NR 509 ADVANCED PHYSICAL
ASSESSMENT EXAM PREP QUESTIONS
WITH VERIFIED ANSWERS (LATEST
2026/ 2027)- CHAMBERLAIN
1. When assessing a patient for a suspected meniscus tear, which orthopedic maneuver
involves rotating the patient’s leg with the knee flexed while applying pressure to the joint
line?
A. Lachman’s Test
B. Drawer Test
C. McMurray Test
D. Bulge Sign
Answer: C
Conceptual Explanation: The McMurray test is specifically used to evaluate for meniscus
tears by rotating the lower leg while extending the knee. Lachman’s and Drawer tests
assess the ACL/PCL, and the Bulge sign assesses for minor joint effusions.
2. During a cardiac auscultation, you hear a high-pitched, mid-systolic click followed by a late
systolic murmur at the apex. This finding is most consistent with:
A. Mitral Valve Prolapse
,B. Mitral Stenosis
C. Aortic Stenosis
D. Tricuspid Regurgitation
Answer: A
Conceptual Explanation: Mitral Valve Prolapse (MVP) is classically characterized by a
mid-systolic click and a late systolic murmur heard best at the apex.
3. A 65-year-old patient presents with a ‘curtain closing’ over their vision and floaters. This is
a medical emergency most indicative of:
A. Acute Angle-Closure Glaucoma
B. Retinal Detachment
C. Cataracts
D. Macular Degeneration
Answer: B
Conceptual Explanation: Retinal detachment often presents as sudden floaters, flashes of
light, or a sensation of a shadow or curtain moving across the field of vision.
4. Which cranial nerve is being tested when the provider asks the patient to shrug their
shoulders against resistance?
A. CN XI (Spinal Accessory)
B. CN X (Vagus)
, C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
Answer: A
Conceptual Explanation: The Spinal Accessory nerve (CN XI) innervates the trapezius and
sternocleidomastoid muscles, which are responsible for shrugging and head rotation.
5. When performing the Weber test, a patient with conductive hearing loss in the right ear
will experience:
A. Lateralization to the right ear
B. Lateralization to the left ear
C. No lateralization
D. Air conduction greater than bone conduction
Answer: A
Conceptual Explanation: In conductive hearing loss, the sound lateralizes to the impaired
ear because the ‘room noise’ is blocked, allowing the bone conduction to be heard more
clearly.
6. A positive Rovsing sign is characterized by:
A. Pain in the RUQ during inspiration
B. Pain in the RLQ when pressure is applied to the LLQ
C. Pain in the RLQ when the right hip is extended
ASSESSMENT EXAM PREP QUESTIONS
WITH VERIFIED ANSWERS (LATEST
2026/ 2027)- CHAMBERLAIN
1. When assessing a patient for a suspected meniscus tear, which orthopedic maneuver
involves rotating the patient’s leg with the knee flexed while applying pressure to the joint
line?
A. Lachman’s Test
B. Drawer Test
C. McMurray Test
D. Bulge Sign
Answer: C
Conceptual Explanation: The McMurray test is specifically used to evaluate for meniscus
tears by rotating the lower leg while extending the knee. Lachman’s and Drawer tests
assess the ACL/PCL, and the Bulge sign assesses for minor joint effusions.
2. During a cardiac auscultation, you hear a high-pitched, mid-systolic click followed by a late
systolic murmur at the apex. This finding is most consistent with:
A. Mitral Valve Prolapse
,B. Mitral Stenosis
C. Aortic Stenosis
D. Tricuspid Regurgitation
Answer: A
Conceptual Explanation: Mitral Valve Prolapse (MVP) is classically characterized by a
mid-systolic click and a late systolic murmur heard best at the apex.
3. A 65-year-old patient presents with a ‘curtain closing’ over their vision and floaters. This is
a medical emergency most indicative of:
A. Acute Angle-Closure Glaucoma
B. Retinal Detachment
C. Cataracts
D. Macular Degeneration
Answer: B
Conceptual Explanation: Retinal detachment often presents as sudden floaters, flashes of
light, or a sensation of a shadow or curtain moving across the field of vision.
4. Which cranial nerve is being tested when the provider asks the patient to shrug their
shoulders against resistance?
A. CN XI (Spinal Accessory)
B. CN X (Vagus)
, C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
Answer: A
Conceptual Explanation: The Spinal Accessory nerve (CN XI) innervates the trapezius and
sternocleidomastoid muscles, which are responsible for shrugging and head rotation.
5. When performing the Weber test, a patient with conductive hearing loss in the right ear
will experience:
A. Lateralization to the right ear
B. Lateralization to the left ear
C. No lateralization
D. Air conduction greater than bone conduction
Answer: A
Conceptual Explanation: In conductive hearing loss, the sound lateralizes to the impaired
ear because the ‘room noise’ is blocked, allowing the bone conduction to be heard more
clearly.
6. A positive Rovsing sign is characterized by:
A. Pain in the RUQ during inspiration
B. Pain in the RLQ when pressure is applied to the LLQ
C. Pain in the RLQ when the right hip is extended
