NR509 ADVANCED PHYSICAL ASSESSMENT
Actual Exam Questions and Answers Already
Graded A+ Latest Versions 2025
A 14-year-old male presents to a new primary care provider after his family
relocates to a state. The patient underwent treatment for sarcoma when he was
age 11 years, including an above-the-knee amputation. He has learned to
successfully navigate with a prosthetic leg and even engage in competitive
athletics at school. He does not like to speak of his experience with cancer and
often makes up humorous stories to tell new acquaintances about his amputation
(such as, "I got bit by a squirrel and they had to amputate."). Although he is very
well engaged in most of the visit with the new clinician, when the topic of cancer
arises, he demurs to his father, who accompanies him to this appointment. Which
,of the following statements is most likely to be helpful in cementing the patient's
trust in the new provider
a. "That sounds like a frightening experience that you are recovering well from."
b. "You are becoming an adult
a. "That sounds like a frightening experience that you are recovering well from."
A 29-year-old electrician complains of persistent cough and wheezing, particularly
when he exercises. He says he smokes "occasionally" but rarely so much that he
needs to purchase cigarettes: "Mostly, I bum them," he says, chuckling. Upon
hearing this information, what is the best next step on the part of the clinician?
a. Determine the patient's exercise regimen.
b. Determine the number of pack-years the patient smokes.
c. Conduct a mental status examination.
d. Explain the relationship between smoking and cancer.
e. Determine the patient's immunization history.
b. Determine the number of pack-years the patient smokes.
A 47-year-old fitness trainer visits the physician assistant (PA) because of skin
dryness, night sweats, and irregular menstrual periods. It is the PA's first contact
,with this patient. The patient notes that "My sex life has really gone downhill
lately" and says that she is considering divorcing her husband of 20 years, stating
that "He's not a bad guy. I just think that I can do better." In which of the following
ways should the clinician proceed?
a. Obtain a menstrual history for the previous 6 months.
b. Help the patient review the pros and cons of divorce.
c. Inform the patient that menopause is a normal part of aging.
d. Conduct a breast examination.
e. Determine the patient's out-of-country travel history.
a. Obtain a menstrual history for the previous 6 months.
One important examination technique involves using the third fingers of each
hand to determine the health of internal organs. What is the name of this
technique?
a. Auscultation
b. Percussion
c. Inspection
d. Palpation
e. Listening
b. Percussion
, The CAGE questionnaire is a short screening examination administered in the
office to evaluate for which of the following?
a. Alcohol misuse
b. Risk for illicit substance abuse
c. Likelihood that the patient complaints are "psychosomatic"
d. Major depressive disorder
e. Bipolar disorder
a. Alcohol misuse
A 53-year-old caterer comes to the clinic for a routine examination. She has type 2
diabetes mellitus, which is well controlled on medication. Her history from her last
visit reveals that she smoked one pack of cigarettes a day at that time. The 5 As
Model is a useful approach to take with trying to help patients to quit smoking.
What is the 5 As Model?
a. Admonish, action, available, assess, alleviating factors
b. Agitate, assist, alleviating factors, able, action
c. Affable, associated manifestations, ask, admonish, available
d. Ask, advise, assess, assist, arrange
e. Arrange, aggravating factors, action, attitude, able
Actual Exam Questions and Answers Already
Graded A+ Latest Versions 2025
A 14-year-old male presents to a new primary care provider after his family
relocates to a state. The patient underwent treatment for sarcoma when he was
age 11 years, including an above-the-knee amputation. He has learned to
successfully navigate with a prosthetic leg and even engage in competitive
athletics at school. He does not like to speak of his experience with cancer and
often makes up humorous stories to tell new acquaintances about his amputation
(such as, "I got bit by a squirrel and they had to amputate."). Although he is very
well engaged in most of the visit with the new clinician, when the topic of cancer
arises, he demurs to his father, who accompanies him to this appointment. Which
,of the following statements is most likely to be helpful in cementing the patient's
trust in the new provider
a. "That sounds like a frightening experience that you are recovering well from."
b. "You are becoming an adult
a. "That sounds like a frightening experience that you are recovering well from."
A 29-year-old electrician complains of persistent cough and wheezing, particularly
when he exercises. He says he smokes "occasionally" but rarely so much that he
needs to purchase cigarettes: "Mostly, I bum them," he says, chuckling. Upon
hearing this information, what is the best next step on the part of the clinician?
a. Determine the patient's exercise regimen.
b. Determine the number of pack-years the patient smokes.
c. Conduct a mental status examination.
d. Explain the relationship between smoking and cancer.
e. Determine the patient's immunization history.
b. Determine the number of pack-years the patient smokes.
A 47-year-old fitness trainer visits the physician assistant (PA) because of skin
dryness, night sweats, and irregular menstrual periods. It is the PA's first contact
,with this patient. The patient notes that "My sex life has really gone downhill
lately" and says that she is considering divorcing her husband of 20 years, stating
that "He's not a bad guy. I just think that I can do better." In which of the following
ways should the clinician proceed?
a. Obtain a menstrual history for the previous 6 months.
b. Help the patient review the pros and cons of divorce.
c. Inform the patient that menopause is a normal part of aging.
d. Conduct a breast examination.
e. Determine the patient's out-of-country travel history.
a. Obtain a menstrual history for the previous 6 months.
One important examination technique involves using the third fingers of each
hand to determine the health of internal organs. What is the name of this
technique?
a. Auscultation
b. Percussion
c. Inspection
d. Palpation
e. Listening
b. Percussion
, The CAGE questionnaire is a short screening examination administered in the
office to evaluate for which of the following?
a. Alcohol misuse
b. Risk for illicit substance abuse
c. Likelihood that the patient complaints are "psychosomatic"
d. Major depressive disorder
e. Bipolar disorder
a. Alcohol misuse
A 53-year-old caterer comes to the clinic for a routine examination. She has type 2
diabetes mellitus, which is well controlled on medication. Her history from her last
visit reveals that she smoked one pack of cigarettes a day at that time. The 5 As
Model is a useful approach to take with trying to help patients to quit smoking.
What is the 5 As Model?
a. Admonish, action, available, assess, alleviating factors
b. Agitate, assist, alleviating factors, able, action
c. Affable, associated manifestations, ask, admonish, available
d. Ask, advise, assess, assist, arrange
e. Arrange, aggravating factors, action, attitude, able
