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ADVANCED HEALTH ASSESSMENT EXAM 2 NEWEST 2025 ACTUAL
EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
When assessing her for mitral stenosis, you auscultate the heart, anticipating finding the
following murmur:
a. systolic with wide radiation over the precordium
b. localized diastolic with little radiation
c. diastolic with radiation to neck
d. systolic with radiation to the axilla - ANSWER-b. localized diastolic with little radiation
The S4 heart sound has which of the following characteristics?
a. after it is initially noted, it is a permanent finding
b. it is noted in the presence of poorly controlled hypertension
c. it is heard best in early diastole
d. It is high-pitched sound best heard with the diaphragm of the stethoscope - ANSWER-b. it is
noted in the presence of poorly controlled hypertension
You examine an 82-year-old woman who has a history of heart failure (HF). She is in the office
because of increasing shortness of breath. When auscultating her heart, you note tachycardia
with a rate of 104 beats per minute and a single extra heart sound early in diastole. This sound
most likely represents:
A. Summation gallop
B. S3
C. Opening snap
D. S4 - ANSWER-B. S3
During a routine physical exam of a 90-year-old woman, a low-pitched diastolic murmur Grade
II/VI is auscultated. It is located on the fifth intercostal space on the left side of the midclavicular
line. Which of the following is the correct diagnosis?
A. Aortic regurgitation
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B. Mitral stenosis
C. Mitral regurgitation
D. Tricuspid regurgitation - ANSWER-B. Mitral stenosis
Describe systolic murmur. - ANSWER-Systolic murmurs: occur during contraction between S1
and S2 when mitral and tricuspid valves are closed and the aoritc and pulmonic valves are open
Describe diastolic murmur - ANSWER-Diastolic murmurs: occur during filling from the end of S2
to beginning of the next S1 when the mitral and tricuspid valves are open and the aortic and
pulmonic valves are closed
Where is the Mitral valve - ANSWER-Left side, 5th ICS at the costochondral junction
Where is the Pulmonic valve - ANSWER-Left side, between 2nd and 4th ICS just above the
sternum
Where is the Tricuspid valve - ANSWER-Right side, 4-5th ICS near the costochondral junction
Where is the Point of Maximum Impulse - ANSWER-5th IC space, 7-9cm left of midsternal
A 60-year-old man has just been told he has benign prostatic hypertrophy. He has a friend who
just died from cancer of the prostate, and he is concerned this will happen to him. How should
the nurse respond?
A)"The swelling in your prostate is only temporary and will go away."
B)"We will treat you with chemotherapy so we can control the cancer."
C)"It would be very unusual for a man your age to have cancer of the prostate."
D)"The enlargement of your prostate is caused by hormone changes and not cancer." -
ANSWER-ANS: D
The prostate gland commonly starts to enlarge during the middle adult years. This benign
prostatic hypertrophy (BPH) is present in 1 out of 10 males at the age of 40 years and increases
with age. It is thought that the hypertrophy is caused by hormonal imbalance that leads to the
proliferation of benign adenomas. The other responses are not appropriate.
Which of the following is inconsistent with the description of benign prostatic hyperplasia
(BPH)?
A. obliterated median sulcus
B. size larger than 2.5 cm × 3 cm
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C. sensation of incomplete emptying
D. boggy gland - ANSWER-D. Boggy gland
When assessing a 78-year-old man with suspected BPH, the NP considers that:
A. prostate size does not correlate well with severity of symptoms.
B. BPH affects less than 50% of men of this age.
C. he is at increased risk for prostate cancer.
D. limiting fluids is a helpful method of relieving severe symptoms. - ANSWER-A. prostate size
does not correlate well with severity of symptoms.
Concerning BPH, which of the following statements is true?
A. Digital rectal examination is accurate in diagnosing the condition.
B. The use of a validated patient symptom tool is an important part of diagnosing the condition.
C. Prostate size directly correlates with symptoms and bladder emptying.
D. Bladder distention is usually present in early disease. - ANSWER-B. The use of a validated
patient symptom tool is an important part of diagnosing the condition.
The presentation of acute epididymitis in an otherwise-well 22-year-old man includes:
A. the presence of a positive Prehn sign
B. low back pain.
C. absent cremasteric reflex.
D. diffuse abdominal pain. - ANSWER-A. the presence of a positive Prehn sign
Risk factors for prostate cancer include all of the following except:
A. African ancestry.
B. history of genital trauma.
C. family history of prostate cancer.
D. high-fat diet. - ANSWER-B. history of genital trauma.
A 24-year-old man presents with sudden onset of left-sided scrotal pain. He reports having
intermittent unilateral testicular pain in the past but not as severe this current episode.
