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NR 509 Midterm Exam 2025/2026 – 105 Verified Q&A | Advanced Health Assessment, Diagnostics, Physical Exam Techniques & Clinical Reasoning

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This document presents 105 midterm exam questions with 100% verified correct answers for the NR 509 Advanced Physical Assessment course, designed for the 2025/2026 academic year. It offers extensive coverage of essential advanced practice nursing competencies including clinical reasoning, patient history taking, physical examination techniques, diagnostic interpretation, and differential diagnosis formulation. The questions are structured to reflect real exam scenarios and case-based clinical thinking. Key topics include: Cranial nerve assessments and interpretation Thoracic and cardiovascular exam techniques Pediatric vs. adult assessment differences Abnormal vs. normal lung sounds and heart murmurs Skin lesion classification and documentation Head, eyes, ears, nose, and throat (HEENT) examination strategies Interview techniques and communication in sensitive scenarios Interpretation of lab values and use of evidence-based assessment frameworks This document is ideal for FNP, AGNP, and other advanced practice nursing students preparing for midterms or seeking a high-yield review of clinical assessment topics. Recommended for: Courses: NR 509 Advanced Physical Assessment, Advanced Health Assessment, Graduate Nursing Pathophysiology, Diagnostic Reasoning Students: FNP, AGNP, APRN, DNP, MSN candidates, Nurse Practitioner students, clinical practicum participants, midterm exam takers Keywords: NR 509, advanced health assessment, midterm questions, physical examination, cranial nerves, thoracic exam, auscultation, nursing diagnostics, clinical scenarios, FNP exam prep, APRN assessment, HEENT exam, lung sounds, heart murmurs, nursing midterm, nurse practitioner training

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Uploaded on
September 3, 2025
Number of pages
89
Written in
2025/2026
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NR 509 Mid-Term Study Questions
2025/2026 Exam Questions and Verified
Answers | Already Graded A+



1. A 23-year-old physician assistant (PA) student found that she felt

nervous when called upon to examine men in her age group. On one

occasion, she encountered a young male patient who appeared

embarrassed to see her walk into the room. What should the PA do to

minimize their mutual discomfort?




a. Adjust lighting so it is tangential to the patient's body.

b. Explain how the examination will proceed.

c. Ask the patient where he comes from.

d. Explain that she is a PA student.

,e. Provide ongoing interpretation of findings. - 🧠 ANSWER ✔✔b. Explain

how the examination will proceed.

A 34 male with a hx of complex social & medical needs (current substance

abuse) presents to a primary care teaching clinic. The pt has experienced a

number of adversarial relationships with prior clinicians, including

voluntarily leaving 2 practices within previous year and being asked to

leave care at a third clinic due to misbehavior. The physician desires to

utilize the approaches to this pt that are most likely lead to comprehensive

care & patient compliance. Which is the most appropriate interview style for

the physician to use?

a. Focuse on need for immediate diagnostic certainty over personal

connection

b. Taking charge of interaction to meet the clinician's desire to acquire

diagnostic information

c. Following the pt's lead to understand their thoughts, ideas, concerns,

and requests

d. Deferring respect, empathy, humility, sensitivity in favor of the acquisition

of concrete details about the pt's condition - 🧠 ANSWER ✔✔c. Following

,the patient's lead to understand their thoughts, ideas, concerns, and

requests

A 17 male presents to a STD clinic at the behest of his brother, who

convinced the pt to attend the clinic he disclosed that he prefers

homosexual partners but is afraid that his last partner may have given him

an infection. The pt expresses to the RN he is unashamed of his sexual

orientation and won't stay through the visit if he feels that he is dismissed

or discriminated. The np receives this communication prior to entering the

exam room & decides to employ active listening to best connect with the pt

at this critical juncture in his care. What is an example of an active listening

technique?

a. Ignoring visual cues to focus on pt's exact words

b. Setting aside the pt's emotional state to focus on his medical needs

c. Paring down the pt's concerns to concrete medical needs

d. Using nonverbal communication to encourage the pt to expand their

narrative




COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
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3

, e. Considering a differential diagnosis while the pt is speaking - 🧠

ANSWER ✔✔d. Using nonverbal communication to encourage the patient

to expand their narrative

A 42 female mathematician presents for follow-up care regarding a new

diagnosis of systemic lupus erythematosus 6 months ago after a lengthy

diagnostic process during which she was debilitated with fatigue and joint

pain. Since her diagnosis, she has been minimally compliant with

medications and has switched her rheumatology provider twice. She

continues to feel ill, and, in explanation for her lack of adherence to the

prescribed treatment, she simply says, "I don't like it." At this initial visit with

her third rheumatology provider, the clinician elects to explore the issues

behind her noncompliance before engaging in diagnostics and treatment

using the FIFE model. Which of the following best defines the elements of

the FIFE model?

a. Focus, intensity, function, and evaluation

b. Facts, intensity, focus, and evidence

c. Feelings, ideas, function, and expectations

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