NR602 Final Exam (2 Versions, New-2023) / NR 602 Final Exam / NR602 Week 8 Final Exam / NR 602 Week 8 Final Exam: Chamberlain College of Nursing |100% Corr... [Show More] ect Q & A|
Chamberlain College of Nursing: NR 602 Final Exam (2 Versions, New-2023) / NR602 Final Exam / NR 602 Week 8 Final Exam / NR602 Week 8 Final Exam |100% Correct Q & A|
NR602 Final Exam / NR 602 Final Exam (Latest): Chamberlain College of Nursing
Chamberlain NR602 Week 8 Final Exam (Latest)
1. A sexually active 18-years old presents with postcoital spotting, dysuria and a yellow discharge. On exam you find her cervix is erythematous and bleeds with contact. The most likely diagnosis is
a. Cervical cancer
b. Chlamydia
c. Primary syphilis
d. Tampon injury
2. One of the leading causes of female infertility, Stein-Leventhal syndrome is
a. Pelvic inflammatory disease
b. Polycystic ovary disease
c. Multiple sex partners
d. Ectopic pregnancy syndrome
3. HIV test is indicated for a (n)
a. 18-year-old female whose sex partner has a history of genital warts
b. 24-year-old female with current genital warts as adjunct to routine pap test
c. 30-year-old female with no history of genital warts as adjunct to routine pap test
d. 67-year old female with new sex partner in past year who has history of genital warts
4. Which of the following contraceptive methods would be best for a woman with sickle cell anemia?
a. Combination oral contraceptives
b. Transdermal contraceptive patch
c. Progestin-only contraceptives
d. Female condom
5. A Patient taking metronidazole and cimetidine at the same time is at risk for:
a. Bothersome side effect from the metronidazole
b. Decreased effectiveness of cimetidine
c. Renal impairment
d. Severe disulfiram type reaction
6. A 58-year old woman complain of severe vulvular pruritis. On examination of the vulva, you note thinning of the epidermis and loss of pigmentation, as well as maculopapular lesions. You suspect the diagnosis may be
a. Lichen sclerosus
b. Local allergic reaction
c. Lichen simplex chonicus
d. Vulvodynia
7. Measuring waist circumference is most appropriate when the client’s BMI place her in which of the following categories?
a. Underweight
b. Normal weight
c. Overweight
d. Extreme obesity
8. The levonogestrel releasing IUC may be a better choice then the copper releasing IUC for a woman who:
a. Has never been pregnant
b. Has dysmenorrhea
c. Is currently breastfeeding
d. Is sure she does not want more children
9. A 30-year old is seen in your office on day 18 of her cycle for her routine annual examination. She has no complaints. Pelvic exam reveals a 9-cm firm, pelvic mass anterior to the uterus. The most likely diagnosis is
a. Benign cystic teratoma
b. Ectopic pregnancy
c. Endometrioma
d. Follicular cyst
10. First line treatment for polycystic ovary syndrome is
Bilateral oophorectomy
Beginning androgen therapies
A combination of diet modification, weight loss, and stress management
A laparotomy with a bilateral wedge resection
11. A 45-year old female presents with complaint of lower abdominal pain with urinary urgency and frequency for the past three months. The pain is worse during sexual intercourse and relieved somewhat when she urinates. Physical exam reveals suprapubic tenderness as well as tenderness along the anterior vaginal wall and urethra. The remainder of her exam is normal. What diagnosis best fits these findings?
