NURS MISC EXAM QUESTIONS WITH ANSWERS 2024 UPDATES PERFECTLY SOLVED, Exams of Nursing

Download NURS MISC EXAM QUESTIONS WITH ANSWERS 2024 UPDATES PERFECTLY SOLVED and more Exams Nursing in PDF only on Docsity! NURS MISC EXAM QUESTIONS WITH ANSWERS 2024 UPDATES PERFECTLY SOLVED The onset and duration of puberty varies greatly from patient to patient and is also dependent upon race. Which of the following phrases can you expect to have the earlier onset of puberty in boys? (Points : 2) African American boys Native American boys Caucasian boys Hispanic boys Question 2. 2. During puberty, linear growth is determined by the amount of growth hormone (GH) and the feedback loop. Which of the following patterns describes the release of GH in patients in puberty? (Points : 2) Rapid secretion of GH with activity Pulsatile release in the morning GH release that increases at rest Pulsatile release at the onset of slow wave sleep Question 3. 3. Gynecomastia or breast development in males is a common issue in clinical practice. Which of the following statements defines Gynecomastia most accurately? (Points : 2) It is always unilateral. Onset coincides with the start of puberty. Illegal drug use is rarely a cause. An endocrine workup should be instituted in all cases. Question 4. 4. A school nurse is reviewing a female student’s records regarding presence of the human papillomavirus vaccine (HPV). Which of the following statements most clearly represents the current guidelines with respect to immunization against HPV? (Points : 2) The vaccine targets HPV types 19 and 21. The HPV vaccine should be given as early as age eight. HPV immunization should be given after initial sexual contact. The HPV vaccine is initiated at ages eleven or twelve. Question 13. 13. Breast tissue is composed of glandular, fibrous, and fatty tissue and a complex lymphatic system. Where does lymph from the medial cutaneous area of the breast flow? (Points : 2) Axillary nodes Opposite breast Mammary nodes Infraclavicular nodes Question 15. 15. Long-acting progestins used in contraception do not always contain estrogen. As a result of the lack of this hormone, there will be no alteration in which of the following? (Points : 2) Hepatic globulin production Serum androgen levels Blood pressure Decreased serum insulin levels Question 16. 16. The World Health Organization (WHO) has determined absolute contraindications to estrogen containing contraceptives. Which of the following is not an absolute contraindication? (Points : 2) History of cerebrovascular accident (CVA) Greater than age of thirty-five years Hypertension with vascular disease Active viral hepatitis Question 17. 17. Long-acting progestins may be used in patients as a contraceptive method. One of the long-acting progestins is Depo-Provera. Which of the following best describes the mechanism of action of long-acting progestins in contraception? (Points : 2) Decrease in cervical mucus production and thinning of the circle os Thickening of cervical mucus and suppression of gonadotropin levels Increased gonadotropin levels and thinning of the circle os Anovulation caused by increased gonadotropin levels Question 19. 19. A twenty-five-year-old patient presents with irregular bleeding after being on oral contraceptives for six months. It is important to rule out which of the following? (Points : 2) Chlamydial cervicitis Uterine fibroids Endometriosis Anovulation Question 20. 20. A woman has developed acne and hirsutism while taking oral contraceptives. These changes result from . (Points : 2) increased estrogen levels decreased estrogen levels increased free androgens decreased free androgens Question 21. 21. A forty-one-year-old patient is currently on griseofulvin for the treatment of onychomycosis. As an advanced practice nurse, you would advise the patient that this medication has the potential for which of the following? (Points : 2) Increase estrogen secretion Decrease steroid levels Increase follicle-stimulating hormone (FSH) secretion Decrease progesterone secretion Question 22. 22. A nurse practitioner has just completed education with a female adolescent about intrauterine contraceptive devices. Which of the following statements by the patient would suggest that further education is needed? (Points : 2) They are only indicated for women with stable monogamous relationships. It is not commonly used for nulliparous women as there are better options. They are contraindicated in women with a past history of pelvic inflammatory disease. They may be used by a woman who has had a previous ectopic pregnancy. Question 23. 23. The ovaries are located near the pelvic wall at the level of the anterior superior iliac spine. Which layer of the ovaries contains the lymphatics and blood vessels? (Points : 2) Endometrium Central medulla Cuboidal epithelium Ovarian stroma Question 24. 24. The initiation of puberty develops in various phases and is determined by a complex set of hormonal changes. During the prepubertal phase, hormones are secreted into the circulation from the adrenal cortex. Which of the following hormones is not considered an adrenal female androgen? (Points : 2) Dehydroepiandrosterone Dehydroepiandrosterone sulfate Androstenedione Estrogen Question 25. 25. An adolescent female patient is considering starting contraception. She reports that she has asthma that is well controlled on inhaled corticosteroids. You would advise this patient that . (Points : 2) the use of oral contraceptives is contraindicated in patients with asthma injectable methods of contraception are best for patients with asthma all methods of contraception may be used by patients with asthma the use of hormone patches is indicated for patients with asthma Question 28. 28. Urinary tract infections are commonly seen in primary care. A twenty-five- year-old female presents with a new onset of dysuria and suprapubic pain for the last twenty- four hours. The examination reveals only mild tenderness without any peritoneal signs on the lower abdomen. A urinalysis reveals the presence of WBCs. The urine is sent for a culture and sensitivity. In addition to Escherichia coli one might typically expect to see the presence of which bacterium? (Points : 2) male pattern baldness Question 36. 36. A woman is experiencing a milky white nipple discharge. Galactorrhea is usually a finding with which other diagnosis? (Points : 2) Fibrocystic breast disease Mastalgia Hyperprolactinemia Breast cancer Question 38. 