NR 509 Midterm Exam (Latest Update 2025
/ 2026) Advanced Physical Assessment
Questions &well elaborated Answers 100%
Correct [Grade A]- Chamberlain
The following information is recorded in the health history: "The patient completed 8th
grade. He currently lives with his wife and two children. He works on old cars on the
weekend.
He works in a glass factory during the week."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - correct answer C) Personal and social history.
Personal and social history information includes educational level, family of origin,
current household status, personal interests, employment, religious beliefs, military
history, and
lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and
sexual
preferences and history).
The following information is recorded in the health history: "I feel really tired."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - correct answer A) Chief complaint
The chief complaint is an attempt to quote the patient's own words. It is brief, like a
headline, and further details should be sought in the present illness section.
The following information is recorded in the health history: "Patient denies chest pain,
palpitations, orthopnea, and paroxysmal nocturnal dyspnea."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - correct answer D) Review of systems
, NR 509 Midterm Exam (Latest Update 2025
/ 2026) Advanced Physical Assessment
Questions &well elaborated Answers 100%
Correct [Grade A]- Chamberlain
Review of systems documents the presence or absence of common symptoms related
to each major body system.
The following information is best placed in which category?
"The patient has had three cesarean sections."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - correct answer B) Surgeries
A cesarean section is a surgical procedure. Approximate dates or the age of the
patient at the time of the surgery should also be recorded.
The following information is best placed in which category?
"The patient had a stent placed in the left anterior descending artery (LAD) in 1999."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - correct answer A) Adult illnesses
The adult illnesses category is reserved for chronic illnesses, significant
hospitalizations, significant injuries, and significant procedures. A stent is a major
procedure but does not involve a surgery.
The following information is best placed in which category?
"The patient was treated for an asthma exacerbation in the hospital last year; the
patient has
never been intubated."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - correct answer A) Adult illnesses
, NR 509 Midterm Exam (Latest Update 2025
/ 2026) Advanced Physical Assessment
Questions &well elaborated Answers 100%
Correct [Grade A]- Chamberlain
This is information about a significant hospitalization and should be placed in the adult
illnesses section. If the patient is being seen for an asthma exacerbation, you may
consider placing this info in the present illness section, because it relates to the chief
complaint at that visit.
You are running late after your quarterly quality improvement meeting at the hospital
and
have just gotten paged from the nurses' station because a family member of one of
your patients
wants to talk with you about that patient's care. You have clinic this afternoon and are
double-booked for the first appointment time; three other patients also have arrived
and are
sitting in the waiting room. Which of the following demeanors is a behavior consistent
with
skilled interviewing when you walk into the examination room to speak with your first
clinic
patient?
A) Irritability
B) Impatience
C) Boredom
D) Calm - correct answer D) Calm
The appearance of calmness and patience, even when time is limited, is the hallmark
of a skilled interviewer.
Suzanne, a 25 year old, comes to your clinic to establish care. You are the student
preparing
to go into the examination room to interview her. Which of the following is the most
logical
sequence for the patient-provider interview?
A) Establish the agenda, negotiate a plan, establish rapport, and invite the patient's
story.
B) Invite the patient's story, negotiate a plan, establish the agenda, and establish
rapport.
C) Greet the patient, establish rapport, invite the patient's story, establish the agenda,
expand
and clarify the patient's story, and negotiate a plan.
, NR 509 Midterm Exam (Latest Update 2025
/ 2026) Advanced Physical Assessment
Questions &well elaborated Answers 100%
Correct [Grade A]- Chamberlain
D) Negotiate a plan, establish an agenda, invite the patient's story, and establish
rapport. - correct answer C) Greet the patient, establish rapport, invite the patient's
story, establish the agenda, expand
and clarify the patient's story, and negotiate a plan.
This is the most productive sequence for the interview. Greeting patients and
establishing rapport allows them to feel more comfortable before "inviting" them to
relate their
story. After hearing the patient's story, together you establish the agenda regarding
the most
important items to expand upon. At the end, together you negotiate the plan of
diagnosis and
treatment.
Alexandra is a 28-year-old editor who presents to the clinic with abdominal pain. The
pain is
a dull ache, located in the right upper quadrant, that she rates as a 3 at the least and
an 8 at the
worst. The pain started a few weeks ago, it lasts for 2 to 3 hours at a time, it comes
and goes, and
it seems to be worse a couple of hours after eating. She has noticed that it starts after
eating
greasy foods, so she has cut down on these as much as she can. Initially it occurred
once a week,
but now it is occurring every other day. Nothing makes it better. From this description,
which of the seven attributes of a symptom has been omitted?
A) Setting in which the symptom occurs
B) Associated manifestations
C) Quality
D) Timing - correct answer B) Associated manifestations
The interviewer has not recorded whether or not the pain has been accompanied by
nausea, vomiting, fever, chills, weight loss, and so on. Associated manifestations are
additional
symptoms that may accompany the initial chief complaint and that help the examiner
to start
refining his or her differential diagnosis.
