Get Exam-Ready with the
2025 HESI Physical Assessment Practice Test –
Expert-Designed for Nursing School Success
The nurse correlates which factor to an increased risk of endometrial cancer in women
with early menarche or late menopause? a. Total number of ovulatory cycles
b. Less hormone stimulation
c. Need for estrogen replacement in these patients
d. Extended duration of the menstrual cycle in these patients - - correct ans- -ANS: A
Feedback
A More ovulatory cycles increases risk. These risk factors represent an increased cumulative
exposure to estrogen.
B Hormone stimulation does not increase risk in endometrial cancer.
C Estrogen replacement does not increase risk in endometrial cancer.
D Extended duration of the menstrual cycle is not a risk factor.
A patient complains of dysuria, yellow-green vaginal discharge, and vulvar itching. The
nurse suspects which sexually transmitted disease?
a. Syphilis
b. Gonorrhea
c. Genital warts
d. Chlamydia - - correct ans- -ANS: B
Feedback
A Primary syphilis produces a single, firm, painless open sore or chancre with indurated
borders at the site of entry on the genitals.
,B Gonorrhea causes a yellow or green vaginal discharge, dysuria, pelvic or abdominal
pain, and vaginal itching and burning.
C Genital warts appear as soft, papillary, pink to brown, elongated lesions that may
occur singularly or in clusters on the internal genitalia, the external genitalia, and the anal-
rectal region.
D Chlamydia infection is asymptomatic in up to 75% of women because it often does
not cause enough inflammation to produce symptoms.
Which patient does the nurse recognize as having the highest risk for ovarian cancer? a. A
24-year-old nulliparous woman who has a history of multiple sexual partners
b. A 32-year-old woman who has had six live births and a history of human papilloma virus
(HPV) infection
c. A 55-year-old woman who reached menarche at age 12 and menopause at age 54
d. A 64-year-old nulliparous woman who has taken hormone replacement therapy for eight
years - - correct ans- -A This patient has no risk factor for ovarian cancer.
B This patient has a risk factor for cervical cancer (HPV), but not ovarian cancer.
C This patient has no risk factors for ovarian cancer.
D This patient has a risk factor for ovarian cancer.
In assessing a patient with suspected Chlamydia, the nurse's actions are guided by which
characteristic of this disease?
a. Chlamydia is frequently asymptomatic and requires screening.
b. Chlamydia is associated with a yellow-green vaginal discharge.
c. Chlamydia is accompanied by heavy bleeding and headache.
d. Chlamydia is only seen in immunocompromised patients. - - correct ans- -ANS: A
Feedback
A This answer is consistent with clinical findings of Chlamydia.
B This answer is consistent with clinical findings of gonorrhea.
C Chlamydia is not accompanied by heavy bleeding and headache.
D Chlamydia is seen in patients with healthy immune systems who are not
immunocompromised.
,A nurse examines a patient and finds a single, firm, painless open sore with indurated
borders on the vulva. The nurse correlates this finding with which disorder? a. Human
papillomavirus (HPV) infection
b. Herpes infection
c. Gonorrhea
d. Syphilis - - correct ans- -ANS: D
Feedback
A HPV infection causes wartlike growths.
B Herpes infection forms vesicles rather than chancres.
C Gonorrhea produces a yellow or green vaginal discharge.
D The clinical finding is consistent with a chancre found in syphilis.
A nurse expects to find which manifestations in the male patient who has both Chlamydia
and gonorrhea?
a. Painful urination and purulent urethral discharge
b. A single, firm painless open sore on the shaft of the penis
c. Red superficial vesicles on the shaft of the penis
d. A single or a cluster of wartlike growth in the anal-rectal area - - correct ans- -ANS: A
Feedback
A These are manifestations of Chlamydia and gonorrhea. Dysuria means painful urination.
B This is a description of a lesion consistent with syphilis.
C This is a description of lesions consistent with herpes genitalis.
D This is a description of lesions consistent with genital warts caused by human
papillomavirus
, While giving a history, the patient reports having herpes genitalis. Based on this
information, which finding does the nurse anticipate during the assessment? a.
Small vesicles on the genitalia
b. Single, firm, painless, open sore
c. Pain when palpating the cervix
d. Malodorous greenish-yellow vaginal discharge - - correct ans- -ANS: A
Feedback
A Small vesicles on the genitalia are consistent with genital herpes.
B Single, firm, painless, open sore is consistent with primary syphilis.
C Pain when palpating the cervix is consistent with Chlamydia.
D Malodorous greenish-yellow vaginal discharge is consistent with trichomonas.
In teaching a class of adolescents about sexually transmitted diseases, a nurse
includes which information about the human papillomavirus (HPV)? a. HPV is
fragile and not easily transmitted.
b. Wartlike growths in the genital area are a sign of HPV infection.
c. There is a specific blood test needed to screen for HPV.
d. Heavy, purulent vaginal discharge is the primary sign of HPV. - - correct ans- -ANS: B
Feedback
A HPV is highly contagious.
B This is the correct description of the clinical findings of HPV.
C There is no specific blood test to detect HPV.
D HPV is a virus that develops warts.
