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Week 6 Health Assessment Practice Exam (Original) EXAM | Latest Update |
Original Questions & Answers with Detailed Rationales | Graded A+
Exam Focus: Female and male genitourinary systems,
pregnancy, anus, rectum, and prostate assessment.
Section 1: Female Genitourinary System
1. The nurse has just completed an inspection of a nulliparous
woman's external genitalia. Which of these would be a
description of a finding within normal limits?
A) Redness of the labia majora
B) Multiple nontender sebaceous cysts
C) Discharge that is foul smelling and irritating
D) Gaping and slightly shriveled labia majora
Answer: B
Rationale: No lesions should be noted, except for the
occasional sebaceous cysts, which are yellowish 1-cm nodules
that are firm, nontender, and often multiple. The labia majora
are dark pink, moist, and symmetric; redness indicates
inflammation or lesions. Discharge that is foul smelling and
irritating may indicate infection. In the nulliparous woman, the
labia majora meet in the midline, are symmetric and plump.
2. The nurse is preparing for an internal genitalia examination
of a woman. Which order of the examination is correct?
,https://www.stuvia.com/user/performance
A) Bimanual, speculum, and rectovaginal
B) Speculum, rectovaginal, and bimanual
C) Speculum, bimanual, and rectovaginal
D) Rectovaginal, bimanual, and speculum
Answer: C
Rationale: The correct sequence is speculum examination, then
bimanual examination after removing the speculum, and then
rectovaginal examination. The examiner should change gloves
before performing the rectovaginal examination to avoid
spreading any possible infection.
3. A patient calls the clinic for instructions before having a
Papanicolaou (Pap) smear. The most appropriate instructions
from the nurse are:
A) If you are menstruating, please use pads to avoid placing
anything into the vagina.
B) Avoid intercourse, inserting anything into the vagina, or
douching within 24 hours of your appointment.
C) If you suspect that you have a vaginal infection, please gather
a sample of the discharge to bring with you.
D) We would like you to use a mild saline douche before your
examination. You may pick this up in our office.
Answer: B
Rationale: When instructing a patient before Pap smear is
obtained, the nurse should follow these guidelines: Do not
,https://www.stuvia.com/user/performance
obtain during the woman's menses or if a heavy infectious
discharge is present. Instruct the woman not to douche, have
intercourse, or put anything into the vagina within 24 hours
before collecting the specimens.
4. During an examination, which tests will the nurse collect to
screen for cervical cancer?
A) Endocervical specimen, cervical scrape, and vaginal pool
B) Endocervical specimen, vaginal pool, and acetic acid wash
C) Endocervical specimen, potassium hydroxide (KOH)
preparation, and acetic acid wash
D) Cervical scrape, acetic acid wash, saline mount (wet prep)
Answer: A
Rationale: The Pap test screening for cervical cancer involves
collecting an endocervical specimen, a cervical scrape, and a
vaginal pool sample.
5. A normal finding on the cervix of a parous woman includes:
A) The cervical surface is granular and red
B) Nabothian cysts may be present
C) Stringy and opaque secretions are absent
D) The cervical os is a small, round opening
Answer: B
Rationale: Normal findings: Nabothian cysts may be present on
the cervix after childbirth. The cervical os is a horizontal,
irregular slit in the parous woman. The surface is normally
, https://www.stuvia.com/user/performance
smooth. The cervical surface should not be reddened or
granular, which may indicate a lesion.
6. Which question is important to ask during a urinary health
history?
A) When was your last food intake?
B) Do you have any muscle weakness?
C) Have you noticed any weight gain or any swelling in your feet
or hands?
D) Have you noticed any changes in your urine stream?
Answer: C
Rationale: Asking about weight gain or swelling in the feet and
hands is important during a urinary health history because it
can indicate fluid retention related to renal or cardiac
dysfunction.
7. The examiner is performing a focused reproductive
interview with a 28-year-old female client. Which of the
following statements by the client is unexpected?
A) "I am taking oral contraception."
B) "I had a baby when I was 25."
C) "I have cramping with menstruation."
D) "My breasts seem swollen all the time."
