NURS 3160 HEALTH ASSESSMENT FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS 2022
Health Assessment Final Exam
Multiple Choice
Identify the choice that best completes the statement or answers the question.
These questions covers units 8 and 9. For questions in unit 10, plese refer to the old tests.
1. When performing a genital assessment on a middle-aged man, the nurse notices multiple soft, moist, painless
papules in the shape of cauliflower-like patches scattered across the shaft of the penis. These lesions are
characteristic of:
A. Genital warts. C. Carcinoma.
B. Syphilitic chancres. D. Genital herpes.
2. When palpating the abdomen of a 20-year-old patient, the nurse notices the presence of tenderness in the left
upper quadrant with deep palpation. Which of these structures is most likely to be involved?
A. Appendix C. Gallbladder
B. Spleen D. Sigmoid colon
3. When the nurse is performing a genital examination on a male patient, which action is correct?
A. Palpating for the vertical chain of lymph nodes along the groin, inferior to the inguinal
ligament
B. Auscultating for the presence of a bruit over the scrotum
C. Having the patient shift his weight onto the left (unexamined) leg when palpating for a
hernia on
the right side
D. Palpating the inguinal canal only if a bulge is present in the inguinal region during
inspection
4. The nurse is reviewing statistics for lactose intolerance. In the United States, the incidence of lactose
intolerance is higher in adults of which ethnic group?
A. Blacks C. Asians
B. Hispanics D. Whites
5. A patient calls the clinic for instructions before having a Papanicolaou (Pap) smear. The most appropriate
instructions from the nurse are:
A. We would like you to use a mild saline douche before your examination. You may pick
this up in our office.
B. If you suspect that you have a vaginal infection, please gather a sample of the discharge
to bring with you.
C. Avoid intercourse, inserting anything into the vagina, or douching within 24 hours of
your appointment.
D. If you are menstruating, please use pads to avoid placing anything into the vagina.
NURS 3160 HEALTH ASSESSMENT FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS 2022
1
, ID: A
NURS 3160 HEALTH ASSESSMENT FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS 2022
6. During a vaginal examination of a 38-year-old woman, the nurse notices that the vulva and vagina are
erythematous and edematous with thick, white, curdlike discharge adhering to the vaginal walls. The woman
reports intense pruritus and thick white discharge from her vagina. The nurse knows that these history and
physical examination findings are most consistent with which condition?
A. Candidiasis C. Bacterial vaginosis
B. Atrophic vaginitis D. Trichomoniasis
7. While recording in a patients medical record, the nurse notices that a patients Hematest results are positive.
This finding means that there is(are):
A. Parasites in his stool. C. Occult blood in his stool.
B. Crystals in his urine. D. Bacteria in his sputum.
8. An older man is concerned about his sexual performance. The nurse knows that in the absence of disease, a
withdrawal from sexual activity later in life may be attributable to:
A. Decreased pleasure from sexual intercourse.
B. Decreased libido with aging.
C. Side effects of medications.
D. Decreased sperm production.
9. The nurse is watching a new graduate nurse perform auscultation of a patients abdomen. Which statement by
the new graduate shows a correct understanding of the reason auscultation precedes percussion and palpation
of the abdomen?
A. Auscultation prevents distortion of vascular sounds, such as bruits and hums, that might
occur after percussion and palpation.
B. Auscultation prevents distortion of bowel sounds that might occur after percussion and
palpation.
C. Auscultation allows the patient more time to relax and therefore be more comfortable
with the physical examination.
D. We need to determine the areas of tenderness before using percussion and palpation.
10. The nurse is aware that one change that may occur in the gastrointestinal system of an aging adult is:
A. Increased esophageal emptying. C. Decreased gastric acid secretion.
B. Increased liver size. D. Increased salivation.
11. A 22-year-old woman has been considering using oral contraceptives. As a part of her health history, the
nurse should ask:
A. If you smoke, how many cigarettes do you smoke per day?
B. Do you have a history of heart murmurs?
C. Have you carefully thought this choice through?
D. Will you be in a monogamous relationship?
2
, ID: A
NURS 3160 HEALTH ASSESSMENT FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS 2022
12. During an internal examination of a womans genitalia, the nurse will use which technique for proper
insertion of the speculum?
