NR-509 [Latest Update 2025 /
2026] Advanced Physical Assessment
Questions & 100% Correct
Answers [Grade A]- Chamberlain
University
The 33 year old male patient presents with complaints of abdominal pain after a recent
birthday party where other guests also
suspected food borne illness and gastroenteritis. To elicit the most accurate evaluation
of this patient, which is the order of assessment which should be done for the
abdomen?
*Inspection, auscultation, palpation, percussion.
*Inspection, auscultation, percussion, palpation.
*Percussion, auscultation, palpation, inspection.
*Auscultation, palpation, percussion, inspection - correct answer Inspection,
auscultation, palpation, percussion
The 19 year old male patient presents with acute symptoms
of abdominal pain and a history of intermittent heartburn and spicy food
intolerance, as well as anxiety due to his college athletic performance. You have a
concern the patient may have a perforated gastric ulcer and is experiencing peritonitis.
Which of the following exam findings is NOT supportive of this diagnosis?
*Guarding.
*Rebound tenderness.
*Absence of pain with withdrawal of palpation.
*Rigidity. - correct answer Absence of pain with withdrawal of palpation.
Your 22 year old male patient states during his review of systems that
his scrotum is very enlarged and feels like it is full a powerlifter and works as a trash
collector. You suspect the patient likely has which of the following diagnoses?
*Varicocele
*Meningocele
*Rectocele.
*Hydrocele. - correct answer Varicocele
Your 22 year old female patient is seeing you for complaints of sinus pressure and
congestion. Which one of the following sinuses should be palpated during your
examination?
*Mandibular
, NR-509 [Latest Update 2025 /
2026] Advanced Physical Assessment
Questions & 100% Correct
Answers [Grade A]- Chamberlain
University
*Ethmoid
*Sphenoid
*Frontal - correct answer Frontal
Your 49 year old male patient presents with weight loss, night sweats, anhedonia, and
a CXR showing profoundly enlarged hilar adenopathy. Based on these findings, a
diagnosis of lymphoma would be in your working differential. Which one of the
following assessment findings when palpating lymph nodes would be INCONSISTENT
with this diagnosis?
*Hard nodes.
*Fixed nodes.
*Stationary or not moveable with palpation.
*Non-tender, minimally palpable anterior cervical chain node palpation. - correct
answer Non-tender, minimally palpable anterior cervical chain node palpation.
Your new patient intake history of an elderly man includes a history of Ehlers-Danlos
with complications of retinal detachment treated with gas pneumopexy. In discussing
this history, you recall the transparent mass of gelatinous material where the gas
pneumopexy is performed can be found in which chamber(s) of the eye?
*None of the above; it's only seen as an abnormal finding with malignancy...NOT THIS
ONE
*Anterior only.
*Posterior only.
*Both but greater in the anterior chamber.
While assessing the patient, you covered their right eye while you covered your left
eye, then brought a set number of fingers or wiggling fingers into each quadrant of the
patient's visual field while you had them identify when they saw your
fingers/movement. A normal exam would be documented as which of the following?
*Normal confrontation
*Normal visual acuity...NOT THIS ONE
*Normal refractory reflexes
*Normal convergence test
, NR-509 [Latest Update 2025 /
2026] Advanced Physical Assessment
Questions & 100% Correct
Answers [Grade A]- Chamberlain
University
Your late adolescent female patient presents with a history of heavy menses and pale
conjunctiva. Your review of systems is fairly unremarkable other than she lives in a
house built in 1965, has an unrestricted diet, and her family heredity si Italian. She
denies any history of chronic health conditions. Initial CBC with differential shows a
microcytic hypochromic anemia which has not yet been diagnosed or treated and the
red cell distribution width (RDW) is elevated at 15%. Based on the most common cause
of microcytic hypochromic anemia, which of the following labs will you order first?
*B12 and Folate
*Gel Electrophoresis
*Serum Lead
*TIBC and Ferritin - correct answer TIBC and Ferritin
A patient of Mediterranean descent who presents with microcytic anemia with normal
red cell distribution width should be evaluated using gel electrophoresis to confirm
which of the following types of anemia?
