Midterm Exam: NR509/ NR 509 (2023/ 2024 Latest Update) Advanced Physical Assessment Exam| Grade A Questions and Verified Answers| 100% Correct- Chamberlain

Q: Which lung sound possesses the characteristics of being louder and higher in pitch, with a

short silence between inspiration and expiration and with expiration being longer than

inspiration?

A) Bronchovesicular

B) Vesicular

C) Bronchial

D) Tracheal

Answer:

C) Bronchial

Q: When percussing the chest in a patient who has left sided heart failure, the sound emanated

would be:

Answer:

Resonant

Q: 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

Midterm Exam: NR509/ NR 509 (2023/ 2024

Latest Update) Advanced Physical

Assessment Exam| Grade A Questions and

Verified Answers| 100% CorrectChamberlain

D) Timing

Answer:

B) Associated manifestations

Q: Jason is a 41-year-old electrician who presents to the clinic for evaluation of shortness of

breath. The shortness of breath occurs with exertion and improves with rest. It has been going on

for several months and initially occurred only a couple of times a day with strenuous exertion;

however, it has started to occur with minimal exertion and is happening more than a dozen times

per day. The shortness of breath lasts for less than 5 minutes at a time. He has no cough, chest

pressure, chest pain, swelling in his feet, palpitations, orthopnea, or paroxysmal nocturnal

dyspnea.

Which of the following symptom attributes was not addressed in this description?

A) Severity

B) Setting in which the symptom occurs

C) Timing

D) Associated manifestations

Answer:

A) Severity

Q: You are interviewing an elderly woman in the ambulatory setting and trying to get more

information about her urinary symptoms. Which of the following techniques is not a component

of adaptive questioning?

A) Directed questioning: starting with the general and proceeding to the specific in a manner that

does not make the patient give a yes/no answer

B) Reassuring the patient that the urinary symptoms are benign and that she doesn't need to

worry about it being a sign of cancer

C) Offering the patient multiple choices in order to clarify the character of the urinary symptoms

that she is experiencing

D) Asking her to tell you exactly what she means when she states that she has a urinary tract

infection

Answer:

B) Reassuring the patient that the urinary symptoms are benign and that she doesn't need to

worry about it being a sign of cancer

Q: For which of the following patients would a comprehensive health history be appropriate?

A) A new patient with the chief complaint of "I sprained my ankle"

B) An established patient with the chief complaint of "I have an upper respiratory infection"

C) A new patient with the chief complaint of "I am here to establish care"

D) A new patient with the chief complaint of "I cut my hand"

Answer:

C) A new patient with the chief complaint of "I am here to establish care"

Q: Mrs. T. comes for her regular visit to the clinic. She is on your schedule because her regular

provider is on vacation and she wanted to be seen. You have heard about her many times from

your colleague and are aware that she is a very talkative person. Which of the following is a

helpful technique to improve the quality of the interview for both the provider and the patient?

A) Allow the patient to speak uninterrupted for the duration of the appointment.

B) Briefly summarize what you heard from the patient in the first 5 minutes and then try to have

her focus on one aspect of what she told you.

C) Set the time limit at the beginning of the interview and stick with it, no matter what occurs in

the course of the interview.

D) Allow your impatience to show so that the patient picks up on your nonverbal cue that the

appointment needs to end.

Answer:

B) Briefly summarize what you heard from the patient in the first 5 minutes and then try to have

her focus on one aspect of what she told you.

Q: Mrs. H. comes to your clinic, wanting antibiotics for a sinus infection. When you enter the

room, she appears to be very angry. She has a raised tone of voice and states that she has been

waiting for the past hour and has to get back to work. She states that she is unimpressed by the

reception staff, the nurse, and the clinic in general and wants to know why the office wouldn't

call in an antibiotic for her. Which of the following techniques is not useful in helping to calm

this patient?

A) Avoiding admission that you had a part in provoking her anger because you were late

B) Accepting angry feelings from the patient and trying not to get angry in return

C) Staying calm

D) Keeping your posture relaxed

Answer:

A) Avoiding admission that you had a part in provoking her anger because you were late