NR 509 / NR509 Advanced Physical Assessment
Midterm Exam Study Guide
Questions with Verified Answers - Chamberlain
Consist of 250+ multiple choices Questions with Answers
1. A/62-year-
old/teacher/presents/to/the/clinic/for/evaluation/of/the/following/symptoms:/fever,/head
ache,/sinus/congestion,/sore/throat,/green/nasal/dis-
/ charge,/and/cough./This/cluster/of/symptoms/is/best/explained/by:
A) One/disease/process
B) More/than/one/disease/process
ANS:/A)/One/disease/process
This/cluster/of/symptoms/is/most/consistent/with/sinusitis./The/chance/that/all/of/these/sy
mptoms/are/caused/by/multiple/synchronous/conditions/in/the/same/patient/is/much/less/th
an/the/possibility/of/having/one/problem/which/accounts/for/all/of/them.
,2. Steve/has/just/seen/a/5-year-
old/girl/who/wheezes/when/exposed/to/cats./The/patient's/family/history/is/positive/for/a
sthma./You/think/the/child/most/likely/has/asthma./What/have/you/just/accomplished?
A) You/have/tested/your/hypothesis.
B) You/have/developed/a/plan.
C) You/have/established/a/working/diagnosis.
D) You/have/created/a/hypothesis.
ANS:/D)/You/have/created/a/hypothesis.
As/you/go/through/a/history/and/examination,/you/will/start/to/generate/ideas/to/explain/t
he/patient's/symptoms./It/is/best/to/keep/an/open/mind/and/make/as/many/hypotheses
as/you/can,/to/avoid/missing/a/possibility./A/common/mistake/is/to/latch/onto/one/idea/too/
early.
3. Ms./Washington/is/a/67-year-
old/who/had/a/heart/attack/last/month./Now/she/complains/of/shortness/of/breath/and/
not/being/able/to/sleep/in/a/flat/position/(orthopnea)./On/examination/you/note/increa
sed/jugular/venous/pressure,/an/S3/gallop,/crackles/low/in/the/lung/fields,/and/swollen/
ankles/(edema)./This/is/an/example/of/a:
,A) Pathophysiologic/problem
B) Psychopathologic/problem
ANS:/A)/Pathophysiologic/problem
This/is/an/example/of/a/pathophysiologic/problem/because/Ms./Washington's/symptoms/a
re/consistent/with/a/pathophysiologic/process./The/heart/attack/reduced/the/ability/of/her/h
eart/to/handle/her/volume/status/and/subsequently/produced/the/many/features/of/conge
stive/heart/failure.
4. On/the/way/to/see/your/next/patient,/you/glance/at/the/calendar/and/make/a/mental/n
ote/to
buy/a/Mother's/Day/card./Your/patient/is/Ms./Hernandez,/a/76-year-
old/widow/who/lost/her
husband/in/May,/two/years/ago./She/comes/in/today/with/a/headaches,/abdom-
inal/pain,/and
/
general/malaise./This/happened/once/before,/about/a/year/ago,/according/to/your/detail
ed/office
notes./You/have/done/a/thorough/evaluation/but/are/unable/to/arrive/at/a/consistent/pict
ure/to
tie/these/symptoms/together./This/is/an/example/of/a:
A) Pathophysiologic/problem
B) Psychopathologic/problem
ANS:/B)/Psychopathologic/problem
3///104
, It/is/not/uncommon/for/patients/to/experience/psychopathologic/symptoms/around/the/a
nniversary/of/a/traumatic/event./The/time/of/year/and/the/lack/of/an/obvious/connection
between/Ms./Hernandez's/symptoms/would/make/you/consider/this/as/a/possibility./You/wi
ll/note/that/although/this/might/have/been/an/early/consideration/in/your/hypothesis/gene
ration,/it/is
key/to/convince/yourself/that/there/is/not/a/physiologic/explanation/for/these/symp-
toms,/by
/
performing/a/careful/history/and/examination.
5. Mr./Larson/is/a/42-year-old/widowed/father/of/two/children,/ages/4/and/11.
He/works/in/a
sales/office/to/support/his/family./Recently/he/has/injured/his/back/and/you/are/thinking/
he
would/benefit/from/physical/therapy,/three/times/a/week,/for/an/hour/per/session./
What/would
be/your/next/step?
A) Write/the/physical/therapy/prescription.
B) Have/your/office/staff/explain/directions/to/the/physical/therapy/center.
C) Discuss/the/plan/with/Mr./Larson.
D) Tell/Mr./Larson/that/he/will/be/going/to/physical/therapy/three/times/a/week.
ANS:/C)/Discuss/the/plan/with/Mr./Larson.
