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NR 602 Final Exam / NR602 Final Exam(V2)(50 Q & A)(New, 2024) : Chamberlain College, Exams of Nursing

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NR 602 Week 8 Final Exam / NR602 Week 8 Final Exam(V2)(50 Q & A)(New, 2024) : Chamberlain College of Nursing (Verified) NR 602 Final Exam / NR602 Final Exam(V2)(50 Q & A)(New, 2024) : Chamberlain College of Nursing (Verified)

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2023/2024

Available from 04/02/2024

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NR 602 Week 8 Final Exam
(50 Q & A)
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
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NR 602 Week 8 Final Exam

(50 Q & A)

  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

  1. 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
  2. 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
  3. 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
  4. 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
  5. 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

Constant vulvar burning and discomfort Inflammation of the vestibular glands Thickened plaques on the vulva Valvovaginal edema and erythema

  1. The most common type of invasive breast carcinoma is: Infiltrating ductal Medullary Lobular Infiltrating papillary
  2. 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. On exam, 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
  3. 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
  4. 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
  5. 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

  1. 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
  2. The American cancer society recommends yearly mammogram screening beginning at age: 40 45 50 55
  3. 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
  4. 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
  5. Characteristics of polycystic ovary syndrome include: Hirsutism, thinness, hypoinsulinemia

Bacterial vaginosis Chlamydia Herpes genitalis Trichomoniasis

  1. 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
  2. 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
  3. Dysfunctional uterine bleeding is usually associated with Pregnancy Anovulation Genital tumor Inflammation
  4. 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
  1. In a premenopausal woman, the biggest heart attack risk factor is Cigarette smoking Family History Sedentary lifestyle Obesity
  2. 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
  3. 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
  4. 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
  5. 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
  6. Turner’s syndrome can be suspected when the patient has primary amenorrhea and

Reproductive age woman with trichomoniasis Healthy prepubertal age girl

  1. 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
  2. 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
  3. 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