NURS 684 COMPREHENSIVE EXAM 2026
QUESTIONS AND ANSWERS 100% CORRECT
◉ Cervical cancer screening for women with history of CIN2 or a more
serious diagnosis? Answer: Should continue routine screening for at
least 20 years after spontaneous regression or treatment
◉ Colorectal cancer screening recommendations . Answer: Beginning at
age 45-50 till 75
-guaiac fecal occult blood test (yearly) OR stool DNA tests (every 3
years)
OR
-colonoscopy every 10 years
◉ Breast cancer screening recommendations . Answer: Beginning at age
40-50
Can stop at 74 years old
Mammograms every 1-2 years
◉ Diabetes screening recommendations . Answer: Every 3 years starting
at age 45
,◉ Herpes zoster vaccine . Answer: 2 doses of recombinant zoster
vaccine (RZV) 2-6 months apart for adults aged 50 or older
^regardless of past episode of herpes zoster or receipt of zoster vaccine
live (ZVL) (Zostavax)
◉ Pneumococcal vaccine . Answer: First, PCV13
<1 year apart>
Second, PPSV23
◉ Tdap vaccine . Answer: -One dose of Tdap vaccine for adults who
have not previously received Tdap
-Td booster every 10 years
◉ Menopause (define) . Answer: Permanent cessation of ovulation and
menses confirmed after 12 consecutive months without a period
◉ The average age of natural menopause in North America . Answer: 52
years old
◉ Premature menopause (define) . Answer: Cessation of ovulation and
menses before age 40; spontaneous or induced
,◉ Menopause transition (define) . Answer: Span of time when menstrual
cycle and endocrine changes begin to occur and ending with the final
menstrual period (FMP)
^can last 2-8 years
◉ Perimenopause (define) . Answer: Extends from beginning of
menopause transition until 12 months after final menstrual period
◉ "Early" menopause transition . Answer: Variable duration; menstrual
cycle length varies (persistent difference of seven or more days in length
of consecutive cycles)
◉ "Late" menopause transition . Answer: 1-3 year duration; intervals of
amenorrhea > 60 days
^vasomotor symptoms likely
◉ Predominant event leading to menopause? . Answer: Ovarian aging
with follicular atresia
◉ Pre-menopausal hormone changes? . Answer: Estradiol decreases -->
FSH increases
, ^hormone levels fluctuate, so cannot rely on these measurements to
determine menopause
◉ Generally rely on what to determine menopause? . Answer:
**Cessation of menses**
-Age
-Hypoestrogenic symptoms
◉ Is menopause responsible for weight gain? . Answer: NO!
~may be responsible for changes in fat distribution~
◉ Menopause & skin changes . Answer: -Acne
-Skin becomes thinner & drier
-Hair becomes thinner & drier
-Hirsutism/virilization
◉ Menopause & bone integrity . Answer: Decrease in estrogen causes
increased bone loss; greatest loss in first few years after menopause then
slows but continues
◉ Menopause & genital changes . Answer: -Increased vaginal pH > 5.0
QUESTIONS AND ANSWERS 100% CORRECT
◉ Cervical cancer screening for women with history of CIN2 or a more
serious diagnosis? Answer: Should continue routine screening for at
least 20 years after spontaneous regression or treatment
◉ Colorectal cancer screening recommendations . Answer: Beginning at
age 45-50 till 75
-guaiac fecal occult blood test (yearly) OR stool DNA tests (every 3
years)
OR
-colonoscopy every 10 years
◉ Breast cancer screening recommendations . Answer: Beginning at age
40-50
Can stop at 74 years old
Mammograms every 1-2 years
◉ Diabetes screening recommendations . Answer: Every 3 years starting
at age 45
,◉ Herpes zoster vaccine . Answer: 2 doses of recombinant zoster
vaccine (RZV) 2-6 months apart for adults aged 50 or older
^regardless of past episode of herpes zoster or receipt of zoster vaccine
live (ZVL) (Zostavax)
◉ Pneumococcal vaccine . Answer: First, PCV13
<1 year apart>
Second, PPSV23
◉ Tdap vaccine . Answer: -One dose of Tdap vaccine for adults who
have not previously received Tdap
-Td booster every 10 years
◉ Menopause (define) . Answer: Permanent cessation of ovulation and
menses confirmed after 12 consecutive months without a period
◉ The average age of natural menopause in North America . Answer: 52
years old
◉ Premature menopause (define) . Answer: Cessation of ovulation and
menses before age 40; spontaneous or induced
,◉ Menopause transition (define) . Answer: Span of time when menstrual
cycle and endocrine changes begin to occur and ending with the final
menstrual period (FMP)
^can last 2-8 years
◉ Perimenopause (define) . Answer: Extends from beginning of
menopause transition until 12 months after final menstrual period
◉ "Early" menopause transition . Answer: Variable duration; menstrual
cycle length varies (persistent difference of seven or more days in length
of consecutive cycles)
◉ "Late" menopause transition . Answer: 1-3 year duration; intervals of
amenorrhea > 60 days
^vasomotor symptoms likely
◉ Predominant event leading to menopause? . Answer: Ovarian aging
with follicular atresia
◉ Pre-menopausal hormone changes? . Answer: Estradiol decreases -->
FSH increases
, ^hormone levels fluctuate, so cannot rely on these measurements to
determine menopause
◉ Generally rely on what to determine menopause? . Answer:
**Cessation of menses**
-Age
-Hypoestrogenic symptoms
◉ Is menopause responsible for weight gain? . Answer: NO!
~may be responsible for changes in fat distribution~
◉ Menopause & skin changes . Answer: -Acne
-Skin becomes thinner & drier
-Hair becomes thinner & drier
-Hirsutism/virilization
◉ Menopause & bone integrity . Answer: Decrease in estrogen causes
increased bone loss; greatest loss in first few years after menopause then
slows but continues
◉ Menopause & genital changes . Answer: -Increased vaginal pH > 5.0
