NR 509 IMMERSION EXAM PREP 2026/2027 | CHAMBERLAIN |
COMPREHENSIVE NURSING REVIEW
1. If a patient presents with a red and swollen auditory canal and a tympanic
membrane showing signs of effusion, what might this indicate?
Normal ear condition.
Hearing loss due to age.
Possible ear infection or otitis media.
Allergic reaction to ear drops.
2. What does a positive Bloomberg sign suggest about a patient's abdominal
condition?
Potential abdominal issues
Infection in the intestines
Presence of a hernia
Normal abdominal function
3. What position should the hands be in to palpate the liver during a physical
examination?
Left hand under the right posterior costovertebral angle and right
hand on the midclavicular line
Right hand under the left posterior costovertebral angle and left hand
on the midclavicular line
Right hand on the abdomen and left hand on the chest
Both hands on the abdomen with fingers extended
,4. Describe the key observations that should be made when inspecting the
abdomen during a physical examination.
The abdomen should be checked for temperature and moisture.
The abdomen should be inspected for contours, symmetry, scars,
and peristalsis.
The abdomen should be palpated for tenderness and rigidity.
The abdomen should be auscultated for heart sounds.
5. If a patient is unable to follow the 'H' pattern with their eyes, what could this
indicate about their cranial nerve function?
It indicates a potential issue with the patient's respiratory system.
It may indicate dysfunction in cranial nerves #3, #4, or #6.
It may show that the patient has a strong grip strength.
It suggests a problem with the patient's hearing.
6. While assessing a client's lower extremities, a nurse notices that one leg is
pale and cooler to the touch. Which assessment should the nurse perform
next?
Ask about a family history of skin disorders.
Check for the presence of Homans' sign.
Assess the client's skin for adequate skin turgor
Palpate the client's pedal pulses bilaterally.
7. Describe how the Romberg test is conducted and what it reveals about a
patient's health.
, The Romberg test requires the patient to walk in a straight line while
blindfolded.
The Romberg test assesses the patient's ability to hear different
frequencies.
The Romberg test measures the patient's muscle reflexes.
The Romberg test involves having the patient stand with their eyes
closed to observe balance and proprioception.
8. During a physical examination, if a patient presents with absent bowel sounds
in all four quadrants, what might this indicate about their gastrointestinal
health?
It means the patient has an infection.
It indicates the patient is experiencing diarrhea.
It may indicate a potential gastrointestinal obstruction or ileus.
It suggests the patient has normal digestive function.
9. Describe the significance of the tongue's appearance during a throat and
mouth examination.
The tongue should be red and swollen, indicating infection.
The tongue should be yellow and coated, suggesting poor hygiene.
The tongue should be pink, moist, and smooth, indicating good oral
health.
The tongue should be white and rough, suggesting dehydration.
10. Describe how a systematic physical examination protocol contributes to
patient care.
It focuses solely on the patient's symptoms.
, It provides a structured approach to assess the patient's overall
health by examining all major body systems.
It eliminates the need for laboratory tests.
It prioritizes patient history over physical assessment.
11. During a physical examination, a patient presents with swollen anterior
cervical lymph nodes. What should the examiner do next?
Assess for additional symptoms such as fever, sore throat, or other
signs of infection.
Ignore the findings if the patient has no history of lymphatic issues.
Immediately refer the patient for imaging studies.
Only document the findings without further assessment.
12. Which intercostal space is associated with the aortic valve for auscultation?
3rd intercostal space left
2nd intercostal space right
5th midclavicular line
4th intercostal space left
13. Describe the significance of assessing for tenderness and masses during
abdominal palpation.
Assessing for tenderness and masses helps identify potential
underlying health issues such as inflammation or tumors.
It focuses on the patient's emotional response to the examination.
It is primarily for checking the patient's comfort level during the exam.
It is used to evaluate the patient's nutritional status.
COMPREHENSIVE NURSING REVIEW
1. If a patient presents with a red and swollen auditory canal and a tympanic
membrane showing signs of effusion, what might this indicate?
Normal ear condition.
Hearing loss due to age.
Possible ear infection or otitis media.
Allergic reaction to ear drops.
2. What does a positive Bloomberg sign suggest about a patient's abdominal
condition?
Potential abdominal issues
Infection in the intestines
Presence of a hernia
Normal abdominal function
3. What position should the hands be in to palpate the liver during a physical
examination?
Left hand under the right posterior costovertebral angle and right
hand on the midclavicular line
Right hand under the left posterior costovertebral angle and left hand
on the midclavicular line
Right hand on the abdomen and left hand on the chest
Both hands on the abdomen with fingers extended
,4. Describe the key observations that should be made when inspecting the
abdomen during a physical examination.
The abdomen should be checked for temperature and moisture.
The abdomen should be inspected for contours, symmetry, scars,
and peristalsis.
The abdomen should be palpated for tenderness and rigidity.
The abdomen should be auscultated for heart sounds.
5. If a patient is unable to follow the 'H' pattern with their eyes, what could this
indicate about their cranial nerve function?
It indicates a potential issue with the patient's respiratory system.
It may indicate dysfunction in cranial nerves #3, #4, or #6.
It may show that the patient has a strong grip strength.
It suggests a problem with the patient's hearing.
6. While assessing a client's lower extremities, a nurse notices that one leg is
pale and cooler to the touch. Which assessment should the nurse perform
next?
Ask about a family history of skin disorders.
Check for the presence of Homans' sign.
Assess the client's skin for adequate skin turgor
Palpate the client's pedal pulses bilaterally.
7. Describe how the Romberg test is conducted and what it reveals about a
patient's health.
, The Romberg test requires the patient to walk in a straight line while
blindfolded.
The Romberg test assesses the patient's ability to hear different
frequencies.
The Romberg test measures the patient's muscle reflexes.
The Romberg test involves having the patient stand with their eyes
closed to observe balance and proprioception.
8. During a physical examination, if a patient presents with absent bowel sounds
in all four quadrants, what might this indicate about their gastrointestinal
health?
It means the patient has an infection.
It indicates the patient is experiencing diarrhea.
It may indicate a potential gastrointestinal obstruction or ileus.
It suggests the patient has normal digestive function.
9. Describe the significance of the tongue's appearance during a throat and
mouth examination.
The tongue should be red and swollen, indicating infection.
The tongue should be yellow and coated, suggesting poor hygiene.
The tongue should be pink, moist, and smooth, indicating good oral
health.
The tongue should be white and rough, suggesting dehydration.
10. Describe how a systematic physical examination protocol contributes to
patient care.
It focuses solely on the patient's symptoms.
, It provides a structured approach to assess the patient's overall
health by examining all major body systems.
It eliminates the need for laboratory tests.
It prioritizes patient history over physical assessment.
11. During a physical examination, a patient presents with swollen anterior
cervical lymph nodes. What should the examiner do next?
Assess for additional symptoms such as fever, sore throat, or other
signs of infection.
Ignore the findings if the patient has no history of lymphatic issues.
Immediately refer the patient for imaging studies.
Only document the findings without further assessment.
12. Which intercostal space is associated with the aortic valve for auscultation?
3rd intercostal space left
2nd intercostal space right
5th midclavicular line
4th intercostal space left
13. Describe the significance of assessing for tenderness and masses during
abdominal palpation.
Assessing for tenderness and masses helps identify potential
underlying health issues such as inflammation or tumors.
It focuses on the patient's emotional response to the examination.
It is primarily for checking the patient's comfort level during the exam.
It is used to evaluate the patient's nutritional status.
