI 5th ICS MCL S1 S2 S3 CHF S4 HTN murmurs
Assessment - NR509 Examplify
Online Proctored Exam Newest
2026/2027 Complete Actual
Screenshot Exam. CHAMBERLAIN
UNIVERSITY COLLEGE OF NURSING
Question 1
Q1: History taking NR509 Midterm 2026 Chamberlain?
A) Only ROS
B) Comprehensive history OLDCARTS Onset Location Duration Character Aggravating
Relieving Timing Severity, PQRST, HPI 7 attributes location onset character
associated severity timing exacerbating PMH PSH meds reconciliation allergies social
cultural, ROS 14 systems constitutional HEENT cardio resp GI GU neuro musculo
derm ← CORRECT
C) No HPI
D) Only vitals
Correct Answer: B
Rationale: B correct per NR509 Midterm 2026 Chamberlain – History OLDCARTS Onset
Location Duration Character Aggravating Relieving Timing Severity, PQRST, HPI 7
attributes, PMH PSH meds allergies immunization FH SH ROS 14 systems.
Question 2
Q2: Skin lesions NR509 Midterm Examplify?
A) All macules raised
B) Primary lesions macule <1cm flat patch >1cm flat papule <1cm raised plaque
>1cm raised vesicle <1cm fluid bulla >1cm fluid pustule pus wheal edematous nodule
,<1cm solid, secondary scale crust ulcer fissure excoriation lichenification atrophy,
ABCDE melanoma Asymmetry Border Color Diameter Evolution ← CORRECT
C) Vesicle solid
D) No ABCDE
Correct Answer: B
Rationale: B correct per NR509 Midterm – Skin primary macule <1cm flat papule <1cm
raised patch >1cm plaque >1cm vesicle <1cm fluid bulla >1cm pustule pus wheal nodule
secondary scale crust ulcer fissure excoriation lichenification, ABCDE melanoma
Asymmetry Border irregular Color varied Diameter >6mm Evolution.
Question 3
Q3: HEENT NR509 Midterm 2025?
A) No CN needed
B) Head normocephalic atraumatic, eyes PERRLA 2-12mm EOM CN III IV VI visual
acuity Snellen 20/20 fundoscopic disc margins vessels AV nicking papilledema, ears
Weber midline Rinne AC>BC hearing loss conductive vs sensorineural, nose
turbinates pink septum midline, throat tonsils 0-4+ Mallampati, thyroid bruit ←
CORRECT
C) Rinne BC>AC normal
D) Weber lateralizes to normal ear sensorineural
Correct Answer: B
Rationale: B correct per NR509 – HEENT normocephalic atraumatic PERRLA 2-12mm EOM
CN III IV VI fundoscopic disc vessels AV nicking HTN papilledema ICP, Weber midline Rinne
AC>BC normal conductive BC>AC sensorineural AC>BC but decreased both ears, nose
turbinates pink septum.
Question 4
Q4: Cardiac NR509 Midterm Examplify Proctored?
A) Only S1
B) Inspection PMI 5th ICS MCL, palpation thrill, auscultation S1 mitral tricuspid S2
aortic pulmonic S3 CHF volume overload early diastole S4 HTN atrial kick late
diastole, murmurs timing systolic vs diastolic grade I-VI location radiation
,maneuvers inspiration expiration, JVD 4cm above sternal angle abdominojugular,
edema pitting 1-4+, pulses 0-4+ ← CORRECT
C) S3 normal elderly always pathologic never
D) No murmur grading
Correct Answer: B
Rationale: B correct per NR509 Midterm – Cardiac PMI 5th ICS MCL S1 M/T closure S2 A/P
S3 early diastole CHF volume S4 late diastole HTN stiff ventricle murmurs grade I-VI/VI
systolic diastolic location radiation squat Valsalva, JVD <4cm normal edema pitting pulses.
Question 5
Q5: Lung NR509 Midterm Chamberlain?
