NR509NP Final Exam Practice Questions and Answers Spring 2026 Chamberlain College

1. Abdominal Assessment

The NP suspects acute cholecystitis. Which physical exam finding best
supports this diagnosis?
Answers: A – D
A. RLQ tenderness at McBurney’s point
B. Rebound tenderness on quick release
C. RUQ pain with inspiratory arrest on palpation .

✔️
D. Watery stool with cramping
Correct answer: C. RUQ pain with inspiratory arrest on palpation



2. Abdominal Assessment

The NP palpates one-third of the distance from the right ASIS to the
umbilicus and the patient reports localized tenderness. This finding
indicates:
Answers: A – D
A. Cholecystitis
B. Appendicitis .
C. Crohn’s disease

✔️
D. Proctitis
Correct answer: B. Appendicitis



3. Abdominal Assessment

The NP performs deep palpation and the patient reports pain that is worse
when pressure is released. This is a positive:
Answers: A – D
A. Murphy’s sign
B. McBurney’s point tenderness
C. Blumberg sign .

✔️
D. Psoas sign
Correct answer: C. Blumberg sign



4. Stool Changes

A patient reports stools that are black and tarry. This finding most suggests:
Answers: A – D
A. Biliary obstruction

,B. Upper GI bleed .
C. Fat malabsorption

✔️
D. Hemorrhoids
Correct answer: B. Upper GI bleed



5. Stool Changes

A patient reports pale/clay-colored stools. This finding is most consistent
with:
Answers: A – D
A. Biliary obstruction .
B. Lower GI bleed
C. Infection

✔️
D. IBS
Correct answer: A. Biliary obstruction



6. Stool Changes

A patient reports greasy, floating stools. This suggests:
Answers: A – D
A. Upper GI bleed
B. Infection or inflammation
C. Fat malabsorption .

✔️
D. Hemorrhoids
Correct answer: C. Fat malabsorption



7. Abdominal Pain Pattern

Which clinical pattern is most consistent with ectopic pregnancy?
Answers: A – D
A. RUQ pain with positive Murphy’s sign
B. Missed period, adnexal mass, hypotension .
C. RLQ pain with rebound and psoas sign

✔️
D. Rectal pain with discharge and sphincter spasm
Correct answer: B. Missed period, adnexal mass, hypotension



8. Cranial Nerves

,Loss of smell (anosmia) indicates damage to:
Answers: A – D
A. CN II
B. CN I .
C. CN VII

✔️
D. CN VIII
Correct answer: B. CN I



9. Cranial Nerves

A patient has hoarseness and dysphagia. Which cranial nerve is most likely
involved?
Answers: A – D
A. CN V
B. CN VII
C. CN X .

✔️
D. CN XII
Correct answer: C. CN X



10. Cranial Nerves

The NP asks the patient to protrude the tongue and it deviates to one side.
This suggests dysfunction of:
Answers: A – D
A. CN IX
B. CN X
C. CN XI

✔️
D. CN XII .
Correct answer: D. CN XII



11. Reflexes

In an adult, upward toe fanning with plantar stimulation is:
Answers: A – D
A. Normal
B. Normal if asymptomatic
C. Abnormal and suggests CNS pathology .

, ✔️
D. A normal aging change
Correct answer: C. Abnormal and suggests CNS pathology



12. Reflexes

The Moro reflex should be considered normal in:
Answers: A – D
A. Adults
B. Infants .
C. School-aged children

✔️
D. Older adults
Correct answer: B. Infants



13. Pregnancy – Speculum Exam

Which speculum exam finding is normal in pregnancy?
Answers: A – D
A. Cervical dilation early in pregnancy
B. Foul-smelling discharge
C. Bluish or purplish cervix .

✔️
D. Vaginal bleeding
Correct answer: C. Bluish or purplish cervix



14. Pregnancy – Speculum Exam

Which speculum exam finding is abnormal in pregnancy?
Answers: A – D
A. Increased white discharge
B. Cervix closed early
C. Cervical lesions/ulcerations .

✔️
D. Bluish cervix
Correct answer: C. Cervical lesions/ulcerations



15. Pregnancy – Bimanual Exam

Which bimanual exam finding is abnormal in pregnancy?
Answers: A – D
A. Soft cervix