38. Which of the following is an approved treatment for premenstrual dysphoric disorder (PMDD)? (Points : 2) Amitriptyline (Elavil) Spironolactone (Aldactone) Drospirenone/ethinyl estradiol/levomefolate calcium (Beyaz) Conjugated estrogen (Premarin) Question 39. 39. Natasha is an eleven-year-old girl brought to your office for an annual well- child visit. When discussing the onset of puberty with Natasha and her mother, you would emphasize which of the following? (Points : 2) Breast buds develop before pubic hair. Breast development delayed beyond twelve years of age may be considered pathological. The average age of menarche is nine years. It usually takes about three and half years to go from breast buds to menarche. Question 40. 40. A woman is experiencing urinary symptoms. Which of the following is a risk factor in her pelvic floor relaxation? (Points : 2) Thin stature Perimenopause Vaginal delivery Cesarean section Question 41. 41. A patient is completing a diary of her premenstrual syndrome (PMS) symptoms. The nurse practitioner understands that PMS occurs with greatest frequency and severity in the . (Points : 2) late luteal phase midfollicular phase proliferative phase early luteal phase Question 42. 42. A nurse practitioner is participating in a sexual education class for children in middle school. Which of the following is important to review as a nonprotective factor against repeat adolescent pregnancy? (Points : 2) Use of effective contraception Participation in specialized adolescent parent program Continued sexual relationship with the same partner Continued school attendance Question 43. 43. A nurse practitioner is caring for a woman with primary and secondary amenorrhea. The pelvic exam was normal. Which of the following may be the cause if etiology originates in the hypothalamus? (Points : 2) Sheehan's syndrome Ovarian failure Thyroid dysfunction Asherman's syndrome Question 44. 44. Which of the following conditions is not an absolute contraindication to estrogen-containing contraception? (Points : 2) Migraine headaches Hypercoagulable state Thromboembolism History of coronary artery disease Question 45. 45. You are counseling an eleven-year-old girl, Amanda, and her mother about human papillomavirus vaccine (HPV), Gardasil. Amanda is Tanner stage IV at this visit. In counseling this family, you tell them that HPV vaccine . (Points : 2) is a series of three doses, six months apart will protect Amanda from all strains of HPV can cause seizures in some children is not indicated in her age group as she is not yet sexually active Question 46. 46. A sixty-one-year-old thin, Caucasian female presents to your practice for a well-woman examination. She remarks that she feels like she is shrinking over the past year, despite keeping active and incorporating sources of calcium in her diet. Which of the following is not a risk factor for osteoporosis? (Points : 2) Excessive exercise History of maternal osteoporosis Routine use of alcohol or caffeine Use of opposed Estrogen use Question 47. 47. A nurse practitioner is caring for a woman who is post–op from a total hysterectomy. It is important to recall that estrogen withdrawal reflects hormonal activity primarily from the. (Points : 2) hypothalamus posterior pituitary ovary anterior pituitary Question 48. 48. A female patient is concerned about having irregular menstrual bleeding. Which of the following is not a common cause of this problem? (Points : 2) Endocrine disorders Stress Anovulation and is regular; she and her partner have used condoms consistently to avoid pregnancy. Which of the following would be most valuable to her initially? (Points : 2) The viability period for sperm is twelve hours Ovulation occurs on day 7 +/- 2 days Taking her temperature at midcycle will tell her when she is fertile Cervical mucus evaluation can be used to determine fertility Question 57. 57. You are examining a twenty-nine-year-old female with a three day history of dysuria and urinary frequency. On examination, the patient has mild abdominal pain with palpation in the umbilical area without rebound tenderness. Her test for cerebrovascular accident (CVA) tenderness is negative. This most likely represents which of the following? (Points : 2) Pyelonephritis Interstitial cystitis Ectopic pregnancy Ascending urinary tract infection Question 58. 58. A twenty-one-year-old patient presents with symptoms of lower urinary tract infection, including dysuria, frequency, and urgency. The urinalysis reveals the presence of leukocytes but is negative for nitrates. This most likely represents . (Points : 2) vaginitis specimen contamination sexually transmitted disease interstitial cystitis Question 59. 59. An eighteen-year-old patient presents with secondary amenorrhea. On physical exam, there is normal secondary sex characteristics in addition to the appearance of normal genitalia. Pregnancy has been ruled out through urine human chorionic gonadotropin (HCG). Which of the following signs or symptoms would necessitate further evaluation in this patient? (Points : 2) Elevated blood cholesterol levels Androgen deficiency Galactorrhea Hirsutism Question 60. 60. A patient has been diagnosed with interstitial cystitis. The nurse practitioner remembers that this is best defined as . (Points : 2) the recurrence of lower urinary tract infections with bacterium A noninfectious disorder of the urinary bladder histologic changes of the urinary bladder lining an acute, inflammatory urinary bladder disorder Question 61. 61. A female child presents for a well-child exam. Her mother is concerned about changes in her daughter’s body, which indicate to you precocious puberty. Which of the following findings would be consistent with this diagnosis? (Points : 2) Delay in any of the Tanner stages takes longer than one year between stages Breast budding occurs after the development of pubic hair Puberty starts before eight years of age in a female The growth spurt in a female occurs after puberty is complete Question 62. 62. A patient has been ordered a breast ultrasound after having a mammogram. The primary rationale for ordering this is to . (Points : 2) screen for breast cancer breast cancer staging determine if a breast lesion is cystic or solid evaluate for structural abnormalities Question 63. 