NRNP 6552 Week 6 Midterm Exam, Exams of Nursing

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Walden UniversityNRNP 6552

NRNP 6552 Week 6 Midterm Exam Walden University

Updated 2 023 - 2024 New Latest Version with All

Questions and 100% Correct Answers

Question 1 1 out of 1 points The is a sensitive organ that is typically described as the female homologue ofthe penis. Ans: Clitoris Question 2 1 out of 1 points Normal vaginal discharge has a pH of: Ans: 3.8 and 4. Question 3 1 out of 1 points On physical examination, pale atrophic depigmented tissue that has a “cigarette paper”appearance is consistent with: Ans: Lichen Sclerosus Question 4 1 out of 1 points

Criteria for clinical diagnosis of bacterial vaginosis include the presence of three out offour of the following Amsel criteria: answer: C (white, thin adherent vaginal discharge, pH equal or greater than 4.5; positive whiff/KOH test;presence of WBC on microscopic examination) Question 5

1 out of 1 points The most common STI in the United States is: Answer: Chlamydia Question 6 1 out of 1 points Ovarian failure is diagnosed when estrogen production is identified while theserum FSH is. Answer: B (Low Estrogen, High) Question 7 1 out of 1 points Approximately of infertility cases are due to female factors and aredue to male factors. Answer: D - 55%. 35% Question 8 1 out of 1 points In women with PCOS, polycystic ovaries are due to: Answer: B (Chronic Anovulation) characterized by hyperandrogenaemia and hyperinsulinemia, which play a role in anovulation (Excess adiposetissues may lead to polycystic ovarian syndrom Question 9 1 out of 1 points The most common symptoms of uterine cancer are: Answer B. Abnormal uterine bleeding and postmenopausal bleeding. Question 10

1 out of 1 points Neisseria gonorrhea is a bacteria

Answer: Gram-negative diplococci bacteria Question 11 0 out of 1 points

When females go through puberty, the changes that occur are initiated by the productionof: Answer: B (oestrogen) Question 12 1 out of 1 points The most common pathogen leading to urinary tract infection is: Answer: Escherichia coli (E. coli). Question 13 0 out of 1 points All organizations recommend beginning screening mammograms in average-risk womenat age Answer: 40 – 44 years Question 14 1 out of 1 points When completing this exam, did you comply with Walden University's Code of Conductincluding the expectations for academic integrity? Answer: YES Question 15 1 out of 1 points The new guideline for systolic blood pressure cut-off for hypertension is: Answer: D (Systolic BP should not be lowered to below 120 mm Hg. Diastolic BP should not be lowered tobelow 70 mm Hg) Question 16 1 out of 1 points Menopause is defined as: Answer: D (none of the above)

Question 17 1 out of 1 points First line pharmacologic treatment for women with PCOS is/are: Answer: COCs (Ethinyl estradiol + levonorgestrel, norgestimate – vienva, aviane, marzia, levein, amethyst) Question 18

1 out of 1 points Clinicians are required to report certain STIs to their state public health officials. Theseinclude: answer: Nationally notifiable STIs include chancroid, chlamydia, gonorrhea, hepatitis, HIV, and syphilis Question 19 1 out of 1 points Symptoms of Polycystic Ovary Syndrome (PCOS) include all of the following except: Answer: D – Hypopigmentation of the extremities

**- irregular periods or no periods at all.

• difficulty getting pregnant (because of irregular ovulation or failure to** **ovulate)
• excessive hair growth (hirsutism) – usually on the face, chest, back or** **buttocks.
• weight gain.
• thinning hair and hair loss from the head.
• oily skin or acne. Question 20** 0 out of 1 points Josefina is a 47-year-old patient with family history of diabetes. Her BMI is 30. She hasbeen healthy except for medication-controlled hypertension. She has been very compliant with her appointments. Today, you tell her you need to check her blood sugar.She says “I just read an article that said I only need to have that checked every three years. You just checked it last year.” You tell her: answer: A I will advice Josefina that, the test determines your typical blood sugar levels and their proximity to normal. When you're first diagnosed, you get these checkups every three months, then every six months until you're stable. This can be done by your primary care physician or a diabetic nurse. Every diabetic should see a doctor at least every three months. Routine visits enable your doctor to monitor your status and if required, modify your treatment strategy.

weight, feet, heart , diet, Eyes , neuropathy, circulation ,blood , thyroid, electrolytes, cholesterol, bloodpressure and other tests should be performed on an annual basis.

For patients with diabetes, one reason for hospitalization and unplanned hospital readmission is severe dysglycemia (uncontrolled hyperglycemia -- high blood sugar, or hypoglycemia -- low blood sugar), says newresearch published in the Journal of General Internal Medic Question 21 1 out of 1 points The test for the fishy odor that occurs in bacterial vaginosis is called the: Answer: Whiff Test Question 22

0 out of 1 points Evidence from randomized trials on intimate partner violence screening support thefollowing intervention(s) for women of childbearing age: Answer: E (A, B, and C) Evidence from randomized trials support a variety of interventions for women ofchildbearing age which includes counseling, home visits, and mentoring support Question 23 1 out of 1 points The act that was established that mandated every American to carry health insurance iscalled: answer: The Patient Protection and Affordable Care Act (ACA) Question 24 1 out of 1 points All of the following are risk factors for UTI, except: Answer: B (infrequent sexual activity) Question 25 0 out of 1 points Reproductive coercion includes behaviors: Answer D. (Any of the above) Question 26 1 out of 1 points An appropriate medication for Herpes Simplex virus is: Answer: D (all of the above) The most effective treatments for persons infected with HSV are antiviral medications including acyclovir,famciclovir and valacyclovir.