Chronic urinary tract infection
Interstitial cystitis/ painful bladder syndrome
Pelvic inflammatory disease
Pyelonephritis
12. If you diagnose a cervical gonococcal infection, which other infection is probably present?
Candidiasis
Syphilis
Trichomoniasis
Chlamydia
13. A 24-year old female presents to your office with a request for combination contraceptives. Her current medications include a bronchodilator forasthma. Management for this client should include advising her that:
Combination oral contraceptives are not recommended for women with asthma
Combination oral contraceptives may potentiate the action of her bronchodilator
She should use a backup method if using the bronchodilator several days in a row
Progestin-only contraceptive injections may reduce her asthma attacks
14. The CDC recommendation for follow-up of a female treated for PID with a recommended outpatient regimen is:
Advise patient to return if pain and/or fever persists more than five days
Re-examine patient within 72 hours after initiation of treatment
Retest for chlamydia and gonorrhea in two weeks
See patient in one week for second dose ceftriaxone IM
15. A 16-year old woman has not yet begun menstruating but does have secondary sexual characteristics. She is best described as having:
Asherman’s syndrome
Oligomenorrhea
Primary amenorrhea
Secondary amenorrhea
16. The glands located posteriorly on each side of the vaginal orifice are the:
Bartholin’s glands
Bulbar glands
Natorian glands
Skene’s glands
17. Typical characteristics of vulvodynia include:
Constant vulvar burning and discomfort
Inflammation of the vestibular glands
Thickened plaques on the vulva
Valvovaginal edema and erythema
18. The most common type of invasive breast carcinoma is:
Infiltrating ductal
Medullary
Lobular
Infiltrating papillary
19. A dancer from an adult club down the street comes in for a renewal of her birth control pill prescription. She says everything is fine. Onexam, you find grayish-white vaginal discharge, greenish cervical discharge, and cervical motion tenderness. All of the following are differential diagnoses except?
Gonorrhea
Interstitial cystitis
Bacterial vaginosis
Chlamydia
20. A 26-year old woman presents with multiple painless, umbilicated papules on her mons pubis. The most likely diagnosis is:
Condyloma acuminate
Condyloma lata
Lumphogranuloma venereum
Molluscum contagiosum
21. A 26- year old female has a Pap test report of ASC-US. This is her first abnormal Pap test. Recommended first steps in follow- up would include:
Colposcopy within the next six months
Co-testing with Pap and HPV tests in one year
Reflex HPV now
Repeat Pap test alone in three years
22. USPSTF recommendations for routine breast cancer screening include:
Biennial mammograms starting at age 50
Breast self-examination starting at age 21
Clinical breast examination annually starting at age 30
Discontinue mammograms at age 65
23. A 22- year old female presents with complaint of malodorous vaginal discharge and vulvar itching. On examination, a watery, yellowish-green vaginal discharge is noted, along with vulvar and vaginal erythema. The most likely findings on a wet mount examination will be:
Clue cells
Lactobacilli
Pseudohyphae
Trichomonads
24. The American cancer society recommends yearly mammogram screening beginning at age:
40
45
50
55
25. According to USPSTF recommendations, an 80 year old female should get
A clinical breast examination and screening mammogram annually
A clinical breast examination annually but no screening mammogram
Neither a clinical breast examination nor a screening mammogram
A screening mammogram biennially but no cervical breast examination
26. A 22 year old female has a Pap test report of HSIL. Recommended first stems in follow up would include:
Colposcopy
Co-test with Pap and HPV tests in one year
Reflex HPV test now
Repeat Pap test alone in six months
27. Characteristics of polycystic ovary syndrome include:
Hirsutism, thinness, hypoinsulinemia
Menopausal onset, vitiligo
Alopecia, thinness, abdominal cramping
Premenarchial onset, obesity, hyperinsulinemia
28. A 22 year old experiences six months of amenorrhea. Laboratory test results include normal prolactin and thyroid stimulating hormone and negative pregnancy test. The next action will be to:
Administer a progestin challenge test
Measure testosterone
Order a hysterosalpingogram
Order an MRI or CT scan of pituitary gland
29. A 66 year old woman with a history of pruritis presents with an ulceration of the vulva. The most likely diagnosis is:
Chancroid
Secondary trauma
Syphilis
Vulvar carcinoma
30. A 17 year old client presents at the clinic with the following reason for seeking care: “I have been sick for three days. I feel sick to my stomach and have diarrhea”. Which of the following would be the most appropriate to document as her reason for visit/ chief complaint?
