NR509 Week 4 Midterm Exam Due 29th
March 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+
SECTION 1: FOUNDATIONAL CONCEPTS & HEALTH
HISTORY (Questions 1-20)
Question 1
A 52-year-old male presents with a complaint of substernal chest
pressure that occurs with exertion and resolves with rest. What is the
most appropriate initial question to further characterize this symptom?
A) "Can you point to the exact spot with one finger?"
B) "What were you doing when it started, and how long did it last?"
C) "Does the pain radiate to your jaw or left arm?"
D) "Have you taken nitroglycerin for this?"
Correct ,,,ANSWER,,,: B
,Rationale: Asking about the activity at onset and duration helps
differentiate stable angina from unstable angina or other cardiac
conditions. This focuses on the "context" and "timing" of the symptom
as part of the OLDCARTS mnemonic .
Question 2
When documenting a patient's history of present illness (HPI), which of
the following represents the "OLDCARTS" mnemonic element of
"Quality"?
A) "The pain started 3 days ago."
B) "The pain is a sharp, stabbing sensation."
C) "The pain worsens when I lie down."
D) "The pain is an 8 out of 10."
Correct ,,,ANSWER,,,: B
Rationale: "Quality" refers to the descriptive nature of the symptom
(sharp, dull, crushing, burning). The other options represent Onset (A),
Aggravating factors (C), and Severity (D) .
Question 3
A 34-year-old female reports chronic fatigue. During the review of
systems (ROS), she notes she has cold intolerance and dry skin. This
information is most pertinent to which body system?
,A) Hematologic
B) Musculoskeletal
C) Endocrine
D) Neurologic
Correct ,,,ANSWER,,,: C
Rationale: Cold intolerance and dry skin are classic signs of
hypothyroidism, which falls under the endocrine system .
Question 4
Which of the following is an example of a "pertinent negative" in a
patient presenting with acute abdominal pain?
A) The patient has a history of cholecystectomy.
B) The patient reports nausea and vomiting.
C) The patient denies rebound tenderness or guarding.
D) The patient's pain is localized to the right lower quadrant.
Correct ,,,ANSWER,,,: C
Rationale: A pertinent negative is a clinically significant finding that is
absent, helping to rule out specific pathologies (e.g., peritonitis). The
absence of rebound tenderness helps rule out peritoneal inflammation .
Question 5
, A 70-year-old male is asked to recall three words after 5 minutes during
a mental status exam. He can only recall one. This primarily assesses:
A) Attention and concentration
B) Short-term memory
C) Long-term memory
D) Executive function
Correct ,,,ANSWER,,,: B
Rationale: Recalling words after a short delay (3-5 minutes) tests short-
term or recent memory, not long-term memory which would be tested
after longer intervals .
Question 6
You are conducting a health history on a new patient. To assess the
reliability of the history, you should consider:
A) The patient's insurance status
B) The patient's mood, memory, and consistency of ,,,ANSWER,,,s
C) The patient's vital signs
D) The presence of secondary gain
Correct ,,,ANSWER,,,: B
Rationale: Reliability is judged by the historian's memory, consistency,
and coherence, not by insurance status or external factors .
March 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+
SECTION 1: FOUNDATIONAL CONCEPTS & HEALTH
HISTORY (Questions 1-20)
Question 1
A 52-year-old male presents with a complaint of substernal chest
pressure that occurs with exertion and resolves with rest. What is the
most appropriate initial question to further characterize this symptom?
A) "Can you point to the exact spot with one finger?"
B) "What were you doing when it started, and how long did it last?"
C) "Does the pain radiate to your jaw or left arm?"
D) "Have you taken nitroglycerin for this?"
Correct ,,,ANSWER,,,: B
,Rationale: Asking about the activity at onset and duration helps
differentiate stable angina from unstable angina or other cardiac
conditions. This focuses on the "context" and "timing" of the symptom
as part of the OLDCARTS mnemonic .
Question 2
When documenting a patient's history of present illness (HPI), which of
the following represents the "OLDCARTS" mnemonic element of
"Quality"?
A) "The pain started 3 days ago."
B) "The pain is a sharp, stabbing sensation."
C) "The pain worsens when I lie down."
D) "The pain is an 8 out of 10."
Correct ,,,ANSWER,,,: B
Rationale: "Quality" refers to the descriptive nature of the symptom
(sharp, dull, crushing, burning). The other options represent Onset (A),
Aggravating factors (C), and Severity (D) .
Question 3
A 34-year-old female reports chronic fatigue. During the review of
systems (ROS), she notes she has cold intolerance and dry skin. This
information is most pertinent to which body system?
,A) Hematologic
B) Musculoskeletal
C) Endocrine
D) Neurologic
Correct ,,,ANSWER,,,: C
Rationale: Cold intolerance and dry skin are classic signs of
hypothyroidism, which falls under the endocrine system .
Question 4
Which of the following is an example of a "pertinent negative" in a
patient presenting with acute abdominal pain?
A) The patient has a history of cholecystectomy.
B) The patient reports nausea and vomiting.
C) The patient denies rebound tenderness or guarding.
D) The patient's pain is localized to the right lower quadrant.
Correct ,,,ANSWER,,,: C
Rationale: A pertinent negative is a clinically significant finding that is
absent, helping to rule out specific pathologies (e.g., peritonitis). The
absence of rebound tenderness helps rule out peritoneal inflammation .
Question 5
, A 70-year-old male is asked to recall three words after 5 minutes during
a mental status exam. He can only recall one. This primarily assesses:
A) Attention and concentration
B) Short-term memory
C) Long-term memory
D) Executive function
Correct ,,,ANSWER,,,: B
Rationale: Recalling words after a short delay (3-5 minutes) tests short-
term or recent memory, not long-term memory which would be tested
after longer intervals .
Question 6
You are conducting a health history on a new patient. To assess the
reliability of the history, you should consider:
A) The patient's insurance status
B) The patient's mood, memory, and consistency of ,,,ANSWER,,,s
C) The patient's vital signs
D) The presence of secondary gain
Correct ,,,ANSWER,,,: B
Rationale: Reliability is judged by the historian's memory, consistency,
and coherence, not by insurance status or external factors .
