Page 1 of 27
“ NR509 ADVANCED PHYSICAL ASSESSMENT
EXAM ”LATEST EXAM SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION) WELL REVISED GUARANTEE
PASS
NR509 2025-2026 update/NR509 / NR 509 Midterm Exam (Latest ):
Advanced Physical Assessment - Chamberlain/GET IT 100% ACCURATE!
/GRADED A+
A 72-year-old woman presents with concerns about several ruby-red spots on
her chest and abdomen. She reports that these are growing in both size and
number over time. On examination, the provider notes a number of cherry
angiomas at the locations indicated by the patient. No other abnormalities are
noted. Which of the following best describes the clinical characteristics and
significance of a cherry angioma?
a. Cherry angiomas never show blanching under pressure.
b. Cherry angiomas are associated with liver disease and B vitamin
deficiencies.
c. Cherry angiomas are benign and may increase in size and number with
aging.
d. Cherry angiomas rarely occur on the trunk and are most often noted on the
legs near veins.
e. Cherry angiomas are a marker for underlying pathology that requires
additional evaluation.
c. Cherry angiomas are benign and may increase in size and number with aging.
A 28-year-old male business executive presents to a primary care provider
with concerns about hair loss. He is otherwise healthy without chronic medical
conditions or current medications. He has a chart history of allergy to sulfa
medications, although this happened when he was a young child, and he does
not recall the incident or the reaction. He is unsure at what age his father went
, Page 2 of 27
bald, as he never remembers his father having hair. He remarks jokingly that
he is losing more hair than his dogs at home, who shed frequently but are
otherwise healthy. On examination, he has a single uniform oval patch of hair
loss over the left temporal area without any scaling, inflammation, or other
skin changes where the hair is missing. Which of the following is the most
likely explanation for his hair loss?
a. Male pattern baldness, as evidenced by his father's baldness at a young age
b. Tinea capitis, as evidenced by his expos
d. Alopecia areata, as evidenced by patchy hair loss without associated skin
changes
A 33-year-old nurse presents with a history of weight gain, decreased energy,
and menorrhagia over the past several months. Review of her family history
reveals Hashimoto thyroiditis and hypothyroidism in four female first-degree
relatives (her mother and three sisters). Which of the following skin findings
best supports a diagnosis of clinical hypothyroidism?
a. Discoid rash, alopecia, oral ulcers, and Raynaud phenomenon
b. Warm moist skin, hyperpigmentation, and pretibial myxedema
c. Dry skin, myxedema, alopecia of the eyebrows, and brittle nails
d. Spider angiomas, telangiectasia, palmar erythema, and Terry nails
e. Thickened, taut skin with sclerodactyly and telangiectasia
c. Dry skin, myxedema, alopecia of the eyebrows, and brittle nails
A 74-year-old man is being seen because of a 1-day history of a painful right
eye. He also mentions that he has blurred vision in that eye. He thought
something had blown into his eye, but after flushing it out, the pain and
blurred vision remains. What is the best course of action?
a. Reassure him that pain from a foreign body can remain for a day or two
(even after the foreign body is removed).
b. Perform a vision examination.
c. Perform a complete neurological examination.
d. Refer to an ophthalmologist emergently with the possibility of corneal ulcer,
uveitis, or acute glaucoma.
e. Check his blood pressure.
d. Refer to an ophthalmologist emergently with the possibility of corneal ulcer,
uveitis, or acute glaucoma.
An 87-year-old woman who is generally healthy and cognitively sharp
complains to the clinician of slow loss of vision, with similar problems in both
eyes, particularly when she looks straight ahead. She is having difficulty
reading of late. What is a reasonable response to her?
a. "This is a common occurrence with aging and unlikely to have a diagnosis."
b. "This is an unusual occurrence, even among elderly, and may be due to a
problem within the brain (since it is bilateral)."
c. "Are you experiencing depression or stress?"
d. "This may be the onset of macular degeneration, which an ophthalmologist
should confirm."
e. "This is a classic 'floater' and no cause for concern."
