NR 509 Advanced
Physical Assessment
Midterm Exam (2026
Update) | Weeks 1–10
Review | Complete
Verified Questions with
Correct Answers
,QUESTION
A 39-year-old architect comes to the clinic for a 2-day history of fever,
chills, cough productive of green sputum, and dyspnea. He has no
history
of serious illness. His temperature is 101.2ºF. His other vital signs are within
normal limits. Late inspiratory crackles are heard on auscultation over the
left lower lung posteriorly. When the
clinician listens over that area and instructs the patient (client) to say
"ee," it sounds like "A." Which of the following would most likely be
found on percussion of his lungs?
SOLUTION:
a. Flatness
b. Hyperresonance c. Stridor
d. Tympany e. Dullness
QUESTION
A student is practicing the performance of a lung examination on a
classmate. Which of the following is the correct order for performing
the components of the lung examination?
SOLUTION:
a. Auscultation, inspection, palpation, and percussion
b. Auscultation, percussion, palpation, and inspection c. Inspection,
palpation, percussion, and auscultation d. Auscultation, inspection,
palpation, and percussion e. Inspection, auscultation, percussion, and
palpation f. Palpation, inspection, auscultation, and percussion
QUESTION
A 14-year-old high school student comes to the clinic for a 3-month
history of periodic dyspnea when playing basketball. It resolves shortly
after resting. He has not had fever, chills, cough,
sputum production, or chest pain. He has no history of serious illness.
Based on the boy's history, asthma is suspected. Which of the following
sounds heard on expiration during lung auscultation would be most
suggestive of asthma?
SOLUTION:
a. Mediastinal crunch
,b. Pleural rub c. Rhonchi
, d. Wheezes e. Stridor
QUESTION
A clinician is percussing the lungs of a patient (client) with chronic
obstructive pulmonary disease to see if they sound hyperresonant.
Which of the following
is an example of good technique for percussion?
SOLUTION:
a. Strike using the tip of the third finger.
b. The proximal interphalangeal joint is the joint that is struck.
c. Put the third and fourth fingers next to each other on the chest. d.
Strike using the finger pad of the fourth finger.
e. The wrist is kept still during percussion. Submit
QUESTION
A 29-year-old waiter comes to the clinic for a 2-month history of a
cough. When he lowers his gown so the clinician can listen to his lungs,
the clinician notices a depression of the lower part of his sternum.
Which of the following best describes the appearance of his chest?
SOLUTION:
a. Barrel chest
b. Flail chest
c. Pectus excavatum d. Pigeon chest
e. Thoracic kyphoscoliosis
QUESTION
A 13-year-old girl is brought by her mother to the clinic one day before
the start of eighth grade because of a 3-day history of episodes of
shortness of breath. When she gets the shortness of breath, she also
notices tingling around her lips. She has no fever, cough,
sputum production, or chest pain. She has no history of serious illness and
takes no medications.
Physical Assessment
Midterm Exam (2026
Update) | Weeks 1–10
Review | Complete
Verified Questions with
Correct Answers
,QUESTION
A 39-year-old architect comes to the clinic for a 2-day history of fever,
chills, cough productive of green sputum, and dyspnea. He has no
history
of serious illness. His temperature is 101.2ºF. His other vital signs are within
normal limits. Late inspiratory crackles are heard on auscultation over the
left lower lung posteriorly. When the
clinician listens over that area and instructs the patient (client) to say
"ee," it sounds like "A." Which of the following would most likely be
found on percussion of his lungs?
SOLUTION:
a. Flatness
b. Hyperresonance c. Stridor
d. Tympany e. Dullness
QUESTION
A student is practicing the performance of a lung examination on a
classmate. Which of the following is the correct order for performing
the components of the lung examination?
SOLUTION:
a. Auscultation, inspection, palpation, and percussion
b. Auscultation, percussion, palpation, and inspection c. Inspection,
palpation, percussion, and auscultation d. Auscultation, inspection,
palpation, and percussion e. Inspection, auscultation, percussion, and
palpation f. Palpation, inspection, auscultation, and percussion
QUESTION
A 14-year-old high school student comes to the clinic for a 3-month
history of periodic dyspnea when playing basketball. It resolves shortly
after resting. He has not had fever, chills, cough,
sputum production, or chest pain. He has no history of serious illness.
Based on the boy's history, asthma is suspected. Which of the following
sounds heard on expiration during lung auscultation would be most
suggestive of asthma?
SOLUTION:
a. Mediastinal crunch
,b. Pleural rub c. Rhonchi
, d. Wheezes e. Stridor
QUESTION
A clinician is percussing the lungs of a patient (client) with chronic
obstructive pulmonary disease to see if they sound hyperresonant.
Which of the following
is an example of good technique for percussion?
SOLUTION:
a. Strike using the tip of the third finger.
b. The proximal interphalangeal joint is the joint that is struck.
c. Put the third and fourth fingers next to each other on the chest. d.
Strike using the finger pad of the fourth finger.
e. The wrist is kept still during percussion. Submit
QUESTION
A 29-year-old waiter comes to the clinic for a 2-month history of a
cough. When he lowers his gown so the clinician can listen to his lungs,
the clinician notices a depression of the lower part of his sternum.
Which of the following best describes the appearance of his chest?
SOLUTION:
a. Barrel chest
b. Flail chest
c. Pectus excavatum d. Pigeon chest
e. Thoracic kyphoscoliosis
QUESTION
A 13-year-old girl is brought by her mother to the clinic one day before
the start of eighth grade because of a 3-day history of episodes of
shortness of breath. When she gets the shortness of breath, she also
notices tingling around her lips. She has no fever, cough,
sputum production, or chest pain. She has no history of serious illness and
takes no medications.
