PCHA FINAL EXAM TEST 2026
UPDATE QUESTIONS AND
CORRECT VERIFIRD ANSWERS
ALREADY GRADED A+ (BRAND
NEW VISION)
Which of the following statements made by the patient regarding
testicular self-exam would indicate a need for further education? - ANS-"I
should examine the testicles when I take a cool or cold shower."
Mrs. L., a 25 - year- old female, comes to your clinic for a routine physical
exam. While performing her breast exam, she tells you she has never had
anyone teach her how to properly examine her breasts and asks that you
educate her on the breast self exam. Which of the following is true
regarding assessment of the breasts? - ANS-A & D
- To perform a breast self-exam, press the three middle fingers in
a circular motion and follow an up and down method.
- The best time to perform the breast self exam is right after the
menstrual period.
During a discussion for a men's health group, the nurse relates that the
group with the highest incidence of prostate cancer is: - ANS-African-
American
The nurse is collecting subjective data prior to the female genitourinary
exam. The patient describes pain and cramping before and during her
menstrual period. How would the nurse document this finding? - ANS-
dysmenorrhea
Normal inspection findings for the female genitourinary examination
include: - ANS-all of the above
- Vaginal discharge is small, clear, and nonirritating.
,- Labia minora are dark pink and symmetric
- No lesions are present except for occasional sebaceous cysts
- Anus has coarse skin of increased pigmentation.
Life style factors related to breast cancer risk include: - ANS-A & B
- drinking alcohol
- obesity
ROM should be performed with and without palpation to reveal findings
such as crepitation of the joint. - ANS-true
Which of the following is true regarding assessment of the muscle? - ANS-
Muscle tone is assessed with muscles in their resting state or
with slight resistance.
Active range of motion should be performed before muscle strength
testing because: - ANS-if muscle strength were tested before ROM,
more marked contraction of the muscle may cause pain in the
client and therefore skew the ROM findings.
When testing range of motion of the shoulders, the practitioner should: -
ANS-with arms at sides and elbows extended, ask the patient to
move both arms forward and up to test forward flexion.
Which of the following is true regarding assessment of the elbow? - ANS-
ROM for the elbow is flexion, extension, supination and pronation.
Which of the following is the MOST COMPLETE description of the nurse's
physical assessment of joints? - ANS-Assess symmetry of paired
joints: inspect and palpate each joint for swelling, warmth,
tenderness, and irregularity, testing range of motion and muscle
strength.
, Mr. J. has documented osteoarthritis with Heberden's and Bouchard's
nodes. In what location would you look for these? - ANS-DIP and PIP
joint
When examining the foot the practitioner should: - ANS-all of the above
- Palpate the patient's entire foot and around each toe.
- Test ROM by assessing dorsiflexion, plantar flexion, inversion,
eversion, and flexion and extension of toes.
- Assess muscle strength by testing dorsiflexion and plantar
flexion against resistance.
The nurse is assessing the neurologic status of a patient who has a late-
stage brain tumor. With the reflex hammer, the nurse draws a light stroke
up the lateral side of the sole of the foot and inward, across the ball of the
foot. In response, the patient's toes fan out, and the big toe shows
dorsiflexion. The nurse recognizes this as which of the following? - ANS-A
Babinski reflex, which is abnormal for adults
The patient comes to the neurology clinic complaining of inability to
plantar flex the foot. Upon examination, the nurse notices the Achilles
reflex is absent and sensory sensations over the dorsum of the big toe are
absent. The lesion is in which spinal cord segments? - ANS-L4 - L5, S1 -
S2
The nurse has just stuck herself with a sharp needle. In order for the nurse
to be able to interpret this sensation, which of the following areas must be
intact? - ANS-lateral spinothalamic tract, thalamus, and sensory
cortex.
