NR509
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NR509 Advanced Physical Assessment Midterm LATEST
VERSION [QUESTIONS AND ANSWERS] DETAILED
AND VERIFIED FOR GUARANTEED PASS- LATEST
UPDATE GRADED A (BRAND NEW!!)
1. (Multiple Choice) A 55-year-old patient presents for a routine exam. The nurse notes:
temperature 101.2°F, BP 145/90 mmHg, HR 110 bpm, RR 22/min. Which is the most
concerning finding requiring immediate attention?
A. BP 145/90 mmHg
B. HR 110 bpm
C. Temperature 101.2°F
D. RR 22/min
Answer: C
Rationale: Fever (T>100.4°F) indicates infection or inflammatory process that may require
prompt evaluation, especially with elevated HR. Slightly elevated BP or HR is less urgent.
2. (Multiple Choice) During a mental status exam, a patient demonstrates confabulation and
short-term memory loss. Which area is most likely impaired?
A. Frontal lobe
B. Temporal lobe
,NR509
C. Occipital lobe
D. Parietal lobe
Answer: B
Rationale: The temporal lobe, specifically the hippocampus, is crucial for memory formation; Page | 2
confabulation suggests memory deficits.
3. (Short Answer) During a general survey, you notice a patient is cachectic with pallor and
labored breathing. What three assessments would you prioritize next?
Answer:
1. Vital signs (HR, BP, RR, O2 sat, Temp)
2. Cardiopulmonary assessment (lung sounds, heart sounds)
3. Nutritional status and weight assessment
Rationale: Cachexia and pallor with labored breathing suggest systemic disease; vital signs and
organ assessment guide further evaluation.
4. (NCLEX-style Scenario) A patient reports dizziness when standing. You measure orthostatic
vitals:
• Supine BP 130/80, HR 78
• Sitting BP 110/70, HR 92
• Standing BP 90/60, HR 110
Which intervention is appropriate?
A. Encourage patient to stand quickly
B. Monitor and provide orthostatic precautions
C. Restrict all mobility
D. Administer anti-hypertensive
Answer: B
Rationale: Drop in BP >20 mmHg and increase in HR >20 bpm indicates orthostatic
hypotension. Precautions prevent falls; rapid position changes worsen symptoms.
, NR509
5. (OSCE-style) You are performing a head-to-toe exam. Patient reports numbness and tingling
in hands. During assessment, which three neurologic tests are essential?
Answer:
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1. Sensory testing (light touch, pain, vibration)
2. Reflexes (biceps, triceps, brachioradialis)
3. Motor strength and coordination (grip strength, finger-to-nose)
Rationale: Numbness and tingling suggest peripheral neuropathy or cervical nerve
involvement; assessment identifies deficits.
6. (Multiple Choice) Which observation during a general survey indicates a possible thyroid
disorder?
A. Facial puffiness and coarse hair
B. Swelling of hands after exercise
C. Moist skin with weight loss
D. Hyperpigmented elbows
Answer: C
Rationale: Moist skin with weight loss, tachycardia, and hyperactivity may indicate
hyperthyroidism. Puffiness with coarse hair is more consistent with hypothyroidism.
7. (Short Answer) During an advanced physical assessment, you auscultate a regular rate and
rhythm with S3 heart sound. What condition does S3 suggest?
Answer:
• S3 may indicate heart failure or volume overload in adults.
Rationale: S3 is an early diastolic sound from ventricular filling with decreased compliance,
often seen in CHF.
8. (Multiple Choice) A patient presents with confusion and slurred speech. Which cranial
nerve assessment is most relevant?
Page | 1
NR509 Advanced Physical Assessment Midterm LATEST
VERSION [QUESTIONS AND ANSWERS] DETAILED
AND VERIFIED FOR GUARANTEED PASS- LATEST
UPDATE GRADED A (BRAND NEW!!)
1. (Multiple Choice) A 55-year-old patient presents for a routine exam. The nurse notes:
temperature 101.2°F, BP 145/90 mmHg, HR 110 bpm, RR 22/min. Which is the most
concerning finding requiring immediate attention?
A. BP 145/90 mmHg
B. HR 110 bpm
C. Temperature 101.2°F
D. RR 22/min
Answer: C
Rationale: Fever (T>100.4°F) indicates infection or inflammatory process that may require
prompt evaluation, especially with elevated HR. Slightly elevated BP or HR is less urgent.
2. (Multiple Choice) During a mental status exam, a patient demonstrates confabulation and
short-term memory loss. Which area is most likely impaired?
A. Frontal lobe
B. Temporal lobe
,NR509
C. Occipital lobe
D. Parietal lobe
Answer: B
Rationale: The temporal lobe, specifically the hippocampus, is crucial for memory formation; Page | 2
confabulation suggests memory deficits.
3. (Short Answer) During a general survey, you notice a patient is cachectic with pallor and
labored breathing. What three assessments would you prioritize next?
Answer:
1. Vital signs (HR, BP, RR, O2 sat, Temp)
2. Cardiopulmonary assessment (lung sounds, heart sounds)
3. Nutritional status and weight assessment
Rationale: Cachexia and pallor with labored breathing suggest systemic disease; vital signs and
organ assessment guide further evaluation.
4. (NCLEX-style Scenario) A patient reports dizziness when standing. You measure orthostatic
vitals:
• Supine BP 130/80, HR 78
• Sitting BP 110/70, HR 92
• Standing BP 90/60, HR 110
Which intervention is appropriate?
A. Encourage patient to stand quickly
B. Monitor and provide orthostatic precautions
C. Restrict all mobility
D. Administer anti-hypertensive
Answer: B
Rationale: Drop in BP >20 mmHg and increase in HR >20 bpm indicates orthostatic
hypotension. Precautions prevent falls; rapid position changes worsen symptoms.
, NR509
5. (OSCE-style) You are performing a head-to-toe exam. Patient reports numbness and tingling
in hands. During assessment, which three neurologic tests are essential?
Answer:
Page | 3
1. Sensory testing (light touch, pain, vibration)
2. Reflexes (biceps, triceps, brachioradialis)
3. Motor strength and coordination (grip strength, finger-to-nose)
Rationale: Numbness and tingling suggest peripheral neuropathy or cervical nerve
involvement; assessment identifies deficits.
6. (Multiple Choice) Which observation during a general survey indicates a possible thyroid
disorder?
A. Facial puffiness and coarse hair
B. Swelling of hands after exercise
C. Moist skin with weight loss
D. Hyperpigmented elbows
Answer: C
Rationale: Moist skin with weight loss, tachycardia, and hyperactivity may indicate
hyperthyroidism. Puffiness with coarse hair is more consistent with hypothyroidism.
7. (Short Answer) During an advanced physical assessment, you auscultate a regular rate and
rhythm with S3 heart sound. What condition does S3 suggest?
Answer:
• S3 may indicate heart failure or volume overload in adults.
Rationale: S3 is an early diastolic sound from ventricular filling with decreased compliance,
often seen in CHF.
8. (Multiple Choice) A patient presents with confusion and slurred speech. Which cranial
nerve assessment is most relevant?
