NR 509 Midterm Exam (Latest Update 2025
/ 2026) Advanced Physical Assessment
Questions & well elaborated Answers 100%
Correct [Grade A] - Chamberlain
Mrs. T. comes for her regular visit to the clinic. She is on your schedule because her
regular
provider is on vacation and she wanted to be seen. You have heard about her many
times from
your colleague and are aware that she is a very talkative person. Which of the
following is a
helpful technique to improve the quality of the interview for both the provider and the
patient?
A) Allow the patient to speak uninterrupted for the duration of the appointment.
B) Briefly summarize what you heard from the patient in the first 5 minutes and then
try to have her focus on one aspect of what she told you.
C) Set the time limit at the beginning of the interview and stick with it, no matter what
occurs
in the course of the interview.
D) Allow your impatience to show so that the patient picks up on your nonverbal cue
that the
appointment needs to end. - correct answer B) Briefly summarize what you heard
from the patient in the first 5 minutes and then try to have her focus on one aspect of
what she told you.
You can also say, "I want to make sure I take good care of this problem because it is
very important. We may need to talk about the others at the next appointment. Is that
okay with you?" This is a technique that can help you to change the subject but, at the
same time,
validate the patient's concerns; it also can provide more structure to the interview.
Mrs. H. comes to your clinic, wanting antibiotics for a sinus infection. When you enter
the
room, she appears to be very angry. She has a raised tone of voice and states that she
has been
waiting for the past hour and has to get back to work. She states that she is
unimpressed by the
reception staff, the nurse, and the clinic in general and wants to know why the office
wouldn't
call in an antibiotic for her. Which of the following techniques is not useful in helping to
calm
,NR 509 Midterm Exam (Latest Update 2025
/ 2026) Advanced Physical Assessment
Questions & well elaborated Answers 100%
Correct [Grade A] - Chamberlain
this patient?
A) Avoiding admission that you had a part in provoking her anger because you were
late
B) Accepting angry feelings from the patient and trying not to get angry in return
C) Staying calm
D) Keeping your posture relaxed - correct answer A) Avoiding admission that you had
a part in provoking her anger because you were late
In this scenario, the provider was 1 hour late in seeing the patient. The provider
should acknowledge that he was late and apologize for this, no matter the reason for
being late. It often helps to acknowledge that a patient's anger with you is
understandable and that you might be angry in a similar situation.
A 23-year-old graduate student comes to your clinic for evaluation of a urethral
discharge. As the provider, you need to get a sexual history. Which one of the following
questions is inappropriate for eliciting the information?
A) Are you sexually active?
B) When was the last time you had intimate physical contact with someone, and did
that
contact include sexual intercourse?
C) Do you have sex with men, women, or both?
D) How many sexual partners have you had in the last 6 months? - correct answer A)
Are you sexually active?
This is inappropriate because it is too vague. Given the complaint, you should probably
assume that he is sexually active. A specific sexual history will help you to assess this
patient's risk for other sexually transmitted infections.
Mr. Q. is a 45-year-old salesman who comes to your office for evaluation of fatigue. He
has come to the office many times in the past with a variety of injuries, and you
suspect that he has a problem with alcohol. Which one of the following questions will
be most helpful in diagnosing this problem?
A) You are an alcoholic, aren't you?
B) When was your last drink?
C) Do you drink 2 to 3 beers every weekend?
,NR 509 Midterm Exam (Latest Update 2025
/ 2026) Advanced Physical Assessment
Questions & well elaborated Answers 100%
Correct [Grade A] - Chamberlain
D) Do you drink alcohol when you are supposed to be working? - correct answer B)
When was your last drink?
This is a good opening question that is general and neutral in tone; depending on the
timing, you will be able to ask for more specific information related to the patient's last
drink.
The others will tend to stifle the conversation because they are closed-ended
questions.
On a very busy day in the office, Mrs. Donelan, who is 81 years old, comes for her usual
visit for her blood pressure. She is on a low-dose diuretic chronically and denies any
side effects. Her blood pressure is 118/78 today, which is well-controlled. As you are
writing her script, she mentions that it is hard not having her husband Bill around
anymore. What would you
do next?
A) Hand her the script and make sure she has a 3-month follow-up appointment.
B) Make sure she understands the script.
C) Ask why Bill is not there.
D) Explain that you will have more time at the next visit to discuss this. - correct
answer C) Ask why Bill is not there.