63. In reviewing cancer statistics, after breast cancer, what would you find to be the most common female genital malignancy? (Points : 2) Endometrial Ovarian Vulvovaginal Cervical Question 64. 64. A forty-year-old female presents with an abnormal menstrual cycle with menorrhagia and intermenstrual bleeding. The nurse practitioner suspects the patient may have dysfunctional uterine bleeding (DUB) and orders tests for follicle-stimulating hormone (FSH) and luteinizing hormone (LH) levels. Both of these lab values are elevated. What is the most likely cause of DUB in this patient? (Points : 2) Onset of climacteric Hypothalamus disorder Anterior pituitary disorder Premature ovarian failure Question 65. 65. A twenty-one-year-old female presents to the practice with the chief complaint of a breast mass. Considering the differential diagnoses, the most common cause of the mass in this age group is . (Points : 2) intraductal papilloma fibroadenoma fibrocystic breast disease lobular carcinoma Question 66. 66. A woman presents to your practice with vaginal itching and a white discharge. She has been in good health except for recent treatment for strep throat. Pelvic examination reveals a tender vulvovaginal area with edema and nonmalodorous white patches. Which of the following is the most likely cause of this problem? (Points : 2) Bacterial vaginitis Trichomonas Lactobacillus overgrowth Candidiasis Question 67. 67. A thirty-three-year-old woman presents to your clinic complaining of a dark brown, watery vaginal discharge and postcoital bleeding. There is a strong history of multiple unprotected sexual encounters. Which of the following findings on examination would be suspicious for cervical cancer? (Points : 2) Ulcerated lesion on the cervical os Herpes simplex Chlamydia Cystitis with cervicitis Question 79. 79. There are several phases to the menstrual cycle. What phase begins with menses cessation and ends with ovulation? (Points : 2) Ovulatory phase Follicular phase Proliferative phase Luteal phase Question 80. 80. When educating a patient about the rationale for obtaining a mammogram, which of the following statements is false? (Points : 2) Mammography is a cost-effective method to screen for breast cancer Mammography detects all breast cancers Mammography should be accompanied by breast examination Negative mammography should not delay biopsy of a clinically suspicious mass Question 81. 81. A twenty-four-year-old female patient has been diagnosed with primary dysmenorrhea. Which of the following medications would be used as a first line to help control her symptoms? (Points : 2) Antianxiety agents Progesterone-only contraception Oral steroids Nonsteroidal anti-inflammatory drugs Question 82. 82. A teenage patient presents with amenorrhea and normal secondary sex characteristics. A progesterone challenge is ordered. The purpose is to determine the presence of . (Points : 2) prolactin luteinizing hormone (LH) endogenous estrogen follicle-stimulating hormone (FSH) Question 83. 83. A thirty-two-year-old patient comes in for a workup of infertility. During the history, the nurse practitioner suspects that the patient may be experiencing anovulatory cycles. In order to confirm ovulation, which of the following tests would be most appropriate to order? (Points : 2) Endometrial biopsy Basal body temperature Hysterosalpingogram Postcoital testing Question 84. 84. A nurse practitioner is performing a wet mount with potassium hydroxide (KOH) to assist with a diagnosis in a woman experiencing vaginal discharge. Which of the following would this confirm? (Points : 2) Herpes simplex Trichomonas Candidiasis Chlamydia Question 85. 85. A twenty-two-year-old female presents with an initial onset of herpes simplex on the external genitalia. During the patient education, which of the following statements is most important to include? (Points : 2) Cesarean section will be necessary for any pregnancy and delivery. Antiviral medications will be useful in treating and curing an outbreak. The sexual partner will not contract herpes if lesions are not present. Symptoms of the initial outbreak of the lesions are typically worse than subsequent outbreaks. Question 86. 86. A thirty-one-year-old female presents for contraceptive counseling following the birth of their first child. She is interested in using the diaphragm as her method of contraception. Which of the following statements is true regarding the use of this device? (Points : 2) The device may be inserted up to twenty-four hours prior to intercourse. The device may be left in place for up to twelve hours. The device may be inserted at any time up to six hours prior to intercourse. The device should be removed within one hour after intercourse. Question 87. 87. A twenty-eight-year-old female presents with breast tenderness, fatigue, abdominal bloating, fluid retention, and irritability one week prior to the onset of her menses. The nurse practitioner suspects the patient may have premenstrual syndrome (PMS). What is the most important information to obtain from this patient to make the determination? (Points : 2) Severity of symptoms Occurrence of symptoms in the menstrual cycle Frequency and number of symptoms over the past four months Presence or absence of depression or anxiety Question 88. 88. A nurse practitioner instructor is reviewing the anatomy of the external genitalia. At the opening of the vagina are the Bartholin's glands. Which of the following describes the function of these glands? (Points : 2) Hormone production for ovulation Production of alkaline secretion for sperm viability Development of mucous plug for pregnancy Maintenance of vaginal pH to prevent vaginitis Question 89. 89. You are instructing a patient in the proper use of the diaphragm, a barrier contraceptive method. Which of the following would you include in your instructions? (Points : 2) The diaphragm should be removed within two hours after intercourse. The diaphragm may be inserted up to twelve hours prior to intercourse. The diaphragm is more effective when used with spermicidal jelly. Douching is safe immediately upon removal of the diaphragm. Question 91. 91. A thirty-five-year-old female presents for her normal annual examination and complains of recent changes in her breasts. She reports that they feel tender and “lumpy” during certain times of the month. As a result, she does not perform self-breast examination as she had A nurse practitioner is teaching an undergraduate pathophysiology class about changes associated with puberty. Which of the following is an inaccurate point that should not be included? (Points : 2) A decrease in the sensitivity of the hypothalamus An elevation of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) Decreasing estrogen levels and a reduction in gonadotropin-releasing hormone (GnRH) Nocturnal secretion of pulsatile LH Question 2.2. The Tanner scale of sexual maturity rating allows for accurate classification of physical pubertal maturation. During the examination of your patient, you notice that the pubic hair is increased in quantity, is darker, and is present in the typical female triangle but in a smaller quantity. Which of the following Tanner stages does this description meet? (Points : 2) Tanner stage I Tanner stage II Tanner stage III Tanner stage IV Question 3.3. Bodily image concerns can be a major problem during the adolescent years. Which of the following psychosocial developmental phases of adolescence represents a period of greatest concern over bodily image? (Points : 2) Middle adolescence Late adolescence Preadolescence Early adolescence Question 8.8. A patient who a nurse practitioner is seeing for the first time has the past medical history of primary dysmenorrhea. She recalls that which of the following is considered as the primary etiology? (Points : 2) Ovarian cysts Prostaglandin production Endometriosis Adenomyosis Question 12.12. A fifteen-year-old patient who presents with symptoms consistent with premenstrual syndrome (PMS) is concerned that she may have ovarian cancer. Your best advice to this patient is that PMS is typically caused by which of the following? (Points : 2) Polycystic ovarian disease Pituitary tumor Genetic, psychosocial, and hormonal fluctuations Psychosocial issues and sleep disturbance Question 16.16. Drug interactions are an important consideration when helping a patient decide the appropriate contraceptive method. Anticonvulsant medications may interfere with oral contraception by what mechanism? (Points : 2) Decreasing serum steroid levels Decreased hepatic clearance Increased renal tubular absorption Increased serum steroid levels Question 18.18. A thirty-six-year-old type I diabetic patient is considering starting on an oral contraceptive method. She is on both insulin and oral antidiabetic agents. The patient should be informed that . (Points : 2) oral contraception is contraindicated in diabetic patients a common side effect is hyperglycemia hypoglycemic effects may be antagonized an increase in insulin dosing may be recommended Question 19.19. Changes in hormonal regulation during menopause result in the gradual cessation of menstruation. From which gland is Androstenedione secreted? (Points : 2) Anterior pituitary Posterior pituitary Corpus Luteum Adrenals Question 26.26. A nurse practitioner is educating a pregnant female about breast changes. Cold knife cone c (CKC) Follow-up Pap smear Colposcopy Loop electro-excision procedure (LEEP) Question 49.49. Oral contraceptive agents may contain both progesterone and estrogen. The progesterone component of the oral contraceptive produces which the following effects? (Points : 2) Decrease in luteinizing hormone (LH) Cervical mucus production Increased levels of follicle-stimulating hormone (FSH) Thinning of the cervical os Question 50.50. You are counseling an eleven-year-old girl, Amanda, and her mother about human papillomavirus vaccine (HPV), Gardasil. Amanda is Tanner stage IV at this visit. In counseling this family, you tell them that HPV vaccine . (Points : 2) is a series of three doses, six months apart will protect Amanda from all strains of HPV can cause seizures in some children is not indicated in her age group as she is not yet sexually active Question 52.52. A twenty-five-year-old female patient wishes to be tested for HIV. With respect to blood testing for HIV, you advise the patient that . (Points : 2) it is best to start with a western blot test an enzyme immunosorbent assay (EIA) confirms the diagnosis an EIA is used for screening two positive EIA tests confirms the diagnosis Question 55.55. A woman is experiencing symptoms after initial estrogen withdrawal. Which of the following would not be one of those? (Points : 2) Vaginal dryness Hot flashes Sleep disturbances Breast tenderness Question 68.68. A twenty-five-year-old female presents with vaginal irritation and discharge. On examination, the cervix is easily friable and erythematous. There is no adnexal tenderness. The wet prep microscopic examination reveals mobile protozoa on the normal saline slide. This most likely represents . (Points : 2) trichomonas mucopurulent cervicitis bacterial vaginosis gonorrhea Question 71.71. During a community education program, a nurse practitioner is discussing the usefulness of mammography in the screening and detection of breast cancer. Which of the following statements is accurate? (Points : 2) A mammogram should be done if there is any breast pain or nipple retraction. All women over forty years of age should have a mammogram on an annual basis. A mammography should be done annually for all women of child-bearing age. Mammograms should be performed annually after the initial pregnancy, especially if the woman does not breast-feed. Question 79.79. During pregnancy and lactation, the nutritional needs of the woman are increased with deficiencies resulting in harm to the woman or her baby. Neural tube defects are one of the most common birth defects. Deficiency of which nutrient is responsible for these conditions? (Points : 2) Vitamin C Folic acid Vitamin B12 Riboflavin Question 90.90. A patient has been diagnosed with trichomoniasis. Which of the following single dose medications would be the best option? (Points : 2) Azithromycin 1 g Clindamycin 300 mg Ofloxacin 500 mg Metronidazole 2 g Question 92.92. A nurse practitioner is reviewing a Pap smear report that reveals reactive cellular changes. These changes are most often associated with . (Points : 2) use of topical estrogen cream drying artifact oral contraceptive use inflammatory changes Question 97.97. A nurse practitioner is teaching an undergraduate course in woman’s health. A student asks about the etiology of the pain that occurs with primary