NR 509 Advanced Physical Assessment
NR 509 Week 4 Midterm Exam Latest
2024-2025 Chamberlain University 100%
Accurate Spring Semester Exam Original
(Question And correct Answer)
Question 1:
An 18-year-old patient comes to the office for evaluation of a rash. At first,
there was only one large patch, but then more lesions suddenly appeared
on the back and torso; the lesions itch. The pattern of eruption is like a
Christmas tree, and there are a variety of erythematous papules and
macules on the cleavage lines of the back. What is the most likely
diagnosis?
A) Tinea corporis
B) Pityriasis rosea
C) Eczema
D) Psoriasis
Correct Answer: B) Pityriasis rosea
Question 2:
A 19-year-old construction worker presents for evaluation of a rash. He
notes that it started on his back with a multitude of spots and is also on
his arms, chest, and neck. It itches a lot. He sweats more than before due
to being outdoors. The rash includes dark tan patches with a reddish cast
and fine scales, more prominently around the upper back, chest, neck, and
upper arms as well as under the arms. What is the most likely diagnosis?
A) Tinea versicolor
,NR 509 Advanced Physical Assessment
B) Pityriasis rosea
C) Atopic dermatitis
D) Scabies
Correct Answer: A) Tinea versicolor
Question 3:
You are examining a child with severe cerebral palsy. When you suddenly
move his foot dorsally, a sustained “beating” of the foot against your hand
ensues. What does this represent?
A) Clonus
B) Hyperreflexia
C) Babinski sign
D) Tremor
Correct Answer: A) Clonus
Question 4:
A patient presents with a daily headache which has worsened over the
past several months. On funduscopic examination, you notice that the disk
edge is indistinct, and the veins do not pulsate. Which is most likely?
A) Papilledema
B) Migraine headache
C) Tension headache
D) Cluster headache
Correct Answer: A) Papilledema
Question 5:
A patient complains of epistaxis. Which other cause should be considered?
, NR 509 Advanced Physical Assessment
A) Hypertension
B) Hypothyroidism
C) Diabetes mellitus
D) Asthma
Correct Answer: A) Hypertension
Question 6:
A patient complains of shortness of breath for the past few days. On
examination, you note late inspiratory crackles in the lower third of the
chest that were not present a week ago. What is the most likely
explanation for these?
A) Acute bronchitis
B) Pneumonia
C) Heart failure
D) Asthma
Correct Answer: C) Heart failure
Question 7:
You are concerned about a positive test finding you have just obtained on
physical examination of your patient. You go on to do more examination,
laboratory work, and diagnostic tests, only to find that there is no sign of
the disease you thought would correlate with the finding. This same
experience happens several times. What should you conclude?
A) The physical exam findings are most likely false positives
B) The disease is too early to be detected by diagnostic tests
C) The patient is malingering
NR 509 Week 4 Midterm Exam Latest
2024-2025 Chamberlain University 100%
Accurate Spring Semester Exam Original
(Question And correct Answer)
Question 1:
An 18-year-old patient comes to the office for evaluation of a rash. At first,
there was only one large patch, but then more lesions suddenly appeared
on the back and torso; the lesions itch. The pattern of eruption is like a
Christmas tree, and there are a variety of erythematous papules and
macules on the cleavage lines of the back. What is the most likely
diagnosis?
A) Tinea corporis
B) Pityriasis rosea
C) Eczema
D) Psoriasis
Correct Answer: B) Pityriasis rosea
Question 2:
A 19-year-old construction worker presents for evaluation of a rash. He
notes that it started on his back with a multitude of spots and is also on
his arms, chest, and neck. It itches a lot. He sweats more than before due
to being outdoors. The rash includes dark tan patches with a reddish cast
and fine scales, more prominently around the upper back, chest, neck, and
upper arms as well as under the arms. What is the most likely diagnosis?
A) Tinea versicolor
,NR 509 Advanced Physical Assessment
B) Pityriasis rosea
C) Atopic dermatitis
D) Scabies
Correct Answer: A) Tinea versicolor
Question 3:
You are examining a child with severe cerebral palsy. When you suddenly
move his foot dorsally, a sustained “beating” of the foot against your hand
ensues. What does this represent?
A) Clonus
B) Hyperreflexia
C) Babinski sign
D) Tremor
Correct Answer: A) Clonus
Question 4:
A patient presents with a daily headache which has worsened over the
past several months. On funduscopic examination, you notice that the disk
edge is indistinct, and the veins do not pulsate. Which is most likely?
A) Papilledema
B) Migraine headache
C) Tension headache
D) Cluster headache
Correct Answer: A) Papilledema
Question 5:
A patient complains of epistaxis. Which other cause should be considered?
, NR 509 Advanced Physical Assessment
A) Hypertension
B) Hypothyroidism
C) Diabetes mellitus
D) Asthma
Correct Answer: A) Hypertension
Question 6:
A patient complains of shortness of breath for the past few days. On
examination, you note late inspiratory crackles in the lower third of the
chest that were not present a week ago. What is the most likely
explanation for these?
A) Acute bronchitis
B) Pneumonia
C) Heart failure
D) Asthma
Correct Answer: C) Heart failure
Question 7:
You are concerned about a positive test finding you have just obtained on
physical examination of your patient. You go on to do more examination,
laboratory work, and diagnostic tests, only to find that there is no sign of
the disease you thought would correlate with the finding. This same
experience happens several times. What should you conclude?
A) The physical exam findings are most likely false positives
B) The disease is too early to be detected by diagnostic tests
C) The patient is malingering
