NR 602 Final Exam Latest 2023 Real Exam (Complete Exam) Questions and Correct Answers, Exams of Nursing

Download NR 602 Final Exam Latest 2023 Real Exam (Complete Exam) Questions and Correct Answers and more Exams Nursing in PDF only on Docsity! NR 602 FINAL EXAM LATEST 2023 REAL EXAM (COMPLETE EXAM) QUESTIONS AND CORRECT ANSWERS|AGRADE 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 Trichomoniasis Chlamydia 13. A 24-year old female presents to your office with a request for combination contraceptives. Her current medications include a bronchodilator for asthma. 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. 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 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 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