NURS 5220 ADVANCED PHYSICAL
ASSESSEMENT EXAM 1 MODULE 1,2,3,4,5,6,8
2025 WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED A+|
|GUARANTEED PASS|LATEST UPDATE
Percussion tones are a reflection of the _____ of the medium through which the sound waves travel.
A. mobility
B. density
C. temperature
D. dissonance
B:correctThe density of the medium through which the sound waves travel determines the percussion
tone. The more dense the medium, the quieter the percussion tone.
Which of the following indicates the correct method when performing mediate percussion? [plexor =
striking finger; pleximeter = stationary finger]
A. Remove the plexor immediately after contact with the pleximeter.
B. Use forearm motion to cause the plexor to strike the pleximeter.
C. Use the dominant hand as the pleximeter.
D. Strike the pleximeter quickly with three blows of the plexor to obtain the best sounds.
A:CorrectIn this technique, the finger of one hand acts as the hammer (plexor) and a finger of the other
hand acts as the striking surface. To perform indirect percussion, place your nondominant hand on the
surface of the body with the fingers slightly spread. Place the distal phalanx of the middle finger firmly
on the body surface with the other fingers slightly elevated off the surface. Snap the wrist of your other
hand downward, and with the tip of the middle finger sharply tap the interphalangeal joint of the finger
that is on the body surface (Fig. 3.1).
1|Page
,Tenderness arising from the gallbladder, kidney, or liver may be assessed by:
A. ballottement.
B. light palpation.
C. fist percussion.
D. scratch test.
C:CorrectFist percussion is most commonly used to elicit tenderness arising from the liver, gallbladder,
or kidneys.
During auscultation of a patient's heart, the sounds from the TV are interfering with adequate hearing of
the heart sounds. Which of the following options would be best in this situation?
A. Ask the patient to turn off/mute the TV for a couple of minutes.
B. Turn up the sound on the stethoscope.
C. Come back when the TV is off.
D. Skip the auscultation examination for this time.
A:CorrectOne of the most difficult achievements in auscultation is learning to isolate sounds. You
cannot hear everything all at once. The environment should be quiet and free from distracting noises.
Mrs. Jones brings in her 2-month-old infant for a checkup. One way that a health history for an infant
differs from that of an adult is the inclusion of:
A. nutritional history.
B. chief complaint.
C. prenatal information.
D. personal social information.
C:CorrectFor older infants, record information as for adults; however, for newborns, include the
details of the mother's pregnancy and any untoward events occurring since birth.
Which issue has most recently challenged the health care system in regard to the accuracy of patient
records?
A. Inclusion of detailed family and background data
B. Access to the record by multiple health care professionals
C. EMR recording errors by students in the health care delivery area
D. Inappropriate use of the CPCF function
D:CorrectAlthough potentially being a very effective tool, the ability to easily copy and paste or carry
forward (CPCF) text from one note to another has become the latest hazard in electronic medical
documentation. Whereas legibility is no longer an issue with electronic medical records (EMRs), copy
and paste is now looming as a patient safety, legal, and regulatory challenge for EMRs. When CPCF is
used inappropriately, it can affect patient safety by rendering meaningless an essential
communication tool relied on at the point of care.
2|Page
,The OLDCARTS mnemonic is a guide to the:
A. history of the present illness.
B. review of systems.
C. family history.
D. personal and social history.
A:CorrectThe OLDCARTS mnemonic helps make sure all characteristics of a problem are described in
the history of present illness to ensure a comprehensive presentation.
Mrs. Harris is a 46-year-old patient who presents to your office for a routine physical examination.
During the history and physical, you note expected Rinne and Weber test results. This would be
documented:
A. objective data.
B. subjective data.
C. systematic data.
D. functional data.
A: CorrectObjective data are the findings resulting from direct observation—what you see, hear, and
touch. Record the objective data by body systems and anatomic location.
How does the APSO patient record format differ from the SOAP format?
A. Categories of information
B. Sequence of information
C. Amount of detail
D. Level of specificity
B:CorrectThe problem-oriented medical record (POMR) with SOAP (Subjective, Objective, Assessment,
and Plan) notes is one system for organizing documentation. The POMR can also be created in the
APSO (Assessment, Plan, Subjective, and Objective) format.
When recording data into the patient's record, the health care provider must remember that the record
is a:
A. patient's personal and private record.
B. legal document that may be used in court and other legal proceedings.
C. health care organization's record that can only be used for medical treatment within that
organization.
