NR 509 Advanced Physical Assessment Midterm &
Final Exams COMPLETE BUNDLE (2025/2026) |
Actual Exams | Comprehensive Health Assessment
The following information is best placed in which category? The patient has had three-cesarian
sections
Adult illness
Surgeries
Psychiatric
Obstetrics/gynecology
Surgeries
Which of the following skin lesions is the least likely to metastasize
Seborrheic keratosis
Squamous cell carcinoma
Basal cell carcinoma
Melanoma
Seborrheic keratosis
Which of the following brief screening measures is useful in assessing memory
Three-item recall
Serial 7s
Copying intersecting pentagrams
Spelling "world" backward
Three-item recall
A 25-year-old radio announcer comes to the clinic for and annual examination His BMI is 25.9 kg/m2.
He is concerned about his weight. Based on this information, what is appropriate counsel for the
patient during the visit?
Refer the patient to a nutritionist because he is anorexic
Reassure the patient that he has a normal body weight
Give the patient information about reduction of fat and cholesterol because he is obese
Give the patient information about reduction of fat, cholesterol, and calorie because he is overweight.
Give the patient information about reduction of fat, cholesterol, and calorie because he is overweight.
A 55 year old bookkeeper comes to your office for a routine visit. You note that on pervious visit for
treatment of contact dermatitis, her blood pressure was elevated. She does not have prior elevated
,readings and her family history in negative for hypertension. You measure her blood pressure in your
office today. Which of the following factors can result in a false high reading?
Blood pressure cuff is tightly fitted
Patient is seated quietly for 10 minutes prior to measurement
Patients arm is resting supported by your arm at her mid chest level as you stand to measure the
blood pressure
Blood pressure is measured on bare arm.
Blood pressure cuff is tightly fitted
You are beginning the examination of the skin on a 25 year old teacher. You have previously elicited
that she came to the office for evaluation of fatigue, weight gain and hair loss. You strongly suspect
that she has hypothyroidism. What is the expected moisture and texture of the skin of a patient with
hypothyroidism.
Dry and smooth
Moist and flaky
Moist and velvety
Dry and rough
Dry and rough
A provide is evaluating a patient who presents with increased of breath over the past several weeks.
During the discussion with the patient the following occurs. Patient "Sometimes I become so anxious
that I lose track of time." Provider "Lose track of time/" Patient "yes a few minutes will pass but it
feels like hours" Which of the following describes the interviewing technique used by the provider
Summarization
Validation
Echoing
Partnering
Echoing
The following information is recorded in the comprehensive health history for a patient who is
establishing care and has no focused concerns. Patient denies chest pain, palpitations, orthopnea, and
paroxysmal nocturnal dyspnea. To which category does it belong?
Past medial illness
Present illness
Review of systems
Personal and social history
Review of systems
You are beginning the physical examination of a patient. Which of the following areas are important
to observe as part of the general survey? Select all that apply
Level of consciousness
Signs of distress
Vital signs
Dress, grooming, and personal hygiene
, Level of consciousness
Signs of distress
Dress, grooming, and personal hygiene
A 23-year-old female presents to the clinic. She has decided to discontinue using condoms and would
like a different birth control option. Her last pelvic exam was 2 years ago when she had a negative Pap
smear and STI screening. Her LMP was 2 days ago, and she is still spotting. She last had sex with her
boyfriend 1 week ago. Condoms were used. The NP elects to postpone her speculum exam during this
office encounter. What is the best evidence-based rationale for the decision to postpone her exam?
She is on her menses
A 24-year-old female presents to the clinic for an annual exam. The NP proceeds to perform a Pap
smear and understands that the most important area on the cervix to obtain cells for the Pap smear is
where?
Transformation zone
A 45-year-old female presents to the clinic for heavy periods and pelvic pain during her menses. She
reached menarche at age 13 years and has had regular periods except during her pregnancies. She is a
G4P3013 and does not use birth control as her husband has had a vasectomy. She states this has been
going on for about a year but seems to be getting worse. Her LMP was 1 week ago. On a bimanual
exam, a large midline mass halfway to the umbilicus is palpated. Each adnexal area is nonpalpable.
Her rectal exam is normal. Her body mass index (BMI) is 27. Which of the following is the most likely
interpretation of these findings?
These findings suggest uterine fibroids
A 48-year-old female presents to the clinic with complaints of heavy vaginal discharge and severe
itching for 1 week. On visualization of the vulva, a thick, white, curdy discharge is seen at the
introitus. On speculum examination, there is a copious amount of this discharge. The pH of the
discharge is 4.1 and the KOH whiff test is negative, with no unusual smell. Wet prep shows budding
hyphae. Which of the following is the most accurate interpretation of these findings?
These findings suggest candida vaginitis
Cervical motion tenderness and/or adnexal tenderness are hallmarks of all the following conditions,
EXCEPT?
Bacterial vaginosis
A 30-year-old female presents to the clinic with complaints of a bad-smelling vaginal discharge with
some mild itching for about 3 weeks. She denies pain with urination or with sexual intercourse. She
also reports that the smell increased after intercourse and during her period last week. After a careful
history and physical assessment, the NP documents the following pelvic and anorectal examination
findings: Bilateral shotty inguinal adenopathy. External genitalia without erythema or lesions. Vaginal
mucosa and cervix coated with thin white homogeneous discharge with a mild fishy odor. After
swabbing the cervix, no discharge is visible in the cervical os. Uterus midline; no adnexal masses.