Flulike symptoms
Gastrointestinal distress
“I feel sick to my stomach and have diarrhea”
Possible pregnancy, needs further evaluation
31. A 16 year old patient comes to the office because she has never had a menstrual period. She has normal breast development, scant pubic hair, and blind vaginal pouch with no palpable uterus or ovaries. The most likely diagnosis is:
Androgen insensitivity/resistance syndrome
Muscarian agenesis
Sheehan’s syndrome
Turner’s syndrome
32. Characteristic “strawberry spots” on the cervix may be seen with:
Bacterial vaginosis
Chlamydia
Herpes genitalis
Trichomoniasis
33. When examining the cervix of a 20 year old female, you note that most of the cervix is pink, but there is a small ring of dark-red tissue surrounding the os. This is most likely:
An endocervical polyp
Due to cervical dysplasia
Due to cervical infection
The squamoculomnar junction
34. A twenty-one year old woman comes to your practice seeking birth control. She has only recently become sexually active and has consistently used condoms for safe sex. Your history reveals that she does not use tampons during her menses and has very little knowledge about female reproductive anatomy. Based on this information, which of the following birth control methods would be least likely to meet her needs for contraception management?
Combined oral contraceptive pill
Depo-provera
Ortho eva patch
Nuva ring
35. Dysfunctional uterine bleeding is usually associated with
Pregnancy
Anovulation
Genital tumor
Inflammation
36. Pelvic findings on examination of a 22- year old nulliparous woman is uterus 7cm in length and ovaries 3cm x 2cm x 1cm. These findings are consistent with
Enlarged uterus and enlarged ovaries
Normal size uterus and enlarged ovaries
Enlarged uterus and normal size ovaries
Normal size uterus and normal size uterus
37. In a premenopausal woman, the biggest heart attack risk factor is
Cigarette smoking
Family History
Sedentary lifestyle
Obesity
38. Iris is a 32 y/o married woman with three children. She comes in for information on using copper T IUD for contraception. Which of the following would be a contraindication to using this appliance?
Nulliparity
Heart disease
Prior ectopic pregnancy
history of multiple births
39. A nurse practitioner is screening a female for prescribing contraception fir the first time. Which of the following is an absolute contraindication for estrogen-containing contraception?
Migraine headaches
Hypertension
Theomboembolisms
Seizure disorder
40. Mrs. Jackson, age 37, has been on birth control pills for approximately 15 years. She is a smoker, has a blood pressure of 110/70mmHg and has lipid levels within normal limits. You advise that she should
Discontinue the birth control pills because of smoking
41. A 24 year old woman presents with complaint of nontender mass in her breast that does not change with the menstrual cycle. On examination, you notice a freely movable, 0.5cm x 1cm, rubbery nontender mass. The most likely diagnosis is
Fibroadenoma
Fibrocystic breast changes
Intraductal papilloma
Cystosarcoma phyllodes
42. Turner’s syndrome can be suspected when the patient has primary amenorrhea and
Blind vaginal pouch with imperforate hymen
Low IQ and visual disturbances
Normal breast development but lack of pubic and axillary hair growth
Short stature and webbed neck
43. Primary dysmenorrhea can best be treated with
Dopamine agonists
GnRh agonists
Prostaglandin inhibitors
Tricyclic antidepressants
44. What is the position of the uterus when the cervix is on the anterior vaginal wall?
Midposition
Retroverted
Retroflexed
Anteverted
45. According to ACOG guidelines, which of the following examination and screening tests should be a part of the routing well-woman visit every year for the females age 30 to 39 years?