You/should/discuss/your/proposed/plan/with/the/patient/before/implementing/it./In/this/case,/y
4///104
Midterm Exam Study Guide
Questions with Verified Answers - Chamberlain
Consist of 250+ multiple choices Questions with Answers
1. A/62-year-
old/teacher/presents/to/the/clinic/for/evaluation/of/the/following/symptoms:/fever,/head
ache,/sinus/congestion,/sore/throat,/green/nasal/dis-
/ charge,/and/cough./This/cluster/of/symptoms/is/best/explained/by:
A) One/disease/process
B) More/than/one/disease/process
ANS:/A)/One/disease/process
This/cluster/of/symptoms/is/most/consistent/with/sinusitis./The/chance/that/all/of/these/sy
mptoms/are/caused/by/multiple/synchronous/conditions/in/the/same/patient/is/much/less/th
an/the/possibility/of/having/one/problem/which/accounts/for/all/of/them.
,2. Steve/has/just/seen/a/5-year-
old/girl/who/wheezes/when/exposed/to/cats./The/patient's/family/history/is/positive/for/a
sthma./You/think/the/child/most/likely/has/asthma./What/have/you/just/accomplished?
A) You/have/tested/your/hypothesis.
B) You/have/developed/a/plan.
C) You/have/established/a/working/diagnosis.
D) You/have/created/a/hypothesis.
ANS:/D)/You/have/created/a/hypothesis.
As/you/go/through/a/history/and/examination,/you/will/start/to/generate/ideas/to/explain/t
he/patient's/symptoms./It/is/best/to/keep/an/open/mind/and/make/as/many/hypotheses
as/you/can,/to/avoid/missing/a/possibility./A/common/mistake/is/to/latch/onto/one/idea/too/
early.
3. Ms./Washington/is/a/67-year-
old/who/had/a/heart/attack/last/month./Now/she/complains/of/shortness/of/breath/and/
not/being/able/to/sleep/in/a/flat/position/(orthopnea)./On/examination/you/note/increa
sed/jugular/venous/pressure,/an/S3/gallop,/crackles/low/in/the/lung/fields,/and/swollen/
ankles/(edema)./This/is/an/example/of/a:
,A) Pathophysiologic/problem
B) Psychopathologic/problem
ANS:/A)/Pathophysiologic/problem
This/is/an/example/of/a/pathophysiologic/problem/because/Ms./Washington's/symptoms/a
re/consistent/with/a/pathophysiologic/process./The/heart/attack/reduced/the/ability/of/her/h
eart/to/handle/her/volume/status/and/subsequently/produced/the/many/features/of/conge
stive/heart/failure.
4. On/the/way/to/see/your/next/patient,/you/glance/at/the/calendar/and/make/a/mental/n
ote/to
buy/a/Mother's/Day/card./Your/patient/is/Ms./Hernandez,/a/76-year-
old/widow/who/lost/her
husband/in/May,/two/years/ago./She/comes/in/today/with/a/headaches,/abdom-
inal/pain,/and
/
general/malaise./This/happened/once/before,/about/a/year/ago,/according/to/your/detail
ed/office
notes./You/have/done/a/thorough/evaluation/but/are/unable/to/arrive/at/a/consistent/pict
ure/to
tie/these/symptoms/together./This/is/an/example/of/a:
A) Pathophysiologic/problem
B) Psychopathologic/problem
ANS:/B)/Psychopathologic/problem
3///104
, It/is/not/uncommon/for/patients/to/experience/psychopathologic/symptoms/around/the/a
nniversary/of/a/traumatic/event./The/time/of/year/and/the/lack/of/an/obvious/connection
between/Ms./Hernandez's/symptoms/would/make/you/consider/this/as/a/possibility./You/wi
ll/note/that/although/this/might/have/been/an/early/consideration/in/your/hypothesis/gene
ration,/it/is
key/to/convince/yourself/that/there/is/not/a/physiologic/explanation/for/these/symp-
toms,/by
/
performing/a/careful/history/and/examination.
5. Mr./Larson/is/a/42-year-old/widowed/father/of/two/children,/ages/4/and/11.
He/works/in/a
sales/office/to/support/his/family./Recently/he/has/injured/his/back/and/you/are/thinking/
he
would/benefit/from/physical/therapy,/three/times/a/week,/for/an/hour/per/session./
What/would
be/your/next/step?
A) Write/the/physical/therapy/prescription.
B) Have/your/office/staff/explain/directions/to/the/physical/therapy/center.
C) Discuss/the/plan/with/Mr./Larson.
D) Tell/Mr./Larson/that/he/will/be/going/to/physical/therapy/three/times/a/week.
ANS:/C)/Discuss/the/plan/with/Mr./Larson.
You/should/discuss/your/proposed/plan/with/the/patient/before/implementing/it./In/this/case,/y
4///104
