# NR 509 WEEK 1 EXAM: ADVANCED PHYSICAL
ASSESSMENT
**ACADEMIC YEAR:** 2026/2027
**COURSE:** NR 509 – ADVANCED PHYSICAL
ASSESSMENT
**FOCUS AREAS:** HEALTH HISTORY,
INTERVIEWING TECHNIQUES, DATA COLLECTION,
PRIORITY SETTING, EVIDENCE-BASED PRACTICE
**TOTAL QUESTIONS:** 50
**FORMAT:** MULTIPLE CHOICE WITH DETAILED
RATIONALES
**TARGET GRADE:** A+
## Exam Structure
| Domain | Topic | Questions |
|--------|-------|-----------|
| Domain 1 | Subjective vs. Objective Data & Database Types | 8 |
| Domain 2 | Nursing Process & Diagnostic Reasoning | 8 |
| Domain 3 | Priority Setting & Problem Identification | 7 |
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| Domain 4 | Evidence-Based Practice & Critical Thinking | 5 |
| Domain 5 | Holistic Health & Prevention | 5 |
| Domain 6 | Interviewing Techniques & Communication | 10 |
| Domain 7 | Developmental & Cultural Considerations | 7 |
| **Total** | | **50** |
## Domain 1: Subjective vs. Objective Data & Database Types (8
Questions)
**Question 1**
After completing an initial assessment of a patient, the nurse has charted
that his respirations are eupneic and his pulse is 58 beats per minute.
These types of data would be:
a) Subjective
b) **Objective**
c) Reflective
d) Introspective
**Rationale:** Objective data are observable and measurable facts
obtained through physical assessment, vital signs measurement, and
inspection . Eupneic respirations and a pulse rate of 58 BPM are directly
measurable by the nurse, making them objective findings. Subjective
data come from the patient's verbal descriptions .
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**Question 2**
A patient tells the nurse that he is very nervous, is nauseated, and feels
hot. These types of data would be:
a) **Subjective**
b) Objective
c) Reflective
d) Introspective
**Rationale:** Subjective data are information provided by the patient
about their own symptoms, feelings, and perceptions . The patient's
statements about feeling nervous, nauseated, and hot cannot be directly
measured by the nurse and rely entirely on the patient's self-report.
**Question 3**
The patient's record, laboratory studies, objective data, and subjective
data combine to form the:
a) **Database**
b) Admitting data
c) Financial statement
d) Discharge summary
**Rationale:** The database is the compilation of all patient
information, including the health history (subjective data), physical
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examination findings (objective data), laboratory and diagnostic study
results, and the medical record . This comprehensive information forms
the foundation for clinical decision-making.
**Question 4**
An example of objective data obtained during a physical assessment
includes:
a) Patient's history of allergies
b) Patient's use of medications at home
c) Last menstrual period 1 month ago
d) **2.5 cm scar on the right lower forearm**
**Rationale:** A measurable scar is an objective finding that the nurse
directly observes and measures . History of allergies, medication use,
and menstrual history are all subjective data provided by the patient's
report.
**Question 5**
Which of the following is an example of objective data?
a) **Alert and oriented**
b) Dizziness
c) Earache
d) Sore throat