ADULT HEALTH III FINAL 2026 COMPREHENSIVE
ASSESSMENT SCRIPT SOLVED QUESTIONS
ANSWERS UPDATED REVIEW SET
◉ If a menopausal patient has a uterus, what type of hormones will
be administered and why.
Answer: -must give progesterone with estrogen bc estrogen alone
increases risk of endometrial hyperplasia & CA
◉ pt education to prevent vaginal infections.
Answer: -avoid disrupting normal flora (no douching or unnecessary
antibiotic use)
-promote healthy vaginal environment (maintian pH)
-manage risk factors (smoking, uncontrolled DM, frequent sex, use of
spermicides)
-safe sex practice (protection & STI screening)
-medication awareness (Abx, SGLT-2, immunosupressants)
-low estrogen can increase risk
◉ radical mastectomy.
Answer: -excision of the entire breast, all underarm lymph nodes,
and chest wall muscles under the breast
,◉ nursing inteventions for radical mastectomy.
Answer: -monitor or bleeding/ hematoma
- ensure JP drain is compressed & not kinked
-measure & document JP output
-encourage deep breathing & incetive spirometer
-prevent lymphedema (leave affected side alone)
-elevate afftected arm to promote lymph drainage
-promote mobility
-psychosicail support
-pain management
◉ phimosis.
Answer: -foreskin is advanced and tightly fixed over the glans penis
-caused by poor hygiene, balanitis, obesity, diabetes
-treatment: circumcision or dorsal slit
◉ Benign Prostatic Hyperplasia (BPH).
Answer: -benign enlargement of the prostate causing pressure on
urethra leading to urinary obstruction
◉ BPH critical s/s.
, Answer: -retention/bladder distention
-hesitancy
-increased creatinine
-obstructive flow problems
-incomplete emptying
◉ Syphilis.
Answer: - STI caused by treponema pallidum
◉ Primary stage of syphilis.
Answer: -painless sores
-appears 2-3 weeks after infected
-heals on its own
◉ secondary stage of syphilis.
Answer: -rash on palms & soles
-fever
-lymph node swelling
-weight & hair loss
-very contagious !
◉ latent stage of syphilis.
ASSESSMENT SCRIPT SOLVED QUESTIONS
ANSWERS UPDATED REVIEW SET
◉ If a menopausal patient has a uterus, what type of hormones will
be administered and why.
Answer: -must give progesterone with estrogen bc estrogen alone
increases risk of endometrial hyperplasia & CA
◉ pt education to prevent vaginal infections.
Answer: -avoid disrupting normal flora (no douching or unnecessary
antibiotic use)
-promote healthy vaginal environment (maintian pH)
-manage risk factors (smoking, uncontrolled DM, frequent sex, use of
spermicides)
-safe sex practice (protection & STI screening)
-medication awareness (Abx, SGLT-2, immunosupressants)
-low estrogen can increase risk
◉ radical mastectomy.
Answer: -excision of the entire breast, all underarm lymph nodes,
and chest wall muscles under the breast
,◉ nursing inteventions for radical mastectomy.
Answer: -monitor or bleeding/ hematoma
- ensure JP drain is compressed & not kinked
-measure & document JP output
-encourage deep breathing & incetive spirometer
-prevent lymphedema (leave affected side alone)
-elevate afftected arm to promote lymph drainage
-promote mobility
-psychosicail support
-pain management
◉ phimosis.
Answer: -foreskin is advanced and tightly fixed over the glans penis
-caused by poor hygiene, balanitis, obesity, diabetes
-treatment: circumcision or dorsal slit
◉ Benign Prostatic Hyperplasia (BPH).
Answer: -benign enlargement of the prostate causing pressure on
urethra leading to urinary obstruction
◉ BPH critical s/s.
, Answer: -retention/bladder distention
-hesitancy
-increased creatinine
-obstructive flow problems
-incomplete emptying
◉ Syphilis.
Answer: - STI caused by treponema pallidum
◉ Primary stage of syphilis.
Answer: -painless sores
-appears 2-3 weeks after infected
-heals on its own
◉ secondary stage of syphilis.
Answer: -rash on palms & soles
-fever
-lymph node swelling
-weight & hair loss
-very contagious !
◉ latent stage of syphilis.
