ASSESSMENT EXAM
NURS 612 ADVANCED HEALTH
ASSESSMENT EXAM 2 LATEST
2025/2026 MARYVILLE COLLEGE
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A+ TEST BANK 1
, NURS 612 ADVANCED HEALTH
ASSESSMENT EXAM
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.
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.
d) Transillumination
A+ TEST BANK 2
, NURS 612 ADVANCED HEALTH
ASSESSMENT EXAM
answer: transillumination
Transillumination can differentiate between solid and fluid filled.
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
A+ TEST BANK 3
, NURS 612 ADVANCED HEALTH
ASSESSMENT EXAM
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
3. turbulent blood flow
what are the signs and symptoms of left-sided heart failure? SATA.
1. fatigue
2. orthopnea
3. pink frothy sputum
4. jugular vein distention
5. lung sounds - crackles
1. fatigue
2. orthopnea
3. pink frothy sputum
5. lung sounds - crackles
when obtaining a cardiovascular health history on a patient, the nurse should ask the patient which
questions? SATA.
1. have you ever been treated for any cardiovascular disease?
2. have you had any weight changes?
3. are you able to your activities of daily living?
4. do you have any body aches?
5. do you know your cholesterol and triglyceride levels?
1. have you ever been treated for any cardiovascular disease?
2. have you had any weight changes?
3. are you able to your activities of daily living?
5. do you know your cholesterol and triglyceride levels?
A+ TEST BANK 4