dysmenorrhea. Which of the following responses is correct? (Points : 2) Sloughing of the endometrium Prostaglandin release and synthesis Anovulatory cycles Excess progesterone production Question 98.98. A nurse practitioner is participating in a women’s health fair. When educating the women about risk factors for breast cancer, which of the following statements is incorrect? (Points : 2) Pregnancy after age of thirty-five years Late menopause after age of fifty-seven years History of maternal breast cancer Fibrocystic breast disease Question 99.99. A nurse practitioner is reviewing the signs of polycystic ovary syndrome (PCOS) for a differential diagnosis for a female patient. Which of the following would be a positive finding? (Points : 2) Chronic anovulation Increased estradiol levels Hyperprolactinemia Weight loss F a m i l y h i s t o r y Points Received: Comments: 2 of 2 Points Received: Comments: 2 of 2 Points Received:2 of 2 Nulliparity Late menopause -809641658 MultipleChoic e 85 True 0 -809641658 MultipleChoic e 85 Question 6 . Question : When reviewing the risk factors for breast cancer with your patient, which of the following would not be a contributing factor? Student Answer: Early menarche High fat diet Early menopause Advanced age -809641657 MultipleChoice 117 True 0 -809641657 MultipleChoice 117 Question 7 . Question : A thirty-year-old female is about to begin oral contraception. As an advanced practice nurse, in addition to a complete history, which of the following would you include in your workup prior to the initiation of the medication? Student Answer: Breast exam, CBC, and luteinizing hormone (LH) level Blood pressure, breast exam in CBC LH level, breast exam, and blood pressure Blood pressure, breast exam may be required Points Received: Comments: 2 of 2 Points Received: Comments: 2 of 2 -809641656 MultipleChoic e 35 True 0 -809641656 MultipleChoic e 35 Question 8 . Question : A nurse practitioner student is completing a review of the anatomy of the female reproductive system. She recalls that the outer portion of the cervix is comprised of epithelium tissue, but which specific type? Student Answer: Simple columnar epithelium Stratified columnar epithelium Stratified squamous epithelium Simple squamous epithelium -809641655 MultipleChoice 22 True 0 -809641655 MultipleChoice 22 Question 9 . Question : The pituitary gland is responsible for a variety of functions with respect to hormonal regulation and is composed of two lobes, the anterior and posterior sections. Which of the following list of hormones are secreted by the anterior pituitary gland? Student Answer: Growth hormone (GH) and thyroid-stimulating hormone Prolactin and T4 Follicle-stimulating hormone (FSH) and T3 Luteinizing hormone (LH) and oxytocin -809641654 MultipleChoice 24 True Comments: Question 12 . Question : Which of the following choices represents a disorder of the reproductive tract that causes pain, erythema, dyspareunia, and a perineal mass? Points Received: Comments: 2 of 2 Points Received: Comments: 2 of 2 Student Answer: Syphilis Bartholin’s cyst Labial adhesion Herpes simplex type 2 -809641650 MultipleChoic e 86 True 0 -809641650 MultipleChoic e 86 Question 13 . Question : You are performing an annual well visit on a prepubescent female. Which of the following hormonal changes best describes the fluctuations during this time? Student Answer: A decrease in adrenal cortex androgens The initiation of secretion of follicle-stimulating hormone (FSH) An increase of adrenal cortex androgens between six and eight years of age Elevation of estrogen levels at eight years of age -809641649 MultipleChoice 27 True 0 -809641649 MultipleChoice 27 Question 14 . Question : A nurse practitioner is completing a social and medical history of a patient. Which of the following characteristics places her at risk for early menopause? Student Answer: Overweight (BMI 26- 29) Current smoker Early menarche Points Received: Comments: 2 of 2 Points Received: Comments: 2 of 2 Points Received:2 of 2 Nulliparity -809641648 MultipleChoic e 72 True 0 -809641648 MultipleChoic e 72 Question 15 . Question : A seventeen-year-old female patient presents with amenorrhea for four months. She did experience menarche at the age of fifteen but had not had a menstrual cycle since. On physical examination, it is noted that she has normal secondary sexual characteristics. The nurse practitioner will consider a progesterone challenge to determine the presence of adequate . Student Answer: endogenous estrogen prolactin L-thyroxine follicle-stimulating hormone (FSH) -809641647 MultipleChoic e 108 True 0 -809641647 MultipleChoic e 108 0 -809641645 MultipleChoic e 57 Question 17 . Question : A nurse practitioner is counseling a woman with fibrocystic changes in the breast. Which of the following is not caused by this change? Student Answer: Breast pain An increased risk of breast cancer Hard masses Painless lumps Points Received: Comments: 2 of 2 Points Received: Comments: 2 of 2 -809641642 MultipleChoic e 82 True 0 -809641642 MultipleChoic e 82 Question 20 . Question : A forty-four-year-old woman with dysfunctional uterine bleeding (DUB) presents for treatment. Which of the following medications can be used for management of DUB? Student Answer: Ethinyl estradiol Medroxyprogesterone Estrogen/progesterone combination Conjugated estrogen -809641640 MultipleChoice 87 True 0 -809641640 MultipleChoice 87 Question 21 . Question : Follicle-stimulating hormone (FSH) is released from the anterior pituitary gland and is responsible for which of the following normal physiologic response of the female menstrual cycle? Student Answer: Breast milk production Stimulation of ovarian follicles Maturation of ovarian follicles Luteinizing hormone (LH) inhibition -809641639 MultipleChoice 111 True 0 -809641639 MultipleChoice 111 Comments: Question 22 . Question : A twenty-five-year-old patient presents with urinary frequency and Points Received: Comments: 0 of 2 Points Received: Comments: 2 of 2 urgency. These symptoms have been occurring for three days without fever. A patient with interstitial cystitis would most likely describe their symptoms as . Student Answer: urinary urgency and frequency in the morning and at night pain with urination with scant bleeding terminal dysuria urinary urgency only -809641638 MultipleChoic e 47 False 0 -809641638 MultipleChoic e 47 