Confirmation of testicular torsion would include all of the following findings except:
ADVANCED HEALTH ASSESSMENT EXAM 2 NEWEST 2025 ACTUAL
EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
When assessing her for mitral stenosis, you auscultate the heart, anticipating finding the
following murmur:
a. systolic with wide radiation over the precordium
b. localized diastolic with little radiation
c. diastolic with radiation to neck
d. systolic with radiation to the axilla - ANSWER-b. localized diastolic with little radiation
The S4 heart sound has which of the following characteristics?
a. after it is initially noted, it is a permanent finding
b. it is noted in the presence of poorly controlled hypertension
c. it is heard best in early diastole
d. It is high-pitched sound best heard with the diaphragm of the stethoscope - ANSWER-b. it is
noted in the presence of poorly controlled hypertension
You examine an 82-year-old woman who has a history of heart failure (HF). She is in the office
because of increasing shortness of breath. When auscultating her heart, you note tachycardia
with a rate of 104 beats per minute and a single extra heart sound early in diastole. This sound
most likely represents:
A. Summation gallop
B. S3
C. Opening snap
D. S4 - ANSWER-B. S3
During a routine physical exam of a 90-year-old woman, a low-pitched diastolic murmur Grade
II/VI is auscultated. It is located on the fifth intercostal space on the left side of the midclavicular
line. Which of the following is the correct diagnosis?
A. Aortic regurgitation
,2|Page
B. Mitral stenosis
C. Mitral regurgitation
D. Tricuspid regurgitation - ANSWER-B. Mitral stenosis
Describe systolic murmur. - ANSWER-Systolic murmurs: occur during contraction between S1
and S2 when mitral and tricuspid valves are closed and the aoritc and pulmonic valves are open
Describe diastolic murmur - ANSWER-Diastolic murmurs: occur during filling from the end of S2
to beginning of the next S1 when the mitral and tricuspid valves are open and the aortic and
pulmonic valves are closed
Where is the Mitral valve - ANSWER-Left side, 5th ICS at the costochondral junction
Where is the Pulmonic valve - ANSWER-Left side, between 2nd and 4th ICS just above the
sternum
Where is the Tricuspid valve - ANSWER-Right side, 4-5th ICS near the costochondral junction
Where is the Point of Maximum Impulse - ANSWER-5th IC space, 7-9cm left of midsternal
A 60-year-old man has just been told he has benign prostatic hypertrophy. He has a friend who
just died from cancer of the prostate, and he is concerned this will happen to him. How should
the nurse respond?
A)"The swelling in your prostate is only temporary and will go away."
B)"We will treat you with chemotherapy so we can control the cancer."
C)"It would be very unusual for a man your age to have cancer of the prostate."
D)"The enlargement of your prostate is caused by hormone changes and not cancer." -
ANSWER-ANS: D
The prostate gland commonly starts to enlarge during the middle adult years. This benign
prostatic hypertrophy (BPH) is present in 1 out of 10 males at the age of 40 years and increases
with age. It is thought that the hypertrophy is caused by hormonal imbalance that leads to the
proliferation of benign adenomas. The other responses are not appropriate.
Which of the following is inconsistent with the description of benign prostatic hyperplasia
(BPH)?
A. obliterated median sulcus
B. size larger than 2.5 cm × 3 cm
, 3|Page
C. sensation of incomplete emptying
D. boggy gland - ANSWER-D. Boggy gland
When assessing a 78-year-old man with suspected BPH, the NP considers that:
A. prostate size does not correlate well with severity of symptoms.
B. BPH affects less than 50% of men of this age.
C. he is at increased risk for prostate cancer.
D. limiting fluids is a helpful method of relieving severe symptoms. - ANSWER-A. prostate size
does not correlate well with severity of symptoms.
Concerning BPH, which of the following statements is true?
A. Digital rectal examination is accurate in diagnosing the condition.
B. The use of a validated patient symptom tool is an important part of diagnosing the condition.
C. Prostate size directly correlates with symptoms and bladder emptying.
D. Bladder distention is usually present in early disease. - ANSWER-B. The use of a validated
patient symptom tool is an important part of diagnosing the condition.
The presentation of acute epididymitis in an otherwise-well 22-year-old man includes:
A. the presence of a positive Prehn sign
B. low back pain.
C. absent cremasteric reflex.
D. diffuse abdominal pain. - ANSWER-A. the presence of a positive Prehn sign
Risk factors for prostate cancer include all of the following except:
A. African ancestry.
B. history of genital trauma.
C. family history of prostate cancer.
D. high-fat diet. - ANSWER-B. history of genital trauma.
A 24-year-old man presents with sudden onset of left-sided scrotal pain. He reports having
intermittent unilateral testicular pain in the past but not as severe this current episode.
Confirmation of testicular torsion would include all of the following findings except:
