NR509 ADVANCED PHYSICAL ASSESSMENT EXAM NEWEST
2025/2026 COMPLETE QUESTIONS AND CORRECT D, Exams of
Nursing
Generally, the changes normally associated with menopause occur because the cells in
the reproductive tract are:
a. Aging.
b. Becoming fibrous.
c. Estrogen dependent.
d. Able to respond to estrogen. c. Estrogen dependent.
The nurse is reviewing the changes that occur with menopause. Which changes are
associated with menopause?
a. Uterine and ovarian atrophy, along with a thinning of the vaginal epithelium
b. Ovarian atrophy, increased vaginal secretions, and increasing clitoral size
c. Cervical hypertrophy, ovarian atrophy, and increased acidity of vaginal secretions
d. Vaginal mucosa fragility, increased acidity of vaginal secretions, and uterine
hypertrophy a. Uterine and ovarian atrophy, along with a thinning of the vaginal
epithelium
A 54-year-old woman who has just completed menopause is in the clinic today for a
yearly physical examination. Which of these statements should the nurse include in
patient education? "A postmenopausal woman:
a. Is not at any greater risk for heart disease than a younger woman."
b. Should be aware that she is at increased risk for dyspareunia because of decreased
vaginal secretions."
c. Has only stopped menstruating; there really are no other significant changes with
which she should be concerned."
d. Is likely to have difficulty with sexual pleasure as a result of drastic changes in the
female sexual response cycle." b. Should be aware that she is at increased risk for
dyspareunia because of decreased vaginal secretions."
A woman is in the clinic for an annual gynecologic examination. The nurse should plan to
begin the interview with the:
a. Menstrual history, because it is generally nonthreatening.
b. Obstetric history, because it includes the most important information.
c. Urinary system history, because problems may develop in this area as well.
1|Page
,d. Sexual history, because discussing it first will build rapport. a. Menstrual history,
because it is generally nonthreatening.
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 have noticed that my muscles ache at night when I go to bed."
b. "I will be very happy when I can stop worrying about having a period."
c. "I have been noticing that I sweat a lot more than I used to, especially at night."
d. "I have only been pregnant twice, but both times I had breast tenderness as my first
symptom." c. "I have been noticing that I sweat a lot more than I used to, especially at
night."
A 50-year-old woman calls the clinic because she has noticed some changes in her body
and breasts and wonders if these changes could be attributable to the hormone
replacement therapy (HRT) she started 3 months earlier. The nurse should tell her:
a. "HRT is at such a low dose that side effects are very unusual."
b. "HRT has several side effects, including fluid retention, breast tenderness, and vaginal
bleeding."
c. "Vaginal bleeding with HRT is very unusual; I suggest you come into the clinic
immediately to have this evaluated."
d. "It sounds as if your dose of estrogen is too high; I think you may need to decrease the
amount you are taking and then call back in a week." b. "HRT has several side effects,
including fluid retention, breast tenderness, and vaginal bleeding."
A 52-year-old patient states that when she sneezes or coughs she "wets herself a little."
She is very concerned that something may be wrong with her. The nurse suspects that
the problem is:
a. Dysuria.
b. Stress incontinence.
c. Hematuria.
d. Urge incontinence. b. Stress incontinence.
During the interview, a patient reveals that she has some vaginal discharge. She is
worried that it may be a sexually transmitted infection. The nurse's most appropriate
response to this would be:
a. "Oh, don't worry. Some cyclic vaginal discharge is normal."
b. "Have you been engaging in unprotected sexual intercourse?"
c. "I'd like some information about the discharge. What color is it?"
2|Page
,d. "Have you had any urinary incontinence associated with the discharge?" c. "I'd like
some information about the discharge. What color is it?"
A woman states that 2 weeks ago she had a urinary tract infection that was treated with
an antibiotic. As a part of the interview, the nurse should ask, "Have you noticed any:
a. "Changes in your urination patterns?"
b. "Excessive vaginal bleeding?"
c. "Unusual vaginal discharge or itching?"
d. "Changes in your desire for intercourse?" c. "Unusual vaginal discharge or
itching?"
Which statement would be most appropriate when the nurse is introducing the topic of
sexual relationships during an interview?
a. "Now, it is time to talk about your sexual history. When did you first have
intercourse?"
b. "Women often feel dissatisfied with their sexual relationships. Would it be okay to
discuss this now?"
c. "Women often have questions about their sexual relationship and how it affects their
health. Do you have any questions?"
d. "Most women your age have had more than one sexual partner. How many would you
say you have had?" c. "Women often have questions about their sexual relationship and
how it affects their health. Do you have any questions?"
