NR509 Week 4 Midterm Exam Due 29th
March 2026 Complete Actual Exam
Questions 1- 100 NR-509 Advanced
Physical Assessment NR 509 Midterm
Exam Questions and Answers | 100% Pass
Guaranteed | Graded A+ |.
**1. A 45-year-old forklift driver presents with intense substernal chest
pain, nausea, pallor, and diaphoresis after heavy lifting. The PA
questions him in detail about his nausea and eating habits. What step
of clinical reasoning did the PA fail to follow?**
- **A)** Elicit information about the GI system
- **B)** Localize findings anatomically
- **C)** Match findings against conditions
- **D)** Give special consideration to life-threatening problems
**Answer: D**
**Rationale:** The patient's symptoms (chest pain, pallor, diaphoresis)
are classic for myocardial infarction. The first priority is ruling out life-
threatening conditions before taking a detailed history of benign issues
like eating habits .
,**2. When considering priority setting of problems, the nurse keeps in
mind that second-level priority problems include which of these
aspects?**
- **A)** Low self-esteem
- **B)** Lack of knowledge
- **C)** Abnormal laboratory values
- **D)** Severely abnormal vital signs
**Answer: C**
**Rationale:** Second-level priority problems require prompt
intervention to prevent deterioration but are not immediately life-
threatening. Examples include abnormal lab values, mental status
changes, or urinary retention .
**3. Which is an example of a first-level priority problem?**
- **A)** Patient with postoperative pain
- **B)** Newly diagnosed diabetic needing teaching
- **C)** Patient with a small laceration
- **D)** Individual with shortness of breath and respiratory distress
**Answer: D**
**Rationale:** First-level priority problems are immediate life
threats—airway, breathing, and circulation (ABCs) issues take
precedence over all others .
, **4. What would the order of priority be for an elderly man with
chronic arthritis, old war injury pain, headaches, and new dull chest
pain?**
- **A)** Arthritis, chest pain, headaches, war injury
- **B)** Chest pain, headaches, arthritis, war injury
- **C)** Headaches, chest pain, war injury, arthritis
- **D)** Chest pain, arthritis, war injury, headaches
**Answer: B**
**Rationale:** New chest pain requires highest priority as it may
indicate an acute cardiac event. New headaches come second. Chronic
conditions like arthritis and old injuries are lower priority as they are
managed with established treatment plans .
**5. A 38-year-old patient tells the nurse, "I'm in severe pain, and I
can't stop vomiting. What should I do?" Considering the priority of
problems, the nurse identifies this patient's problems as:**
- **A)** First-level priority
- **B)** Second-level priority
- **C)** Third-level priority
- **D)** Collaborative priority
**Answer: B**
March 2026 Complete Actual Exam
Questions 1- 100 NR-509 Advanced
Physical Assessment NR 509 Midterm
Exam Questions and Answers | 100% Pass
Guaranteed | Graded A+ |.
**1. A 45-year-old forklift driver presents with intense substernal chest
pain, nausea, pallor, and diaphoresis after heavy lifting. The PA
questions him in detail about his nausea and eating habits. What step
of clinical reasoning did the PA fail to follow?**
- **A)** Elicit information about the GI system
- **B)** Localize findings anatomically
- **C)** Match findings against conditions
- **D)** Give special consideration to life-threatening problems
**Answer: D**
**Rationale:** The patient's symptoms (chest pain, pallor, diaphoresis)
are classic for myocardial infarction. The first priority is ruling out life-
threatening conditions before taking a detailed history of benign issues
like eating habits .
,**2. When considering priority setting of problems, the nurse keeps in
mind that second-level priority problems include which of these
aspects?**
- **A)** Low self-esteem
- **B)** Lack of knowledge
- **C)** Abnormal laboratory values
- **D)** Severely abnormal vital signs
**Answer: C**
**Rationale:** Second-level priority problems require prompt
intervention to prevent deterioration but are not immediately life-
threatening. Examples include abnormal lab values, mental status
changes, or urinary retention .
**3. Which is an example of a first-level priority problem?**
- **A)** Patient with postoperative pain
- **B)** Newly diagnosed diabetic needing teaching
- **C)** Patient with a small laceration
- **D)** Individual with shortness of breath and respiratory distress
**Answer: D**
**Rationale:** First-level priority problems are immediate life
threats—airway, breathing, and circulation (ABCs) issues take
precedence over all others .
, **4. What would the order of priority be for an elderly man with
chronic arthritis, old war injury pain, headaches, and new dull chest
pain?**
- **A)** Arthritis, chest pain, headaches, war injury
- **B)** Chest pain, headaches, arthritis, war injury
- **C)** Headaches, chest pain, war injury, arthritis
- **D)** Chest pain, arthritis, war injury, headaches
**Answer: B**
**Rationale:** New chest pain requires highest priority as it may
indicate an acute cardiac event. New headaches come second. Chronic
conditions like arthritis and old injuries are lower priority as they are
managed with established treatment plans .
**5. A 38-year-old patient tells the nurse, "I'm in severe pain, and I
can't stop vomiting. What should I do?" Considering the priority of
problems, the nurse identifies this patient's problems as:**
- **A)** First-level priority
- **B)** Second-level priority
- **C)** Third-level priority
- **D)** Collaborative priority
**Answer: B**
