Health Assessment Final NP Assessment |
Chamberlain College Nursing | 2025/2026 Edition
| Exam Questions with 100% Verified Correct
Answers
Chamberlain College of Nursing – NR509 Advanced Physical & Health Assessment (Final
Assessment Exam) | Expert-Verified Q&A | Clinical Reasoning, Diagnostics, & Patient
Management | Pass-Level Accuracy
Introduction
This comprehensive Q&A bank reflects the Final Health Assessment NP Assessment Exam for
the 2025/2026 academic cycle at Chamberlain College of Nursing. Although the exact item
count is not publicly disclosed, past student reports and exam formats suggest approximately
160–200 multiple-choice and alternate-format questions. The content covers advanced health
history, comprehensive physical examination techniques, differential diagnosis, and clinical
decision-making. All answers included have been expert-verified to align with expected
pass-level performance.
Answer Format
Each correct response is clearly marked in bold and green. Structured rationales accompany
key items to support clinical reasoning, exam style familiarity, and content mastery.
Question 1
During a health history, a 45-year-old male reports intermittent chest pain. What is the priority
initial question?
A) "Does the pain radiate to your arm?"
B) "How long have you had this pain?"
C) "Have you had a recent injury?"
D) "Are you under stress?"
B) "How long have you had this pain?"
Rationale: Duration helps differentiate acute (e.g., myocardial infarction) from chronic
causes.
Question 2
A 30-year-old female presents with a lump in her breast. What is the first physical exam
technique?
A) Palpation
B) Inspection
C) Percussion
,D) Auscultation
B) Inspection
Rationale: Inspection assesses for skin changes or asymmetry before palpation.
Question 3
A 60-year-old male has a BP of 150/90 mmHg. What is the next step in assessment?
A) Repeat BP in 5 minutes
B) Order an ECG
C) Start antihypertensive medication
D) Refer to cardiology
A) Repeat BP in 5 minutes
Rationale: Confirming BP with a repeat measurement avoids over-diagnosis.
Question 4
During a respiratory exam, a 55-year-old smoker has diminished breath sounds. What is the
likely finding?
A) Pneumonia
B) COPD
C) Asthma
D) Pulmonary embolism
B) COPD
Rationale: Diminished breath sounds in a smoker suggest chronic obstructive pulmonary
disease.
Question 5
A 40-year-old female reports fatigue and weight gain. What initial lab test is indicated?
A) Complete blood count (CBC)
B) Thyroid-stimulating hormone (TSH)
C) Fasting glucose
D) Lipid panel
B) Thyroid-stimulating hormone (TSH)
Rationale: TSH screens for hypothyroidism, a common cause of fatigue and weight gain.
Question 6
A 70-year-old male has a heart rate of 40 bpm. What physical exam finding is expected?
A) Loud S1 and S2
B) Irregular rhythm
C) Third heart sound (S3)
D) Normal sinus rhythm
B) Irregular rhythm
Rationale: Bradycardia may indicate heart block or atrial fibrillation.
Question 7
A 25-year-old female has a positive pregnancy test. What is the initial physical assessment?
A) Fundal height measurement
B) Pelvic exam
C) Breast exam
,D) Vital signs
D) Vital signs
Rationale: Vital signs establish baseline health status in early pregnancy.
Question 8
During an abdominal exam, a 50-year-old male has rebound tenderness. What is the next step?
A) Order a CT scan
B) Perform a rectal exam
C) Administer analgesics
D) Repeat palpation
A) Order a CT scan
Rationale: Rebound tenderness suggests peritonitis, requiring imaging.
Question 9
A 35-year-old male reports sudden vision loss. What is the priority assessment?
A) Fundoscopic exam
B) Visual acuity test
C) Tonometry
D) Color vision test
B) Visual acuity test
Rationale: Visual acuity assesses the extent and urgency of vision loss.
Question 10
A 65-year-old female has a pulse oximetry of 92%. What is the next action?
A) Administer supplemental oxygen
B) Order a chest X-ray
C) Monitor for 30 minutes
D) Start bronchodilators
C) Monitor for 30 minutes
Rationale: 92% is borderline; monitoring assesses trend before intervention.