Question 27 1 out of 1 points

Just prior to ovulation, rising levels of oestradiol increases the amount of cervical mucus, making it: Answer: C (thin and watery) Just prior to ovulation, your estrogen levels are rising. You may see more clear, stretchy, watery, and slipperymucus. This mucus may remind you of the consistency of egg whites. During ovulation. Question 28

0 out of 1 points Strong evidence shows that first trimester abortions, whenever performed safely,increases a women’s risks of: Answer: D (none of the above) Question 29 0 out of 1 points The American Cancer Society (ACS) has recently updated its colorectal cancer screeningguidelines. The new guidelines recommend screening average-risk patients for that disease at age Answer: 45 years Question 30 1 out of 1 points An endometrial biopsy can be done in the office setting. It has a over allaccuracy in diagnosing endometrial cancer. Answer: C - HIGH Question 31 0 out of 1 points The following are the four basic Caldwell-Moloy pelvic types. Answer: Gynecoi d Android Anthrop oid Platypel loid Question 32 1 out of 1 points The following is/are types of sexual violence.

Answer: C (Threats of sexual violence)

Question 33 1 out of 1 points Jenna comes in complaining of intense itching in the vaginal area. She also has some itching in the vulvar area. It is really bad after she has intercourse. In gathering her history, she tells you she had an ear infection a few weeks ago and took amoxicillin for itbut otherwise, has been healthy. On exam, you note a thick, white, lumpy discharge withthe consistency of cottage cheese. The vulva is red and swollen as are the labial folds. There is no strong odor. The most likely diagnosis is: Answer: Vulvovaginal candidiasis (Yeast Infection)

Question 34 1 out of 1 points A pharmacologic treatment for patients with Hydradenitis Suppurativa (HI) may include D. All of the above Answer: Metformin, oral contraceptives, and spironolactone Answer: tetracycline 500 mg, doxycycline 100 mg, minocycline100 mg orally, or amoxicillin 500 mg Question 35 1 out of 1 points EBP stands for: Answer: Evidence Based Practice Question 36 1 out of 1 points Women in the following profession have a higher rate of UTI Answer: A (Nursing) Question 37 1 out of 1 points One of the reasons that substance use is a concern in LBQ and TGNC communities is: Answer: CULTURAL CONTEXT, bars and clubs scenes have long been safe spaces for gay, LBQ and TGNCpeople. Lack of support Internalized homophobia Discrimination and social stigma Question 38 0 out of 1 points Pelvic support structures include: Answer: D (all of the above) Question 39 1 out of 1 points

The following is an appropriate sexual health assessment question:Answer:

ANSWER: C – Are there any sexual problems. Question 40 1 out of 1 points The use of a pain rating scale may assist the clinician to comprehend the intensity of awoman’s pain. Example(s) of pain rating scale(s) include: answer:D (All of the above)

Numeric ranking scales,visual analog scales, verbal descriptive scales, allow the woman to identify the severity of her pain. If there is a language barrier related to culture or mental ability, the Wong- Baker FACES pain rating scale Question 41 1 out of 1 points Female orgasmic disorder is present when there is a marked delay in, marked infrequency of, or absence of orgasm or reduced intensity of orgasm sensations that lastmore than . Answer: 6 months (75-100% of situations of sexual intercourse) Question 42 0 out of 1 points Abnormal uterine bleeding can sometimes be caused by Answer: None of the above hormone changes, cancer, fibroids, polyps or early pregnancy People with menstrual-related problems are more likely to report anxiety, depression, insomnia, excessivesleepiness, and pain than people without menstrual-related problems Question 43 1 out of 1 points Margaret has several risk factors for osteoporosis. She is 72 years old, is a 30 - pack year smoker, and has never had children. Which one of these risk factors was nonmodifiable? Answer: D – all of the above (age, smoking and nulliparity) Question 44 1 out of 1 points A person whose gender identity is the same as their sex when he or she was born is: Answer: Cisgender

Question 45 0 out of 1 points

Trichomonas vaginalis can be asymptomatic, but when symptomatic, the vaginaldischarge tends to be: Answer: Yellow to green frothy Question 46 1 out of 1 points When performing a pain history, the term OLD CAARTS is an aid. This stands for: Answer: A (onset, location, duration, characteristics, alleviating..)

Question 47 1 out of 1 points When conducting qualitative research, data can be derived from: Answer: E. (A,B and C) Question 48 1 out of 1 points The only antimicrobial medications that are effective against Trichomoniasis vaginalisare: answer: A (Tinidazole or metronidazole) Question 49 1 out of 1 points Most malignancies in breast tissue occur in: Answer: Upper Outer quadrant Question 50 1 out of 1 points Gale is 36 weeks pregnant. She calls the office to report that she has noticed a stickyfluid coming from her breasts. You let her know that this is most likely: Answer: C (Colostrum, which is commonly noted toward the end of the pregnancy) Question 51 1 out of 1 points The contraceptive implant that is currently available in the U.S. is: Answer: D - Nexplanon Question 52 1 out of 1 points The is often considered the most important muscle of the pelvic floor. ANSWER: D – Levator Ani Question 53 1 out of 1 points The following symptoms are consistent with PMS except:

Answer: D (uncontrollable fits of laughter) Question 54

1 out of 1 points The following symptoms are associated with peri-menopause and menopause. Answer: D (Fatigue and Headache) Question 55