Chlamydia test
Clinical breast examination
Mammogram
Pap test
46. A woman who is currently pregnant, has has two full-term deliveries, and has had one first trimester abortion would be considered
Gravida 2 Para 2
Gravida 3 para 2
Gravida 3 para 3
Gravida 4 para 2
47. a vaginal pH less than 4.5 is expected finding in a
Healthy reproductive age woman
Menopausal woman with atropic vaginitis
Reproductive age woman with trichomoniasis
Healthy prepubertal age girl
48. a 68 year old had her last cervical cancer screening fone at age 65 and results were normal. She has no history of abnormal screenings. She has recently started having sexual intercourse with a new male partner and asks if she should start having cervical cancer screening again. An appropriate answer would be that she
Does not need pap tests but should have HPV testing every five years
Does not need to resume either pap tests or HPV testing
Should resume pap test with HPV co-testing every five years
49. the new ACOG Pap smear guidelines reflect a change in all of the following except
The age at which pap smears are initiated
The frequency of pap smear screenings
The follow-up to abnormal pap smear results
The endpoint for pap smear tastings
50. During a vaginal examination, you observe bulging of the anterior wall when you ask the patient to bear down. This is most likely a
Congenital abnormality
Cystocele
Rectocele
Uterine prolapse
NR602 Final Exam / NR 602 Final Exam (Latest): Chamberlain College of Nursing
Chamberlain NR602 Week 8 Final Exam (Latest)
1. Turner’s syndrome can be suspected when the patient has primary amenorrhea and
2. A 21-year-old woman comes into your practice seeking birth control. She has only recently become sexually active and has consistently used condoms for safe sex. Your history reveals that she does not use tampons during her menses and has very little knowledge about female reproductive anatomy. Based on this information, which of the following birth control choices would be least likely to meet her needs for contraceptive management?
3. The most common type of invasive breast carcinoma is
4. Measuring waist circumference is most appropriate when the client’s BMI places her in which of the following categories?
5. The American Cancer Society recommends yearly mammogram screening beginning at
6. A dancer from an adult club down the street comes in for a renewal of her birth control pill prescription. She says that everything is fine. On examination, you find grayish-white vaginal discharge, greenish cervical discharge and cervical motion tenderness. All of the following differential diagnoses except?
Gonorrhea,
Interstitial cystitis,
Bacterial vaginosis,
chlamydia
7. Which of the following contraception would be best for a woman with sickle cell anemia?
8. During a vaginal examination, you observe bulging of the anterior wall when you ask the patient to bear down. This is most likely a
9. When examining the cervix of a 20-year-old-female, you note that most of the cervix ispink but there is a small ring of dark-red tissue surrounding the os. This is most likely?
10. A sexually active 18-year-old presents with postcoital spotting, dysuria, and a yellow discharge. On exam you find her cervix is erythematous and bleeds with contact. The most likely diagnosis is
11. A 68-year-old female had her last cervical cancer screening done at age 65 and results were normal. She has no history of abnormal screenings. She has recently started having sexual intercourse with a new male partner and asks if she should start having cervical cancer screening again. An appropriate answer would be that she:
12. A 22-year-old experiences six months of amenorrhea. Laboratory test results include normal prolactin and thyroid-stimulating hormone and negative pregnancy test. The next action will to
13. A nurse practitioner is screening a female for prescribing contraception for the first time. Which of the following conditions is an absolute contraindication to estrogen-containing contraception?
14. Characteristics of polycystic ovary syndrome include:
15. According to USPSTF recommendations, an 80-year-old female should have:
16. A 36-year-old- is seen in your office on day 18 of her cycle for her routine annual examination. She has no complaints. Pelvic exam reveals a 9-cm- firm pelvic mass anterior to the uterus. The most likely diagnosis is:
17. Typical characteristics of vulvodynia include:
18. If you diagnose a cervical gonoccocal infection, which other infection is probably present?
19. HPV testing is indicated for a (n)
20. A vaginal pH less than 4.5 is an expecting finding in a:
21. USPSTF recommendations for routine breast cancer screening include:
22. The new ACOG pap smear guidelines reflect a change in all of the following except:
The age at which Pap smears are initiated,
The frequency of Pap smear screening,
The follow-up to abnormal Pap smear results,
The endpoint for pap smear testing
23. A 16-year-old- woman has not yet begun menstruating but does have pubic hair. She is best described as having:
24. Dysfunctional uterine bleeding is usually associated with
25. A 17-year-old client presents at the clinic with the following reason for seeking care. “I have been sick for three days. I feel sick to my stomach and I have diarrhea”. Which of the following would be most appropriate to document as her reason for her visit/chief complaint?