A) No fremitus
B) Inspection AP diameter 1:2 barrel 1:1 COPD tripod, palpation tactile fremitus
increased consolidation decreased effusion obstruction, percussion resonance
hyperresonance COPD air dullness fluid, auscultation vesicular over peripheral
bronchial over trachea crackles fine coarse wheezes rhonchi stridor pleural rub,
egophony bronchophony whispered pectoriloquy consolidation ← CORRECT
C) Fremitus decreased consolidation
D) Hyperresonance effusion
Correct Answer: B
Rationale: B correct per NR509 Midterm – Lung AP 1:2 barrel 1:1 COPD fremitus increased
consolidation decreased effusion obstruction percussion resonance normal hyperresonance
COPD pneumothorax dullness effusion auscultation vesicular bronchial crackles fine HF
coarse pneumonia wheeze asthma rhonchi stridor upper airway rub, consolidation
egophony E to A.
Question 6
Q6: Per NR509 MIDTERM Advanced Physical Assessment Examplify Proctored 2025/2026
Chamberlain – which is correct?
A) Incorrect – violates NR509 history OLDCARTS, skin lesions primary secondary ABCDE,
HEENT PERRLA Weber Rinne, cardiac S3 S4 murmurs JVD, lung AP fremitus percussion
auscultation per Midterm
, B) Incorrect – violates NR509 history OLDCARTS, skin lesions primary secondary ABCDE,
HEENT PERRLA Weber Rinne, cardiac S3 S4 murmurs JVD, lung AP fremitus percussion
auscultation per Midterm
C) Correct per NR509 MIDTERM 2025/2026 p.26 – history OLDCARTS PQRST HPI ROS
14 systems, skin primary macule <1cm flat papule <1cm raised vesicle fluid bulla
pustule wheal secondary scale crust ABCDE melanoma Asymmetry Border Color
Diameter Evolution, HEENT PERRLA EOM CN III IV VI Weber Rinne AC>BC
fundoscopic disc AV nicking, cardiac PMI 5th ICS MCL S1 S2 S3 CHF S4 HTN murmurs
I-VI JVD 4cm edema pitting pulses 0-4+, lung AP 1:2 fremitus consolidation resonance
crackles wheezes egophony ← CORRECT
D) Incorrect – violates NR509 history OLDCARTS, skin lesions primary secondary ABCDE,
HEENT PERRLA Weber Rinne, cardiac S3 S4 murmurs JVD, lung AP fremitus percussion
auscultation per Midterm
Correct Answer: C
Rationale: C correct per NR509 MIDTERM Advanced Physical Assessment - NR509
Examplify Online Proctored 2025/2026 Chamberlain – Direct actual screenshot exam
explanation.
Question 7
Q7: Per NR509 MIDTERM Advanced Physical Assessment Examplify Proctored 2025/2026
Chamberlain – which is correct?
A) Incorrect – violates NR509 history OLDCARTS, skin lesions primary secondary ABCDE,
HEENT PERRLA Weber Rinne, cardiac S3 S4 murmurs JVD, lung AP fremitus percussion
auscultation per Midterm
B) Incorrect – violates NR509 history OLDCARTS, skin lesions primary secondary ABCDE,
HEENT PERRLA Weber Rinne, cardiac S3 S4 murmurs JVD, lung AP fremitus percussion
auscultation per Midterm
C) Incorrect – violates NR509 history OLDCARTS, skin lesions primary secondary ABCDE,
HEENT PERRLA Weber Rinne, cardiac S3 S4 murmurs JVD, lung AP fremitus percussion
auscultation per Midterm
D) Correct per NR509 MIDTERM 2025/2026 p.27 – history OLDCARTS PQRST HPI ROS
14 systems, skin primary macule <1cm flat papule <1cm raised vesicle fluid bulla
pustule wheal secondary scale crust ABCDE melanoma Asymmetry Border Color
Diameter Evolution, HEENT PERRLA EOM CN III IV VI Weber Rinne AC>BC
fundoscopic disc AV nicking, cardiac PMI 5th ICS MCL S1 S2 S3 CHF S4 HTN murmurs