, Page 3 of 27
d. "This may be the onset of macular degeneration, which an ophthalmologist should
confirm."
A 70-year-old man complains of double vision. Which of the following
associated symptoms or signs would be worrying about an underlying
neurological problem (as opposed to pathology in the eye)?
a. Abnormality in extraocular movements on examination
b. Diplopia persisting in the right eye when the left eye is closed
c. An associated conjunctivitis
d. Worsening vision bilaterally on examination
e. Symptoms of flashing lights
a. Abnormality in extraocular movements on examination
An 82-year-old gentleman seems to be speaking loudly during an examination,
suggesting that he may not be hearing well. What is a good question to ask
him to help identify whether or not he has hearing loss?
a. Has he been listening to loud music?
b. How well does he understand people in a noisy environment such as a
restaurant?
c. Does he have vertigo?
d. Has he been having an earache?
e. Does he have discharge from his ear?
b. How well does he understand people in a noisy environment such as a
restaurant?
A 25-year-old construction worker is complaining of a swishing noise in both
ears that never goes away and has occurred for about 6 months. He is
otherwise healthy, is able to work on his job (operating large, vibrating
machinery) without problems, and is not taking any medications. A complete
examination reveals an abnormality. Which of the following abnormality is
most often associated with tinnitus?
a. Bilateral earache
b. Wax in both ears
c. Headache
d. Vertigo
e. Mild tremor
d. Vertigo
A patient with cystic fibrosis (CF) has been complaining of fullness in his left
nasal cavity. Examination of his nose using an otoscope and a speculum
reveals a normal nasal septum, but a pale, saclike growth of inflamed tissue
that is obstructing a large part of the nasal cavity. What is the most likely
diagnosis?
a. Ulcer
b. Viral rhinitis
c. Allergic rhinitis
d. Deviated nasal septum
e. Nasal polyp
e. Nasal polyp
“ NR509 ADVANCED PHYSICAL ASSESSMENT
EXAM ”LATEST EXAM SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION) WELL REVISED GUARANTEE
PASS
NR509 2025-2026 update/NR509 / NR 509 Midterm Exam (Latest ):
Advanced Physical Assessment - Chamberlain/GET IT 100% ACCURATE!
/GRADED A+
A 72-year-old woman presents with concerns about several ruby-red spots on
her chest and abdomen. She reports that these are growing in both size and
number over time. On examination, the provider notes a number of cherry
angiomas at the locations indicated by the patient. No other abnormalities are
noted. Which of the following best describes the clinical characteristics and
significance of a cherry angioma?
a. Cherry angiomas never show blanching under pressure.
b. Cherry angiomas are associated with liver disease and B vitamin
deficiencies.
c. Cherry angiomas are benign and may increase in size and number with
aging.
d. Cherry angiomas rarely occur on the trunk and are most often noted on the
legs near veins.
e. Cherry angiomas are a marker for underlying pathology that requires
additional evaluation.
c. Cherry angiomas are benign and may increase in size and number with aging.
A 28-year-old male business executive presents to a primary care provider
with concerns about hair loss. He is otherwise healthy without chronic medical
conditions or current medications. He has a chart history of allergy to sulfa
medications, although this happened when he was a young child, and he does
not recall the incident or the reaction. He is unsure at what age his father went
, Page 2 of 27
bald, as he never remembers his father having hair. He remarks jokingly that
he is losing more hair than his dogs at home, who shed frequently but are
otherwise healthy. On examination, he has a single uniform oval patch of hair
loss over the left temporal area without any scaling, inflammation, or other
skin changes where the hair is missing. Which of the following is the most
likely explanation for his hair loss?