Question 23 . Question : A nurse practitioner is caring for a woman with primary and secondary amenorrhea. The pelvic exam was normal. Which of the following may be the cause if etiology originates in the hypothalamus? Student Answer: Sheehan's syndrome Ovarian failure Thyroid dysfunction Asherman's syndrome -809641637 MultipleChoice 48 True 0 -809641637 MultipleChoice 48 Question 24 . Question : The first line treatment of severe menstrual cramps that have been occurring for four months in a patient with primary T e n t h T w e l f t h Points Received: Comments: 2 of 2 Points Received: Comments: 0 of 2 Points Received: Comments: 2 of 2 Eighth -809641633 MultipleChoic e 25 True 0 -809641633 MultipleChoic e 25 Question 27 . Question : Bodily image concerns can be a major problem during the adolescent years. Which of the following psychosocial developmental phases of adolescence represents a period of greatest concern over bodily image? Student Answer: Middle adolescence Late adolescence Preadolescence Early adolescence -809641632 MultipleChoice 6 False 0 -809641632 MultipleChoice 6 Question 28 . Question : A patient has been diagnosed with interstitial cystitis. The nurse practitioner remembers that this is best defined as . Student Answer: the recurrence of lower urinary tract infections with bacterium A noninfectious disorder of the urinary bladder histologic changes of the urinary bladder lining an acute, inflammatory urinary bladder disorder 09641630 MultipleChoic | 46 True e D e v e l o p m e n t o f s t r a i e F i b r ocystic changes Nipple pigmentation Points Received: Comments: 2 of 2 Points Received: Comments: 0 of 2 Points Received: Comments: 2 of 2 Venous engorgement -809641624 MultipleChoic e 20 True 0 -809641624 MultipleChoic e 20 Question 34 . Question : A twenty-four-year-old female presents to the practice with a painless 2 cm, lobular mass in the right breast that is freely mobile and firm. This has been noted on self-breast examination, and she reports it has been unchanged for the past three months. The best course of action by the nurse practitioner would be to . Student Answer: order a mammogram referral for surgical excision continue to observe the lesion and recheck in three months determine other risk factors such as family history of breast cancer -809641623 MultipleChoice 135 False 0 -809641623 MultipleChoice 135 Question 35 . Question : A patient has a prescription that was written for birth control pills that now has progestin added to the estrogen therapy. What would this intervention decrease the risk of? Student Answer: Fibrocystic breast disease Amenorrhea Endometrial cancer Osteoarthritis Points Received: Comments: 2 of 2 Points Received: Comments: 2 of 2 -809641622 MultipleChoic e 64 True 0 -809641622 MultipleChoic e 64 Question 36 . Question : A thirty-two-year-old woman presents to your practice with a chief complaint of postcoital bleeding. Which of the following would not be included in the initial assessment of this patient? Student Answer: Papanicolaou smear Uterine biopsy Pelvic ultrasound CBC with diff -809641620 MultipleChoice 63 True 0 -809641620 MultipleChoice 63 Question 37 . Question : When educating a patient about the rationale for obtaining a mammogram, which of the following statements is false? Student Answer: Mammography is a cost-effective method to screen for breast cancer Mammography detects all breast cancers Mammography should be accompanied by breast examination Negative mammography should not delay biopsy of a clinically suspicious mass -809641619 MultipleChoice 103 True 0 -809641619 MultipleChoice 103 Question 38 . Question : Points Received: Comments: 2 of 2 Points Received: Comments: 2 of 2 Student Answer: prolactin luteinizing hormone (LH) endogenous estrogen follicle-stimulating hormone (FSH) -809641615 MultipleChoic e 100 True 0 -809641615 MultipleChoic e 100 Question 41 . Question : A fifteen-year-old patient who presents with symptoms consistent with premenstrual syndrome (PMS) is concerned that she may have ovarian cancer. Your best advice to this patient is that PMS is typically caused by which of the following? Student Answer: Polycystic ovarian disease Pituitary tumor Genetic, psychosocial, and hormonal fluctuations Psychosocial issues and sleep disturbance -809641614 MultipleChoice 15 True 0 -809641614 MultipleChoice 15 Question 42 . Question : A woman is completing a symptom diary of her symptoms associated with premenstrual syndrome (PMS). In which of the following phases would the problems most likely appear? Student Answer: Ovulatory Follicular P r o l i f e r a t i v e Points Received: Comments: 0 of 2 Points Received: Comments: 2 of 2 Points Received: Comments: 2 of 2 Late luteal -809641612 MultipleChoic e 110 False 0 -809641612 MultipleChoic e 110 Question 43 . Question : The ovaries are located near the pelvic wall at the level of the anterior superior iliac spine. Which layer of the ovaries contains the lymphatics and blood vessels? Student Answer: Endometrium Central medulla Cuboidal epithelium Ovarian stroma -809641611 MultipleChoice 23 True 0 -809641611 MultipleChoice 23 Question 44 . Question : During pregnancy and lactation, the nutritional needs of the woman are increased with deficiencies resulting in harm to the woman or her baby. Neural tube defects are one of the most common birth defects. Deficiency of which nutrient is responsible for these conditions? Student Answer: Vitamin C Folic acid Vitamin B12 Riboflavin Points Received: Comments: 2 of 2 Points Received: Comments: 2 of 2 experiencing anovulatory cycles. In order to confirm ovulation, which of the following tests would be most appropriate to order? Student Answer: Endometrial biopsy Basal body temperature Hysterosalpingogra m Postcoital testing -809641606 MultipleChoic e 106 True 0 -809641606 MultipleChoic e 106 Question 48 . Question : A twenty-five-year-old patient is on oral contraception and comes in with an elevated blood pressure after being on the medication for six months. Prior to the initiation of the medication, the patient's blood pressure had been within normal limits. The patient should be advised that . Student Answer: most likely the oral contraceptive is not causing the blood pressure elevation approximately over 3% oral contraceptive users develop hypertension most likely progesterone is causing blood pressure elevation