D. public document that is available to those who are affiliated with the health care organization.
B:CorrectThe patient's record is a legal document, and any information contained in it may be used in
court and in other legal proceedings, as well as to make health care payment determinations.
Mrs. Mills is a 39-year-old patient who presents for a routine physical examination. It is important when
performing the physical examination that you, the examiner, should:
3|Page
, A. record all of the information as it is revealed to you during the course of the examination.
B. keep all of the information in your head for recording at a more convenient time and location.
C. record limited information during the examination and document the entire examination as soon as
possible after the examination.
D. have another person in the room recording the information as you dictate the data.
C:CorrectDo not try to record all the details during the visit, because writing or typing must not
distract your attention from the patient. Jotting down simple notes should be sufficient in preparation
for the subsequent write-up, dictation, or EMR entry. It is essential to complete data recording as
soon as possible after the examination while your memory for detail is fresh.
Mr. Black is a 57-year-old patient who presents for a complaint of chest pain. Which of the following is
the best way to document an individual's chief complaint?
A. "I'm having some pain in my chest."
B. Patient states having some substernal chest pain.
C. Patient experiencing angina.
D. CC: Impending MI.
A:CorrectThe chief concern or presenting problem is a brief description of the patient's main reason
for seeking care. The information may be stated verbatim in quotation marks.
Incremental grading is often used for recording which examination finding?
A. Size of lymph nodes
B. Tenderness related to pain perception
C. Deep tendon reflexes
D. Amount of discharge visible from an orifice
C:CorrectFindings that vary by degrees are customarily graded or recorded in an incremental scale
format. Pulse amplitude, heart murmur intensity, muscle strength, and deep tendon reflexes are
findings often recorded in this manner.
For structures that have a round shape, such as the tympanic membrane, an effective way to document
location of an alteration is to relate its location to the:
A. numbers on the face of a clock.
B. degrees in a circle.
C. divisions on a chronometer.
D. spokes on a wheel.
A:CorrectIn some cases, location of a finding on or near a specific structure (e.g., tympanic membrane,
rectum, vaginal vestibule) may be described by its position on a clock.
4|Page
ASSESSEMENT EXAM 1 MODULE 1,2,3,4,5,6,8
2025 WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED A+|
|GUARANTEED PASS|LATEST UPDATE
Percussion tones are a reflection of the _____ of the medium through which the sound waves travel.
A. mobility
B. density
C. temperature
D. dissonance
B:correctThe density of the medium through which the sound waves travel determines the percussion
tone. The more dense the medium, the quieter the percussion tone.
Which of the following indicates the correct method when performing mediate percussion? [plexor =
striking finger; pleximeter = stationary finger]
A. Remove the plexor immediately after contact with the pleximeter.
B. Use forearm motion to cause the plexor to strike the pleximeter.
C. Use the dominant hand as the pleximeter.
D. Strike the pleximeter quickly with three blows of the plexor to obtain the best sounds.
A:CorrectIn this technique, the finger of one hand acts as the hammer (plexor) and a finger of the other
hand acts as the striking surface. To perform indirect percussion, place your nondominant hand on the
surface of the body with the fingers slightly spread. Place the distal phalanx of the middle finger firmly
on the body surface with the other fingers slightly elevated off the surface. Snap the wrist of your other
hand downward, and with the tip of the middle finger sharply tap the interphalangeal joint of the finger
that is on the body surface (Fig. 3.1).
1|Page
,Tenderness arising from the gallbladder, kidney, or liver may be assessed by:
A. ballottement.
B. light palpation.
C. fist percussion.
D. scratch test.
C:CorrectFist percussion is most commonly used to elicit tenderness arising from the liver, gallbladder,
or kidneys.
During auscultation of a patient's heart, the sounds from the TV are interfering with adequate hearing of
the heart sounds. Which of the following options would be best in this situation?
A. Ask the patient to turn off/mute the TV for a couple of minutes.
B. Turn up the sound on the stethoscope.
C. Come back when the TV is off.
D. Skip the auscultation examination for this time.
A:CorrectOne of the most difficult achievements in auscultation is learning to isolate sounds. You
cannot hear everything all at once. The environment should be quiet and free from distracting noises.