/ 2026) Advanced Physical Assessment
Questions &well elaborated Answers 100%
Correct [Grade A]- Chamberlain
The following information is recorded in the health history: "The patient completed 8th
grade. He currently lives with his wife and two children. He works on old cars on the
weekend.
He works in a glass factory during the week."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - correct answer C) Personal and social history.
Personal and social history information includes educational level, family of origin,
current household status, personal interests, employment, religious beliefs, military
history, and
lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and
sexual
preferences and history).
The following information is recorded in the health history: "I feel really tired."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - correct answer A) Chief complaint
The chief complaint is an attempt to quote the patient's own words. It is brief, like a
headline, and further details should be sought in the present illness section.
The following information is recorded in the health history: "Patient denies chest pain,
palpitations, orthopnea, and paroxysmal nocturnal dyspnea."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - correct answer D) Review of systems
, NR 509 Midterm Exam (Latest Update 2025
/ 2026) Advanced Physical Assessment
Questions &well elaborated Answers 100%
Correct [Grade A]- Chamberlain
Review of systems documents the presence or absence of common symptoms related
to each major body system.
The following information is best placed in which category?
"The patient has had three cesarean sections."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - correct answer B) Surgeries
A cesarean section is a surgical procedure. Approximate dates or the age of the
patient at the time of the surgery should also be recorded.
The following information is best placed in which category?
"The patient had a stent placed in the left anterior descending artery (LAD) in 1999."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - correct answer A) Adult illnesses
The adult illnesses category is reserved for chronic illnesses, significant
hospitalizations, significant injuries, and significant procedures. A stent is a major
procedure but does not involve a surgery.
The following information is best placed in which category?
"The patient was treated for an asthma exacerbation in the hospital last year; the
patient has
never been intubated."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - correct answer A) Adult illnesses
, NR 509 Midterm Exam (Latest Update 2025
/ 2026) Advanced Physical Assessment
Questions &well elaborated Answers 100%
Correct [Grade A]- Chamberlain
This is information about a significant hospitalization and should be placed in the adult
illnesses section. If the patient is being seen for an asthma exacerbation, you may
consider placing this info in the present illness section, because it relates to the chief
complaint at that visit.
You are running late after your quarterly quality improvement meeting at the hospital
and
have just gotten paged from the nurses' station because a family member of one of
your patients
wants to talk with you about that patient's care. You have clinic this afternoon and are
double-booked for the first appointment time; three other patients also have arrived
and are
sitting in the waiting room. Which of the following demeanors is a behavior consistent
with
skilled interviewing when you walk into the examination room to speak with your first
clinic
patient?
A) Irritability
B) Impatience
C) Boredom
D) Calm - correct answer D) Calm
The appearance of calmness and patience, even when time is limited, is the hallmark
of a skilled interviewer.
Suzanne, a 25 year old, comes to your clinic to establish care. You are the student
preparing
to go into the examination room to interview her. Which of the following is the most
logical
sequence for the patient-provider interview?
A) Establish the agenda, negotiate a plan, establish rapport, and invite the patient's
story.
B) Invite the patient's story, negotiate a plan, establish the agenda, and establish
rapport.
C) Greet the patient, establish rapport, invite the patient's story, establish the agenda,
expand
and clarify the patient's story, and negotiate a plan.
, NR 509 Midterm Exam (Latest Update 2025
/ 2026) Advanced Physical Assessment
Questions &well elaborated Answers 100%
Correct [Grade A]- Chamberlain
D) Negotiate a plan, establish an agenda, invite the patient's story, and establish
rapport. - correct answer C) Greet the patient, establish rapport, invite the patient's
story, establish the agenda, expand
and clarify the patient's story, and negotiate a plan.
This is the most productive sequence for the interview. Greeting patients and
establishing rapport allows them to feel more comfortable before "inviting" them to
relate their
story. After hearing the patient's story, together you establish the agenda regarding
the most
important items to expand upon. At the end, together you negotiate the plan of
diagnosis and
treatment.
Alexandra is a 28-year-old editor who presents to the clinic with abdominal pain. The
pain is
a dull ache, located in the right upper quadrant, that she rates as a 3 at the least and
an 8 at the
worst. The pain started a few weeks ago, it lasts for 2 to 3 hours at a time, it comes
and goes, and
it seems to be worse a couple of hours after eating. She has noticed that it starts after
eating
greasy foods, so she has cut down on these as much as she can. Initially it occurred
once a week,
but now it is occurring every other day. Nothing makes it better. From this description,
which of the seven attributes of a symptom has been omitted?
A) Setting in which the symptom occurs
B) Associated manifestations
C) Quality
D) Timing - correct answer B) Associated manifestations
The interviewer has not recorded whether or not the pain has been accompanied by
nausea, vomiting, fever, chills, weight loss, and so on. Associated manifestations are
additional
symptoms that may accompany the initial chief complaint and that help the examiner
to start
refining his or her differential diagnosis.