a. Male pattern baldness, as evidenced by his father's baldness at a young age
b. Tinea capitis, as evidenced by his expos
d. Alopecia areata, as evidenced by patchy hair loss without associated skin
changes
A 33-year-old nurse presents with a history of weight gain, decreased energy,
and menorrhagia over the past several months. Review of her family history
reveals Hashimoto thyroiditis and hypothyroidism in four female first-degree
relatives (her mother and three sisters). Which of the following skin findings
best supports a diagnosis of clinical hypothyroidism?
a. Discoid rash, alopecia, oral ulcers, and Raynaud phenomenon
b. Warm moist skin, hyperpigmentation, and pretibial myxedema
c. Dry skin, myxedema, alopecia of the eyebrows, and brittle nails
d. Spider angiomas, telangiectasia, palmar erythema, and Terry nails
e. Thickened, taut skin with sclerodactyly and telangiectasia
c. Dry skin, myxedema, alopecia of the eyebrows, and brittle nails
A 74-year-old man is being seen because of a 1-day history of a painful right
eye. He also mentions that he has blurred vision in that eye. He thought
something had blown into his eye, but after flushing it out, the pain and
blurred vision remains. What is the best course of action?
a. Reassure him that pain from a foreign body can remain for a day or two
(even after the foreign body is removed).
b. Perform a vision examination.
c. Perform a complete neurological examination.
d. Refer to an ophthalmologist emergently with the possibility of corneal ulcer,
uveitis, or acute glaucoma.
e. Check his blood pressure.
d. Refer to an ophthalmologist emergently with the possibility of corneal ulcer,
uveitis, or acute glaucoma.
An 87-year-old woman who is generally healthy and cognitively sharp
complains to the clinician of slow loss of vision, with similar problems in both
eyes, particularly when she looks straight ahead. She is having difficulty
reading of late. What is a reasonable response to her?
a. "This is a common occurrence with aging and unlikely to have a diagnosis."
b. "This is an unusual occurrence, even among elderly, and may be due to a
problem within the brain (since it is bilateral)."
c. "Are you experiencing depression or stress?"
d. "This may be the onset of macular degeneration, which an ophthalmologist
should confirm."
e. "This is a classic 'floater' and no cause for concern."
, Page 3 of 27
d. "This may be the onset of macular degeneration, which an ophthalmologist should
confirm."
A 70-year-old man complains of double vision. Which of the following
associated symptoms or signs would be worrying about an underlying
neurological problem (as opposed to pathology in the eye)?
a. Abnormality in extraocular movements on examination
b. Diplopia persisting in the right eye when the left eye is closed
c. An associated conjunctivitis
d. Worsening vision bilaterally on examination
e. Symptoms of flashing lights
a. Abnormality in extraocular movements on examination
An 82-year-old gentleman seems to be speaking loudly during an examination,
suggesting that he may not be hearing well. What is a good question to ask
him to help identify whether or not he has hearing loss?
a. Has he been listening to loud music?
b. How well does he understand people in a noisy environment such as a
restaurant?
c. Does he have vertigo?
d. Has he been having an earache?
e. Does he have discharge from his ear?
b. How well does he understand people in a noisy environment such as a
restaurant?
A 25-year-old construction worker is complaining of a swishing noise in both
ears that never goes away and has occurred for about 6 months. He is
otherwise healthy, is able to work on his job (operating large, vibrating
machinery) without problems, and is not taking any medications. A complete
examination reveals an abnormality. Which of the following abnormality is
most often associated with tinnitus?
a. Bilateral earache
b. Wax in both ears
c. Headache
d. Vertigo
e. Mild tremor
d. Vertigo
A patient with cystic fibrosis (CF) has been complaining of fullness in his left
nasal cavity. Examination of his nose using an otoscope and a speculum
reveals a normal nasal septum, but a pale, saclike growth of inflamed tissue
that is obstructing a large part of the nasal cavity. What is the most likely
diagnosis?
a. Ulcer
b. Viral rhinitis
c. Allergic rhinitis
d. Deviated nasal septum
e. Nasal polyp
e. Nasal polyp
