NR509 Advanced Physical Assessment Exam
NR509 ADVANCED PHYSICAL ASSESSMENT EXAM NEWEST
2025/2026 COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |BRAND NEW VERSION!!
What symptom did the accountant experience that is associated with
constipation?
Recurrent crampy abdominal pain.
What did the accountant resort to for relief from constipation?
Over-the-counter laxatives.
What is a common characteristic of IBS related to bowel movements?
Functional changes in bowel movement.
What was found during the colonoscopy of the 76-year-old man?
Internal hemorrhoids and sigmoid diverticuli.
What is the significance of a positive FOBT in the context of colon
cancer screening?
It indicates the need for further investigation, such as a colonoscopy.
What is the age limit for routine colon cancer screening according to the
USPSTF?
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, NR509 Advanced Physical Assessment Exam
Age 75 years.
What is the recommended frequency for sigmoidoscopy and FOBT in
the notes?
Sigmoidoscopy every 5 years with FOBT every 3 years.
What is the typical resolution pattern for the accountant's constipation
symptoms?
Symptoms typically gradually resolve with bowel movements.
What is the common stool characteristic reported by the accountant?
Infrequent, small hard stool.
What congenital condition is associated with the 23-year-old woman's
chronic sinusitis and bronchiectasis?
Kartagener syndrome.
What is the significance of situs inversus in the context of the
abdominal exam findings?
In situs inversus, the stomach and gastric air bubble are on the right,
and liver dullness is on the left.
What physical exam finding indicates peritonitis in the 28-year-old
lawyer suspected of having appendicitis?
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, NR509 Advanced Physical Assessment Exam
Rebound tenderness, where pressing down firmly and slowly and then
quickly withdrawing the hand produces pain.
What does involuntary contraction of the abdominal wall indicate
during an exam?
It indicates rigidity, which is different from voluntary contraction.
How does abdominal pain change with hip flexion in patients with
peritonitis?
Patients with peritonitis tend to keep their hips flexed to reduce stretch
and irritation of the parietal peritoneum.
What is McBurney's point and its relevance in appendicitis?
McBurney's point is located 2 inches from the anterior superior iliac
spine on a line drawn from the umbilicus and is associated with
localized pain in appendicitis.
What is the most likely diagnosis for the 58-year-old man with chronic
diarrhea and weight loss?
Chronic pancreatitis.
What mechanism leads to diarrhea in chronic pancreatitis?
Fibrosis of the pancreas leads to decreased pancreatic function and
enzyme insufficiency.
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, NR509 Advanced Physical Assessment Exam
What is the role of H. Pylori infection in gastrointestinal conditions?
H. Pylori infection may cause peptic ulcer disease and dyspepsia, but is
not usually associated with diarrhea.
What condition is characterized by inflammation of the colonic
diverticulum?
Diverticulitis, which typically causes left-lower-quadrant pain, fever, and
sometimes diarrhea.
What is mesenteric ischemia and its associated symptoms?
Mesenteric ischemia is characterized by reduced blood supply to the
bowel, causing diffuse abdominal pain, vomiting, diarrhea, or
constipation.
What are the common symptoms of chronic pancreatitis?
Increasing weakness, recurrent epigastric pain radiating to the back,
chronic diarrhea, and weight loss.
What does a protuberant abdomen with scattered areas of tympany
and dullness indicate?
It may suggest fluid accumulation or other abdominal abnormalities,
but is not the best fit for the case presented.
What does dullness to percussion in the left lower anterior chest wall
suggest?
4|Page
NR509 ADVANCED PHYSICAL ASSESSMENT EXAM NEWEST
2025/2026 COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |BRAND NEW VERSION!!
What symptom did the accountant experience that is associated with
constipation?
Recurrent crampy abdominal pain.
What did the accountant resort to for relief from constipation?
Over-the-counter laxatives.
What is a common characteristic of IBS related to bowel movements?
Functional changes in bowel movement.
What was found during the colonoscopy of the 76-year-old man?
Internal hemorrhoids and sigmoid diverticuli.
What is the significance of a positive FOBT in the context of colon
cancer screening?
It indicates the need for further investigation, such as a colonoscopy.
What is the age limit for routine colon cancer screening according to the
USPSTF?
1|Page
, NR509 Advanced Physical Assessment Exam
Age 75 years.
What is the recommended frequency for sigmoidoscopy and FOBT in
the notes?
Sigmoidoscopy every 5 years with FOBT every 3 years.
What is the typical resolution pattern for the accountant's constipation
symptoms?
Symptoms typically gradually resolve with bowel movements.
What is the common stool characteristic reported by the accountant?
Infrequent, small hard stool.
What congenital condition is associated with the 23-year-old woman's
chronic sinusitis and bronchiectasis?
Kartagener syndrome.
What is the significance of situs inversus in the context of the
abdominal exam findings?
In situs inversus, the stomach and gastric air bubble are on the right,
and liver dullness is on the left.
What physical exam finding indicates peritonitis in the 28-year-old
lawyer suspected of having appendicitis?
2|Page
, NR509 Advanced Physical Assessment Exam
Rebound tenderness, where pressing down firmly and slowly and then
quickly withdrawing the hand produces pain.
What does involuntary contraction of the abdominal wall indicate
during an exam?
It indicates rigidity, which is different from voluntary contraction.
How does abdominal pain change with hip flexion in patients with
peritonitis?
Patients with peritonitis tend to keep their hips flexed to reduce stretch
and irritation of the parietal peritoneum.
What is McBurney's point and its relevance in appendicitis?
McBurney's point is located 2 inches from the anterior superior iliac
spine on a line drawn from the umbilicus and is associated with
localized pain in appendicitis.
What is the most likely diagnosis for the 58-year-old man with chronic
diarrhea and weight loss?
Chronic pancreatitis.
What mechanism leads to diarrhea in chronic pancreatitis?
Fibrosis of the pancreas leads to decreased pancreatic function and
enzyme insufficiency.
3|Page
, NR509 Advanced Physical Assessment Exam
What is the role of H. Pylori infection in gastrointestinal conditions?
H. Pylori infection may cause peptic ulcer disease and dyspepsia, but is
not usually associated with diarrhea.
What condition is characterized by inflammation of the colonic
diverticulum?
Diverticulitis, which typically causes left-lower-quadrant pain, fever, and
sometimes diarrhea.
What is mesenteric ischemia and its associated symptoms?
Mesenteric ischemia is characterized by reduced blood supply to the
bowel, causing diffuse abdominal pain, vomiting, diarrhea, or
constipation.
What are the common symptoms of chronic pancreatitis?
Increasing weakness, recurrent epigastric pain radiating to the back,
chronic diarrhea, and weight loss.
What does a protuberant abdomen with scattered areas of tympany
and dullness indicate?
It may suggest fluid accumulation or other abdominal abnormalities,
but is not the best fit for the case presented.
What does dullness to percussion in the left lower anterior chest wall
suggest?
4|Page