The patient is unable to tolerate a bimanual pelvic examination due to pain in ovaries
and fallopian tubes. Which disorder does the nurse suspect? a. Tertiary syphilis
b. Genital herpes
2025 HESI Physical Assessment Practice Test –
Expert-Designed for Nursing School Success
The nurse correlates which factor to an increased risk of endometrial cancer in women
with early menarche or late menopause? a. Total number of ovulatory cycles
b. Less hormone stimulation
c. Need for estrogen replacement in these patients
d. Extended duration of the menstrual cycle in these patients - - correct ans- -ANS: A
Feedback
A More ovulatory cycles increases risk. These risk factors represent an increased cumulative
exposure to estrogen.
B Hormone stimulation does not increase risk in endometrial cancer.
C Estrogen replacement does not increase risk in endometrial cancer.
D Extended duration of the menstrual cycle is not a risk factor.
A patient complains of dysuria, yellow-green vaginal discharge, and vulvar itching. The
nurse suspects which sexually transmitted disease?
a. Syphilis
b. Gonorrhea
c. Genital warts
d. Chlamydia - - correct ans- -ANS: B
Feedback
A Primary syphilis produces a single, firm, painless open sore or chancre with indurated
borders at the site of entry on the genitals.
,B Gonorrhea causes a yellow or green vaginal discharge, dysuria, pelvic or abdominal
pain, and vaginal itching and burning.
C Genital warts appear as soft, papillary, pink to brown, elongated lesions that may
occur singularly or in clusters on the internal genitalia, the external genitalia, and the anal-
rectal region.
D Chlamydia infection is asymptomatic in up to 75% of women because it often does
not cause enough inflammation to produce symptoms.
Which patient does the nurse recognize as having the highest risk for ovarian cancer? a. A
24-year-old nulliparous woman who has a history of multiple sexual partners
b. A 32-year-old woman who has had six live births and a history of human papilloma virus
(HPV) infection
c. A 55-year-old woman who reached menarche at age 12 and menopause at age 54
d. A 64-year-old nulliparous woman who has taken hormone replacement therapy for eight
years - - correct ans- -A This patient has no risk factor for ovarian cancer.
B This patient has a risk factor for cervical cancer (HPV), but not ovarian cancer.
C This patient has no risk factors for ovarian cancer.
D This patient has a risk factor for ovarian cancer.
In assessing a patient with suspected Chlamydia, the nurse's actions are guided by which
characteristic of this disease?
a. Chlamydia is frequently asymptomatic and requires screening.
b. Chlamydia is associated with a yellow-green vaginal discharge.
c. Chlamydia is accompanied by heavy bleeding and headache.
d. Chlamydia is only seen in immunocompromised patients. - - correct ans- -ANS: A
Feedback
A This answer is consistent with clinical findings of Chlamydia.
B This answer is consistent with clinical findings of gonorrhea.
C Chlamydia is not accompanied by heavy bleeding and headache.
D Chlamydia is seen in patients with healthy immune systems who are not
immunocompromised.
,A nurse examines a patient and finds a single, firm, painless open sore with indurated
borders on the vulva. The nurse correlates this finding with which disorder? a. Human
papillomavirus (HPV) infection
b. Herpes infection
c. Gonorrhea
d. Syphilis - - correct ans- -ANS: D
Feedback
A HPV infection causes wartlike growths.
B Herpes infection forms vesicles rather than chancres.
C Gonorrhea produces a yellow or green vaginal discharge.
D The clinical finding is consistent with a chancre found in syphilis.
A nurse expects to find which manifestations in the male patient who has both Chlamydia
and gonorrhea?
a. Painful urination and purulent urethral discharge
b. A single, firm painless open sore on the shaft of the penis
c. Red superficial vesicles on the shaft of the penis
d. A single or a cluster of wartlike growth in the anal-rectal area - - correct ans- -ANS: A
Feedback
A These are manifestations of Chlamydia and gonorrhea. Dysuria means painful urination.
B This is a description of a lesion consistent with syphilis.
C This is a description of lesions consistent with herpes genitalis.
D This is a description of lesions consistent with genital warts caused by human
papillomavirus
, While giving a history, the patient reports having herpes genitalis. Based on this
information, which finding does the nurse anticipate during the assessment? a.
Small vesicles on the genitalia
b. Single, firm, painless, open sore
c. Pain when palpating the cervix
d. Malodorous greenish-yellow vaginal discharge - - correct ans- -ANS: A
Feedback
A Small vesicles on the genitalia are consistent with genital herpes.
B Single, firm, painless, open sore is consistent with primary syphilis.
C Pain when palpating the cervix is consistent with Chlamydia.
D Malodorous greenish-yellow vaginal discharge is consistent with trichomonas.
In teaching a class of adolescents about sexually transmitted diseases, a nurse
includes which information about the human papillomavirus (HPV)? a. HPV is
fragile and not easily transmitted.
b. Wartlike growths in the genital area are a sign of HPV infection.
c. There is a specific blood test needed to screen for HPV.
d. Heavy, purulent vaginal discharge is the primary sign of HPV. - - correct ans- -ANS: B
Feedback
A HPV is highly contagious.
B This is the correct description of the clinical findings of HPV.
C There is no specific blood test to detect HPV.
D HPV is a virus that develops warts.
The patient is unable to tolerate a bimanual pelvic examination due to pain in ovaries
and fallopian tubes. Which disorder does the nurse suspect? a. Tertiary syphilis
b. Genital herpes
