NURS 612 ADVANCED HEALTH ASSESSMENT
exam 2 Latest Maryville College Accurate Spring-
Summer Graded A+ Verified Questions and
Answers with Detailed Guaranteed Pass
A 60 year old female presenting patient is in the office for an
'well-woman' GYN examination. The patient states she is
post-menopausal and her BMI is WNL. She reports occasional
painful intercourse. Upon the bimanual examination the
cervix and uterus are non-tender and the ovaries are not
palpable. No discharge is noted. What is the correct response
from the nurse practitioner based on this exam.
a)Recognize normal findings on examination for a post-
menopausal woman. Counsel patient about use of
lubricants during intercourse for comfort.
b) Perform testing for STI based on painful intercourse.
c) Tell patient to withhold from sexual intercourse until pain is
gone.
d) Send the patient for a pelvic ultrasound to rule out Ovarian
Cancer.
,answer: Recognize normal findings on examination for a
post-menopausal woman. Counsel patient about use of
lubricants during intercourse for comfort.
This is an expected normal exam for a Post-menopausal
patient (Bickley 713). Ovaries are typically not palpable after
menopause and reports of vaginal dryness causing painful
intercourse are common for this demographic.
The nurse is assessing the client’s cardiovascular system.
Which techniques are appropriate for the nurse to use during
this assessment? SATA.
1. Examining the client’s legs and noting that the client’s hair is
evenly distributed
2. Continuing the exam when the client complains of discomfort
when lying flat
3. Auscultating the apical impulse at the fifth intercostal space on
the left midclavicular line
4. Examining the client’s hands and fingers and noticed the
presence of clubbing
5. Palpating the client’s carotid arteries simultaneously to
determine pulse strength, rhythm, and rate
1. examining the client’s legs and noting that the client’s hair is
evenly distributed
3. Auscultating the apical impulse at the fifth intercostal
space on the left midclavicular line
4. Examining the client’s hands and fingers and noticed the
, presence of clubbing
the nurse is preparing to perform a cardiac assessment on a
client. rank the assessment steps in the order in which they
will occur.
percussion of the
client's chest palpation
of the precordium and
pulses
inspection of the client's head and beck, chest,
abdomen, and extremities auscultation of the
client's heart, apical pulse, and carotid arteries
1. inspection
2. palpation
3. percussion
4. auscultation
a student in the vascular surgery clinic is asked to perform a
physical examination on a client with known peripheral
vascular disease in the legs. Which of the following aspects
are most important to note?
1. Nodules in joints
2. Lower extremity strength
3
, 3. Muscle bulk and tone
4. Size, symmetry, and skin color
4. size, symmetry, and skin color
a registered nurse is listening to a client's heart sound. she
hears a murmur and she knows the mechanism of a murmur
is
1. pericarditis
2. emphysema
3. turbulent blood flow
4. cardiac tamponade
2. turbulent blood flow
A 3 month old male presents to your clinic. Mom and Dad are
VERY concerned about their son's enlarged scrotum. You
inspect the child and determine his scrotum slightly enlarged.
Which of the following PE technique is used to determine if
the scrotum is fluid filled or enlarged secondary from a
mass/hernia?
a) Palpating the testes
b) Retracting the foreskin
c) Gently palpating the inguinal ring.
exam 2 Latest Maryville College Accurate Spring-
Summer Graded A+ Verified Questions and
Answers with Detailed Guaranteed Pass
A 60 year old female presenting patient is in the office for an
'well-woman' GYN examination. The patient states she is
post-menopausal and her BMI is WNL. She reports occasional
painful intercourse. Upon the bimanual examination the
cervix and uterus are non-tender and the ovaries are not
palpable. No discharge is noted. What is the correct response
from the nurse practitioner based on this exam.
a)Recognize normal findings on examination for a post-
menopausal woman. Counsel patient about use of
lubricants during intercourse for comfort.
b) Perform testing for STI based on painful intercourse.
c) Tell patient to withhold from sexual intercourse until pain is
gone.
d) Send the patient for a pelvic ultrasound to rule out Ovarian
Cancer.
,answer: Recognize normal findings on examination for a
post-menopausal woman. Counsel patient about use of
lubricants during intercourse for comfort.
This is an expected normal exam for a Post-menopausal
patient (Bickley 713). Ovaries are typically not palpable after
menopause and reports of vaginal dryness causing painful
intercourse are common for this demographic.
The nurse is assessing the client’s cardiovascular system.
Which techniques are appropriate for the nurse to use during
this assessment? SATA.
1. Examining the client’s legs and noting that the client’s hair is
evenly distributed
2. Continuing the exam when the client complains of discomfort
when lying flat
3. Auscultating the apical impulse at the fifth intercostal space on
the left midclavicular line
4. Examining the client’s hands and fingers and noticed the
presence of clubbing
5. Palpating the client’s carotid arteries simultaneously to
determine pulse strength, rhythm, and rate
1. examining the client’s legs and noting that the client’s hair is
evenly distributed
3. Auscultating the apical impulse at the fifth intercostal
space on the left midclavicular line
4. Examining the client’s hands and fingers and noticed the
, presence of clubbing
the nurse is preparing to perform a cardiac assessment on a
client. rank the assessment steps in the order in which they
will occur.
percussion of the
client's chest palpation
of the precordium and
pulses
inspection of the client's head and beck, chest,
abdomen, and extremities auscultation of the
client's heart, apical pulse, and carotid arteries
1. inspection
2. palpation
3. percussion
4. auscultation
a student in the vascular surgery clinic is asked to perform a
physical examination on a client with known peripheral
vascular disease in the legs. Which of the following aspects
are most important to note?
1. Nodules in joints
2. Lower extremity strength
3
, 3. Muscle bulk and tone
4. Size, symmetry, and skin color
4. size, symmetry, and skin color
a registered nurse is listening to a client's heart sound. she
hears a murmur and she knows the mechanism of a murmur
is
1. pericarditis
2. emphysema
3. turbulent blood flow
4. cardiac tamponade
2. turbulent blood flow
A 3 month old male presents to your clinic. Mom and Dad are
VERY concerned about their son's enlarged scrotum. You
inspect the child and determine his scrotum slightly enlarged.
Which of the following PE technique is used to determine if
the scrotum is fluid filled or enlarged secondary from a
mass/hernia?
a) Palpating the testes
b) Retracting the foreskin
c) Gently palpating the inguinal ring.