A 22-year-old woman has been considering using oral contraceptives. As a part of her
health history, the nurse should ask:
a. "Do you have a history of heart murmurs?"
b. "Will you be in a monogamous relationship?"
c. "Have you carefully thought this choice through?"
d. "If you smoke, how many cigarettes do you smoke per day?" d. "If you smoke,
how many cigarettes do you smoke per day?"
A married couple has come to the clinic seeking advice on pregnancy. They have been
trying to conceive for 4 months and have not been successful. What should the nurse do
first?
a. Ascertain whether either of them has been using broad-spectrum antibiotics.
b. Explain that couples are considered infertile after 1 year of unprotected intercourse.
c. Immediately refer the woman to an expert in pelvic inflammatory disease—the most
common cause of infertility.
3|Page
, d. Explain that couples are considered infertile after 3 months of engaging in
unprotected intercourse and that they will need a referral to a fertility expert. b.
Explain that couples are considered infertile after 1 year of unprotected intercourse.
A nurse is assessing a patient's risk of contracting a sexually transmitted infection (STI).
An appropriate question to ask would be:
a. "You know that it's important to use condoms for protection, right?"
b. "Do you use a condom with each episode of sexual intercourse?"
c. "Do you have a sexually transmitted infection?"
d. "You are aware of the dangers of unprotected sex, aren't you?" b. "Do you use a
condom with each episode of sexual intercourse?"
When the nurse is interviewing a preadolescent girl, which opening question would be
least threatening?
a. "Do you have any questions about growing up?"
b. "What has your mother told you about growing up?"
c. "When did you notice that your body was changing?"
d. "I remember being very scared when I got my period. How do you think you'll feel?"
c. "When did you notice that your body was changing?"
When the nurse is discussing sexuality and sexual issues with an adolescent, a
permission statement helps convey that it is normal to think or feel a certain way. Which
statement is the best example of a permission statement?
a. "It is okay that you have become sexually active."
b. "Girls your age often have questions about sexual activity. Do you have any
questions?"
c. "If it is okay with you, I'd like to ask you some questions about your sexual history."
d. "Girls your age often engage in sexual activities. It is okay to tell me if you have had
intercourse." b. "Girls your age often have questions about sexual activity. Do you have
any questions?"
The nurse is preparing to interview a postmenopausal woman. Which of these
statements is true as it applies to obtaining the health history of a postmenopausal
woman?
a. The nurse should ask a postmenopausal woman if she has ever had vaginal bleeding.
b. Once a woman reaches menopause, the nurse does not need to ask any history
questions.
c. The nurse should screen for monthly breast tenderness.
4|Page
2025/2026 COMPLETE QUESTIONS AND CORRECT D, Exams of
Nursing
Generally, the changes normally associated with menopause occur because the cells in
the reproductive tract are:
a. Aging.
b. Becoming fibrous.
c. Estrogen dependent.
d. Able to respond to estrogen. c. Estrogen dependent.
The nurse is reviewing the changes that occur with menopause. Which changes are
associated with menopause?
a. Uterine and ovarian atrophy, along with a thinning of the vaginal epithelium
b. Ovarian atrophy, increased vaginal secretions, and increasing clitoral size
c. Cervical hypertrophy, ovarian atrophy, and increased acidity of vaginal secretions
d. Vaginal mucosa fragility, increased acidity of vaginal secretions, and uterine
hypertrophy a. Uterine and ovarian atrophy, along with a thinning of the vaginal
epithelium
A 54-year-old woman who has just completed menopause is in the clinic today for a
yearly physical examination. Which of these statements should the nurse include in
patient education? "A postmenopausal woman:
a. Is not at any greater risk for heart disease than a younger woman."
b. Should be aware that she is at increased risk for dyspareunia because of decreased
vaginal secretions."
c. Has only stopped menstruating; there really are no other significant changes with
which she should be concerned."
d. Is likely to have difficulty with sexual pleasure as a result of drastic changes in the
female sexual response cycle." b. Should be aware that she is at increased risk for
dyspareunia because of decreased vaginal secretions."
A woman is in the clinic for an annual gynecologic examination. The nurse should plan to
begin the interview with the:
a. Menstrual history, because it is generally nonthreatening.
b. Obstetric history, because it includes the most important information.
c. Urinary system history, because problems may develop in this area as well.
1|Page
,d. Sexual history, because discussing it first will build rapport. a. Menstrual history,
because it is generally nonthreatening.
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 have noticed that my muscles ache at night when I go to bed."
b. "I will be very happy when I can stop worrying about having a period."
c. "I have been noticing that I sweat a lot more than I used to, especially at night."
d. "I have only been pregnant twice, but both times I had breast tenderness as my first
symptom." c. "I have been noticing that I sweat a lot more than I used to, especially at
night."
