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NR509 / NR 509 Final Exam Practice
Questions (Latest 2024/2025):
Advanced Physical Assessment –
Chamberlain | Verified Questions &
Answers | A+ Graded
1. What is the purpose of the Romberg test in a physical assessment?
A. Assess muscle strength
B. Evaluate balance and proprioception
C. Test visual acuity
D. Measure joint range of motion
Answer: B
Rationale: The Romberg test assesses balance and proprioception by having the patient
stand with feet together and eyes closed, observing for swaying, per 2024 neurological
assessment standards.
2. Which heart sound is heard at the apex in early diastole in mitral stenosis?
A. S1
B. S2
C. Opening snap
D. S4
Answer: C
Rationale: An opening snap is a high-pitched sound heard at the apex in early diastole
due to restricted mitral valve opening in mitral stenosis, per 2024 cardiology guidelines.
3. What does a positive Murphy’s sign indicate during abdominal palpation?
A. Appendicitis
B. Cholecystitis
C. Pancreatitis
D. Peptic ulcer disease
Answer: B
Rationale: Pain with inspiration during right upper quadrant palpation suggests
cholecystitis, per 2024 abdominal assessment standards.
4. Which cranial nerve is tested by asking a patient to stick out their tongue?
A. Cranial nerve V
B. Cranial nerve VII
C. Cranial nerve X
D. Cranial nerve XII
Answer: D
, 2
Rationale: Cranial nerve XII (hypoglossal) controls tongue movement, assessed by
observing for deviation, per 2024 neurological exam guidelines.
5. What is a normal finding when auscultating the lungs?
A. Crackles bilaterally
B. Vesicular breath sounds
C. Wheezing throughout
D. Absent breath sounds
Answer: B
Rationale: Vesicular breath sounds, soft and low-pitched, are normal in healthy lungs, per
2024 respiratory assessment standards.
6. Which finding suggests a positive Babinski sign in an adult?
A. Plantar flexion of toes
B. Dorsiflexion of the great toe
C. No toe movement
D. Flexion of all toes
Answer: B
Rationale: Dorsiflexion of the great toe with fanning indicates neurological dysfunction,
per 2024 neurological standards.
7. What is the correct sequence for abdominal assessment?
A. Palpation, inspection, auscultation, percussion
B. Inspection, auscultation, percussion, palpation
C. Auscultation, palpation, inspection, percussion
D. Percussion, inspection, palpation, auscultation
Answer: B
Rationale: Inspection, auscultation, percussion, and palpation prevent altering bowel
sounds, per 2024 abdominal exam guidelines.
8. Which finding on ear exam suggests otitis media?
A. Clear tympanic membrane
B. Bulging tympanic membrane
C. Pearly white tympanic membrane
D. Retracted tympanic membrane
Answer: B
Rationale: A bulging tympanic membrane indicates fluid or infection in otitis media, per
2024 ENT assessment standards.
9. What does a positive Phalen’s sign indicate?
A. Carpal tunnel syndrome
B. Rheumatoid arthritis
C. Osteoarthritis
D. Gout
Answer: A
Rationale: Tingling in the median nerve distribution during wrist flexion suggests carpal
tunnel syndrome, per 2024 musculoskeletal standards.
10. Which finding on fundoscopic exam suggests diabetic retinopathy?
A. Normal optic disc
B. Microaneurysms and exudates
C. Clear retina
NR509 / NR 509 Final Exam Practice
Questions (Latest 2024/2025):
Advanced Physical Assessment –
Chamberlain | Verified Questions &
Answers | A+ Graded
1. What is the purpose of the Romberg test in a physical assessment?
A. Assess muscle strength
B. Evaluate balance and proprioception
C. Test visual acuity
D. Measure joint range of motion
Answer: B
Rationale: The Romberg test assesses balance and proprioception by having the patient
stand with feet together and eyes closed, observing for swaying, per 2024 neurological
assessment standards.
2. Which heart sound is heard at the apex in early diastole in mitral stenosis?
A. S1
B. S2
C. Opening snap
D. S4
Answer: C
Rationale: An opening snap is a high-pitched sound heard at the apex in early diastole
due to restricted mitral valve opening in mitral stenosis, per 2024 cardiology guidelines.
3. What does a positive Murphy’s sign indicate during abdominal palpation?
A. Appendicitis
B. Cholecystitis
C. Pancreatitis
D. Peptic ulcer disease
Answer: B
Rationale: Pain with inspiration during right upper quadrant palpation suggests
cholecystitis, per 2024 abdominal assessment standards.
4. Which cranial nerve is tested by asking a patient to stick out their tongue?
A. Cranial nerve V
B. Cranial nerve VII
C. Cranial nerve X
D. Cranial nerve XII
Answer: D
, 2
Rationale: Cranial nerve XII (hypoglossal) controls tongue movement, assessed by
observing for deviation, per 2024 neurological exam guidelines.
5. What is a normal finding when auscultating the lungs?
A. Crackles bilaterally
B. Vesicular breath sounds
C. Wheezing throughout
D. Absent breath sounds
Answer: B
Rationale: Vesicular breath sounds, soft and low-pitched, are normal in healthy lungs, per
2024 respiratory assessment standards.
6. Which finding suggests a positive Babinski sign in an adult?
A. Plantar flexion of toes
B. Dorsiflexion of the great toe
C. No toe movement
D. Flexion of all toes
Answer: B
Rationale: Dorsiflexion of the great toe with fanning indicates neurological dysfunction,
per 2024 neurological standards.
7. What is the correct sequence for abdominal assessment?
A. Palpation, inspection, auscultation, percussion
B. Inspection, auscultation, percussion, palpation
C. Auscultation, palpation, inspection, percussion
D. Percussion, inspection, palpation, auscultation
Answer: B
Rationale: Inspection, auscultation, percussion, and palpation prevent altering bowel
sounds, per 2024 abdominal exam guidelines.
8. Which finding on ear exam suggests otitis media?
A. Clear tympanic membrane
B. Bulging tympanic membrane
C. Pearly white tympanic membrane
D. Retracted tympanic membrane
Answer: B
Rationale: A bulging tympanic membrane indicates fluid or infection in otitis media, per
2024 ENT assessment standards.
9. What does a positive Phalen’s sign indicate?
A. Carpal tunnel syndrome
B. Rheumatoid arthritis
C. Osteoarthritis
D. Gout
Answer: A
Rationale: Tingling in the median nerve distribution during wrist flexion suggests carpal
tunnel syndrome, per 2024 musculoskeletal standards.
10. Which finding on fundoscopic exam suggests diabetic retinopathy?
A. Normal optic disc
B. Microaneurysms and exudates
C. Clear retina
