Midterm Exam: NR 509/ NR509 Midterm Exam Advanced
Physical Assessment (Latest 2025/ 2026) Questions with
Verified Answers - Chamberlain
What are the symptoms of the 26-year-old public servant presenting to the Emergency Department? -
correct answer✨✔✔Intense abdominal pain, light-headedness, and a fainting episode.
What is the family medical history concern for the 26-year-old patient? - correct answer✨✔✔Strong
family history of gallstones.
What is the significance of the positive β-hCG in the 26-year-old patient? - correct answer✨✔✔It
indicates a possible pregnancy.
What vital sign abnormalities were noted in the 26-year-old patient? - correct answer✨✔✔Pulse of
118, blood pressure of 86/68.
What abdominal exam findings were noted in the 26-year-old patient? - correct
answer✨✔✔Involuntary rigidity and rebound tenderness.
What is the most likely diagnosis for the 26-year-old patient? - correct answer✨✔✔Ruptured tubal
pregnancy.
What lab findings were noted for the 63-year-old janitor during his well visit? - correct
answer✨✔✔Moderate elevations of liver enzymes and mildly elevated total bilirubin.
What finding would be most consistent with hepatomegaly in the 63-year-old janitor? - correct
answer✨✔✔Liver palpable 3 cm below the right costal margin, midclavicular line on expiration.
What is considered a normal liver span measurement at the midclavicular line? - correct
answer✨✔✔6-12 cm.
,What is the significance of dullness to percussion over the liver span? - correct answer✨✔✔It indicates
the size and condition of the liver.
What is the primary concern for the underweight 63-year-old administrative clerk? - correct
answer✨✔✔Prominent abdominal aorta concerning for an abdominal aortic aneurysm (AAA).
What is the most significant risk factor for an abdominal aortic aneurysm (AAA) in the underweight
clerk? - correct answer✨✔✔History of smoking.
What vital signs were recorded for the underweight administrative clerk? - correct answer✨✔✔Pulse
of 86, blood pressure of 148/92.
What is the BMI of the underweight administrative clerk? - correct answer✨✔✔17.6.
What is the age of the first cousin who died from a ruptured aneurysm? - correct answer✨✔✔68 years.
What are the normal ranges for liver span measurements at the midsternal line? - correct
answer✨✔✔4-8 cm.
What is the clinical significance of a liver span greater than 12 cm at the midclavicular line? - correct
answer✨✔✔It supports the diagnosis of hepatomegaly.
What is the expected liver position during inspiration? - correct answer✨✔✔The liver is pushed down
into the abdominal cavity.
What is the expected liver position during expiration? - correct answer✨✔✔The liver is normally
palpable at the right costal margin.
What is the relationship between obstructive lung disease and liver position? - correct answer✨✔✔Air
trapping may displace the liver downwards into the abdominal cavity.
,What is the significance of a patient's family history in assessing risk for AAA? - correct
answer✨✔✔Family history of ruptured aneurysms increases risk.
What is the clinical relevance of a patient's smoking history in relation to AAA? - correct
answer✨✔✔Smoking is a significant risk factor for developing an abdominal aortic aneurysm.
What are the potential symptoms of an abdominal aortic aneurysm? - correct answer✨✔✔Recurrent
epigastric abdominal discomfort.
What is the importance of performing an abdominal exam in patients with concerning symptoms? -
correct answer✨✔✔To assess for abnormalities such as hepatomegaly or AAA.
What is the most significant risk factor for an abdominal aortic aneurysm (AAA) in the provided notes? -
correct answer✨✔✔History of smoking.
Which gender is considered a risk factor for AAA? - correct answer✨✔✔Male gender.
What is the relevance of family history in relation to AAA risk? - correct answer✨✔✔Family history of
ruptured aneurysm is vague and could refer to cerebral aneurysm.
What is the USPSTF recommendation for routine colon cancer screening in a 76-year-old man? - correct
answer✨✔✔Do not screen routinely.
What is the life expectancy necessary for colon cancer screening to be potentially beneficial according to
USPSTF? - correct answer✨✔✔A life expectancy greater than 7 years.
What should be discussed with patients aged 76-85 regarding colon cancer screening? - correct
answer✨✔✔Individualized risks and benefits.
What screening method may continue until age 80-85 if benefits outweigh risks? - correct
answer✨✔✔Annual FOBT screening.
, What findings on a colonoscopy would indicate no need for a repeat colonoscopy? - correct
answer✨✔✔Absence of any cancerous or precancerous findings.
What is the most likely physiological mechanism for constipation in the 31-year-old accountant? -
correct answer✨✔✔Functional change in bowel movement.
What are the three patterns of irritable bowel syndrome (IBS)? - correct answer✨✔✔Diarrhea
predominant, constipation predominant, or mixed.
What is characteristic of fecal impaction? - correct answer✨✔✔A large, firm fecal mass in the rectum.
What dietary characteristic is associated with decreased fecal bulk? - correct answer✨✔✔A diet low in
fiber.
What condition is spasm of the external sphincter associated with? - correct answer✨✔✔Painful anal
lesions.
What conditions are associated with impairment of autonomic innervations? - correct
answer✨✔✔Multiple sclerosis, spinal cord injuries, and Hirschsprung disease.
What symptom did the accountant experience that is associated with constipation? - correct
answer✨✔✔Recurrent crampy abdominal pain.
What did the accountant resort to for relief from constipation? - correct answer✨✔✔Over-the-counter
laxatives.
What is a common characteristic of IBS related to bowel movements? - correct answer✨✔✔Functional
changes in bowel movement.
What was found during the colonoscopy of the 76-year-old man? - correct answer✨✔✔Internal
hemorrhoids and sigmoid diverticuli.
