NR509 PHYSICAL ASSESSMENT EXAM
QUESTIONS AND ANSWERS 100% PASS
2026/2027
The nurse practitioner (NP) is completing a comprehensive assessment of Anita, a new client in
a primary care facility. Which assessment finding(s) reported by Anita are related to social
determinants of health? Select all that apply. - ANS occasionally running out of food, being
discriminated against in the workplace, has a great amount of smog in their community, having
difficulty making the rent payment
Focused assessment: - ANS - addresses focused concerns or symptoms
-used for established clients during routine or urgent care visits
- health history and physical exams are focused on the problem
-Includes: brief history of present illness, only the system related to the problem in the ROS
comprehensive assessment: - ANS - used for new clients
-provides personalized information about the client
-strengthens the clinician-client relationship
-provides a baseline for future assessments
-provides an opportunity for health promotion education and counseling
includes: extended history of the present illness, at least two area of PMhx, family hx, social hx,
at least 10 ROS
@2026 ALLRIGHTS RESERVED 1
,subjective data - ANS Subjective data includes symptoms that the client describes such as a
sore throat, headache, or pain. It also includes the client's feelings, perceptions, and concerns
objective data - ANS Objective data includes the physical examination findings or signs
observed. Information obtained from the client during any part of the health history is
considered subjective data. All physical examinations, laboratory information, and test data are
considered objective data
initial encounter - ANS -review the clinical record
-ensure the client is comfortable
-clarify the goals/agenda for the encounter
-establish rapport
-identify client's preferred title, name, and gender pronouns
-use "people first" language (i.e. hearing loss, wheelchair)
-identify the c/o
-open-ended approach for client's story
-gather information about the client's perspective of the illness using the FIFE (feelings, ideas,
function, expectations)
-conduct health history interview
-gather information about PMHx, meds, allergies, family, personal and social, ROS
"How would you describe your sexual identity?"
"How would you describe your gender identity?"
"What is the sex on your original birth certificate?" - ANS
@2026 ALLRIGHTS RESERVED 2
, Basic Interviewing Skills - ANS -active listening-closely attending to what the pt is
communicating, connect to pt's emotional state, use verbal and nonverbal skills
-empathy- the capacity to identify with the pt and feel the pt's pain as your own
-guided questioning- allows for interviewer to facilitate full communications
-validating- affirm legitimacy of pt's emotional experience
-empowerment; encourage pt to ask questions
-partnering; express your commitment to ongoing relationship
-transitioning; inform your pt when you are changing directions
-reassuring; help the pt feel that their problems have been heard
- summarizing; giving a summary of the pt's story to communicate that you have been carefully
listening
-nonverbal communication
-people first language --> ex. patient with diabetes instead of diabetic
history of present illness - ANS The history of the present illness is a concise, clear, and
chronological description of the chief complaint which prompted the client's visit. A symptom
analysis guided by the mnemonic OLD CARTS will reveal information regarding the onset,
location, duration, characteristics, aggravating factors, relieving factors, treatments, and severity
of the symptoms. There are other mnemonics and variations of OLD CARTS that may also be
used to guide in gathering information about the chief complaint.
personal and social history - ANS The Five P's:
-partners
-practices
-protection from STIs
-Past hx of STIs
-Pregnancy plans
@2026 ALLRIGHTS RESERVED 3
QUESTIONS AND ANSWERS 100% PASS
2026/2027
The nurse practitioner (NP) is completing a comprehensive assessment of Anita, a new client in
a primary care facility. Which assessment finding(s) reported by Anita are related to social
determinants of health? Select all that apply. - ANS occasionally running out of food, being
discriminated against in the workplace, has a great amount of smog in their community, having
difficulty making the rent payment
Focused assessment: - ANS - addresses focused concerns or symptoms
-used for established clients during routine or urgent care visits
- health history and physical exams are focused on the problem
-Includes: brief history of present illness, only the system related to the problem in the ROS
comprehensive assessment: - ANS - used for new clients
-provides personalized information about the client
-strengthens the clinician-client relationship
-provides a baseline for future assessments
-provides an opportunity for health promotion education and counseling
includes: extended history of the present illness, at least two area of PMhx, family hx, social hx,
at least 10 ROS
@2026 ALLRIGHTS RESERVED 1
,subjective data - ANS Subjective data includes symptoms that the client describes such as a
sore throat, headache, or pain. It also includes the client's feelings, perceptions, and concerns
objective data - ANS Objective data includes the physical examination findings or signs
observed. Information obtained from the client during any part of the health history is
considered subjective data. All physical examinations, laboratory information, and test data are
considered objective data
initial encounter - ANS -review the clinical record
-ensure the client is comfortable
-clarify the goals/agenda for the encounter
-establish rapport
-identify client's preferred title, name, and gender pronouns
-use "people first" language (i.e. hearing loss, wheelchair)
-identify the c/o
-open-ended approach for client's story
-gather information about the client's perspective of the illness using the FIFE (feelings, ideas,
function, expectations)
-conduct health history interview
-gather information about PMHx, meds, allergies, family, personal and social, ROS
"How would you describe your sexual identity?"
"How would you describe your gender identity?"
"What is the sex on your original birth certificate?" - ANS
@2026 ALLRIGHTS RESERVED 2
, Basic Interviewing Skills - ANS -active listening-closely attending to what the pt is
communicating, connect to pt's emotional state, use verbal and nonverbal skills
-empathy- the capacity to identify with the pt and feel the pt's pain as your own
-guided questioning- allows for interviewer to facilitate full communications
-validating- affirm legitimacy of pt's emotional experience
-empowerment; encourage pt to ask questions
-partnering; express your commitment to ongoing relationship
-transitioning; inform your pt when you are changing directions
-reassuring; help the pt feel that their problems have been heard
- summarizing; giving a summary of the pt's story to communicate that you have been carefully
listening
-nonverbal communication
-people first language --> ex. patient with diabetes instead of diabetic
history of present illness - ANS The history of the present illness is a concise, clear, and
chronological description of the chief complaint which prompted the client's visit. A symptom
analysis guided by the mnemonic OLD CARTS will reveal information regarding the onset,
location, duration, characteristics, aggravating factors, relieving factors, treatments, and severity
of the symptoms. There are other mnemonics and variations of OLD CARTS that may also be
used to guide in gathering information about the chief complaint.
personal and social history - ANS The Five P's:
-partners
-practices
-protection from STIs
-Past hx of STIs
-Pregnancy plans
@2026 ALLRIGHTS RESERVED 3