Final Exams COMPLETE BUNDLE (2025/2026) |
Actual Exams | Comprehensive Health Assessment
The following information is best placed in which category? The patient has had three-cesarian
sections
Adult illness
Surgeries
Psychiatric
Obstetrics/gynecology
Surgeries
Which of the following skin lesions is the least likely to metastasize
Seborrheic keratosis
Squamous cell carcinoma
Basal cell carcinoma
Melanoma
Seborrheic keratosis
Which of the following brief screening measures is useful in assessing memory
Three-item recall
Serial 7s
Copying intersecting pentagrams
Spelling "world" backward
Three-item recall
A 25-year-old radio announcer comes to the clinic for and annual examination His BMI is 25.9 kg/m2.
He is concerned about his weight. Based on this information, what is appropriate counsel for the
patient during the visit?
Refer the patient to a nutritionist because he is anorexic
Reassure the patient that he has a normal body weight
Give the patient information about reduction of fat and cholesterol because he is obese
Give the patient information about reduction of fat, cholesterol, and calorie because he is overweight.
Give the patient information about reduction of fat, cholesterol, and calorie because he is overweight.
A 55 year old bookkeeper comes to your office for a routine visit. You note that on pervious visit for
treatment of contact dermatitis, her blood pressure was elevated. She does not have prior elevated
,readings and her family history in negative for hypertension. You measure her blood pressure in your
office today. Which of the following factors can result in a false high reading?
Blood pressure cuff is tightly fitted
Patient is seated quietly for 10 minutes prior to measurement
Patients arm is resting supported by your arm at her mid chest level as you stand to measure the
blood pressure
Blood pressure is measured on bare arm.
Blood pressure cuff is tightly fitted
You are beginning the examination of the skin on a 25 year old teacher. You have previously elicited
that she came to the office for evaluation of fatigue, weight gain and hair loss. You strongly suspect
that she has hypothyroidism. What is the expected moisture and texture of the skin of a patient with
hypothyroidism.
Dry and smooth
Moist and flaky
Moist and velvety
Dry and rough
Dry and rough
A provide is evaluating a patient who presents with increased of breath over the past several weeks.
During the discussion with the patient the following occurs. Patient "Sometimes I become so anxious
that I lose track of time." Provider "Lose track of time/" Patient "yes a few minutes will pass but it
feels like hours" Which of the following describes the interviewing technique used by the provider
Summarization
Validation
Echoing
Partnering
Echoing
The following information is recorded in the comprehensive health history for a patient who is
establishing care and has no focused concerns. Patient denies chest pain, palpitations, orthopnea, and
paroxysmal nocturnal dyspnea. To which category does it belong?
Past medial illness
Present illness
Review of systems
Personal and social history
Review of systems
You are beginning the physical examination of a patient. Which of the following areas are important
to observe as part of the general survey? Select all that apply
Level of consciousness
Signs of distress
Vital signs
Dress, grooming, and personal hygiene
, Level of consciousness
Signs of distress
Dress, grooming, and personal hygiene
A 23-year-old female presents to the clinic. She has decided to discontinue using condoms and would
like a different birth control option. Her last pelvic exam was 2 years ago when she had a negative Pap
smear and STI screening. Her LMP was 2 days ago, and she is still spotting. She last had sex with her
boyfriend 1 week ago. Condoms were used. The NP elects to postpone her speculum exam during this
office encounter. What is the best evidence-based rationale for the decision to postpone her exam?
She is on her menses
A 24-year-old female presents to the clinic for an annual exam. The NP proceeds to perform a Pap
smear and understands that the most important area on the cervix to obtain cells for the Pap smear is
where?
Transformation zone
A 45-year-old female presents to the clinic for heavy periods and pelvic pain during her menses. She
reached menarche at age 13 years and has had regular periods except during her pregnancies. She is a
G4P3013 and does not use birth control as her husband has had a vasectomy. She states this has been
going on for about a year but seems to be getting worse. Her LMP was 1 week ago. On a bimanual
exam, a large midline mass halfway to the umbilicus is palpated. Each adnexal area is nonpalpable.
Her rectal exam is normal. Her body mass index (BMI) is 27. Which of the following is the most likely
interpretation of these findings?
These findings suggest uterine fibroids
A 48-year-old female presents to the clinic with complaints of heavy vaginal discharge and severe
itching for 1 week. On visualization of the vulva, a thick, white, curdy discharge is seen at the
introitus. On speculum examination, there is a copious amount of this discharge. The pH of the
discharge is 4.1 and the KOH whiff test is negative, with no unusual smell. Wet prep shows budding
hyphae. Which of the following is the most accurate interpretation of these findings?
These findings suggest candida vaginitis
Cervical motion tenderness and/or adnexal tenderness are hallmarks of all the following conditions,
EXCEPT?
Bacterial vaginosis
A 30-year-old female presents to the clinic with complaints of a bad-smelling vaginal discharge with
some mild itching for about 3 weeks. She denies pain with urination or with sexual intercourse. She
also reports that the smell increased after intercourse and during her period last week. After a careful
history and physical assessment, the NP documents the following pelvic and anorectal examination
findings: Bilateral shotty inguinal adenopathy. External genitalia without erythema or lesions. Vaginal
mucosa and cervix coated with thin white homogeneous discharge with a mild fishy odor. After
swabbing the cervix, no discharge is visible in the cervical os. Uterus midline; no adnexal masses.
