Advanced Health Assessment Exam 2
2025 ANSWERS GRADED A+
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
C. sensation of incomplete emptying
D. boggy gland
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.
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.
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.
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.
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:
A. unilateral loss of the cremasteric reflex.
B. the affected testicle held higher in the scrotum.
C. testicular swelling.
D. relief of pain with scrotal elevation.
D. relief of pain with scrotal elevation.
In assessing a man with testicular torsion, the NP is most likely to note:
A. elevated PSA level.
B. white blood cells reported in urinalysis.
C. left testicle most often affected.
D. increased testicular blood flow by color-flow Doppler ultrasound.
C. left testicle most often affected
Which is the most potent risk factor for PVD?
A. HTN
B. older age
C. cigarette smoking
D. leg injury
C. cigarette smoking
Typically, the earliest sign of venous insufficiency is:
A. edema
B. altered pigmentation
C. skin atrophy
D. shiny skin
A. edema
What is the "lub" or the S1 sound?
Closure of the AV valves
Beginning of systole
What is the "dub" or the S2 sound?
, Closure of the semi lunar valves
End of systole
An older adult client presents with cramping leg pain when walking, which is
relieved by rest; cool pale feet; capillary refill in the toes of 4 to 6 seconds;
negative Homans' sign bilaterally; no edema; and inability to palpate dorsalis
pedis and posterior tibial pulses bilaterally. Which of the following would the
nurse suspect?
A) neurologic impairment
B) arterial insufficiency
C) venous insufficiency
D) musculoskeletal weakness
B) arterial insufficiency
Which of the following assessment findings is most congruent with chronic
arterial insufficiency?
A) brown pigmentation around a clients ankles and shins
B) thickened and scarred skin on patients ankle
C) ulcerations on medial surface of clients ankle
D) cool ft temp and ulcerations on clients great toe
D) cool ft temp and ulcerations on clients great toe
A nurse determines that the liver span of an older adult male client measures 6
cm. The nurse would interpret this as indicating which of the following?
A) It is a normal-sized liver.
B) The liver is larger than normal.
C) The liver is smaller than normal.
D) The liver has atrophied.
A) It is a normal-sized liver.
The nurse is evaluating a new nursing graduate's ability to perform a rebound
tenderness test for suspected appendicitis. The nurse determines correct
technique when the new graduate is observed pressing deeply at which anatomic
location?
A) Right upper quadrant
B) Left upper quadrant
C) Right lower quadrant
D) Left lower quadrant
C) Right lower quadrant
2025 ANSWERS GRADED A+
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
C. sensation of incomplete emptying
D. boggy gland
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.
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.
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.
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.
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:
A. unilateral loss of the cremasteric reflex.
B. the affected testicle held higher in the scrotum.
C. testicular swelling.
D. relief of pain with scrotal elevation.
D. relief of pain with scrotal elevation.
In assessing a man with testicular torsion, the NP is most likely to note:
A. elevated PSA level.
B. white blood cells reported in urinalysis.
C. left testicle most often affected.
D. increased testicular blood flow by color-flow Doppler ultrasound.
C. left testicle most often affected
Which is the most potent risk factor for PVD?
A. HTN
B. older age
C. cigarette smoking
D. leg injury
C. cigarette smoking
Typically, the earliest sign of venous insufficiency is:
A. edema
B. altered pigmentation
C. skin atrophy
D. shiny skin
A. edema
What is the "lub" or the S1 sound?
Closure of the AV valves
Beginning of systole
What is the "dub" or the S2 sound?
, Closure of the semi lunar valves
End of systole
An older adult client presents with cramping leg pain when walking, which is
relieved by rest; cool pale feet; capillary refill in the toes of 4 to 6 seconds;
negative Homans' sign bilaterally; no edema; and inability to palpate dorsalis
pedis and posterior tibial pulses bilaterally. Which of the following would the
nurse suspect?
A) neurologic impairment
B) arterial insufficiency
C) venous insufficiency
D) musculoskeletal weakness
B) arterial insufficiency
Which of the following assessment findings is most congruent with chronic
arterial insufficiency?
A) brown pigmentation around a clients ankles and shins
B) thickened and scarred skin on patients ankle
C) ulcerations on medial surface of clients ankle
D) cool ft temp and ulcerations on clients great toe
D) cool ft temp and ulcerations on clients great toe
A nurse determines that the liver span of an older adult male client measures 6
cm. The nurse would interpret this as indicating which of the following?
A) It is a normal-sized liver.
B) The liver is larger than normal.
C) The liver is smaller than normal.
D) The liver has atrophied.
A) It is a normal-sized liver.
The nurse is evaluating a new nursing graduate's ability to perform a rebound
tenderness test for suspected appendicitis. The nurse determines correct
technique when the new graduate is observed pressing deeply at which anatomic
location?
A) Right upper quadrant
B) Left upper quadrant
C) Right lower quadrant
D) Left lower quadrant
C) Right lower quadrant