While taking a health history on the patient, the nurse notes a history of
polio as a child. During the physical exam, the nurse also notes flaccid
paralysis of the patient's left leg only with atrophy of the leg muscles. The
patient's paralysis would be due to damage of the: - ANS-ventral horn
cells
UPDATE QUESTIONS AND
CORRECT VERIFIRD ANSWERS
ALREADY GRADED A+ (BRAND
NEW VISION)
Which of the following statements made by the patient regarding
testicular self-exam would indicate a need for further education? - ANS-"I
should examine the testicles when I take a cool or cold shower."
Mrs. L., a 25 - year- old female, comes to your clinic for a routine physical
exam. While performing her breast exam, she tells you she has never had
anyone teach her how to properly examine her breasts and asks that you
educate her on the breast self exam. Which of the following is true
regarding assessment of the breasts? - ANS-A & D
- To perform a breast self-exam, press the three middle fingers in
a circular motion and follow an up and down method.
- The best time to perform the breast self exam is right after the
menstrual period.
During a discussion for a men's health group, the nurse relates that the
group with the highest incidence of prostate cancer is: - ANS-African-
American
The nurse is collecting subjective data prior to the female genitourinary
exam. The patient describes pain and cramping before and during her
menstrual period. How would the nurse document this finding? - ANS-
dysmenorrhea
Normal inspection findings for the female genitourinary examination
include: - ANS-all of the above
- Vaginal discharge is small, clear, and nonirritating.
,- Labia minora are dark pink and symmetric
- No lesions are present except for occasional sebaceous cysts
- Anus has coarse skin of increased pigmentation.
Life style factors related to breast cancer risk include: - ANS-A & B
- drinking alcohol
- obesity
ROM should be performed with and without palpation to reveal findings
such as crepitation of the joint. - ANS-true
Which of the following is true regarding assessment of the muscle? - ANS-
Muscle tone is assessed with muscles in their resting state or
with slight resistance.
Active range of motion should be performed before muscle strength
testing because: - ANS-if muscle strength were tested before ROM,
more marked contraction of the muscle may cause pain in the
client and therefore skew the ROM findings.
When testing range of motion of the shoulders, the practitioner should: -
ANS-with arms at sides and elbows extended, ask the patient to
move both arms forward and up to test forward flexion.
Which of the following is true regarding assessment of the elbow? - ANS-
ROM for the elbow is flexion, extension, supination and pronation.
Which of the following is the MOST COMPLETE description of the nurse's
physical assessment of joints? - ANS-Assess symmetry of paired
joints: inspect and palpate each joint for swelling, warmth,
tenderness, and irregularity, testing range of motion and muscle
strength.
, Mr. J. has documented osteoarthritis with Heberden's and Bouchard's
nodes. In what location would you look for these? - ANS-DIP and PIP
joint
When examining the foot the practitioner should: - ANS-all of the above
- Palpate the patient's entire foot and around each toe.
- Test ROM by assessing dorsiflexion, plantar flexion, inversion,
eversion, and flexion and extension of toes.
- Assess muscle strength by testing dorsiflexion and plantar
flexion against resistance.
The nurse is assessing the neurologic status of a patient who has a late-
stage brain tumor. With the reflex hammer, the nurse draws a light stroke
up the lateral side of the sole of the foot and inward, across the ball of the
foot. In response, the patient's toes fan out, and the big toe shows
dorsiflexion. The nurse recognizes this as which of the following? - ANS-A
Babinski reflex, which is abnormal for adults
The patient comes to the neurology clinic complaining of inability to
plantar flex the foot. Upon examination, the nurse notices the Achilles
reflex is absent and sensory sensations over the dorsum of the big toe are
absent. The lesion is in which spinal cord segments? - ANS-L4 - L5, S1 -
S2
The nurse has just stuck herself with a sharp needle. In order for the nurse
to be able to interpret this sensation, which of the following areas must be
intact? - ANS-lateral spinothalamic tract, thalamus, and sensory
cortex.
While taking a health history on the patient, the nurse notes a history of
polio as a child. During the physical exam, the nurse also notes flaccid
paralysis of the patient's left leg only with atrophy of the leg muscles. The
patient's paralysis would be due to damage of the: - ANS-ventral horn
cells