blood pressure elevation results from fluid retention -809641605 MultipleChoice 37 True 0 -809641605 MultipleChoice 37 Question 49 . Question : A woman has been prescri bed Depo- Prover a injectio ns every three months for contrac eption. What would be the most likely side effect that Points Received: Comments: 2 of 2 Points Received: Comments: 2 of 2 she would need to be educated about? Student Answer: Abnormal uterine bleeding Dysmenorrhea Nausea Abdominal pain -809641603 MultipleChoic e 128 True 0 -809641603 MultipleChoic e 128 Question 50 . Question : Natasha is an eleven-year-old girl brought to your office for an annual well-child visit. When discussing the onset of puberty with Natasha and her mother, you would emphasize which of the following? Student Answer: Breast buds develop before pubic hair. Breast development delayed beyond twelve years of age may be considered pathological. The average age of menarche is nine years. It usually takes about three and half years to go from breast buds to menarche. -809641602 MultipleChoice 52 True 0 -809641602 MultipleChoice 52 Question 51 . Question : Pelvic pain is a common complaint in young women. Which of the following is not a first-line diagnostic test for evaluation of pelvic pain? Student Answer: abnor maliti es Points Received: Comments: 2 of 2 Points Received: Comments: 2 of 2 -809641599 MultipleChoic e 62 True 0 -809641599 MultipleChoic e 62 Question 54 . Question : Anna, aged twenty-five years, presents with dysmenorrhea. She states that her sister and her mother have endometriosis and she would like to be evaluated for it as well. Which if the following is consistent with a diagnosis of endometriosis? Student Answer: Frequent episodes of bacterial vaginosis Postcoital bleeding with malodorous discharge Infertility and dysmenorrhea Constipation and amenorrhea -809641597 MultipleChoice 96 True 0 -809641597 MultipleChoice 96 Question 55 . Question : A nurse practitioner is participating in a sexual education class for children in middle school. Which of the following is important to review as a nonprotective factor against repeat adolescent pregnancy? Student Answer: Use of effective contraception Participation in specialized adolescent parent program Continued sexual relationship with the same partner Continued school attendance -809641596 MultipleChoice 81 True 0 -809641596 MultipleChoice 81 Comments: Points Received: Comments: 2 of 2 Points Received: Comments: 2 of 2 Question 56 . Question : A thirty-three-year-old woman presents to your clinic complaining of a dark brown, watery vaginal discharge and postcoital bleeding. There is a strong history of multiple unprotected sexual encounters. Which of the following findings on examination would be suspicious for cervical cancer? Student Answer: Ulcerated lesion on the cervical os A soft, pink cervix with no ulcerations An anteverted cervix A very firm, easily friable cervix -809641595 MultipleChoic e 91 True 0 -809641595 MultipleChoic e 91 Question 57 . Question : Urinary tract infections are commonly seen in primary care. A twenty- five-year-old female presents with a new onset of dysuria and suprapubic pain for the last twenty-four hours. The examination reveals only mild tenderness without any peritoneal signs on the lower abdomen. A urinalysis reveals the presence of WBCs. The urine is sent for a culture and sensitivity. In addition to Escherichia coli one might typically expect to see the presence of which bacterium? Student Answer: Klebsiella Staphylococcus aureus Staphylococcus saprophyticus Pseudomonas -809641594 MultipleChoice 42 True 0 -809641594 MultipleChoice 42 Points Received: Comments: 2 of 2 Points Received: Comments: 2 of 2 Decrease in HDL, LDL, and increase in triglycerides Increase in HDL with a decrease in LDL and triglycerides Decrease in HDL with an increase in LDL and triglycerides -809641590 MultipleChoic e 71 True 0 -809641590 MultipleChoic e 71 Question 61 . Question : A nurse practitioner is reviewing the chart of a woman who has findings consistent with polycystic ovary syndrome (PCOS).The diagnostic criteria for PCOS include all of the following except: Student Answer: irregular menstrual cycles hyperandrogenism infertility male pattern baldness -809641588 MultipleChoice 84 True 0 -809641588 MultipleChoice 84 Question 62 . Question : Gynecomastia or breast development in males is a common issue in clinical practice. Which of the following statements defines Gynecomastia most accurately? Student Answer: It is always unilateral. Onset coincides with the start of puberty. Illegal drug use is rarely a cause. An endocrine workup should be instituted in all cases. Points Received: 0 of 2 Points Received: Comments: 2 of 2 Points Received:2 of 2 -809641587 MultipleChoic e 9 False 0 -809641587 MultipleChoic e 9 Question 63 . Question : A nurse practitioner has just completed education with a female adolescent about intrauterine contraceptive devices. Which of the following statements by the patient would suggest that further education is needed? Student Answer: They are only indicated for women with stable monogamous relationships. It is not commonly used for nulliparous women as there are better options. They are contraindicated in women with a past history of pelvic inflammatory disease. They may be used by a woman who has had a previous ectopic pregnancy. -809641586 MultipleChoice 30 True 0 -809641586 MultipleChoice 30 Question 64 . Question : A patient is coming to the clinic for a follow-up of some diagnostic testing that she had done. When you review the chart, you find that she now has findings consistent with a diagnosis of polycystic ovary syndrome (PCOS).You recall that PCOS is characterized by which of the following? Student Answer: Menorrhagia Infertility Menometrorrha gia Hypoadrogenis m Comments: Question 69 . Question : When prescribing a combined oral contraceptive for a young patient, which of the following would not be included in your discharge Points Received: Comments: 2 of 2 Points Received: Comments: 2 of 2 instructions? Student Answer: If you miss one day, double up the next day. You need to use backup protection consistently for the first month to avoid pregnancy. Breakthrough bleeding may occur in the first few cycles. Oral contraceptives offer protection against cervical cancer. -809641578 MultipleChoic e 88 True 0 -809641578 MultipleChoic