*Aplastic
*Thalassemia
*Iron deficiency...NOT THIS ONE
*Pernicious - correct answer ?
The 43 year old male patient with macrocytic anemia should be evaluated for which of
the following lab levels to help narrow down the etiology?
*Vitamin B12
*Lead level
*Ferritin....NOT THIS ONE
*TIBC - correct answer ?
While assessing the complete metabolic profile of the 66 year old female patient with
end stage renal disease (ESRD) on dialysis, you
find acreatinine of 4.3, BUN of 62, phos of 5.2. On review of the CBC with differential,
you would anticipate which of the following levels?
*Normal MCH, Hemoglobin 9.6
, NR-509 [Latest Update 2025 /
2026] Advanced Physical Assessment
Questions & 100% Correct
Answers [Grade A]- Chamberlain
University
*Elevated MCH. Hemoglobin 14.5
*Low RDW, Elevated MCV
*Low MCV, Hemoglobin 13.4 - correct answer Normal MCH, Hemoglobin 9.6
During your visit with a 19 year old patient for a college health physical, your health
history includes a diagnosis of angioedema. What of the following parts of the body are
were likely involved?
*Isolated to the colon
*Anywhere in the enteral tract
*Chest
*Face and Lips - correct answer Face and Lips
Your patient has just been diagnosed with Hepatitis A. Which of the following
immunoglobulin are first to be elevated in the serum?
*IgD
*IgG
*IgA.
*IgM. - correct answer IgM.
Your patient had a history of Hepatitis Aapproximately one year ago. Which of the
following immunoglobulin is most likely to be elevated at this time?
*IgD.
*IgA.
*IgG.
*IgM. - correct answer IgG
Your 32 year old female patient presents with a suspected diagnosis of systemic lupus
erythematosus (SLE). Which of the useful labs in making the diagnosis of SLE?
*Gel electrophoresis.
*Antinuclear antibody.
*Rheumatoid factor lab.
*Spectrophotometric assay - correct answer Antinuclear antibody.
2026] Advanced Physical Assessment
Questions & 100% Correct
Answers [Grade A]- Chamberlain
University
The 33 year old male patient presents with complaints of abdominal pain after a recent
birthday party where other guests also
suspected food borne illness and gastroenteritis. To elicit the most accurate evaluation
of this patient, which is the order of assessment which should be done for the
abdomen?
*Inspection, auscultation, palpation, percussion.
*Inspection, auscultation, percussion, palpation.
*Percussion, auscultation, palpation, inspection.
*Auscultation, palpation, percussion, inspection - correct answer Inspection,
auscultation, palpation, percussion
The 19 year old male patient presents with acute symptoms
of abdominal pain and a history of intermittent heartburn and spicy food
intolerance, as well as anxiety due to his college athletic performance. You have a
concern the patient may have a perforated gastric ulcer and is experiencing peritonitis.
Which of the following exam findings is NOT supportive of this diagnosis?
*Guarding.
*Rebound tenderness.
*Absence of pain with withdrawal of palpation.
*Rigidity. - correct answer Absence of pain with withdrawal of palpation.
Your 22 year old male patient states during his review of systems that
his scrotum is very enlarged and feels like it is full a powerlifter and works as a trash
collector. You suspect the patient likely has which of the following diagnoses?
*Varicocele
*Meningocele
*Rectocele.
*Hydrocele. - correct answer Varicocele
Your 22 year old female patient is seeing you for complaints of sinus pressure and
congestion. Which one of the following sinuses should be palpated during your
examination?
*Mandibular
, NR-509 [Latest Update 2025 /
2026] Advanced Physical Assessment
Questions & 100% Correct
Answers [Grade A]- Chamberlain
University
*Ethmoid
*Sphenoid
*Frontal - correct answer Frontal
Your 49 year old male patient presents with weight loss, night sweats, anhedonia, and
a CXR showing profoundly enlarged hilar adenopathy. Based on these findings, a
diagnosis of lymphoma would be in your working differential. Which one of the
following assessment findings when palpating lymph nodes would be INCONSISTENT
with this diagnosis?