Question 11
A 45-year-old male has a diastolic murmur. What is the initial diagnostic step?
A) Echocardiogram
B) Chest X-ray
C) ECG
D) Stress test
A) Echocardiogram
Rationale: Echocardiogram evaluates structural causes of murmurs.
Question 12
A 30-year-old female reports amenorrhea. What is the first assessment question?
A) "Are you sexually active?"
B) "Have you lost weight recently?"
C) "Do you have hot flashes?"
D) "Is there a family history?"
, A) "Are you sexually active?"
Rationale: Pregnancy is the most common cause of amenorrhea.
Question 13
A 60-year-old male has jugular vein distension. What is the likely diagnosis?
A) Heart failure
B) Dehydration
C) Pulmonary embolism
D) Asthma
A) Heart failure
Rationale: Jugular vein distension suggests right heart failure.
Question 14
A 50-year-old female has a breast mass on palpation. What is the next step?
A) Mammogram
B) Ultrasound
C) Biopsy
D) MRI
B) Ultrasound
Rationale: Ultrasound is initial imaging for a palpable mass.
Question 15
A 70-year-old male has a shuffling gait. What is the priority assessment?
A) Mini-Mental State Exam (MMSE)
B) Romberg test
C) Timed Up and Go (TUG)
D) Muscle strength testing
C) Timed Up and Go (TUG)
Rationale: TUG assesses fall risk in older adults with gait issues.
Question 16
A 40-year-old female has a rash with joint pain. What physical finding supports lupus?
A) Malar rash
B) Vesicular rash
C) Maculopapular rash
D) Petechial rash
A) Malar rash
Rationale: Malar rash is a classic lupus sign.
Question 17
A 55-year-old male has a BP of 160/100 mmHg. What is the next assessment?
A) Fundoscopic exam
B) Peripheral pulse check
C) Orthostatic BP
D) Repeat BP
A) Fundoscopic exam
Rationale: Checks for hypertensive retinopathy in elevated BP.
Chamberlain College Nursing | 2025/2026 Edition
| Exam Questions with 100% Verified Correct
Answers
Chamberlain College of Nursing – NR509 Advanced Physical & Health Assessment (Final
Assessment Exam) | Expert-Verified Q&A | Clinical Reasoning, Diagnostics, & Patient
Management | Pass-Level Accuracy
Introduction
This comprehensive Q&A bank reflects the Final Health Assessment NP Assessment Exam for
the 2025/2026 academic cycle at Chamberlain College of Nursing. Although the exact item
count is not publicly disclosed, past student reports and exam formats suggest approximately
160–200 multiple-choice and alternate-format questions. The content covers advanced health
history, comprehensive physical examination techniques, differential diagnosis, and clinical
decision-making. All answers included have been expert-verified to align with expected
pass-level performance.
Answer Format
Each correct response is clearly marked in bold and green. Structured rationales accompany
key items to support clinical reasoning, exam style familiarity, and content mastery.
Question 1
During a health history, a 45-year-old male reports intermittent chest pain. What is the priority
initial question?
A) "Does the pain radiate to your arm?"
B) "How long have you had this pain?"
C) "Have you had a recent injury?"
D) "Are you under stress?"
B) "How long have you had this pain?"
Rationale: Duration helps differentiate acute (e.g., myocardial infarction) from chronic
causes.
Question 2
A 30-year-old female presents with a lump in her breast. What is the first physical exam
technique?
A) Palpation
B) Inspection
C) Percussion
,D) Auscultation
B) Inspection
Rationale: Inspection assesses for skin changes or asymmetry before palpation.
Question 3
A 60-year-old male has a BP of 150/90 mmHg. What is the next step in assessment?
A) Repeat BP in 5 minutes
B) Order an ECG
C) Start antihypertensive medication
D) Refer to cardiology
A) Repeat BP in 5 minutes
Rationale: Confirming BP with a repeat measurement avoids over-diagnosis.
Question 4
During a respiratory exam, a 55-year-old smoker has diminished breath sounds. What is the
likely finding?
