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, NR509 Week 4 Midterm Complete Actual Exam – Advanced Physical Assessment. 100 Questions &
Answers with Rationales. NR-509 Midterm Examplify Online Proctored | 100% Pass Guaranteed | Graded
A+ Verified.
1. A 45-year-old patient presents with episodic retrosternal chest pressure radiating to the left arm, occurring
with exertion and relieved by rest. What is the most likely diagnosis?
A) Pericarditis
B) Stable angina
C) Pulmonary embolism
D) Aortic dissection
Correct Answer: B – Stable angina is characterized by chest discomfort with exertion or emotion that resolves
with rest. Pericarditis pain is pleuritic and positional. Pulmonary embolism presents with dyspnea and pleuritic
chest pain. Aortic dissection causes tearing pain radiating to the back.
2. During inspection of the abdomen, you note a pulsatile mass in the epigastrium. What is the most
appropriate next step?
A) Palpate deeply to assess size
B) Auscultate for bruit
C) Refer for abdominal ultrasound
D) Percuss for dullness
Correct Answer: C – A pulsatile epigastric mass suggests abdominal aortic aneurysm (AAA). Palpation risks
rupture. Ultrasound is the gold standard for diagnosis. Auscultation may detect bruit but does not confirm
diagnosis safely.
,
, NR509 Week 4 Midterm Complete Actual Exam – Advanced Physical Assessment. 100 Questions &
Answers with Rationales. NR-509 Midterm Examplify Online Proctored | 100% Pass Guaranteed | Graded
A+ Verified.
1. A 45-year-old patient presents with episodic retrosternal chest pressure radiating to the left arm, occurring
with exertion and relieved by rest. What is the most likely diagnosis?
A) Pericarditis
B) Stable angina
C) Pulmonary embolism
D) Aortic dissection
Correct Answer: B – Stable angina is characterized by chest discomfort with exertion or emotion that resolves
with rest. Pericarditis pain is pleuritic and positional. Pulmonary embolism presents with dyspnea and pleuritic
chest pain. Aortic dissection causes tearing pain radiating to the back.
2. During inspection of the abdomen, you note a pulsatile mass in the epigastrium. What is the most
appropriate next step?
A) Palpate deeply to assess size
B) Auscultate for bruit
C) Refer for abdominal ultrasound
D) Percuss for dullness
Correct Answer: C – A pulsatile epigastric mass suggests abdominal aortic aneurysm (AAA). Palpation risks
rupture. Ultrasound is the gold standard for diagnosis. Auscultation may detect bruit but does not confirm
diagnosis safely.
