NR509 MID-TERM EXAM NEWEST 2025 ACTUAL

• | P a g e

pg. 1

NR509 MID-TERM EXAM NEWEST 2025 ACTUAL

EXAM| COMPLETE 200 QUESTIONS AND CORRECT

DETAILED ANSWERS (VERIFIED ANSWERS)

ALREADY GRADED A+| ADVANCED PHYSICAL

ASSESSMENT MID-TERM| CHAMBERLAIN| BRAND

NEW!!

One important examination technique involves using the third fingers of each hand to determine the health of internal organs. What is the name of this technique?

• Auscultation
• Percussion
• Inspection
• Palpation
• Listening - Correct Answer - b. Percussion

The CAGE questionnaire is a short screening examination administered in the office to evaluate for which of the following?

• Alcohol misuse
• Risk for illicit substance abuse
• Likelihood that the patient complaints are "psychosomatic"
• Major depressive disorder
• Bipolar disorder - Correct Answer - a. Alcohol misuse
• / 4

• | P a g e

pg. 2 A 53-year-old caterer comes to the clinic for a routine examination. She has type 2 diabetes mellitus, which is well controlled on medication. Her history from her last visit reveals that she smoked one pack of cigarettes a day at that time. The 5 As Model is a useful approach to take with trying to help patients to quit smoking. What is the 5 As Model?

• Admonish, action, available, assess, alleviating factors
• Agitate, assist, alleviating factors, able, action
• Affable, associated manifestations, ask, admonish, available
• Ask, advise, assess, assist, arrange
• Arrange, aggravating factors, action, attitude, able - Correct Answer -
• Ask, advise, assess, assist, arrange

A 21-year-old college student experiences tachycardia following a night of heavy drinking. She is advised to undergo a stress electrocardiogram (ECG). As she exercises, the recently calibrated pulse oximeter records a heart rate ranging from 25 beats per minute (bpm) at rest to 50 bpm while jogging. The test is stopped and re-started twice, and each time the pulse oximeter yields a resting heart rate of 25 and a jogging heart rate of 50. Which aspect of this instrument does the ECG technician question?

• Prevalence
• Validity
• Sensitivity
• Specificity
• Predictive value - Correct Answer - b. Validity

• / 4

• | P a g e

pg. 3 A mother brings her 8-year-old daughter to the clinic because she found a tick in the girl's hair and would like her daughter to be tested for Lyme disease. The nurse practitioner (NP) explains that the enzyme-linked immunosorbent assay (ELISA), an early test for Lyme disease, is effective in finding early cases of Lyme disease but can also give positive results in some people who do not have the disease, making additional testing necessary. This means that the ELISA test has which of the following?

• Low sensitivity, high specificity
• High sensitivity, high specificity
• High sensitivity, low specificity
• Low sensitivity, low specificity
• Undetermined sensitivity and specificity - Correct Answer - c. High

sensitivity, low specificity

A theoretical laboratory test for infection with HIV is known to have high sensitivity. This means that the test has which of the following?

• Good ability to rule in HIV in those who do have HIV
• Good ability to rule out HIV in those who do not have HIV
• High interobserver reliability
• High interobserver reliability
• Good ability to diagnose AIDS - Correct Answer - b. Good ability to

rule out HIV in those who do not have HIV

A theoretical new laboratory test for strep throat has high specificity.When a test has high specificity, clinicians can be confident in which of the following aspects? 3 / 4

• | P a g e

pg. 4

• If the test result is positive, the patient probably has strep throat.
• If the test result is positive, the patient probably does not have strep

throat.

• If the test result is negative, the patient probably has strep throat.
• If the test result is negative, the patient probably does not have strep

throat.

• If the test result is positive, a confirmatory test should be performed. -

Correct Answer - a. If the test result is positive, the patient probably has strep throat.

A 68-year-old retired administrative assistant complains of a 3-month history of recurring pain after ambulating that radiates from her back in the upper lumbar region into both buttocks, bilateral thighs, and mid-calf regions. Her pain is typically improved by sitting or by leaning forward.The origin of her pain is likely secondary to which of the following?

• Peripheral arterial disease (PAD)
• Venous stasis
• Acute arterial occlusion
• Neurogenic claudication
• Abdominal aortic aneurysm - Correct Answer - d. Neurogenic

claudication

Weight change may indicate the presence of important underlying pathology requiring further investigation. Which of the following best describes a significant weight change that requires further evaluation?

• / 4