NR509 / NR 509 Final Exam Latest (2025 / 2026): Advanced Physical Assessment Questions and Answers (Verified Answers)

NR509 / NR 509 Final Exam Latest (): Advanced
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Physical Assessment Questions and Answers (Verified
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Answers) b




1. A young man feels something in his scrotum and comes to you for clarifi-
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cation. On your examination, you note what feels like a "bag of worms" in the left
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scrotum, superior to the testicles.Which of the following is most likely?
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A) Hydrocele of the spermatic cord b b b b




B) Varicocele

C) Testicular carcinoma b




D) A normal vas deferens
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ANS: Varicocle b




Varicoceles are common in normal men.They are often found in the left scrotum or
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bilaterally and should normally resolve in the supine position.This is because they
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represent varicosities within the scrotum.These require further investigation if they
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occur only on the right side or do not resolve in the supine position.They can
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contribute to infertility because the testicles are unable to achieve a cool enough
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temperature for sperm production, due to increased blood flow from the varicocele. A
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hydrocele would be a painless mass on the spermatic cord and the vas deferens is
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palpated as part of the spermatic cord.You should lightly pinch the scrotum medially and
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move laterally until you feel the spermatic cord pass between your fingers.
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, 2. Which of the following changes are expected in vision as part of the normal
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aging process?
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A) Cataracts

B) Glaucoma

C) Macular degeneration b




D) Blurring of near vision: b b b




Ans: D
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The lens loses its elasticity over time as part of the normal aging process, and the eye
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is less able to accommodate and focus on near objects; therefore, the patient will be
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expected to have blurring of near vision.
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3. A 68-year-old mechanic presents to the emergency room for shortness of
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breath.You are concerned about a cardiac cause and measure his jugular
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venous pressure (JVP). It is elevated.Which one of the following conditions is a
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potential cause of elevated JVP?
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A) Left-sided heart failure b b




B) Mitral stenosis b




C) Constrictive pericarditis b




D) Aortic aneurysm b




ANS: Constrictive pericarditis
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4. Which of the following lymph node groups is most commonly involved in
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breast cancer?
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, A) Lateral

B) Subscapular

C) Pectoral

D) Central

ANS: D.) Central
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