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Final Exam: NR509 / NR-509 (Latest
2025 / 2026) Advanced Physical Assessment | Questions and Verified Answers | 100% Correct | Grade A - Chamberlain
Question:
A 25-year-old male presents to the clinic with a complaint of severe rectal pain during defecation. The pain is so severe he waits several days before having a bowel movement. He has a history of ulcerative colitis (UC). He also reports being in an active sexual new relationship with a male partner. After conducting a history and physical exam, the NP documents the following
anorectal findings: Perirectal area inflamed; no ulcerations, open sores,
fissures, or verruca. Scant, whiteyellow, mucoid, rectal discharge noted.Unable to examine external sphincter, rectal vault, or prostate because of spasm of the external sphincter and marked inflammation and tenderness of anal canal. Which of the following is the most accurate interpretation of these findings?
Answer:
These findings suggest infectious proctitis
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Question:
A 54-year-old female with a history of migraines since childhood presents to the clinic with chronic intermittent, progressive pulsatile headaches which are similar in nature to prior attacks and precipitated by current life stressors.The headaches are accompanied by nausea and vomiting. She denies constitutional symptoms. On examination, she has elevated blood pressure but otherwise a normal cardiovascular, neurologic, and fundoscopic examination. Based on the history and physical examination findings, which diagnoses are appropriate for the differential diagnosis (DDx) list? Select all that apply.
Answer:
Migraine Tension
Question:
A 50-year-old female presents to the clinic for evaluation of neck stiffness and aching pain. She was a restrained driver in a low-speed, rear-end, motor vehicle collision 1 day ago. The pain started several hours after the accident.On physical examination, you note muscle spasms over the paraspinous muscles on the left side of the neck, as well as pain reported during active range of motion of the cervical spine. No neurological deficits are noted.Which of the following is the most accurate interpretation of these findings?
Answer:
These findings suggest cervical strain
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Question:
Which muscle(s) are being assessed during active rotation of the neck?
Answer:
Sternocleidomastoid
Question:
A 34-year-old female presents to the office with left elbow pain following rigorous training for a tennis match. Tenderness is noted with palpation in the area on the image marked by the red circle. What correlative diagnosis
does this assessment finding indicate? ADA Description: Left elbow with
emphasis on the small, tuberculated eminence, curved a little forward, about
- cm from the joint.
Answer:
lateral epicondylitis
Question:
An NP student conducted a clinical breast examination on a 27-year-old female with a history of fibroadenomas. The NP palpated a rubbery, mobile, nontender mass in the right breast. The mass was located 3 cm proximal to and 3 cm to the left of the nipple. Which of the following would be the most appropriate way to document the physical assessment findings?
Answer:
rubbery, mobile, nontender mass located in the right breast, in the 10:30
position from the nipple
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Question:
A 35-year-old male presents to the clinic for a routine physical examination.His only complaint is a feeling of heaviness in his scrotum. He denies injury or trauma. After conducting a history and physical, the NP documents the
following genitourinary (GU) findings: Uncircumcised penis; prepuce easily
retractable. No penile discharge or lesions. No scrotal swelling or discoloration. Testes descended bilaterally; right testicle smooth; 1 × 1 cm firm, fixed, nontender, nodule on the left lateral testicle. Epididymis nontender. No inguinal or femoral hernias. Negative CVA tenderness. Which of the following is the most accurate interpretation of these findings?
Answer:
These findings suggest testicular cancer
Question:
A 26-year-old female presents to the Emergency Department with intense abdominal pain for 6 hours, light-headedness, and a fainting episode that finally prompted her to seek medical attention. She has a history of gallstones and is concerned that she is having another gallbladder attack. She denies nausea and vomiting, and her last normal bowel movement was this morning.
She reports that her LMP was 10 weeks ago. Vital signs: pulse 118; blood
pressure, 86/68; respiratory rate, 20/min; oxygen saturation, 99%; and temperature, 37.3ºC orally. A β-human chorionic gonadotropin (β-hCG) blood test is pending. The NP performs an abdominal exam prior to her pelvic exam and, on palpation of her abdomen, finds involuntary rigidity and rebound tenderness. Which of the following is the most likely etiology for these assessment findings?
Answer:
Ruptured ectopic pregnancy
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