e 88 Question 70 . Question : A twenty-two-year-old female presents with an initial onset of herpes simplex on the external genitalia. During the patient education, which of the following statements is most important to include? Student Answer: Cesarean section will be necessary for any pregnancy and delivery. Antiviral medications will be useful in treating and curing an outbreak. The sexual partner will not contract herpes if lesions are not present. Symptoms of the initial outbreak of the lesions are typically worse than subsequent outbreaks. -809641577 MultipleChoice 114 True 0 -809641577 MultipleChoice 114 Question 71 . Question : Long-acting progestins used in contraception do not always contain estrogen. As a result of the lack of this hormone, there will be no Points Received: Comments: 2 of 2 Points Received: Comments: 2 of 2 alteration in which of the following? Student Answer: Hepatic globulin production Serum androgen levels Blood pressure Decreased serum insulin levels -809641575 MultipleChoic e 41 True 0 -809641575 MultipleChoic e 41 Question 72 . Question : A sixteen-year-old girl who comes to your office with a history of secondary amenorrhea. She experienced menarche at age ten, with regular cycles for two years. She has not menstruated now for four years. In your initial consideration of differential diagnoses, what is the most frequent etiology of this problem? Student Answer: Eating disorder Pregnancy Anovulatory cycles Stress -809641574 MultipleChoice 56 True 0 -809641574 MultipleChoice 56 Question 73 . Question : A forty-nine-year-old female patient presents with a chief complaint of dark, watery brown vaginal discharge. Part of the differential diagnosis includes that of cervical cancer. Which of the following best describes what might be visualized on physical examination in patients with cervical cancer? Points Received: Comments: 2 of 2 Points Received: Comments: 2 of 2 Points Received: Comments: 2 of 2 gonorrhea -809641570 MultipleChoic e 116 True 0 -809641570 MultipleChoic e 116 Question 76 . Question : You are completing a well visit on a fourteen-year-old female who is currently not menstruating. Primary amenorrhea is best described as . Student Answer: cessation of menstruation for six months failure of menstruation to occur by age fifteen failure of menstruation to occur by age thirteen cessation of menstruation for six months after menarche -809641569 MultipleChoice 12 True 0 -809641569 MultipleChoice 12 Question 77 . Question : Which of the following is true regarding education of a forty- two-year- old woman diagnosed with uterine myoma? Student Answer: Myomas usually does not resolve with menopause. Myomas will decrease with the withdrawal of estrogen. Hysterectomy is the treatment of choice. Myomas are never responsible for uterine bleeding. -809641568 MultipleChoic e 68 True Points Received: Comments: 0 of 2 Points Received: Comments: 2 of 2 0 -809641568 MultipleChoic e 68 Question 78 . Question : A seventeen-year-old presents with an appointment for unilateral breast tenderness and swelling. Which of the following would be the most likely etiology for this problem? Student Answer: Breast cancer Mastitis Fibrocystic breast Fibroadenoma -809641566 MultipleChoice 59 False 0 -809641566 MultipleChoice 59 Question 79 . Question : A sixty-one-year-old thin, Caucasian female presents to your practice for a well-woman examination. She remarks that she feels like she is shrinking over the past year, despite keeping active and incorporating sources of calcium in her diet. Which of the following is not a risk factor for osteoporosis? Student Answer: Excessive exercise History of maternal osteoporosis Routine use of alcohol or caffeine Use of opposed Estrogen use -809641565 MultipleChoice 80 True 0 -809641565 MultipleChoice 80 Question 80 . Question : A forty-year-old female presents with an abnormal menstrual cycle with menorrhagia and intermenstrual bleeding. The nurse practiti oner suspec ts the patien t may have dysfun ctional uterin e bleedi ng (DUB) Points Received: Comments: 2 of 2 Points Received: Comments: 2 of 2 Student Answer: Increase estrogen secretion Decrease steroid levels Increase follicle-stimulating hormone (FSH) secretion Decrease progesterone secretion -809641561 MultipleChoic e 33 True 0 -809641561 MultipleChoic e 33 Question 83 . Question : There are several phases to the menstrual cycle. What phase begins with menses cessation and ends with ovulation? Student Answer: Ovulatory phase Follicular phase Proliferative phase Luteal phase -809641560 MultipleChoice 95 True 0 -809641560 MultipleChoice 95 Question 84 . Question : Majority of urinary tract infections do not require consultation or a referral to a specialist and are routinely treated in primary care practices. Which of the following scenarios would indicate that a consultation or referral is indicated? Student Answer: The presence of secondary sexually transmitted illness A patient with two episodes occurring in one year Patients that remain symptomatic after three days of treatment Points Received: Comments: 2 of 2 Points Received: Comments: 2 of 2 Points Received: 2 of 2 Patients that show urine human chorionic gonadotropin (HCG) positive -809641559 MultipleChoic e 45 True 0 -809641559 MultipleChoic e 45 Question 85 . Question : A female child presents for a well-child exam. Her mother is concerned about changes in her daughter’s body, which indicate to you precocious puberty. Which of the following findings would be consistent with this diagnosis? Student Answer: Delay in any of the Tanner stages takes longer than one year between stages Breast budding occurs after the development of pubic hair Puberty starts before eight years of age in a female The growth spurt in a female occurs after puberty is complete -809641558 MultipleChoice 54 True 0 -809641558 MultipleChoice 54 Question 86 . Question : Long-acting progestins may be used in patients as a contraceptive method. One of the long-acting progestins is Depo-Provera. Which of the following best describes the mechanism of action of long-acting progestins in contraception? Student Answer: Decrease in cervical mucus production and thinning of the circle os Thickening of cervical mucus and suppression of gonadotropin levels Increased gonadotropin levels and thinning of the circle os Anovulation caused by increased gonadotropin levels