A 50-year-old woman calls the clinic because she has noticed some changes in her body
and breasts and wonders if these changes could be attributable to the hormone
replacement therapy (HRT) she started 3 months earlier. The nurse should tell her:
a. "HRT is at such a low dose that side effects are very unusual."
b. "HRT has several side effects, including fluid retention, breast tenderness, and vaginal
bleeding."
c. "Vaginal bleeding with HRT is very unusual; I suggest you come into the clinic
immediately to have this evaluated."
d. "It sounds as if your dose of estrogen is too high; I think you may need to decrease the
amount you are taking and then call back in a week." b. "HRT has several side effects,
including fluid retention, breast tenderness, and vaginal bleeding."
A 52-year-old patient states that when she sneezes or coughs she "wets herself a little."
She is very concerned that something may be wrong with her. The nurse suspects that
the problem is:
a. Dysuria.
b. Stress incontinence.
c. Hematuria.
d. Urge incontinence. b. Stress incontinence.
During the interview, a patient reveals that she has some vaginal discharge. She is
worried that it may be a sexually transmitted infection. The nurse's most appropriate
response to this would be:
a. "Oh, don't worry. Some cyclic vaginal discharge is normal."
b. "Have you been engaging in unprotected sexual intercourse?"
c. "I'd like some information about the discharge. What color is it?"
2|Page
,d. "Have you had any urinary incontinence associated with the discharge?" c. "I'd like
some information about the discharge. What color is it?"
A woman states that 2 weeks ago she had a urinary tract infection that was treated with
an antibiotic. As a part of the interview, the nurse should ask, "Have you noticed any:
a. "Changes in your urination patterns?"
b. "Excessive vaginal bleeding?"
c. "Unusual vaginal discharge or itching?"
d. "Changes in your desire for intercourse?" c. "Unusual vaginal discharge or
itching?"
Which statement would be most appropriate when the nurse is introducing the topic of
sexual relationships during an interview?
a. "Now, it is time to talk about your sexual history. When did you first have
intercourse?"
b. "Women often feel dissatisfied with their sexual relationships. Would it be okay to
discuss this now?"
c. "Women often have questions about their sexual relationship and how it affects their
health. Do you have any questions?"
d. "Most women your age have had more than one sexual partner. How many would you
say you have had?" c. "Women often have questions about their sexual relationship and
how it affects their health. Do you have any questions?"
A 22-year-old woman has been considering using oral contraceptives. As a part of her
health history, the nurse should ask:
a. "Do you have a history of heart murmurs?"
b. "Will you be in a monogamous relationship?"
c. "Have you carefully thought this choice through?"
d. "If you smoke, how many cigarettes do you smoke per day?" d. "If you smoke,
how many cigarettes do you smoke per day?"
A married couple has come to the clinic seeking advice on pregnancy. They have been
trying to conceive for 4 months and have not been successful. What should the nurse do
first?
a. Ascertain whether either of them has been using broad-spectrum antibiotics.
b. Explain that couples are considered infertile after 1 year of unprotected intercourse.
c. Immediately refer the woman to an expert in pelvic inflammatory disease—the most
common cause of infertility.
3|Page
, d. Explain that couples are considered infertile after 3 months of engaging in
unprotected intercourse and that they will need a referral to a fertility expert. b.
Explain that couples are considered infertile after 1 year of unprotected intercourse.
A nurse is assessing a patient's risk of contracting a sexually transmitted infection (STI).
An appropriate question to ask would be:
a. "You know that it's important to use condoms for protection, right?"
b. "Do you use a condom with each episode of sexual intercourse?"
c. "Do you have a sexually transmitted infection?"
d. "You are aware of the dangers of unprotected sex, aren't you?" b. "Do you use a
condom with each episode of sexual intercourse?"
When the nurse is interviewing a preadolescent girl, which opening question would be
least threatening?
a. "Do you have any questions about growing up?"
b. "What has your mother told you about growing up?"
c. "When did you notice that your body was changing?"
d. "I remember being very scared when I got my period. How do you think you'll feel?"
c. "When did you notice that your body was changing?"
When the nurse is discussing sexuality and sexual issues with an adolescent, a
permission statement helps convey that it is normal to think or feel a certain way. Which
statement is the best example of a permission statement?
a. "It is okay that you have become sexually active."
b. "Girls your age often have questions about sexual activity. Do you have any
questions?"
c. "If it is okay with you, I'd like to ask you some questions about your sexual history."
d. "Girls your age often engage in sexual activities. It is okay to tell me if you have had
intercourse." b. "Girls your age often have questions about sexual activity. Do you have
any questions?"
The nurse is preparing to interview a postmenopausal woman. Which of these
statements is true as it applies to obtaining the health history of a postmenopausal
woman?
a. The nurse should ask a postmenopausal woman if she has ever had vaginal bleeding.
b. Once a woman reaches menopause, the nurse does not need to ask any history
questions.
c. The nurse should screen for monthly breast tenderness.
4|Page
