NR509 ADVANCED PHYSICAL ASSESSMENT EXAM NEWEST
2025/2026 COMPLETE QUESTIONS AND CORRECT D, Exams of
Nursing
During a health history, a 22-year old woman asks, "Can I get that vaccine for human
papilloma virus (HPV)? I have genital warts and I'd like them to go away!" What is the
nurse's best response?
a. "The HPV vaccine is for girls and women ages 9 to 26 years, so we can start that
today."
b. "This vaccine is only for girls who have not yet started to become sexually active."
c. "Let's check with the physician to see if you are a candidate for this vaccine."
d. "The vaccine cannot protect you if you already have an HPV infection." d. "The
vaccine cannot protect you if you already have an HPV infection."
During an examination, the nurse observes a female patient's vestibule and expects to
see the:
a. Urethral meatus and vaginal orifice.
b. Vaginal orifice and vestibular (Bartholin) glands.
c. Urethral meatus and paraurethral (Skene) glands.
d. Paraurethral (Skene) and vestibular (Bartholin) glands. a. Urethral meatus and
vaginal orifice.
During a speculum inspection of the vagina, the nurse would expect to see what at the
end of the vaginal canal?
a. Cervix
b. Uterus
c. Ovaries
d. Fallopian tubes a. Cervix
The uterus is usually positioned tilting forward and superior to the bladder. This position
is known as:
a. Anteverted and anteflexed.
b. Retroverted and anteflexed.
c. Retroverted and retroflexed.
d. Superiorverted and anteflexed. a. Anteverted and anteflexed.
An 11-year-old girl is in the clinic for a sports physical examination. The nurse notices
that she has begun to develop breasts, and during the conversation the girl reveals that
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,she is worried about her development. The nurse should use which of these techniques
to best assist the young girl in understanding the expected sequence for development?
The nurse should:
a. Use the Tanner scale on the five stages of sexual development.
b. Describe her development and compare it with that of other girls her age.
c. Use the Jacobsen table on expected development on the basis of height and weight
data.
d. Reassure her that her development is within normal limits and tell her not to worry
about the next step. a. Use the Tanner scale on the five stages of sexual development.
A woman who is 8 weeks pregnant is in the clinic for a checkup. The nurse reads on her
chart that her cervix is softened and looks cyanotic. The nurse knows that the woman is
exhibiting __________ sign and __________ sign.
a. Tanner; Hegar
b. Hegar; Goodell
c. Chadwick; Hegar
d. Goodell; Chadwick d. Goodell; Chadwick
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."
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,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.
d. Sexual history, because discussing it first will build rapport. a. Menstrual history,
because it is generally nonthreatening.
A patient has had three pregnancies and two live births. The nurse would record this
information as grav _____, para _____, AB _____.
a. 2; 2; 1
b. 3; 2; 0
c. 3; 2; 1
d. 3; 3; 1 c. 3; 2; 1
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."
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, 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?"
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?"
4|Page
2025/2026 COMPLETE QUESTIONS AND CORRECT D, Exams of
Nursing
During a health history, a 22-year old woman asks, "Can I get that vaccine for human
papilloma virus (HPV)? I have genital warts and I'd like them to go away!" What is the
nurse's best response?
a. "The HPV vaccine is for girls and women ages 9 to 26 years, so we can start that
today."
b. "This vaccine is only for girls who have not yet started to become sexually active."
c. "Let's check with the physician to see if you are a candidate for this vaccine."
d. "The vaccine cannot protect you if you already have an HPV infection." d. "The
vaccine cannot protect you if you already have an HPV infection."
During an examination, the nurse observes a female patient's vestibule and expects to
see the:
a. Urethral meatus and vaginal orifice.
b. Vaginal orifice and vestibular (Bartholin) glands.
c. Urethral meatus and paraurethral (Skene) glands.
d. Paraurethral (Skene) and vestibular (Bartholin) glands. a. Urethral meatus and
vaginal orifice.
During a speculum inspection of the vagina, the nurse would expect to see what at the
end of the vaginal canal?
a. Cervix
b. Uterus
c. Ovaries
d. Fallopian tubes a. Cervix
The uterus is usually positioned tilting forward and superior to the bladder. This position
is known as:
a. Anteverted and anteflexed.
b. Retroverted and anteflexed.
c. Retroverted and retroflexed.
d. Superiorverted and anteflexed. a. Anteverted and anteflexed.
An 11-year-old girl is in the clinic for a sports physical examination. The nurse notices
that she has begun to develop breasts, and during the conversation the girl reveals that
1|Page
,she is worried about her development. The nurse should use which of these techniques
to best assist the young girl in understanding the expected sequence for development?
The nurse should:
a. Use the Tanner scale on the five stages of sexual development.
b. Describe her development and compare it with that of other girls her age.
c. Use the Jacobsen table on expected development on the basis of height and weight
data.
d. Reassure her that her development is within normal limits and tell her not to worry
about the next step. a. Use the Tanner scale on the five stages of sexual development.
A woman who is 8 weeks pregnant is in the clinic for a checkup. The nurse reads on her
chart that her cervix is softened and looks cyanotic. The nurse knows that the woman is
exhibiting __________ sign and __________ sign.
a. Tanner; Hegar
b. Hegar; Goodell
c. Chadwick; Hegar
d. Goodell; Chadwick d. Goodell; Chadwick
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."
2|Page
,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.
d. Sexual history, because discussing it first will build rapport. a. Menstrual history,
because it is generally nonthreatening.
A patient has had three pregnancies and two live births. The nurse would record this
information as grav _____, para _____, AB _____.
a. 2; 2; 1
b. 3; 2; 0
c. 3; 2; 1
d. 3; 3; 1 c. 3; 2; 1
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."
3|Page
, 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?"
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?"
4|Page
