NR509 Week 4 Midterm Exam Due
1st February 2026 Complete Actual
Exam Questions 1- 100 NR-509
Advanced Physical Assessment NR
509 Midterm and Finals Examplify
Online Proctored Exam Questions
and Answers | 100% Pass
Guaranteed | Graded A+
Question 1: A 58-year-old male presents with chest pain. Which open-ended question
is most appropriate to begin the history of present illness (HPI)?
A) "Does the pain radiate to your arm?"
B) "Is the pain sharp or dull?"
C) "Tell me about the pain you are experiencing."
D) "Have you ever had a heart attack before?"
Correct Answer: C) "Tell me about the pain you are experiencing."
Rationale: Open-ended questions allow patients to describe symptoms in their own
words without biasing the response, yielding richer clinical information and establishing
rapport. Closed-ended questions are used later for clarification.
Question 2: When obtaining a patient's health history, which component is considered
part of the "past medical history"?
A) Current medications
B) Hospitalizations and surgeries
C) Family history of heart disease
D) Social history including tobacco use
,Correct Answer: B) Hospitalizations and surgeries
Rationale: Past medical history includes childhood and adult illnesses, hospitalizations,
surgeries, injuries, and chronic conditions. Current medications, family history, and social
history are distinct components.
Question 3: A patient reports chest pain that occurs with exertion and resolves with
rest. Which mnemonic should be used to further characterize this symptom?
A) PQRSTU
B) SOCRATES
C) OLD CARTS
D) COLDSPA
Correct Answer: C) OLD CARTS
Rationale: OLD CARTS (Onset, Location, Duration, Character, Aggravating factors,
Relieving factors, Timing, Severity) is the standard mnemonic for HPI symptom
characterization.
Question 4: A patient with dementia is unable to provide a reliable health history. The
daughter accompanies the patient and provides most of the information. How should
the clinician document the history source?
A) "History obtained from patient and family member"
B) "History obtained from patient's daughter; patient unable to provide reliable history
due to dementia"
C) "History obtained from patient with corroboration from family"
D) "History obtained from family member only"
Correct Answer: B) "History obtained from patient's daughter; patient unable to
provide reliable history due to dementia"
Rationale: When a patient cannot provide a reliable history, the source of information
should be clearly documented (e.g., "History obtained from patient's daughter").
Question 5: A patient reports using "herbal supplements" but cannot remember the
names. What is the most appropriate response?
A) "Herbal supplements are not important."
B) "Please bring all supplements, bottles, and medications to your next visit."
C) "Only prescription medications matter."
D) "Stop taking all supplements immediately."
Correct Answer: B) "Please bring all supplements, bottles, and medications to your next
visit."
Rationale: Herbal supplements can interact with medications and cause adverse effects.
Asking patients to bring all medications and supplements ensures accuracy.
,Question 6: When asking about a patient's sexual history, which approach is most
appropriate?
A) Avoid asking unless the patient brings it up
B) Use open-ended, nonjudgmental questions and normalize the inquiry
C) Ask only if the patient appears sexually active
D) Defer to a specialist
Correct Answer: B) Use open-ended, nonjudgmental questions and normalize the
inquiry
Rationale: Sexual history is essential. Using a nonjudgmental approach with normalized
statements facilitates honest communication.
Question 7: A patient presents with fatigue and unintentional weight loss. The review of
systems (ROS) should include questions related to which body systems? Select all that
apply.
A) Constitutional
B) Gastrointestinal
C) Endocrine
D) All of the above
Correct Answer: D) All of the above
Rationale: ROS should be comprehensive and systematic. Constitutional symptoms
(fever, fatigue), gastrointestinal (appetite changes, nausea), and endocrine (heat/cold
intolerance, polyuria) are all relevant to weight loss and fatigue.
Question 8: When interviewing an adolescent, which approach best ensures
confidentiality while respecting parental involvement?
