NR 509 ADVANCED PHYSICAL
ASSESSMENT MIDTERM EXAM
QUESTIONS WITH VERIFIED ANSWERS
(LATEST 2026/ 2027)- CHAMBERLAIN
1. When conducting an abdominal assessment, which is the correct sequence of examination
techniques?
A. Inspection, Palpation, Percussion, Auscultation
B. Inspection, Auscultation, Percussion, Palpation
C. Auscultation, Inspection, Palpation, Percussion
D. Percussion, Inspection, Auscultation, Palpation
Answer: B
Conceptual Explanation: In abdominal assessment, auscultation is performed second
(after inspection) to ensure that the bowel sounds heard are not artificially stimulated by
percussion or palpation.
2. A patient presents with a suspected pneumothorax. Which percussion note would the
clinician expect to find over the affected lung area?
A. Resonance
B. Hyperresonance
,C. Dullness
D. Flatness
Answer: B
Conceptual Explanation: Hyperresonance occurs when there is an increased amount of
air in the pleural space, such as in a pneumothorax or emphysema.
3. During a cardiac examination, the clinician hears a mid-systolic click. This finding is most
characteristic of which condition?
A. Aortic Stenosis
B. Mitral Regurgitation
C. Mitral Valve Prolapse
D. Ventricular Septal Defect
Answer: C
Conceptual Explanation: A mid-systolic click is the hallmark clinical sign of mitral valve
prolapse (MVP), often followed by a late systolic murmur.
4. While testing Cranial Nerve III, IV, and VI, the clinician observes nystagmus. Which test is
being performed?
A. Visual Acuity (Snellen)
B. Extraocular Movements (Six Cardinal Positions of Gaze)
C. Confrontation Test
, D. Accommodation and Convergence
Answer: B
Conceptual Explanation: The six cardinal positions of gaze test the integrity of the
extraocular muscles and cranial nerves III (Oculomotor), IV (Trochlear), and VI
(Abducens).
5. Which physical examination maneuver is used to assess for a meniscus tear in the knee?
A. Lachman Test
B. McMurray Test
C. Anterior Drawer Test
D. Phalen Test
Answer: B
Conceptual Explanation: The McMurray test involves rotating the knee with external and
internal rotation while extending it to check for clicks or pain indicative of a meniscal tear.
6. A 65-year-old patient reports a sudden ‘curtain-like’ shadow over their field of vision. This
is a red flag for:
A. Cataracts
B. Retinal Detachment
C. Macular Degeneration
D. Glaucoma
ASSESSMENT MIDTERM EXAM
QUESTIONS WITH VERIFIED ANSWERS
(LATEST 2026/ 2027)- CHAMBERLAIN
1. When conducting an abdominal assessment, which is the correct sequence of examination
techniques?
A. Inspection, Palpation, Percussion, Auscultation
B. Inspection, Auscultation, Percussion, Palpation
C. Auscultation, Inspection, Palpation, Percussion
D. Percussion, Inspection, Auscultation, Palpation
Answer: B
Conceptual Explanation: In abdominal assessment, auscultation is performed second
(after inspection) to ensure that the bowel sounds heard are not artificially stimulated by
percussion or palpation.
2. A patient presents with a suspected pneumothorax. Which percussion note would the
clinician expect to find over the affected lung area?
A. Resonance
B. Hyperresonance
,C. Dullness
D. Flatness
Answer: B
Conceptual Explanation: Hyperresonance occurs when there is an increased amount of
air in the pleural space, such as in a pneumothorax or emphysema.
3. During a cardiac examination, the clinician hears a mid-systolic click. This finding is most
characteristic of which condition?
A. Aortic Stenosis
B. Mitral Regurgitation
C. Mitral Valve Prolapse
D. Ventricular Septal Defect
Answer: C
Conceptual Explanation: A mid-systolic click is the hallmark clinical sign of mitral valve
prolapse (MVP), often followed by a late systolic murmur.
4. While testing Cranial Nerve III, IV, and VI, the clinician observes nystagmus. Which test is
being performed?
A. Visual Acuity (Snellen)
B. Extraocular Movements (Six Cardinal Positions of Gaze)
C. Confrontation Test
, D. Accommodation and Convergence
Answer: B
Conceptual Explanation: The six cardinal positions of gaze test the integrity of the
extraocular muscles and cranial nerves III (Oculomotor), IV (Trochlear), and VI
(Abducens).
5. Which physical examination maneuver is used to assess for a meniscus tear in the knee?
A. Lachman Test
B. McMurray Test
C. Anterior Drawer Test
D. Phalen Test
Answer: B
Conceptual Explanation: The McMurray test involves rotating the knee with external and
internal rotation while extending it to check for clicks or pain indicative of a meniscal tear.
6. A 65-year-old patient reports a sudden ‘curtain-like’ shadow over their field of vision. This
is a red flag for:
A. Cataracts
B. Retinal Detachment
C. Macular Degeneration
D. Glaucoma