A) Pneumonia
B) COPD
C) Asthma
D) Pulmonary embolism
B) COPD
Rationale: Diminished breath sounds in a smoker suggest chronic obstructive pulmonary
disease.
Question 5
A 40-year-old female reports fatigue and weight gain. What initial lab test is indicated?
A) Complete blood count (CBC)
B) Thyroid-stimulating hormone (TSH)
C) Fasting glucose
D) Lipid panel
B) Thyroid-stimulating hormone (TSH)
Rationale: TSH screens for hypothyroidism, a common cause of fatigue and weight gain.
Question 6
A 70-year-old male has a heart rate of 40 bpm. What physical exam finding is expected?
A) Loud S1 and S2
B) Irregular rhythm
C) Third heart sound (S3)
D) Normal sinus rhythm
B) Irregular rhythm
Rationale: Bradycardia may indicate heart block or atrial fibrillation.
Question 7
A 25-year-old female has a positive pregnancy test. What is the initial physical assessment?
A) Fundal height measurement
B) Pelvic exam
C) Breast exam
,D) Vital signs
D) Vital signs
Rationale: Vital signs establish baseline health status in early pregnancy.
Question 8
During an abdominal exam, a 50-year-old male has rebound tenderness. What is the next step?
A) Order a CT scan
B) Perform a rectal exam
C) Administer analgesics
D) Repeat palpation
A) Order a CT scan
Rationale: Rebound tenderness suggests peritonitis, requiring imaging.
Question 9
A 35-year-old male reports sudden vision loss. What is the priority assessment?
A) Fundoscopic exam
B) Visual acuity test
C) Tonometry
D) Color vision test
B) Visual acuity test
Rationale: Visual acuity assesses the extent and urgency of vision loss.
Question 10
A 65-year-old female has a pulse oximetry of 92%. What is the next action?
A) Administer supplemental oxygen
B) Order a chest X-ray
C) Monitor for 30 minutes
D) Start bronchodilators
C) Monitor for 30 minutes
Rationale: 92% is borderline; monitoring assesses trend before intervention.
Question 11
A 45-year-old male has a diastolic murmur. What is the initial diagnostic step?
A) Echocardiogram
B) Chest X-ray
C) ECG
D) Stress test
A) Echocardiogram
Rationale: Echocardiogram evaluates structural causes of murmurs.
Question 12
A 30-year-old female reports amenorrhea. What is the first assessment question?
A) "Are you sexually active?"
B) "Have you lost weight recently?"
C) "Do you have hot flashes?"
D) "Is there a family history?"
, A) "Are you sexually active?"
Rationale: Pregnancy is the most common cause of amenorrhea.
Question 13
A 60-year-old male has jugular vein distension. What is the likely diagnosis?
A) Heart failure
B) Dehydration
C) Pulmonary embolism
D) Asthma
A) Heart failure
Rationale: Jugular vein distension suggests right heart failure.
Question 14
A 50-year-old female has a breast mass on palpation. What is the next step?
A) Mammogram
B) Ultrasound
C) Biopsy
D) MRI
B) Ultrasound
Rationale: Ultrasound is initial imaging for a palpable mass.
Question 15
A 70-year-old male has a shuffling gait. What is the priority assessment?
A) Mini-Mental State Exam (MMSE)
B) Romberg test
C) Timed Up and Go (TUG)
D) Muscle strength testing
C) Timed Up and Go (TUG)
Rationale: TUG assesses fall risk in older adults with gait issues.
Question 16
A 40-year-old female has a rash with joint pain. What physical finding supports lupus?
A) Malar rash
B) Vesicular rash
C) Maculopapular rash
D) Petechial rash
A) Malar rash
Rationale: Malar rash is a classic lupus sign.
Question 17
A 55-year-old male has a BP of 160/100 mmHg. What is the next assessment?
A) Fundoscopic exam
B) Peripheral pulse check
C) Orthostatic BP
D) Repeat BP
A) Fundoscopic exam
Rationale: Checks for hypertensive retinopathy in elevated BP.