Mrs. Jones brings in her 2-month-old infant for a checkup. One way that a health history for an infant
differs from that of an adult is the inclusion of:
A. nutritional history.
B. chief complaint.
C. prenatal information.
D. personal social information.
C:CorrectFor older infants, record information as for adults; however, for newborns, include the
details of the mother's pregnancy and any untoward events occurring since birth.
Which issue has most recently challenged the health care system in regard to the accuracy of patient
records?
A. Inclusion of detailed family and background data
B. Access to the record by multiple health care professionals
C. EMR recording errors by students in the health care delivery area
D. Inappropriate use of the CPCF function
D:CorrectAlthough potentially being a very effective tool, the ability to easily copy and paste or carry
forward (CPCF) text from one note to another has become the latest hazard in electronic medical
documentation. Whereas legibility is no longer an issue with electronic medical records (EMRs), copy
and paste is now looming as a patient safety, legal, and regulatory challenge for EMRs. When CPCF is
used inappropriately, it can affect patient safety by rendering meaningless an essential
communication tool relied on at the point of care.
2|Page
,The OLDCARTS mnemonic is a guide to the:
A. history of the present illness.
B. review of systems.
C. family history.
D. personal and social history.
A:CorrectThe OLDCARTS mnemonic helps make sure all characteristics of a problem are described in
the history of present illness to ensure a comprehensive presentation.
Mrs. Harris is a 46-year-old patient who presents to your office for a routine physical examination.
During the history and physical, you note expected Rinne and Weber test results. This would be
documented:
A. objective data.
B. subjective data.
C. systematic data.
D. functional data.
A: CorrectObjective data are the findings resulting from direct observation—what you see, hear, and
touch. Record the objective data by body systems and anatomic location.
How does the APSO patient record format differ from the SOAP format?
A. Categories of information
B. Sequence of information
C. Amount of detail
D. Level of specificity
B:CorrectThe problem-oriented medical record (POMR) with SOAP (Subjective, Objective, Assessment,
and Plan) notes is one system for organizing documentation. The POMR can also be created in the
APSO (Assessment, Plan, Subjective, and Objective) format.
When recording data into the patient's record, the health care provider must remember that the record
is a:
A. patient's personal and private record.
B. legal document that may be used in court and other legal proceedings.
C. health care organization's record that can only be used for medical treatment within that
organization.
D. public document that is available to those who are affiliated with the health care organization.
B:CorrectThe patient's record is a legal document, and any information contained in it may be used in
court and in other legal proceedings, as well as to make health care payment determinations.
Mrs. Mills is a 39-year-old patient who presents for a routine physical examination. It is important when
performing the physical examination that you, the examiner, should:
3|Page
, A. record all of the information as it is revealed to you during the course of the examination.
B. keep all of the information in your head for recording at a more convenient time and location.
C. record limited information during the examination and document the entire examination as soon as
possible after the examination.
D. have another person in the room recording the information as you dictate the data.
C:CorrectDo not try to record all the details during the visit, because writing or typing must not
distract your attention from the patient. Jotting down simple notes should be sufficient in preparation
for the subsequent write-up, dictation, or EMR entry. It is essential to complete data recording as
soon as possible after the examination while your memory for detail is fresh.
Mr. Black is a 57-year-old patient who presents for a complaint of chest pain. Which of the following is
the best way to document an individual's chief complaint?
A. "I'm having some pain in my chest."
B. Patient states having some substernal chest pain.
C. Patient experiencing angina.
D. CC: Impending MI.
A:CorrectThe chief concern or presenting problem is a brief description of the patient's main reason
for seeking care. The information may be stated verbatim in quotation marks.
Incremental grading is often used for recording which examination finding?
A. Size of lymph nodes
B. Tenderness related to pain perception
C. Deep tendon reflexes
D. Amount of discharge visible from an orifice
C:CorrectFindings that vary by degrees are customarily graded or recorded in an incremental scale
format. Pulse amplitude, heart murmur intensity, muscle strength, and deep tendon reflexes are
findings often recorded in this manner.
For structures that have a round shape, such as the tympanic membrane, an effective way to document
location of an alteration is to relate its location to the:
A. numbers on the face of a clock.
B. degrees in a circle.
C. divisions on a chronometer.
D. spokes on a wheel.
A:CorrectIn some cases, location of a finding on or near a specific structure (e.g., tympanic membrane,
rectum, vaginal vestibule) may be described by its position on a clock.
4|Page