Sometimes, the patient's greatest need is for support and empathy. It would be
inappropriate to ignore this comment today. She may have relied heavily upon Bill for
care and
may be in danger. She may be depressed and even suicidal, but you will not know
unless you
discuss this with her. Most importantly, you should empathize with her by saying
something
like "It must be very difficult not to have him at home" and allow a pause for her to
answer. You may also ask "What did you rely on him to do for you?"
A patient is describing a very personal part of her history very quickly and in great
detail.
How should you react to this?
A) Write down as much as you can, as quickly as possible.
, NR 509 Midterm Exam (Latest Update 2025
/ 2026) Advanced Physical Assessment
Questions & well elaborated Answers 100%
Correct [Grade A] - Chamberlain
B) Ask her to repeat key phrases or to pause at regular intervals, so you can get
almost every
word.
C) Tell her that she can go over the notes later to make sure they are accurate.
D) Push away from the keyboard or put down your pen and listen. - correct answer D)
Push away from the keyboard or put down your pen and listen.
This is a common event in clinical practice. It is much more important to listen actively
with good eye contact at this time than to document the story verbatim. You want to
minimize interruption (e.g., answer B). It is usually not appropriate to ask a patient to
go over
the written notes, but it would be a good idea to repeat the main ideas back to her. You
should be
certain she has completed her story before doing this.
You arrive at the bedside of an elderly woman who has had a stroke, affecting her
entire
right side. She cannot speak (aphasia). You are supposed to examine her. You notice
that
the last examiner left her socks at the bottom of the bed, and although sensitive areas
are covered by a sheet, the blanket is heaped by her feet at the bottom of the bed.
What would you do next?
A) Carry out your examination, focusing on the neurologic portion, and then cover her
properly.
B) Carry out your examination and let the nurse assigned to her "put her back
together."
C) Put her socks back on and cover her completely before beginning the evaluation.
D) Apologize for the last examiner but let the next examiner dress and cover her. -
correct answer C) Put her socks back on and cover her completely before beginning
the evaluation.
It is crucial to make an effort to make a patient comfortable. In this scenario, the
patient can neither speak nor move well. Take a moment to imagine yourself in her
situation.
As a matter of respect as well as comfort, you should cover the patient appropriately
and
consider returning a little later to do your examination if you feel she is cold.
/ 2026) Advanced Physical Assessment
Questions & well elaborated Answers 100%
Correct [Grade A] - Chamberlain
Mrs. T. comes for her regular visit to the clinic. She is on your schedule because her
regular
provider is on vacation and she wanted to be seen. You have heard about her many
times from
your colleague and are aware that she is a very talkative person. Which of the
following is a
helpful technique to improve the quality of the interview for both the provider and the
patient?
A) Allow the patient to speak uninterrupted for the duration of the appointment.
B) Briefly summarize what you heard from the patient in the first 5 minutes and then
try to have her focus on one aspect of what she told you.
C) Set the time limit at the beginning of the interview and stick with it, no matter what
occurs
in the course of the interview.
D) Allow your impatience to show so that the patient picks up on your nonverbal cue
that the
appointment needs to end. - correct answer B) Briefly summarize what you heard
from the patient in the first 5 minutes and then try to have her focus on one aspect of
what she told you.
You can also say, "I want to make sure I take good care of this problem because it is
very important. We may need to talk about the others at the next appointment. Is that
okay with you?" This is a technique that can help you to change the subject but, at the
same time,
validate the patient's concerns; it also can provide more structure to the interview.
Mrs. H. comes to your clinic, wanting antibiotics for a sinus infection. When you enter
the
room, she appears to be very angry. She has a raised tone of voice and states that she
has been
waiting for the past hour and has to get back to work. She states that she is
unimpressed by the
reception staff, the nurse, and the clinic in general and wants to know why the office
wouldn't
call in an antibiotic for her. Which of the following techniques is not useful in helping to
calm
,NR 509 Midterm Exam (Latest Update 2025
/ 2026) Advanced Physical Assessment
Questions & well elaborated Answers 100%
Correct [Grade A] - Chamberlain
this patient?
A) Avoiding admission that you had a part in provoking her anger because you were
late
B) Accepting angry feelings from the patient and trying not to get angry in return
C) Staying calm
D) Keeping your posture relaxed - correct answer A) Avoiding admission that you had
a part in provoking her anger because you were late
In this scenario, the provider was 1 hour late in seeing the patient. The provider
should acknowledge that he was late and apologize for this, no matter the reason for
being late. It often helps to acknowledge that a patient's anger with you is
understandable and that you might be angry in a similar situation.