26. First line treatment for polycystic ovary syndrome is:
27. A 24-year-old woman presents with complaints of nontender mass in her left breast that does not change with the menstrual cycle. On examination, you note a freely movable, 0.5 cm x 1 cm, firm, rubbery nontender mass. The most likely diagnosis is:
28. According to ACOG guidelines, which of the following physical examination and screening tests should be part of the routine well-woman visit every year for females ages 30to 39 years?
29. In a premenopausal woman, the biggest heart attack risk factor is:
30. A 16-year-old patient comes the office because she has never had a menstrual period. She has normal breast development, scant pubic hair, and a blind vaginal pouch with no palpable uterus or ovaries. The most likely diagnosis:
31. What is the position of the uterus when the cervix is on the anterior vaginal wall?
32. A 26-year-old woman presents with multiple, painless, umbilicated papules on her mons pubis. The most likely diagnosis is:
33. A woman who is currently pregnant, has had two full-term deliveries, and had one first-trimester abortion would be considered.
34. Pelvic findings on examination of a 22-year-old nulliparous woman are uterus 7 cm in length and ovaries 3cmx2x1cm. These findings are consistent with:
35. A 66-year-old- woman with a history of pruritus presents with an ulceration of the vulva. The most likely diagnosis is:
36. Characteristic “strawberry spots” on the cervix may be seen with
37. A 45 year-old-female presents with complaint of lower abdominal pain with urinary urgency and frequency for the past three months. The pain is worse during sexual intercourse and relieved somewhat when she urinates. Physical exam reveals suprapubic tenderness as well as tenderness along the anterior vaginal wall and urethra. The remainder of her exam is normal. What best fits these findings?
38. Primary dysmenorrhea can best be treated with:
39. MRS. Jackson, age, 37 has been on birth control pills for approximately 15 years. She is a smoker, has a blood pressure of 110/70mmHg, and has lipid levels with normal limits. You advise that she should:
40. The CDC recommendation for follow-up of a female treated for PID with a recommended outpatient regimen is:
41. One of the leading causes of female infertility Stein-Leventhal syndrome is
42. Iris is a thirty-two-year-old married women with three children. She comes in for information on using the copper T intrauterine device (IUD) for contraception. Which of the following would be a contraindication to using this appliance?
43. A 26-year-old female has a Pap test report of ASC-US. This is her first abnormal Pap test.Recommended first steps in follow-up would include:
44. A 22-year-old female presents with complaint of malodorous vaginal discharge and vulvar itching. On examination, a watery, yellowish-green vaginal discharge is noted along with vulvar and vaginal erythema. The most likely findings on a wet mount examination will be:
45. A patient taking metronidazole and cimetidine at the same time is at increased risk for:
46. A 22-year-old-female has a Pap test report of HSIL. Recommended first steps in follow-up would include
47. The glands located posteriorly on each side of the vaginal orifice are the:
48. The levonorgestrel-releasing IUD may be a better choice than the cooper-releasing IUD for a woman who has
49. 58-year-old woman complaints of severe vulvar pruritus. On examination of the vulva, you note thinning of the epidermis and loss of pigmentation, as well as maculopapular lesions. You suspect the diagnosis may be:
50. A 24-year-old female presents to your office with a request for combination oral contraceptives. Her current medications include a bronchodilator for asthma. Management for this client should include advising her that:
I [Show Less]