NR 602 FINAL EXAM REVIEW QUESTIONS
WITH VERIFIED SOLUTIONS
What is the ASCCP recommended management for an ASCUS (atypical squamous cells of
undetermined significance) pap result with a positive high-risk HPV 16 co-test in a 26-year-
old woman without a history of abnormal Pap smears?
Colposcopy
A well woman visit for an adolescent should include which of the following
A general health history focusing on reproductive and sexual health concerns (mentors,
gynecologic, and pregnancy related) and psychosocial (Family related, peer related, emotional,
and physical as well as related to abuse, drug use and alcohol use) concerns
Physical exam, screening test, and immunizations as indicated by the health history and
gynecologic considerations for an extern only inspection of the genitalia
A Bethesda System Pap smear report that reads LSIL is most consistent with which
classification
CIN 1
A single Pap smear reading of ASCUS in a patient negative for HPV infection should have
what as follow-up?
Routine screening
A female patient is 35 years old. She has never had an abnormal Pap smear and has had
regular screening since age 18. If she has a normal Pap smear with HPV testing today,
when should she have the next cervical cancer screening
Five years
A young sexually active client of the family planning clinic is advised to have a Pap smear.
She has never had a Pap smear before. What should the nurse include in the explanation of
this procedure
The Pap smear can detect cancer of the cervix
Lab results on your 26-year-old patient show a negative Pap smear with a positive HPV
screen. Which procedure will be required next
Repeat Pap and HPV screen
Which of the following is not part of the criteria for an older woman to see if having any
future Pap test performed
Over 55 years of age
,You are evaluating a 17-year-old Emily who presented with amenorrhea and normal
secondary sex characteristics. The purpose of the progesterone challenge is to a certain the
presence of
Endogenous estrogen
A 17-year-old female patient presents with amenorrhea for four months she did experience
menarche at age 15 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 progesterone challenge to determine the presence of adequate
Endogenous estrogen
A teenage patient presents with amenorrhea and moral secondary sex characteristics. The
progesterone challenge is ordered. the purpose is to determine the presence of
Endogenous estrogen
18-year-old female complaining of secondary amenorrhea. On exam, there is a normal
secondary sex characteristics and normal genitalia. Pregnancy is ruled out what would
necessitate further evaluation
Galactorrhea
Primary amenorrhea is best described as
Failure to menstrate by 13 years old
A nurse practitioner is participating in a woman's health fair. When educating the woman
about risk factors for breast cancer which of the following statements is incorrect?
Fibrocystic breast disease
When educating women about breast cancer risk factors which statement is incorrect
Fibrocystic breast disease
A woman with lobular carcinoma in situ has a relative risk of developing invasive breast
cancer of
8.0
Changes and hormonal regulation during menopause result in the gradual cessation of
menstruation. From which gland is Androstenedione secreted
Adrenals
A Pap smear results of atypical squamous cells of undetermined significance rule out high-
grade squamous intraepithelial lesion will require which procedure
Colposcopy
, A Pap smear results of atypical squamous cells of undetermined significance require which
procedure next
Follow-up Pap smear
A 25-year-old presents with a report of a very tender area just near her introitus and to the
left of her perineum. Very painful sex is how she knew something wasn't right. She
showered and when washing, she felt a P sized painful lump on the left side of her bottom.
She tells you she looked at it with the mirror and it was very small but now it is the size of a
ping-pong ball and getting worse. when you Inspect her genitalia you are amazed at the size
and appearance of the lump you know what appears to be an abscess on the left medial side
of the labia minora and there is some edema extending into the perineum. Your diagnosis
for this presentation is
Bartholins cyst
You explain to this young woman what this "lump" is and let her know you will be
referring her to a gynecologist you consult with regularly. You explain to her the likely
treatment as follows:
A possible incision might be necessary and a catheter placed for 2 to 4 weeks to allow for
drainage and appropriate healing
A client at the woman's health clinic complains of swelling of the labia and throbbing pain
in the labial area after sexual intercourse. For what condition does the nurse anticipate the
client will be treated
Bartholinitis
Which of the following choices represents a disorder of the reproductive tract that causes
pain, erythema, dyspareunia, and a perineal mass
Bartholin cyst
A nurse practitioner instructor is reviewing the anatomy of the external genitalia. At the
opening of the vagina are the Bartolian glands. Which of the following describes the
function of these glands
Production of alkaline secretions for sperm viability
A 23-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
Uterine biopsy
A nurse practitioner is educating a woman who has a colposcopy. Which of the following
most accurately describes a colposcopy
WITH VERIFIED SOLUTIONS
What is the ASCCP recommended management for an ASCUS (atypical squamous cells of
undetermined significance) pap result with a positive high-risk HPV 16 co-test in a 26-year-
old woman without a history of abnormal Pap smears?
