NR509 – Advanced Physical Assessment
Midterm Exam Review | Verified
Questions and Answers | Chamberlain
2025/2026 Update
Question 1 During inspection of the thorax, an increased anterior-posterior (AP) diameter is
most consistent with which condition? Answer: COPD (barrel chest) Rationale: Chronic air
trapping → hyperinflation.
Question 2 The point of maximal impulse (PMI) in a healthy adult is normally located at:
Answer: 5th intercostal space, midclavicular line Rationale: Diameter ≤2 cm; displaced
laterally in cardiomegaly.
Question 3 A thrill palpated at the 2nd right intercostal space suggests: Answer: Aortic stenosis
Question 4 The bell of the stethoscope is best used to hear: Answer: Low-pitched sounds (S3,
S4, mitral stenosis rumble)
Question 5 A diastolic murmur heard best at the left upper sternal border with the patient leaning
forward is typical of: Answer: Aortic regurgitation
Question 6 Kernig and Brudzinski signs are positive in: Answer: Meningeal irritation
Question 7 The Rinne test is positive (normal) when: Answer: Air conduction > bone
conduction
Question 8 Weber test lateralizes to the affected ear in: Answer: Conductive hearing loss
Question 9 Asymmetric red reflex in an infant is concerning for: Answer: Retinoblastoma or
cataract
Question 10 Cover-uncover test detects: Answer: Strabismus (phoria/tropia)
Question 11 Normal conjunctiva and sclera color: Answer: White sclera, pink conjunctiva
Question 12 Best position to auscultate for a spleen friction rub or enlarged spleen: Answer:
Right lateral decubitus
Question 13 Normal liver span at right midclavicular line: Answer: 6–12 cm
Midterm Exam Review | Verified
Questions and Answers | Chamberlain
2025/2026 Update
Question 1 During inspection of the thorax, an increased anterior-posterior (AP) diameter is
most consistent with which condition? Answer: COPD (barrel chest) Rationale: Chronic air
trapping → hyperinflation.
Question 2 The point of maximal impulse (PMI) in a healthy adult is normally located at:
Answer: 5th intercostal space, midclavicular line Rationale: Diameter ≤2 cm; displaced
laterally in cardiomegaly.
Question 3 A thrill palpated at the 2nd right intercostal space suggests: Answer: Aortic stenosis
Question 4 The bell of the stethoscope is best used to hear: Answer: Low-pitched sounds (S3,
S4, mitral stenosis rumble)
Question 5 A diastolic murmur heard best at the left upper sternal border with the patient leaning
forward is typical of: Answer: Aortic regurgitation
Question 6 Kernig and Brudzinski signs are positive in: Answer: Meningeal irritation
Question 7 The Rinne test is positive (normal) when: Answer: Air conduction > bone
conduction
Question 8 Weber test lateralizes to the affected ear in: Answer: Conductive hearing loss
Question 9 Asymmetric red reflex in an infant is concerning for: Answer: Retinoblastoma or
cataract
Question 10 Cover-uncover test detects: Answer: Strabismus (phoria/tropia)
Question 11 Normal conjunctiva and sclera color: Answer: White sclera, pink conjunctiva
Question 12 Best position to auscultate for a spleen friction rub or enlarged spleen: Answer:
Right lateral decubitus
Question 13 Normal liver span at right midclavicular line: Answer: 6–12 cm