A 23-year-old graduate student comes to your clinic for evaluation of a urethral
discharge. As the provider, you need to get a sexual history. Which one of the following
questions is inappropriate for eliciting the information?
A) Are you sexually active?
B) When was the last time you had intimate physical contact with someone, and did
that
contact include sexual intercourse?
C) Do you have sex with men, women, or both?
D) How many sexual partners have you had in the last 6 months? - correct answer A)
Are you sexually active?
This is inappropriate because it is too vague. Given the complaint, you should probably
assume that he is sexually active. A specific sexual history will help you to assess this
patient's risk for other sexually transmitted infections.
Mr. Q. is a 45-year-old salesman who comes to your office for evaluation of fatigue. He
has come to the office many times in the past with a variety of injuries, and you
suspect that he has a problem with alcohol. Which one of the following questions will
be most helpful in diagnosing this problem?
A) You are an alcoholic, aren't you?
B) When was your last drink?
C) Do you drink 2 to 3 beers every weekend?
,NR 509 Midterm Exam (Latest Update 2025
/ 2026) Advanced Physical Assessment
Questions & well elaborated Answers 100%
Correct [Grade A] - Chamberlain
D) Do you drink alcohol when you are supposed to be working? - correct answer B)
When was your last drink?
This is a good opening question that is general and neutral in tone; depending on the
timing, you will be able to ask for more specific information related to the patient's last
drink.
The others will tend to stifle the conversation because they are closed-ended
questions.
On a very busy day in the office, Mrs. Donelan, who is 81 years old, comes for her usual
visit for her blood pressure. She is on a low-dose diuretic chronically and denies any
side effects. Her blood pressure is 118/78 today, which is well-controlled. As you are
writing her script, she mentions that it is hard not having her husband Bill around
anymore. What would you
do next?
A) Hand her the script and make sure she has a 3-month follow-up appointment.
B) Make sure she understands the script.
C) Ask why Bill is not there.
D) Explain that you will have more time at the next visit to discuss this. - correct
answer C) Ask why Bill is not there.
Sometimes, the patient's greatest need is for support and empathy. It would be
inappropriate to ignore this comment today. She may have relied heavily upon Bill for
care and
may be in danger. She may be depressed and even suicidal, but you will not know
unless you
discuss this with her. Most importantly, you should empathize with her by saying
something
like "It must be very difficult not to have him at home" and allow a pause for her to
answer. You may also ask "What did you rely on him to do for you?"
A patient is describing a very personal part of her history very quickly and in great
detail.
How should you react to this?
A) Write down as much as you can, as quickly as possible.
, NR 509 Midterm Exam (Latest Update 2025
/ 2026) Advanced Physical Assessment
Questions & well elaborated Answers 100%
Correct [Grade A] - Chamberlain
B) Ask her to repeat key phrases or to pause at regular intervals, so you can get
almost every
word.
C) Tell her that she can go over the notes later to make sure they are accurate.
D) Push away from the keyboard or put down your pen and listen. - correct answer D)
Push away from the keyboard or put down your pen and listen.
This is a common event in clinical practice. It is much more important to listen actively
with good eye contact at this time than to document the story verbatim. You want to
minimize interruption (e.g., answer B). It is usually not appropriate to ask a patient to
go over
the written notes, but it would be a good idea to repeat the main ideas back to her. You
should be
certain she has completed her story before doing this.
You arrive at the bedside of an elderly woman who has had a stroke, affecting her
entire
right side. She cannot speak (aphasia). You are supposed to examine her. You notice
that
the last examiner left her socks at the bottom of the bed, and although sensitive areas
are covered by a sheet, the blanket is heaped by her feet at the bottom of the bed.
What would you do next?
A) Carry out your examination, focusing on the neurologic portion, and then cover her
properly.
B) Carry out your examination and let the nurse assigned to her "put her back
together."
C) Put her socks back on and cover her completely before beginning the evaluation.
D) Apologize for the last examiner but let the next examiner dress and cover her. -
correct answer C) Put her socks back on and cover her completely before beginning
the evaluation.
It is crucial to make an effort to make a patient comfortable. In this scenario, the
patient can neither speak nor move well. Take a moment to imagine yourself in her
situation.
As a matter of respect as well as comfort, you should cover the patient appropriately
and
consider returning a little later to do your examination if you feel she is cold.