A) Interview the adolescent and parent together for the entire visit
B) Ask the parent to step out for part of the visit to allow private conversation with the
adolescent
C) Refuse to see the patient if the parent insists on staying
D) Speak only to the parent
Correct Answer: B) Ask the parent to step out for part of the visit to allow private
conversation with the adolescent
Rationale: Adolescents should have the opportunity for confidential discussion about
sensitive topics. A brief period without the parent present is appropriate.
Question 9: A patient reports a history of depression and is currently taking sertraline.
Under which section of the health history should this be documented?
A) Past medical history
B) Current medications
, C) Social history
D) Review of systems
Correct Answer: B) Current medications
Rationale: All current medications should be documented in the current medications
section with name, dose, frequency, and duration.
Question 10: When documenting a patient's review of systems (ROS), which statement
is correctly documented?
A) "Patient denies any problems"
B) "Cardiovascular: Negative. Respiratory: Negative."
C) "Cardiovascular: Denies chest pain, palpitations, orthopnea. Respiratory: Denies
cough, dyspnea, hemoptysis."
D) "ROS was performed and was negative"
Correct Answer: C) "Cardiovascular: Denies chest pain, palpitations, orthopnea.
Respiratory: Denies cough, dyspnea, hemoptysis."
Rationale: ROS should be documented systematically by system with specific negative
findings. Vague statements like "negative" are insufficient.
Question 11: Which cranial nerves are responsible for extraocular eye movements?
A) CN I, II, III
B) CN III, IV, VI
C) CN V, VII, VIII
D) CN II, III, IV
Correct Answer: B) CN III, IV, VI
Rationale: Cranial nerves III (oculomotor), IV (trochlear), and VI (abducens) control
extraocular movements.
Question 12: A patient presents with unilateral eye pain, redness, and a fixed, mid-
dilated pupil. What is the most concerning diagnosis?
A) Conjunctivitis
B) Corneal abrasion
C) Acute angle-closure glaucoma
D) Allergic conjunctivitis
Correct Answer: C) Acute angle-closure glaucoma
Rationale: Acute angle-closure glaucoma presents with severe eye pain, conjunctival
injection, corneal edema, fixed mid-dilated pupil, and is an ophthalmologic emergency.
1st February 2026 Complete Actual
Exam Questions 1- 100 NR-509
Advanced Physical Assessment NR
509 Midterm and Finals Examplify
Online Proctored Exam Questions
and Answers | 100% Pass
Guaranteed | Graded A+
Question 1: A 58-year-old male presents with chest pain. Which open-ended question
is most appropriate to begin the history of present illness (HPI)?
A) "Does the pain radiate to your arm?"
B) "Is the pain sharp or dull?"
C) "Tell me about the pain you are experiencing."
D) "Have you ever had a heart attack before?"
Correct Answer: C) "Tell me about the pain you are experiencing."
Rationale: Open-ended questions allow patients to describe symptoms in their own
words without biasing the response, yielding richer clinical information and establishing
rapport. Closed-ended questions are used later for clarification.
Question 2: When obtaining a patient's health history, which component is considered
part of the "past medical history"?
A) Current medications
B) Hospitalizations and surgeries
C) Family history of heart disease
D) Social history including tobacco use
,Correct Answer: B) Hospitalizations and surgeries
Rationale: Past medical history includes childhood and adult illnesses, hospitalizations,
surgeries, injuries, and chronic conditions. Current medications, family history, and social
history are distinct components.
Question 3: A patient reports chest pain that occurs with exertion and resolves with
rest. Which mnemonic should be used to further characterize this symptom?
A) PQRSTU
B) SOCRATES
C) OLD CARTS
D) COLDSPA
Correct Answer: C) OLD CARTS
Rationale: OLD CARTS (Onset, Location, Duration, Character, Aggravating factors,
Relieving factors, Timing, Severity) is the standard mnemonic for HPI symptom
characterization.
Question 4: A patient with dementia is unable to provide a reliable health history. The
daughter accompanies the patient and provides most of the information. How should
the clinician document the history source?
