NR509 ADVANCED PHYSICAL
ASSESSMENT - EXAM 3 PRACTICE
QUESTIONS AND ANSWERS 2026/2027
UPDATE || 100% GUARANTEED PASS
1. When assessing for appendicitis, the examiner deeply palpates the left lower quadrant and
the patient reports pain in the right lower quadrant. This finding is known as:
A. Murphy’s sign
B. Rovsing’s sign
C. Psoas sign
D. Obturator sign
Answer: B
Conceptual Explanation: Rovsing’s sign is positive when deep pressure in the LLQ elicits
pain in the RLQ, suggesting peritoneal irritation associated with appendicitis.
2. A patient presents with suspected knee instability. The examiner flexes the knee to 20-30
degrees and pulls the tibia forward while stabilizing the femur. This test is:
A. McMurray test
B. Valgus stress test
C. Bulge sign
,D. Lachman test
Answer: D
Conceptual Explanation: The Lachman test is the most sensitive clinical test for detecting
an ACL tear, performed at 20-30 degrees of flexion.
3. During a neurological exam, the patient is unable to differentiate between a key and a coin
placed in their hand with eyes closed. This is called:
A. Anosognosia
B. Agraphesthesia
C. Astereognosis
D. Ataxia
Answer: C
Conceptual Explanation: Stereognosis is the ability to identify an object by touch; the
inability to do so is astereognosis, indicating a lesion in the sensory cortex.
4. A 65-year-old male reports a gradual decrease in urinary stream and nocturia. On digital
rectal exam, the prostate is enlarged, smooth, firm, and non-tender. These findings are
consistent with:
A. Benign Prostatic Hyperplasia (BPH)
B. Prostatitis
C. Prostate cancer
, D. Prostatic abscess
Answer: A
Conceptual Explanation: BPH typically presents as a symmetrically enlarged, smooth, and
firm (rubber-like) prostate without nodules or tenderness.
5. When performing a breast exam, the practitioner notes skin thickening and enlarged pores
resembling the skin of an orange. This is highly suggestive of:
A. Inflammatory breast cancer
B. Fibroadenoma
C. Paget’s disease
D. Mastitis
Answer: A
Conceptual Explanation: Peau d’orange is caused by lymphatic obstruction and is a classic
sign of advanced or inflammatory breast cancer.
6. Which cranial nerve is being tested when the patient is asked to shrug their shoulders
against resistance?
A. CN XI (Spinal Accessory)
B. CN X (Vagus)
C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
ASSESSMENT - EXAM 3 PRACTICE
QUESTIONS AND ANSWERS 2026/2027
UPDATE || 100% GUARANTEED PASS
1. When assessing for appendicitis, the examiner deeply palpates the left lower quadrant and
the patient reports pain in the right lower quadrant. This finding is known as:
A. Murphy’s sign
B. Rovsing’s sign
C. Psoas sign
D. Obturator sign
Answer: B
Conceptual Explanation: Rovsing’s sign is positive when deep pressure in the LLQ elicits
pain in the RLQ, suggesting peritoneal irritation associated with appendicitis.
2. A patient presents with suspected knee instability. The examiner flexes the knee to 20-30
degrees and pulls the tibia forward while stabilizing the femur. This test is:
A. McMurray test
B. Valgus stress test
C. Bulge sign
,D. Lachman test
Answer: D
Conceptual Explanation: The Lachman test is the most sensitive clinical test for detecting
an ACL tear, performed at 20-30 degrees of flexion.
3. During a neurological exam, the patient is unable to differentiate between a key and a coin
placed in their hand with eyes closed. This is called:
A. Anosognosia
B. Agraphesthesia
C. Astereognosis
D. Ataxia
Answer: C
Conceptual Explanation: Stereognosis is the ability to identify an object by touch; the
inability to do so is astereognosis, indicating a lesion in the sensory cortex.
4. A 65-year-old male reports a gradual decrease in urinary stream and nocturia. On digital
rectal exam, the prostate is enlarged, smooth, firm, and non-tender. These findings are
consistent with:
A. Benign Prostatic Hyperplasia (BPH)
B. Prostatitis
C. Prostate cancer
, D. Prostatic abscess
Answer: A
Conceptual Explanation: BPH typically presents as a symmetrically enlarged, smooth, and
firm (rubber-like) prostate without nodules or tenderness.
5. When performing a breast exam, the practitioner notes skin thickening and enlarged pores
resembling the skin of an orange. This is highly suggestive of:
A. Inflammatory breast cancer
B. Fibroadenoma
C. Paget’s disease
D. Mastitis
Answer: A
Conceptual Explanation: Peau d’orange is caused by lymphatic obstruction and is a classic
sign of advanced or inflammatory breast cancer.
6. Which cranial nerve is being tested when the patient is asked to shrug their shoulders
against resistance?
A. CN XI (Spinal Accessory)
B. CN X (Vagus)
C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