Physical Assessment (Latest 2025/ 2026) Questions with
Verified Answers - Chamberlain
What are the symptoms of the 26-year-old public servant presenting to the Emergency Department? -
correct answer✨✔✔Intense abdominal pain, light-headedness, and a fainting episode.
What is the family medical history concern for the 26-year-old patient? - correct answer✨✔✔Strong
family history of gallstones.
What is the significance of the positive β-hCG in the 26-year-old patient? - correct answer✨✔✔It
indicates a possible pregnancy.
What vital sign abnormalities were noted in the 26-year-old patient? - correct answer✨✔✔Pulse of
118, blood pressure of 86/68.
What abdominal exam findings were noted in the 26-year-old patient? - correct
answer✨✔✔Involuntary rigidity and rebound tenderness.
What is the most likely diagnosis for the 26-year-old patient? - correct answer✨✔✔Ruptured tubal
pregnancy.
What lab findings were noted for the 63-year-old janitor during his well visit? - correct
answer✨✔✔Moderate elevations of liver enzymes and mildly elevated total bilirubin.
What finding would be most consistent with hepatomegaly in the 63-year-old janitor? - correct
answer✨✔✔Liver palpable 3 cm below the right costal margin, midclavicular line on expiration.
What is considered a normal liver span measurement at the midclavicular line? - correct
answer✨✔✔6-12 cm.
,What is the significance of dullness to percussion over the liver span? - correct answer✨✔✔It indicates
the size and condition of the liver.
What is the primary concern for the underweight 63-year-old administrative clerk? - correct
answer✨✔✔Prominent abdominal aorta concerning for an abdominal aortic aneurysm (AAA).
What is the most significant risk factor for an abdominal aortic aneurysm (AAA) in the underweight
clerk? - correct answer✨✔✔History of smoking.
What vital signs were recorded for the underweight administrative clerk? - correct answer✨✔✔Pulse
of 86, blood pressure of 148/92.
What is the BMI of the underweight administrative clerk? - correct answer✨✔✔17.6.
What is the age of the first cousin who died from a ruptured aneurysm? - correct answer✨✔✔68 years.
What are the normal ranges for liver span measurements at the midsternal line? - correct
answer✨✔✔4-8 cm.
What is the clinical significance of a liver span greater than 12 cm at the midclavicular line? - correct
answer✨✔✔It supports the diagnosis of hepatomegaly.
What is the expected liver position during inspiration? - correct answer✨✔✔The liver is pushed down
into the abdominal cavity.
What is the expected liver position during expiration? - correct answer✨✔✔The liver is normally
palpable at the right costal margin.
What is the relationship between obstructive lung disease and liver position? - correct answer✨✔✔Air
trapping may displace the liver downwards into the abdominal cavity.
,What is the significance of a patient's family history in assessing risk for AAA? - correct
answer✨✔✔Family history of ruptured aneurysms increases risk.
What is the clinical relevance of a patient's smoking history in relation to AAA? - correct
answer✨✔✔Smoking is a significant risk factor for developing an abdominal aortic aneurysm.
What are the potential symptoms of an abdominal aortic aneurysm? - correct answer✨✔✔Recurrent
epigastric abdominal discomfort.
What is the importance of performing an abdominal exam in patients with concerning symptoms? -
correct answer✨✔✔To assess for abnormalities such as hepatomegaly or AAA.
What is the most significant risk factor for an abdominal aortic aneurysm (AAA) in the provided notes? -
correct answer✨✔✔History of smoking.
Which gender is considered a risk factor for AAA? - correct answer✨✔✔Male gender.
What is the relevance of family history in relation to AAA risk? - correct answer✨✔✔Family history of
ruptured aneurysm is vague and could refer to cerebral aneurysm.
What is the USPSTF recommendation for routine colon cancer screening in a 76-year-old man? - correct
answer✨✔✔Do not screen routinely.
What is the life expectancy necessary for colon cancer screening to be potentially beneficial according to
USPSTF? - correct answer✨✔✔A life expectancy greater than 7 years.
What should be discussed with patients aged 76-85 regarding colon cancer screening? - correct
answer✨✔✔Individualized risks and benefits.
What screening method may continue until age 80-85 if benefits outweigh risks? - correct
answer✨✔✔Annual FOBT screening.
, What findings on a colonoscopy would indicate no need for a repeat colonoscopy? - correct
answer✨✔✔Absence of any cancerous or precancerous findings.
What is the most likely physiological mechanism for constipation in the 31-year-old accountant? -
correct answer✨✔✔Functional change in bowel movement.
What are the three patterns of irritable bowel syndrome (IBS)? - correct answer✨✔✔Diarrhea
predominant, constipation predominant, or mixed.
What is characteristic of fecal impaction? - correct answer✨✔✔A large, firm fecal mass in the rectum.
What dietary characteristic is associated with decreased fecal bulk? - correct answer✨✔✔A diet low in
fiber.
What condition is spasm of the external sphincter associated with? - correct answer✨✔✔Painful anal
lesions.
What conditions are associated with impairment of autonomic innervations? - correct
answer✨✔✔Multiple sclerosis, spinal cord injuries, and Hirschsprung disease.
What symptom did the accountant experience that is associated with constipation? - correct
answer✨✔✔Recurrent crampy abdominal pain.
What did the accountant resort to for relief from constipation? - correct answer✨✔✔Over-the-counter
laxatives.
What is a common characteristic of IBS related to bowel movements? - correct answer✨✔✔Functional
changes in bowel movement.
What was found during the colonoscopy of the 76-year-old man? - correct answer✨✔✔Internal
hemorrhoids and sigmoid diverticuli.
