mailto:https://www.stuvia.com/en-us/user/techgrades
NR 511 ADVANCED PHYSICAL ASSESSMENT
NR 511 ADVANCED PHYSICAL ASSESSMENT
EXAM 2025 MIDTERM EXAM WITH 100%
CORRECT ANSWERS GRADED A+
An 89-year-old retired school principal comes for an annual check-up. She would
like to know whether or not she should undergo a screening colonoscopy. She has
never done this before. Which of the following factors should not be considered
when discussing whether she should go for this screening test?
A) Life expectancy
B) Time interval until benefit from screening accrues
C) Patient preference
D) Current age of patient
D) Current age of patient
Which of the following brief screening measures is useful in assessing memory?
A) Three-item recall
B) Serial 7s
C) Spelling "world" backward
mailto:https://www.stuvia.com/en-us/user/techgrades
,mailto:https://www.stuvia.com/en-us/user/techgrades
NR 511 ADVANCED PHYSICAL ASSESSMENT
D) Copying intersecting pentagrams
A) Three-item recall
It is summer and an 82-year-old woman is brought to you from her home after
seeing her primary care doctor 2 days ago. She was started on an antibiotic at that
time. Today, she comes to the emergency room not knowing where she is or what
year it is. What could be a likely cause of this?
A) Alzheimer's dementia
B) Stroke
C) Delirium
D) Meningitis
c. delirium
You are examining an elderly man and notice the following: decreased vibration
sense in the feet and ankles, diminished gag reflex, right patellar reflex less than
the left, and diminished abdominal reflexes. Which of these is abnormal?
A) Decreased vibration sense
B) Diminished gag reflex
C) Diminished right patellar reflex compared to the left
D) Diminished abdominal reflexes
C) Diminished right patellar reflex compared to the left
mailto:https://www.stuvia.com/en-us/user/techgrades
,mailto:https://www.stuvia.com/en-us/user/techgrades
NR 511 ADVANCED PHYSICAL ASSESSMENT
A 37-year-old nurse comes for evaluation of colicky right upper quadrant
abdominal pain. The pain is associated with nausea and vomiting and occurs 1 to 2
hours after eating greasy foods. Which one of the following physical examination
descriptions would be most consistent with the diagnosis of cholecystitis?
A) Abdomen is soft, nontender, and nondistended, without hepatosplenomegaly or
masses.
B) Abdomen is soft and tender to palpation in the right lower quadrant, without
rebound or guarding.
C) Abdomen is soft and tender to palpation in the right upper quadrant with
inspiration, to the point of stopping inspiration, and there is no rebound or
guarding.
D) Abdomen is soft and tender to palpation in the mid-epigastric area, without
rebound or guarding.
C) Abdomen is soft and tender to palpation in the right upper quadrant with
inspiration, to the point of stopping inspiration, and there is no rebound or
guarding.
When crackles, wheezes, or rhonchi clear with a cough, which of the following is a
likely etiology?
A) Bronchitis
B) Simple asthma
C) Cystic fibrosis
D) Heart failure
A. Bronchitis
mailto:https://www.stuvia.com/en-us/user/techgrades
, mailto:https://www.stuvia.com/en-us/user/techgrades
NR 511 ADVANCED PHYSICAL ASSESSMENT
A patient with longstanding COPD was told by another practitioner that his liver
was enlarged and this needed to be assessed. Which of the following would be
reasonable to do next?
A) Percuss the lower border of the liver
B) Measure the span of the liver
C) Order a hepatitis panel
D) Obtain an ultrasound of the liver
A) Percuss the lower border of the liver
Mr. Patel is a 64-year-old man who was told by another care provider that his liver
is enlarged. Although he is a life-long smoker, he has never used drugs or alcohol
and has no knowledge of liver disease. Indeed, on examination, a liver edge is
palpable 4 centimeters below the costal arch. Which of the following would you do
next?