A. The blades are locked open by turning the thumbscrew. Once the blades are open,
pressure is
applied to the introitus and the blades are inserted downward at a 45-degree angle to
bring the
cervix into view.
B. The woman is instructed to bear down, the speculum blades are opened and applied in a
swift,
upward movement.
C. The woman is instructed to bear down, the width of the blades are horizontally turned,
and the
speculum is inserted downward at a 45-degree angle toward the small of the womans
back.
D. The blades of the speculum are inserted on a horizontal plane, turning them to a
30-degree angle
while continuing to insert them. The woman is asked to bear down after the speculum is
inserted.
13. A patient who is visiting the clinic complains of having stomach pains for 2 weeks and describes his stools as
being soft and black for approximately the last 10 days. He denies taking any medications. The nurse is
aware that these symptoms are mostly indicative of:
A. Absent bile pigment from liver problems.
B. Occult blood, resulting from gastrointestinal bleeding.
C. Excessive fat caused by malabsorption.
D. Increased iron intake, resulting from a change in diet.
14. Fibrous bands running directly from one bone to another that strengthen the joint and help prevent movement
in undesirable directions are called:
A. Tendons. C. Cartilage.
B. Bursa. D. Ligaments.
15. A 59-year-old patient has been diagnosed with prostatitis and is being seen at the clinic for complaints of
burning and pain during urination. He is experiencing:
A. Dysuria. C. Nocturia.
B. Hematuria. D. Polyuria.
16. During the interview with a female patient, the nurse gathers data that indicate the patient is perimenopausal.
Which of these statements made by this patient leads to this conclusion?
A. I will be very happy when I can stop worrying about having a period.
B. I have only been pregnant twice, but both times I had breast tenderness as my first
symptom.
C. I have noticed that my muscles ache at night when I go to bed.
D. I have been noticing that I sweat a lot more than I used to, especially at night.
3
, ID: A
NURS 3160 HEALTH ASSESSMENT FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS 2022
17. The nurse is describing how to perform a testicular self-examination to a patient. Which statement is most
appropriate?
A. The testicle is egg shaped and movable. It feels firm and has a lumpy consistency.
B. Perform a testicular examination at least once a week to detect the early stages of
testicular cancer.
C. If you notice an enlarged testicle or a painless lump, call your health care provider.
D. A good time to examine your testicles is just before you take a shower.
18. When the nurse is conducting sexual history from a male adolescent, which statement would be most
appropriate to use at the beginning of the interview?
A. Do you use condoms?
B. Often adolescents your age have questions about sexual activity.
C. You dont masturbate, do you?
D. Have you had sex in the last 6 months?
19. A patient tells the nurse, Sometimes I wake up at night and I have real trouble breathing. I have to sit up in
bed to get a good breath. When documenting this information, the nurse would note:
A. Orthopnea. C. Acute emphysema.
B. Acute shortness of breath episode. D. Paroxysmal nocturnal dyspnea.
20. Which statement concerning the anal canal is true? The anal canal:
A. Is approximately 2 cm long in the adult. C. Slants backward toward the sacrum.
B. Is the outlet for the gastrointestinal tract. D. Contains hair and sebaceous glands.
21. When assessing muscle strength, the nurse observes that a patient has complete range of motion against
gravity with full resistance. What grade of muscle strength should the nurse record using a 0- to 5-point
scale?
A. 5 C. 2
B. 3 D. 4
22. During an examination, the nurse asks the patient to perform the Valsalva maneuver and notices that the
patient has a moist, red, doughnut-shaped protrusion from the anus. The nurse knows that this finding is
consistent with a:
A. Rectal fissure. C. Hemorrhoid.
B. Rectal polyp. D. Rectal prolapse.
23. When the nurse is performing a genital examination on a male patient, the patient has an erection. The
nurses most appropriate action or response is to:
A. Ask the patient if he would like someone else to examine him.
B. Reassure the patient that this is a normal response and continue with the examination.
C. Continue with the examination as though nothing has happened.
D. Stop the examination, leave the room while stating that the examination will resume at a
later time.
