NR 509 ADVANCED PHYSICAL ASSESSMENT WEEK 2 QUIZ
2026/2027 | New | Questions & Answers | Chamberlain | Pass
Guaranteed - A+ Graded
[Section 1: HEENT Assessment Techniques & Findings (Q1-15)]
Q1. A 42-year-old patient presents with facial pain and pressure over the maxillary
sinuses. The nurse practitioner palpates the maxillary sinus by pressing upward on the:
A. Medial aspect of the orbit
B. Floor of the orbit (just below the zygomatic bone) [CORRECT]
C. Lateral aspect of the nose
D. Forehead above the eyebrows
Rationale: The maxillary sinuses are located in the maxillary bones below the orbits;
palpation is performed by pressing upward on the cheek just below the zygomatic bone.
Option A is for ethmoid sinuses. Option C is not a standard sinus palpation site. Option
D is for frontal sinuses.
Correct Answer: B
Q2. During fundoscopic examination, the nurse practitioner observes a yellow-orange
optic disc with distinct margins and a central cup. The cup-to-disc ratio appears to be
0.4. Which finding is MOST concerning?
A. A cup-to-disc ratio of 0.4
B. Blurred disc margins with venous engorgement
C. A yellow-orange disc color
D. A central cup that is clearly visible
,Rationale: A cup-to-disc ratio greater than 0.5 or asymmetry between eyes suggests
glaucoma. However, blurred disc margins with venous engorgement (Option B)
indicates papilledema, a sign of increased intracranial pressure requiring immediate
intervention. Option A is within normal limits (normal <0.5). Option C is normal disc
color. Option D is a normal finding.
Correct Answer: B
Q3. A patient reports decreased hearing in the right ear. The nurse practitioner places
the tuning fork on the midline of the skull (Weber test), and the patient reports the
sound is louder in the left ear. Which interpretation is CORRECT?
A. The patient has conductive hearing loss in the left ear
B. The patient has sensorineural hearing loss in the right ear [CORRECT]
C. The patient has conductive hearing loss in the right ear
D. The patient has normal hearing bilaterally
Rationale: In the Weber test, sound lateralizes AWAY from the ear with sensorineural
loss and TOWARD the ear with conductive loss. Since the patient has RIGHT-sided
hearing loss and sound is louder in the LEFT ear, this indicates sensorineural loss in the
right ear. Option A would be correct if the patient had left-sided hearing loss. Option C
would be correct if sound lateralized to the right. Option D is incorrect because the
Weber test result is abnormal.
Correct Answer: B
, Q4. During otoscopic examination, the nurse practitioner identifies the following
landmarks on the tympanic membrane. Which landmark is located at the most inferior
aspect of the pars tensa?
A. The umbo
B. The short process of the malleus
C. The light reflex [CORRECT]
D. The pars flaccida
Rationale: The light reflex is seen at the 5 o'clock position (right ear) or 7 o'clock position
(left ear), at the most inferior aspect of the pars tensa. The umbo (Option A) is at the
center. The short process (Option B) is superior. The pars flaccida (Option D) is superior,
not part of the pars tensa.
Correct Answer: C
Q5. A 35-year-old patient presents with a sore throat. On examination, the nurse
practitioner notes enlarged tonsils that extend beyond the tonsillar pillars but do not
meet in the midline. This tonsillar enlargement is graded as:
A. Grade 1+
B. Grade 2+ [CORRECT]
C. Grade 3+
D. Grade 4+
Rationale: Tonsillar grading: 1+ = within the pillars; 2+ = beyond the pillars but not
midline; 3+ = beyond pillars and nearly touching; 4+ = touching in the midline (kissing
tonsils). Option A is too small. Option C would nearly meet in midline. Option D meets in
midline.
Correct Answer: B
2026/2027 | New | Questions & Answers | Chamberlain | Pass
Guaranteed - A+ Graded
[Section 1: HEENT Assessment Techniques & Findings (Q1-15)]
Q1. A 42-year-old patient presents with facial pain and pressure over the maxillary
sinuses. The nurse practitioner palpates the maxillary sinus by pressing upward on the:
A. Medial aspect of the orbit
B. Floor of the orbit (just below the zygomatic bone) [CORRECT]
C. Lateral aspect of the nose
D. Forehead above the eyebrows
Rationale: The maxillary sinuses are located in the maxillary bones below the orbits;
palpation is performed by pressing upward on the cheek just below the zygomatic bone.
Option A is for ethmoid sinuses. Option C is not a standard sinus palpation site. Option
D is for frontal sinuses.
Correct Answer: B
Q2. During fundoscopic examination, the nurse practitioner observes a yellow-orange
optic disc with distinct margins and a central cup. The cup-to-disc ratio appears to be
0.4. Which finding is MOST concerning?
A. A cup-to-disc ratio of 0.4
B. Blurred disc margins with venous engorgement
C. A yellow-orange disc color
D. A central cup that is clearly visible
,Rationale: A cup-to-disc ratio greater than 0.5 or asymmetry between eyes suggests
glaucoma. However, blurred disc margins with venous engorgement (Option B)
indicates papilledema, a sign of increased intracranial pressure requiring immediate
intervention. Option A is within normal limits (normal <0.5). Option C is normal disc
color. Option D is a normal finding.
Correct Answer: B
Q3. A patient reports decreased hearing in the right ear. The nurse practitioner places
the tuning fork on the midline of the skull (Weber test), and the patient reports the
sound is louder in the left ear. Which interpretation is CORRECT?
A. The patient has conductive hearing loss in the left ear
B. The patient has sensorineural hearing loss in the right ear [CORRECT]
C. The patient has conductive hearing loss in the right ear
D. The patient has normal hearing bilaterally
Rationale: In the Weber test, sound lateralizes AWAY from the ear with sensorineural
loss and TOWARD the ear with conductive loss. Since the patient has RIGHT-sided
hearing loss and sound is louder in the LEFT ear, this indicates sensorineural loss in the
right ear. Option A would be correct if the patient had left-sided hearing loss. Option C
would be correct if sound lateralized to the right. Option D is incorrect because the
Weber test result is abnormal.
Correct Answer: B
, Q4. During otoscopic examination, the nurse practitioner identifies the following
landmarks on the tympanic membrane. Which landmark is located at the most inferior
aspect of the pars tensa?
A. The umbo
B. The short process of the malleus
C. The light reflex [CORRECT]
D. The pars flaccida
Rationale: The light reflex is seen at the 5 o'clock position (right ear) or 7 o'clock position
(left ear), at the most inferior aspect of the pars tensa. The umbo (Option A) is at the
center. The short process (Option B) is superior. The pars flaccida (Option D) is superior,
not part of the pars tensa.
Correct Answer: C
Q5. A 35-year-old patient presents with a sore throat. On examination, the nurse
practitioner notes enlarged tonsils that extend beyond the tonsillar pillars but do not
meet in the midline. This tonsillar enlargement is graded as:
A. Grade 1+
B. Grade 2+ [CORRECT]
C. Grade 3+
D. Grade 4+
Rationale: Tonsillar grading: 1+ = within the pillars; 2+ = beyond the pillars but not
midline; 3+ = beyond pillars and nearly touching; 4+ = touching in the midline (kissing
tonsils). Option A is too small. Option C would nearly meet in midline. Option D meets in
midline.
Correct Answer: B