A) Check an ultrasound of the liver
B) Obtain a hepatitis panel
C) Determine liver span by percussion
D) Adopt a "watchful waiting" approach
c. Determine liver span by percussion
mailto:https://www.stuvia.com/en-us/user/techgrades
NR 511 ADVANCED PHYSICAL ASSESSMENT
NR 511 ADVANCED PHYSICAL ASSESSMENT
EXAM 2025 MIDTERM EXAM WITH 100%
CORRECT ANSWERS GRADED A+
An 89-year-old retired school principal comes for an annual check-up. She would
like to know whether or not she should undergo a screening colonoscopy. She has
never done this before. Which of the following factors should not be considered
when discussing whether she should go for this screening test?
A) Life expectancy
B) Time interval until benefit from screening accrues
C) Patient preference
D) Current age of patient
D) Current age of patient
Which of the following brief screening measures is useful in assessing memory?
A) Three-item recall
B) Serial 7s
C) Spelling "world" backward
mailto:https://www.stuvia.com/en-us/user/techgrades
,mailto:https://www.stuvia.com/en-us/user/techgrades
NR 511 ADVANCED PHYSICAL ASSESSMENT
D) Copying intersecting pentagrams
A) Three-item recall
It is summer and an 82-year-old woman is brought to you from her home after
seeing her primary care doctor 2 days ago. She was started on an antibiotic at that
time. Today, she comes to the emergency room not knowing where she is or what
year it is. What could be a likely cause of this?
A) Alzheimer's dementia
B) Stroke
C) Delirium
D) Meningitis
c. delirium
You are examining an elderly man and notice the following: decreased vibration
sense in the feet and ankles, diminished gag reflex, right patellar reflex less than
the left, and diminished abdominal reflexes. Which of these is abnormal?
A) Decreased vibration sense
B) Diminished gag reflex
C) Diminished right patellar reflex compared to the left
D) Diminished abdominal reflexes
C) Diminished right patellar reflex compared to the left
mailto:https://www.stuvia.com/en-us/user/techgrades
,mailto:https://www.stuvia.com/en-us/user/techgrades
NR 511 ADVANCED PHYSICAL ASSESSMENT
A 37-year-old nurse comes for evaluation of colicky right upper quadrant
abdominal pain. The pain is associated with nausea and vomiting and occurs 1 to 2
hours after eating greasy foods. Which one of the following physical examination
descriptions would be most consistent with the diagnosis of cholecystitis?
A) Abdomen is soft, nontender, and nondistended, without hepatosplenomegaly or
masses.
B) Abdomen is soft and tender to palpation in the right lower quadrant, without
rebound or guarding.
C) Abdomen is soft and tender to palpation in the right upper quadrant with
inspiration, to the point of stopping inspiration, and there is no rebound or
guarding.
D) Abdomen is soft and tender to palpation in the mid-epigastric area, without
rebound or guarding.
C) Abdomen is soft and tender to palpation in the right upper quadrant with
inspiration, to the point of stopping inspiration, and there is no rebound or
guarding.
When crackles, wheezes, or rhonchi clear with a cough, which of the following is a
likely etiology?
A) Bronchitis
B) Simple asthma
C) Cystic fibrosis
D) Heart failure
A. Bronchitis
mailto:https://www.stuvia.com/en-us/user/techgrades
, mailto:https://www.stuvia.com/en-us/user/techgrades
NR 511 ADVANCED PHYSICAL ASSESSMENT
A patient with longstanding COPD was told by another practitioner that his liver
was enlarged and this needed to be assessed. Which of the following would be
reasonable to do next?
A) Percuss the lower border of the liver
B) Measure the span of the liver
C) Order a hepatitis panel
D) Obtain an ultrasound of the liver
A) Percuss the lower border of the liver
Mr. Patel is a 64-year-old man who was told by another care provider that his liver
is enlarged. Although he is a life-long smoker, he has never used drugs or alcohol
and has no knowledge of liver disease. Indeed, on examination, a liver edge is
palpable 4 centimeters below the costal arch. Which of the following would you do
next?
A) Check an ultrasound of the liver
B) Obtain a hepatitis panel
C) Determine liver span by percussion
D) Adopt a "watchful waiting" approach
c. Determine liver span by percussion
mailto:https://www.stuvia.com/en-us/user/techgrades