4
COMPLETE SOLUTIONS 2022
Health Assessment Final Exam
Multiple Choice
Identify the choice that best completes the statement or answers the question.
These questions covers units 8 and 9. For questions in unit 10, plese refer to the old tests.
1. When performing a genital assessment on a middle-aged man, the nurse notices multiple soft, moist, painless
papules in the shape of cauliflower-like patches scattered across the shaft of the penis. These lesions are
characteristic of:
A. Genital warts. C. Carcinoma.
B. Syphilitic chancres. D. Genital herpes.
2. When palpating the abdomen of a 20-year-old patient, the nurse notices the presence of tenderness in the left
upper quadrant with deep palpation. Which of these structures is most likely to be involved?
A. Appendix C. Gallbladder
B. Spleen D. Sigmoid colon
3. When the nurse is performing a genital examination on a male patient, which action is correct?
A. Palpating for the vertical chain of lymph nodes along the groin, inferior to the inguinal
ligament
B. Auscultating for the presence of a bruit over the scrotum
C. Having the patient shift his weight onto the left (unexamined) leg when palpating for a
hernia on
the right side
D. Palpating the inguinal canal only if a bulge is present in the inguinal region during
inspection
4. The nurse is reviewing statistics for lactose intolerance. In the United States, the incidence of lactose
intolerance is higher in adults of which ethnic group?
A. Blacks C. Asians
B. Hispanics D. Whites
5. A patient calls the clinic for instructions before having a Papanicolaou (Pap) smear. The most appropriate
instructions from the nurse are:
A. We would like you to use a mild saline douche before your examination. You may pick
this up in our office.
B. If you suspect that you have a vaginal infection, please gather a sample of the discharge
to bring with you.
C. Avoid intercourse, inserting anything into the vagina, or douching within 24 hours of
your appointment.
D. If you are menstruating, please use pads to avoid placing anything into the vagina.
NURS 3160 HEALTH ASSESSMENT FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS 2022
1
, ID: A
NURS 3160 HEALTH ASSESSMENT FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS 2022
6. During a vaginal examination of a 38-year-old woman, the nurse notices that the vulva and vagina are
erythematous and edematous with thick, white, curdlike discharge adhering to the vaginal walls. The woman
reports intense pruritus and thick white discharge from her vagina. The nurse knows that these history and
physical examination findings are most consistent with which condition?
A. Candidiasis C. Bacterial vaginosis
B. Atrophic vaginitis D. Trichomoniasis
7. While recording in a patients medical record, the nurse notices that a patients Hematest results are positive.
This finding means that there is(are):
A. Parasites in his stool. C. Occult blood in his stool.
B. Crystals in his urine. D. Bacteria in his sputum.
8. An older man is concerned about his sexual performance. The nurse knows that in the absence of disease, a
withdrawal from sexual activity later in life may be attributable to:
A. Decreased pleasure from sexual intercourse.
B. Decreased libido with aging.
C. Side effects of medications.
D. Decreased sperm production.
9. The nurse is watching a new graduate nurse perform auscultation of a patients abdomen. Which statement by
the new graduate shows a correct understanding of the reason auscultation precedes percussion and palpation
of the abdomen?
A. Auscultation prevents distortion of vascular sounds, such as bruits and hums, that might
occur after percussion and palpation.
B. Auscultation prevents distortion of bowel sounds that might occur after percussion and
palpation.
C. Auscultation allows the patient more time to relax and therefore be more comfortable
with the physical examination.
D. We need to determine the areas of tenderness before using percussion and palpation.
10. The nurse is aware that one change that may occur in the gastrointestinal system of an aging adult is:
A. Increased esophageal emptying. C. Decreased gastric acid secretion.
B. Increased liver size. D. Increased salivation.
11. A 22-year-old woman has been considering using oral contraceptives. As a part of her health history, the
nurse should ask:
A. If you smoke, how many cigarettes do you smoke per day?
B. Do you have a history of heart murmurs?
C. Have you carefully thought this choice through?
D. Will you be in a monogamous relationship?
2
, ID: A
NURS 3160 HEALTH ASSESSMENT FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS 2022
12. During an internal examination of a womans genitalia, the nurse will use which technique for proper
insertion of the speculum?