Answer: D
Rationale: The statement "My breasts seem swollen all the
time" is unexpected and may indicate a hormonal imbalance or
Week 6 Health Assessment Practice Exam (Original) EXAM | Latest Update |
Original Questions & Answers with Detailed Rationales | Graded A+
Exam Focus: Female and male genitourinary systems,
pregnancy, anus, rectum, and prostate assessment.
Section 1: Female Genitourinary System
1. The nurse has just completed an inspection of a nulliparous
woman's external genitalia. Which of these would be a
description of a finding within normal limits?
A) Redness of the labia majora
B) Multiple nontender sebaceous cysts
C) Discharge that is foul smelling and irritating
D) Gaping and slightly shriveled labia majora
Answer: B
Rationale: No lesions should be noted, except for the
occasional sebaceous cysts, which are yellowish 1-cm nodules
that are firm, nontender, and often multiple. The labia majora
are dark pink, moist, and symmetric; redness indicates
inflammation or lesions. Discharge that is foul smelling and
irritating may indicate infection. In the nulliparous woman, the
labia majora meet in the midline, are symmetric and plump.
2. The nurse is preparing for an internal genitalia examination
of a woman. Which order of the examination is correct?
,https://www.stuvia.com/user/performance
A) Bimanual, speculum, and rectovaginal
B) Speculum, rectovaginal, and bimanual
C) Speculum, bimanual, and rectovaginal
D) Rectovaginal, bimanual, and speculum
Answer: C
Rationale: The correct sequence is speculum examination, then
bimanual examination after removing the speculum, and then
rectovaginal examination. The examiner should change gloves
before performing the rectovaginal examination to avoid
spreading any possible infection.
3. A patient calls the clinic for instructions before having a
Papanicolaou (Pap) smear. The most appropriate instructions
from the nurse are:
A) If you are menstruating, please use pads to avoid placing
anything into the vagina.
B) Avoid intercourse, inserting anything into the vagina, or
douching within 24 hours of your appointment.
C) If you suspect that you have a vaginal infection, please gather
a sample of the discharge to bring with you.
D) We would like you to use a mild saline douche before your
examination. You may pick this up in our office.
Answer: B
Rationale: When instructing a patient before Pap smear is
obtained, the nurse should follow these guidelines: Do not
,https://www.stuvia.com/user/performance
obtain during the woman's menses or if a heavy infectious
discharge is present. Instruct the woman not to douche, have
intercourse, or put anything into the vagina within 24 hours
before collecting the specimens.
4. During an examination, which tests will the nurse collect to
screen for cervical cancer?
A) Endocervical specimen, cervical scrape, and vaginal pool
B) Endocervical specimen, vaginal pool, and acetic acid wash
C) Endocervical specimen, potassium hydroxide (KOH)
preparation, and acetic acid wash
D) Cervical scrape, acetic acid wash, saline mount (wet prep)
Answer: A
Rationale: The Pap test screening for cervical cancer involves
collecting an endocervical specimen, a cervical scrape, and a
vaginal pool sample.
5. A normal finding on the cervix of a parous woman includes:
A) The cervical surface is granular and red
B) Nabothian cysts may be present
C) Stringy and opaque secretions are absent
D) The cervical os is a small, round opening
Answer: B
Rationale: Normal findings: Nabothian cysts may be present on
the cervix after childbirth. The cervical os is a horizontal,
irregular slit in the parous woman. The surface is normally
, https://www.stuvia.com/user/performance
smooth. The cervical surface should not be reddened or
granular, which may indicate a lesion.
6. Which question is important to ask during a urinary health
history?
A) When was your last food intake?
B) Do you have any muscle weakness?
C) Have you noticed any weight gain or any swelling in your feet
or hands?
D) Have you noticed any changes in your urine stream?
Answer: C
Rationale: Asking about weight gain or swelling in the feet and
hands is important during a urinary health history because it
can indicate fluid retention related to renal or cardiac
dysfunction.
7. The examiner is performing a focused reproductive
interview with a 28-year-old female client. Which of the
following statements by the client is unexpected?
A) "I am taking oral contraception."
B) "I had a baby when I was 25."
C) "I have cramping with menstruation."
D) "My breasts seem swollen all the time."
Answer: D
Rationale: The statement "My breasts seem swollen all the
time" is unexpected and may indicate a hormonal imbalance or
