Assessment final exam study guide
(2026/2027) 90 Questions & Verified
Answers | 100% Correct | Grade A –
This Chamberlain NR509 Advanced Physical Assessment final exam study guide is a 90
Q&A. It focuses on comprehensive, systems-based assessments, emphasizing clinical
techniques, findings documentation, and patient scenarios. Key areas include cranial nerves,
abdominal, breast, musculoskeletal (e.g., knee exams), and geriatric assessments. Study
should focus on interpreting, analyzing, and synthesizing findings rather than simple
memorization.
Key Topics Covered
Cranial Nerves (CN I-XII): Functions and clinical signs of damage (e.g., CN III ptosis, CN VII
facial droop).
Abdominal Exam: Anatomy, examination techniques (inspection, auscultation, percussion,
palpation), and distinguishing symptoms (e.g., APPENDICITIS: Psoas/Blumberg signs,
REBOUND TENDERNESS).
Breast & Axillae: Inspection/palpation techniques,, and risk factors for cancer.
Musculoskeletal: Specific tests such as Valgus/Varus Stress tests for the knee.
Geriatric Care: 10-Minute Geriatric Screener and common physiological aging changes.
Other Key Areas: Obstetric history, dermatological findings, and proper documentation (e.g.,
HEAD, EYES, EARS, NOSE, THROAT (HEENT)).
NB Study Tips & Final Actual Exam Structure
Format: Non-cumulative; focuses on content taught in later weeks.
Technique Focus: Prioritize "Techniques of Examination" and "Recording Your
Findings" for each system.
Critical Thinking: Questions require analyzing scenarios, not just recalling definitions.
Study Materials: Pay close attention to red-lettered information, tables, and
appendices in textbooks.
Strategy: Review all answer choices before reading the question stem to focus on key
content.
1
, Quiz_________________?
A 35-year-old female with a history of migraines presents to the
clinic with worsening symptoms for the past few weeks. She
reports waking up at night with headaches and nausea. Her only
medication history is oral contraceptive pills (OCPs). Otherwise,
she states she is healthy. Which of the following actions if taken
by the NP is the best next step? -
Answer☑️
Take a further history and perform a very careful neurological
exam
Quiz_________________?
A grandmother is accompanying her 9-year-old granddaughter
during a routine physical examination. She asks you privately if
her granddaughter has started puberty yet. During the
examination, the NP notes asymmetric projection of the areola
and nipple of the right chest to form a secondary mound above
the level of the breast. The left breast is underdeveloped. These
assessment findings are consistent with which Tanner Stage of
development? -
Answer☑️
2
, IV
Quiz_________________?
Primary prevention is defined as which of the following? -
Answer☑️
Interventions designed to prevent disease
Quiz_________________?
Based on the U.S. Preventive Services Task Force (USPSTF)
recommendations, which of the following statements is true about
screening for breast cancer in average-risk women? -
Answer☑️
Mammography is recommended every 2 years for women aged
50-74 with insufficient evidence for screening women over the
age of 75.
Quiz_________________?
Which of the following statements is true regarding
recommendations by the eighth Joint National Committee (JNC8)
for adults aged 60 and older? Select all that apply. -
3
, Answer☑️
Target blood pressure should be </= 150/90 mmHg but notes that
if treatment results in SBP <140 and is "well tolerated and without
adverse effects to health or quality of live, treatment does not
need to be adjusted."
In those aged 80 or older, blood pressure targets of 140 to
<150/70 to 80 appear optimal for notable reductions in stroke,
cardiovascular events, and all-cause mortality.
Quiz_________________?
Which of the following is a useful strategy when examining young
children between the ages of 1 and 4? -
Answer☑️
Have the parent facilitate the exam (e.g., removing clothes,
holding the child on lap).
Quiz_________________?
The NP is completing the review of systems on a 4-month-old
female during a routine encounter. Which statement from the
4