A. The blades are locked open by turning the thumbscrew. Once the blades are open,
pressure is
applied to the introitus and the blades are inserted downward at a 45-degree angle to
bring the
cervix into view.
B. The woman is instructed to bear down, the speculum blades are opened and applied in a
swift,
upward movement.
C. The woman is instructed to bear down, the width of the blades are horizontally turned,
and the
speculum is inserted downward at a 45-degree angle toward the small of the womans
back.
D. The blades of the speculum are inserted on a horizontal plane, turning them to a
30-degree angle
while continuing to insert them. The woman is asked to bear down after the speculum is
inserted.
13. A patient who is visiting the clinic complains of having stomach pains for 2 weeks and describes his stools as
being soft and black for approximately the last 10 days. He denies taking any medications. The nurse is
aware that these symptoms are mostly indicative of:
A. Absent bile pigment from liver problems.
B. Occult blood, resulting from gastrointestinal bleeding.
C. Excessive fat caused by malabsorption.
D. Increased iron intake, resulting from a change in diet.
14. Fibrous bands running directly from one bone to another that strengthen the joint and help prevent movement
in undesirable directions are called:
A. Tendons. C. Cartilage.
B. Bursa. D. Ligaments.
15. A 59-year-old patient has been diagnosed with prostatitis and is being seen at the clinic for complaints of
burning and pain during urination. He is experiencing:
A. Dysuria. C. Nocturia.
B. Hematuria. D. Polyuria.
16. During the interview with a female patient, the nurse gathers data that indicate the patient is perimenopausal.
Which of these statements made by this patient leads to this conclusion?
A. I will be very happy when I can stop worrying about having a period.
B. I have only been pregnant twice, but both times I had breast tenderness as my first
symptom.
C. I have noticed that my muscles ache at night when I go to bed.
D. I have been noticing that I sweat a lot more than I used to, especially at night.
3
, ID: A
NURS 3160 HEALTH ASSESSMENT FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS 2022
17. The nurse is describing how to perform a testicular self-examination to a patient. Which statement is most
appropriate?
A. The testicle is egg shaped and movable. It feels firm and has a lumpy consistency.
B. Perform a testicular examination at least once a week to detect the early stages of
testicular cancer.
C. If you notice an enlarged testicle or a painless lump, call your health care provider.
D. A good time to examine your testicles is just before you take a shower.
18. When the nurse is conducting sexual history from a male adolescent, which statement would be most
appropriate to use at the beginning of the interview?
A. Do you use condoms?
B. Often adolescents your age have questions about sexual activity.
C. You dont masturbate, do you?
D. Have you had sex in the last 6 months?
19. A patient tells the nurse, Sometimes I wake up at night and I have real trouble breathing. I have to sit up in
bed to get a good breath. When documenting this information, the nurse would note:
A. Orthopnea. C. Acute emphysema.
B. Acute shortness of breath episode. D. Paroxysmal nocturnal dyspnea.
20. Which statement concerning the anal canal is true? The anal canal:
A. Is approximately 2 cm long in the adult. C. Slants backward toward the sacrum.
B. Is the outlet for the gastrointestinal tract. D. Contains hair and sebaceous glands.
21. When assessing muscle strength, the nurse observes that a patient has complete range of motion against
gravity with full resistance. What grade of muscle strength should the nurse record using a 0- to 5-point
scale?
A. 5 C. 2
B. 3 D. 4
22. During an examination, the nurse asks the patient to perform the Valsalva maneuver and notices that the
patient has a moist, red, doughnut-shaped protrusion from the anus. The nurse knows that this finding is
consistent with a:
A. Rectal fissure. C. Hemorrhoid.
B. Rectal polyp. D. Rectal prolapse.
23. When the nurse is performing a genital examination on a male patient, the patient has an erection. The
nurses most appropriate action or response is to:
A. Ask the patient if he would like someone else to examine him.
B. Reassure the patient that this is a normal response and continue with the examination.
C. Continue with the examination as though nothing has happened.
D. Stop the examination, leave the room while stating that the examination will resume at a
later time.
4
