1 | Page
NR 509 ADVANCED HEALTH ASSESSMENT TEST BANK
2026/2027 – 200 VERIFIED QUESTIONS, ANSWERS &
RATIONALES,100% CORRECT ALREADY GRADED A+
Question 1
A 45-year-old male presents with chest discomfort that worsens
with deep breathing and lying flat but improves when sitting
forward. On auscultation, a scratchy sound is heard at the left
sternal border. Which condition is most likely?
A. Myocardial infarction
B. Gastroesophageal reflux disease
C. Pericarditis
D. Pneumonia
Rationale: Chest pain relieved by leaning forward with a friction
rub is classic for pericarditis. MI pain is persistent, GERD is
burning/epigastric, and pneumonia includes fever/cough.
Question 2
During a health history, a patient reports smoking 1 pack/day for
20 years. How should the provider document this smoking
history?
A. 10 pack-years
B. 15 pack-years
C. 20 pack-years
D. 25 pack-years
Rationale: Pack-years = packs/day × years smoked. 1 × 20 = 20
pack-years.
,2 | Page
Question 3
When palpating the thyroid gland during a neck exam, the
provider feels enlargement with no tenderness. Which condition is
most consistent?
A. Thyroid cancer
B. Thyroiditis
C. Goiter
D. Hyperparathyroidism
Rationale: Goiter presents as painless enlargement. Thyroiditis
often tender, cancer nodular/firm, hyperparathyroidism does not
enlarge thyroid.
Question 4
A 3-year-old child is brought for a well-child exam. Which finding
is abnormal?
A. Respiratory rate of 28/min
B. Blood pressure 120/80 mmHg
C. Occasional tantrums
D. Weight in 50th percentile
Rationale: A BP of 120/80 is high for a 3-year-old. Respiratory
28 is normal, tantrums age-appropriate, weight in 50th percentile
is expected.
Question 5
A patient describes experiencing severe headaches preceded by
visual disturbances and sensitivity to light. Which type of
headache is most likely?
A. Tension
B. Cluster
,3 | Page
C. Migraine
D. Sinus
Rationale: Migraines are often preceded by aura (visual
changes) and include photophobia.
Question 6
The provider percusses a patient’s lung fields and hears
hyperresonance. This finding is most consistent with:
A. Consolidation
B. Pleural effusion
C. Emphysema
D. Atelectasis
Rationale: Hyperresonance suggests air trapping as seen in
emphysema.
Question 7
During an abdominal exam, the nurse notes rebound tenderness
in the right lower quadrant. Which condition should be suspected?
A. Cholecystitis
B. Gastritis
C. Appendicitis
D. Diverticulitis
Rationale: Rebound tenderness in RLQ is a hallmark of
appendicitis.
Question 8
Which heart sound is associated with heart failure and volume
overload?
A. S1
B. S2
, 4 | Page
C. S3
D. S4
Rationale: S3 indicates fluid overload, often linked with heart
failure.
Question 9
The Weber test shows lateralization to the right ear. Rinne test
reveals bone conduction greater than air conduction in the right
ear. What type of hearing loss is this?
A. Sensorineural in right ear
B. Sensorineural in left ear
C. Conductive in right ear
D. Conductive in left ear
Rationale: Lateralization to affected ear with BC > AC =
conductive loss.
Question 10
A 60-year-old reports sudden painless loss of vision in one eye
described as a “curtain coming down.” Which condition is most
likely?
A. Glaucoma
B. Cataract
C. Retinal detachment
D. Macular degeneration
Rationale: Painless vision loss with “curtain” is retinal
detachment.
Question 11
A patient with COPD has a barrel-shaped chest. This is caused by:
A. Muscle hypertrophy
NR 509 ADVANCED HEALTH ASSESSMENT TEST BANK
2026/2027 – 200 VERIFIED QUESTIONS, ANSWERS &
RATIONALES,100% CORRECT ALREADY GRADED A+
Question 1
A 45-year-old male presents with chest discomfort that worsens
with deep breathing and lying flat but improves when sitting
forward. On auscultation, a scratchy sound is heard at the left
sternal border. Which condition is most likely?
A. Myocardial infarction
B. Gastroesophageal reflux disease
C. Pericarditis
D. Pneumonia
Rationale: Chest pain relieved by leaning forward with a friction
rub is classic for pericarditis. MI pain is persistent, GERD is
burning/epigastric, and pneumonia includes fever/cough.
Question 2
During a health history, a patient reports smoking 1 pack/day for
20 years. How should the provider document this smoking
history?
A. 10 pack-years
B. 15 pack-years
C. 20 pack-years
D. 25 pack-years
Rationale: Pack-years = packs/day × years smoked. 1 × 20 = 20
pack-years.
,2 | Page
Question 3
When palpating the thyroid gland during a neck exam, the
provider feels enlargement with no tenderness. Which condition is
most consistent?
A. Thyroid cancer
B. Thyroiditis
C. Goiter
D. Hyperparathyroidism
Rationale: Goiter presents as painless enlargement. Thyroiditis
often tender, cancer nodular/firm, hyperparathyroidism does not
enlarge thyroid.
Question 4
A 3-year-old child is brought for a well-child exam. Which finding
is abnormal?
A. Respiratory rate of 28/min
B. Blood pressure 120/80 mmHg
C. Occasional tantrums
D. Weight in 50th percentile
Rationale: A BP of 120/80 is high for a 3-year-old. Respiratory
28 is normal, tantrums age-appropriate, weight in 50th percentile
is expected.
Question 5
A patient describes experiencing severe headaches preceded by
visual disturbances and sensitivity to light. Which type of
headache is most likely?
A. Tension
B. Cluster
,3 | Page
C. Migraine
D. Sinus
Rationale: Migraines are often preceded by aura (visual
changes) and include photophobia.
Question 6
The provider percusses a patient’s lung fields and hears
hyperresonance. This finding is most consistent with:
A. Consolidation
B. Pleural effusion
C. Emphysema
D. Atelectasis
Rationale: Hyperresonance suggests air trapping as seen in
emphysema.
Question 7
During an abdominal exam, the nurse notes rebound tenderness
in the right lower quadrant. Which condition should be suspected?
A. Cholecystitis
B. Gastritis
C. Appendicitis
D. Diverticulitis
Rationale: Rebound tenderness in RLQ is a hallmark of
appendicitis.
Question 8
Which heart sound is associated with heart failure and volume
overload?
A. S1
B. S2
, 4 | Page
C. S3
D. S4
Rationale: S3 indicates fluid overload, often linked with heart
failure.
Question 9
The Weber test shows lateralization to the right ear. Rinne test
reveals bone conduction greater than air conduction in the right
ear. What type of hearing loss is this?
A. Sensorineural in right ear
B. Sensorineural in left ear
C. Conductive in right ear
D. Conductive in left ear
Rationale: Lateralization to affected ear with BC > AC =
conductive loss.
Question 10
A 60-year-old reports sudden painless loss of vision in one eye
described as a “curtain coming down.” Which condition is most
likely?
A. Glaucoma
B. Cataract
C. Retinal detachment
D. Macular degeneration
Rationale: Painless vision loss with “curtain” is retinal
detachment.
Question 11
A patient with COPD has a barrel-shaped chest. This is caused by:
A. Muscle hypertrophy
