WILKES NSG500 EXAM 3/NSG 500 ADVANCED
HEALTH ASSESSMENT EXAM 3 2025/2026
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST|BRAND NEW
VERSION!!!|GUARANTEED PASS
The intial digital approach to rectal examination
Angle to anus
Internal hemorrhoids result from dilation of .......and not felt unless they are.........
Veins...... thrombosed
Lower segment of anal canal contains a venous.......that drains into inferior rectal veins and
dilation results in external hemorrhoids
Plexus
Different position for rectal examination
Knee-chest
Lithotomy
Left lateral with knee and hip flexed
Standing with hips flexed leaning on table
Transgender woman who had vaginoplasty have their prostate
Anterior to vaginal wall
A digital neovaginal exam will provide more access to
Prostate for palpitation
proctoscopy
visual examination of the rectum
1|Page
,Hemorrhoids skin tags
Appear at site of resolved haemorrhoids and fibrotic or flaccid and painless
Rectal prolapse can occur due to
Constipation
Diarrhea
Straining
Coughing
Pelvic neuropathy
Gyncologic surgery
Hemorrhoids are caused by
Pressure in veins on pelvic and rectal area due to straining, diarrhea,constipation and pregnancy
as well as sitting for too long
Older adults prostate changes is
More rubbery
Prostate is
Rubbery,round,and smooth
Durning a prostate exam one feels the
Posterior prostate
Rectal prolapse is sliding.......and red.....
Sensation
Donut
Hemorrhoids are.......mass
Smooth and round
IBD, UC,ETOH,NSAIDs,Anticoagulants,constipation ,straining,fissures and haemorrhoids
Some cause of GI bleeds
Sequence of musculoskeletal exam
Inspection
Palpation
ROM
2|Page
, Muscle tone
Muscle strength
Joints and muscle
Older adults and muscle changes
Increased dorsal kyphosis
Flexion of hips and knees
Head may tilt backward due to increased thoracic curvature
Vertebral collapse: extremities can appear long
Decreased muscle mass
Due to atrophy, disuse,arthritides,loss of nerve inner action and diabetic neuropathy
Ligaments are usually strong than
Bone until puberty
Older adults bone resorption
Is increased due to calcium demands
How should one assess joint symmetry
ROM=flexing,extending,and rotating joints should be passive
How to assess for joint effusions
Indentation that occurs above and on the medial side of patella is convex instead of concave
Ballottement
Presence of effusion in knee from fluid
Bulge sign
Effusion of knee fills suprapatellar pouch and con cavity below patella medically
Osteoarthritis (OA)
Heberden nodules
Onset over years
Lasts few minutes of morning stiffness
Pain with movement——relieved at rest
Localized pain (hands, feet,hip and cervical/lumbar spine
What age does one get OA
3|Page
HEALTH ASSESSMENT EXAM 3 2025/2026
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST|BRAND NEW
VERSION!!!|GUARANTEED PASS
The intial digital approach to rectal examination
Angle to anus
Internal hemorrhoids result from dilation of .......and not felt unless they are.........
Veins...... thrombosed
Lower segment of anal canal contains a venous.......that drains into inferior rectal veins and
dilation results in external hemorrhoids
Plexus
Different position for rectal examination
Knee-chest
Lithotomy
Left lateral with knee and hip flexed
Standing with hips flexed leaning on table
Transgender woman who had vaginoplasty have their prostate
Anterior to vaginal wall
A digital neovaginal exam will provide more access to
Prostate for palpitation
proctoscopy
visual examination of the rectum
1|Page
,Hemorrhoids skin tags
Appear at site of resolved haemorrhoids and fibrotic or flaccid and painless
Rectal prolapse can occur due to
Constipation
Diarrhea
Straining
Coughing
Pelvic neuropathy
Gyncologic surgery
Hemorrhoids are caused by
Pressure in veins on pelvic and rectal area due to straining, diarrhea,constipation and pregnancy
as well as sitting for too long
Older adults prostate changes is
More rubbery
Prostate is
Rubbery,round,and smooth
Durning a prostate exam one feels the
Posterior prostate
Rectal prolapse is sliding.......and red.....
Sensation
Donut
Hemorrhoids are.......mass
Smooth and round
IBD, UC,ETOH,NSAIDs,Anticoagulants,constipation ,straining,fissures and haemorrhoids
Some cause of GI bleeds
Sequence of musculoskeletal exam
Inspection
Palpation
ROM
2|Page
, Muscle tone
Muscle strength
Joints and muscle
Older adults and muscle changes
Increased dorsal kyphosis
Flexion of hips and knees
Head may tilt backward due to increased thoracic curvature
Vertebral collapse: extremities can appear long
Decreased muscle mass
Due to atrophy, disuse,arthritides,loss of nerve inner action and diabetic neuropathy
Ligaments are usually strong than
Bone until puberty
Older adults bone resorption
Is increased due to calcium demands
How should one assess joint symmetry
ROM=flexing,extending,and rotating joints should be passive
How to assess for joint effusions
Indentation that occurs above and on the medial side of patella is convex instead of concave
Ballottement
Presence of effusion in knee from fluid
Bulge sign
Effusion of knee fills suprapatellar pouch and con cavity below patella medically
Osteoarthritis (OA)
Heberden nodules
Onset over years
Lasts few minutes of morning stiffness
Pain with movement——relieved at rest
Localized pain (hands, feet,hip and cervical/lumbar spine
What age does one get OA
3|Page