Colposcopy
A well woman visit for an adolescent should include which of the following
A general health history focusing on reproductive and sexual health concerns (mentors,
gynecologic, and pregnancy related) and psychosocial (Family related, peer related, emotional,
and physical as well as related to abuse, drug use and alcohol use) concerns
Physical exam, screening test, and immunizations as indicated by the health history and
gynecologic considerations for an extern only inspection of the genitalia
A Bethesda System Pap smear report that reads LSIL is most consistent with which
classification
CIN 1
A single Pap smear reading of ASCUS in a patient negative for HPV infection should have
what as follow-up?
Routine screening
A female patient is 35 years old. She has never had an abnormal Pap smear and has had
regular screening since age 18. If she has a normal Pap smear with HPV testing today,
when should she have the next cervical cancer screening
Five years
A young sexually active client of the family planning clinic is advised to have a Pap smear.
She has never had a Pap smear before. What should the nurse include in the explanation of
this procedure
The Pap smear can detect cancer of the cervix
Lab results on your 26-year-old patient show a negative Pap smear with a positive HPV
screen. Which procedure will be required next
Repeat Pap and HPV screen
Which of the following is not part of the criteria for an older woman to see if having any
future Pap test performed
Over 55 years of age
,You are evaluating a 17-year-old Emily who presented with amenorrhea and normal
secondary sex characteristics. The purpose of the progesterone challenge is to a certain the
presence of
Endogenous estrogen
A 17-year-old female patient presents with amenorrhea for four months she did experience
menarche at age 15 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 progesterone challenge to determine the presence of adequate
Endogenous estrogen
A teenage patient presents with amenorrhea and moral secondary sex characteristics. The
progesterone challenge is ordered. the purpose is to determine the presence of
Endogenous estrogen
18-year-old female complaining of secondary amenorrhea. On exam, there is a normal
secondary sex characteristics and normal genitalia. Pregnancy is ruled out what would
necessitate further evaluation
Galactorrhea
Primary amenorrhea is best described as
Failure to menstrate by 13 years old
A nurse practitioner is participating in a woman's health fair. When educating the woman
about risk factors for breast cancer which of the following statements is incorrect?
Fibrocystic breast disease
When educating women about breast cancer risk factors which statement is incorrect
Fibrocystic breast disease
A woman with lobular carcinoma in situ has a relative risk of developing invasive breast
cancer of
8.0
Changes and hormonal regulation during menopause result in the gradual cessation of
menstruation. From which gland is Androstenedione secreted
Adrenals
A Pap smear results of atypical squamous cells of undetermined significance rule out high-
grade squamous intraepithelial lesion will require which procedure
Colposcopy
, A Pap smear results of atypical squamous cells of undetermined significance require which
procedure next
Follow-up Pap smear
A 25-year-old presents with a report of a very tender area just near her introitus and to the
left of her perineum. Very painful sex is how she knew something wasn't right. She
showered and when washing, she felt a P sized painful lump on the left side of her bottom.
She tells you she looked at it with the mirror and it was very small but now it is the size of a
ping-pong ball and getting worse. when you Inspect her genitalia you are amazed at the size
and appearance of the lump you know what appears to be an abscess on the left medial side
of the labia minora and there is some edema extending into the perineum. Your diagnosis
for this presentation is
Bartholins cyst
You explain to this young woman what this "lump" is and let her know you will be
referring her to a gynecologist you consult with regularly. You explain to her the likely
treatment as follows:
A possible incision might be necessary and a catheter placed for 2 to 4 weeks to allow for
drainage and appropriate healing
A client at the woman's health clinic complains of swelling of the labia and throbbing pain
in the labial area after sexual intercourse. For what condition does the nurse anticipate the
client will be treated
Bartholinitis
Which of the following choices represents a disorder of the reproductive tract that causes
pain, erythema, dyspareunia, and a perineal mass
Bartholin cyst
A nurse practitioner instructor is reviewing the anatomy of the external genitalia. At the
opening of the vagina are the Bartolian glands. Which of the following describes the
function of these glands
Production of alkaline secretions for sperm viability
A 23-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
Uterine biopsy
A nurse practitioner is educating a woman who has a colposcopy. Which of the following
most accurately describes a colposcopy