A) "History obtained from patient and family member"
B) "History obtained from patient's daughter; patient unable to provide reliable history
due to dementia"
C) "History obtained from patient with corroboration from family"
D) "History obtained from family member only"
Correct Answer: B) "History obtained from patient's daughter; patient unable to
provide reliable history due to dementia"
Rationale: When a patient cannot provide a reliable history, the source of information
should be clearly documented (e.g., "History obtained from patient's daughter").
Question 5: A patient reports using "herbal supplements" but cannot remember the
names. What is the most appropriate response?
A) "Herbal supplements are not important."
B) "Please bring all supplements, bottles, and medications to your next visit."
C) "Only prescription medications matter."
D) "Stop taking all supplements immediately."
Correct Answer: B) "Please bring all supplements, bottles, and medications to your next
visit."
Rationale: Herbal supplements can interact with medications and cause adverse effects.
Asking patients to bring all medications and supplements ensures accuracy.
,Question 6: When asking about a patient's sexual history, which approach is most
appropriate?
A) Avoid asking unless the patient brings it up
B) Use open-ended, nonjudgmental questions and normalize the inquiry
C) Ask only if the patient appears sexually active
D) Defer to a specialist
Correct Answer: B) Use open-ended, nonjudgmental questions and normalize the
inquiry
Rationale: Sexual history is essential. Using a nonjudgmental approach with normalized
statements facilitates honest communication.
Question 7: A patient presents with fatigue and unintentional weight loss. The review of
systems (ROS) should include questions related to which body systems? Select all that
apply.
A) Constitutional
B) Gastrointestinal
C) Endocrine
D) All of the above
Correct Answer: D) All of the above
Rationale: ROS should be comprehensive and systematic. Constitutional symptoms
(fever, fatigue), gastrointestinal (appetite changes, nausea), and endocrine (heat/cold
intolerance, polyuria) are all relevant to weight loss and fatigue.
Question 8: When interviewing an adolescent, which approach best ensures
confidentiality while respecting parental involvement?
A) Interview the adolescent and parent together for the entire visit
B) Ask the parent to step out for part of the visit to allow private conversation with the
adolescent
C) Refuse to see the patient if the parent insists on staying
D) Speak only to the parent
Correct Answer: B) Ask the parent to step out for part of the visit to allow private
conversation with the adolescent
Rationale: Adolescents should have the opportunity for confidential discussion about
sensitive topics. A brief period without the parent present is appropriate.
Question 9: A patient reports a history of depression and is currently taking sertraline.
Under which section of the health history should this be documented?
A) Past medical history
B) Current medications
, C) Social history
D) Review of systems
Correct Answer: B) Current medications
Rationale: All current medications should be documented in the current medications
section with name, dose, frequency, and duration.
Question 10: When documenting a patient's review of systems (ROS), which statement
is correctly documented?
A) "Patient denies any problems"
B) "Cardiovascular: Negative. Respiratory: Negative."
C) "Cardiovascular: Denies chest pain, palpitations, orthopnea. Respiratory: Denies
cough, dyspnea, hemoptysis."
D) "ROS was performed and was negative"
Correct Answer: C) "Cardiovascular: Denies chest pain, palpitations, orthopnea.
Respiratory: Denies cough, dyspnea, hemoptysis."
Rationale: ROS should be documented systematically by system with specific negative
findings. Vague statements like "negative" are insufficient.
Question 11: Which cranial nerves are responsible for extraocular eye movements?
A) CN I, II, III
B) CN III, IV, VI
C) CN V, VII, VIII
D) CN II, III, IV
Correct Answer: B) CN III, IV, VI
Rationale: Cranial nerves III (oculomotor), IV (trochlear), and VI (abducens) control
extraocular movements.
Question 12: A patient presents with unilateral eye pain, redness, and a fixed, mid-
dilated pupil. What is the most concerning diagnosis?
A) Conjunctivitis
B) Corneal abrasion
C) Acute angle-closure glaucoma
D) Allergic conjunctivitis
Correct Answer: C) Acute angle-closure glaucoma
Rationale: Acute angle-closure glaucoma presents with severe eye pain, conjunctival
injection, corneal edema, fixed mid-dilated pupil, and is an ophthalmologic emergency.