*Hard nodes.
*Fixed nodes.
*Stationary or not moveable with palpation.
*Non-tender, minimally palpable anterior cervical chain node palpation. - correct
answer Non-tender, minimally palpable anterior cervical chain node palpation.
Your new patient intake history of an elderly man includes a history of Ehlers-Danlos
with complications of retinal detachment treated with gas pneumopexy. In discussing
this history, you recall the transparent mass of gelatinous material where the gas
pneumopexy is performed can be found in which chamber(s) of the eye?
*None of the above; it's only seen as an abnormal finding with malignancy...NOT THIS
ONE
*Anterior only.
*Posterior only.
*Both but greater in the anterior chamber.
While assessing the patient, you covered their right eye while you covered your left
eye, then brought a set number of fingers or wiggling fingers into each quadrant of the
patient's visual field while you had them identify when they saw your
fingers/movement. A normal exam would be documented as which of the following?
*Normal confrontation
*Normal visual acuity...NOT THIS ONE
*Normal refractory reflexes
*Normal convergence test
, NR-509 [Latest Update 2025 /
2026] Advanced Physical Assessment
Questions & 100% Correct
Answers [Grade A]- Chamberlain
University
Your late adolescent female patient presents with a history of heavy menses and pale
conjunctiva. Your review of systems is fairly unremarkable other than she lives in a
house built in 1965, has an unrestricted diet, and her family heredity si Italian. She
denies any history of chronic health conditions. Initial CBC with differential shows a
microcytic hypochromic anemia which has not yet been diagnosed or treated and the
red cell distribution width (RDW) is elevated at 15%. Based on the most common cause
of microcytic hypochromic anemia, which of the following labs will you order first?
*B12 and Folate
*Gel Electrophoresis
*Serum Lead
*TIBC and Ferritin - correct answer TIBC and Ferritin
A patient of Mediterranean descent who presents with microcytic anemia with normal
red cell distribution width should be evaluated using gel electrophoresis to confirm
which of the following types of anemia?
*Aplastic
*Thalassemia
*Iron deficiency...NOT THIS ONE
*Pernicious - correct answer ?
The 43 year old male patient with macrocytic anemia should be evaluated for which of
the following lab levels to help narrow down the etiology?
*Vitamin B12
*Lead level
*Ferritin....NOT THIS ONE
*TIBC - correct answer ?
While assessing the complete metabolic profile of the 66 year old female patient with
end stage renal disease (ESRD) on dialysis, you
find acreatinine of 4.3, BUN of 62, phos of 5.2. On review of the CBC with differential,
you would anticipate which of the following levels?
*Normal MCH, Hemoglobin 9.6
, NR-509 [Latest Update 2025 /
2026] Advanced Physical Assessment
Questions & 100% Correct
Answers [Grade A]- Chamberlain
University
*Elevated MCH. Hemoglobin 14.5
*Low RDW, Elevated MCV
*Low MCV, Hemoglobin 13.4 - correct answer Normal MCH, Hemoglobin 9.6
During your visit with a 19 year old patient for a college health physical, your health
history includes a diagnosis of angioedema. What of the following parts of the body are
were likely involved?
*Isolated to the colon
*Anywhere in the enteral tract
*Chest
*Face and Lips - correct answer Face and Lips
Your patient has just been diagnosed with Hepatitis A. Which of the following
immunoglobulin are first to be elevated in the serum?
*IgD
*IgG
*IgA.
*IgM. - correct answer IgM.
Your patient had a history of Hepatitis Aapproximately one year ago. Which of the
following immunoglobulin is most likely to be elevated at this time?
*IgD.
*IgA.
*IgG.
*IgM. - correct answer IgG
Your 32 year old female patient presents with a suspected diagnosis of systemic lupus
erythematosus (SLE). Which of the useful labs in making the diagnosis of SLE?
*Gel electrophoresis.
*Antinuclear antibody.
*Rheumatoid factor lab.
*Spectrophotometric assay - correct answer Antinuclear antibody.
