1
NURS 684 MIDTERM EXAM
NURS 684 MIDTERM EXAM 1 TOP
PREDICTION GRADED A+ (WCU)
updated Versions Questions and
Correct Answers with Rationales/ RN
HESI Exit Predictor
A 52-year-old woman with a LMP of 6 months ago presents for an annual exam. She is
currently experiencing vaginal dryness and dyspareunia. She has smoked one pack per day of
cigarettes for 40 years. Her sister and maternal aunt had breast cancer. Which of the
following would you recommend as the appropriate initial therapy for this patient?
A. bisphosphonate
B. topical estrogen therapy
C. continuous administration of estrogen and low-dose progestin
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NURS 684 MIDTERM EXAM
D. unopposed estrogen –
Correct Answer :B. topical estrogen therapy
Perimenopause is associated with a decrease in
A. high-density lipoprotein
B. free fatty acids
C. total cholesterol
D. low-density lipoprotein –
Correct Answer :A. high-density lipoprotein
What is the expected rate of bone loss in post menopausal women who are not receiving
estrogen?
A. 1-2% per year
B. 0.1-0.2% per year
C. 0.5% per year
D. 5% per year –
Correct Answer :A. 1-2% per year
The plasma concentration of FSH begins to increase
A. approximately 10-15 years after menopause
B. approximately 2 years after menopause
C. approximately 10-15 years before menopause
D. approximately 2 years before menopause –
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NURS 684 MIDTERM EXAM
Correct Answer :C. approximately 10-15 years before menopause
A 54-year-old woman with an LMP of 3 years ago presents for an annual exam. She is
concerned about her risk of hip fracture because of a strong family of fracture. Which of the
following would you recommend as the most appropriate dietary therapy for this patient?
A. 500 mg calcium carbonate supplementation daily
B. 1500 mg calcium carbonate supplementation plus 10 micrograms vitamin D daily
C. 1500 mg calcium carbonate supplementation daily
D. 1000 mg calcium carbonate supplementation daily –
Correct Answer :B. 1500 mg calcium carbonate supplementation plus 10 micrograms vitamin
D daily
A 52-year-old woman with a LMP of 6 months ago presents for an annual exam. She is
currently asymptomatic but her most recent bone scan has shown some loss. Her mother had
a hip fracture at age 60. She has smoked one pack per day of cigarettes for 40 years. Her
sister and maternal aunt had breast cancer. Which of the following would you recommend as
the most appropriate initial therapy for this
A. unopposed estrogen
B. bisphosphonate
C. calcium supplementation alone
D. continuous administration of estrogen and low-dose progestin –
Correct Answer :B. bisphosphonate
What is the typical FSH level during perimenopause?
A. 4 mIU/mL
B. 6-10 mIU/mL
C. 30 mIU/mL
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NURS 684 MIDTERM EXAM
D. 14-24 mIU/mL –
Correct Answer :D. 14-24 mIU/mL
Which of the following is responsible for early menopause in women with Savage syndrome?
A. development of autoantibodies against ovarian endocrine tissue
B. total deletion of the long arm of one X chromosome
C. resistance of ovarian follicles to FSH and LH
D. partial deletion of the long arm of one X chromosome –
Correct Answer :C. resistance of ovarian follicles to FSH and LH
Approximately what percent of women in the US experience vasomotor symptoms (hot
flushes) in the perimenopausal and menopausal period?
A. 75%
B. 35%
C. 95%
D. 55% -
Correct Answer :A. 75%
The perimenopause is defined as the
A. transition from the reproductive to the nonreproductive years
B. time when the symptoms of menopause first begin
C. last five regular menstrual cycles
D. time of the last menstrual flow –
NURS 684 MIDTERM EXAM
NURS 684 MIDTERM EXAM 1 TOP
PREDICTION GRADED A+ (WCU)
updated Versions Questions and
Correct Answers with Rationales/ RN
HESI Exit Predictor
A 52-year-old woman with a LMP of 6 months ago presents for an annual exam. She is
currently experiencing vaginal dryness and dyspareunia. She has smoked one pack per day of
cigarettes for 40 years. Her sister and maternal aunt had breast cancer. Which of the
following would you recommend as the appropriate initial therapy for this patient?
A. bisphosphonate
B. topical estrogen therapy
C. continuous administration of estrogen and low-dose progestin
, 2
NURS 684 MIDTERM EXAM
D. unopposed estrogen –
Correct Answer :B. topical estrogen therapy
Perimenopause is associated with a decrease in
A. high-density lipoprotein
B. free fatty acids
C. total cholesterol
D. low-density lipoprotein –
Correct Answer :A. high-density lipoprotein
What is the expected rate of bone loss in post menopausal women who are not receiving
estrogen?
A. 1-2% per year
B. 0.1-0.2% per year
C. 0.5% per year
D. 5% per year –
Correct Answer :A. 1-2% per year
The plasma concentration of FSH begins to increase
A. approximately 10-15 years after menopause
B. approximately 2 years after menopause
C. approximately 10-15 years before menopause
D. approximately 2 years before menopause –
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NURS 684 MIDTERM EXAM
Correct Answer :C. approximately 10-15 years before menopause
A 54-year-old woman with an LMP of 3 years ago presents for an annual exam. She is
concerned about her risk of hip fracture because of a strong family of fracture. Which of the
following would you recommend as the most appropriate dietary therapy for this patient?
A. 500 mg calcium carbonate supplementation daily
B. 1500 mg calcium carbonate supplementation plus 10 micrograms vitamin D daily
C. 1500 mg calcium carbonate supplementation daily
D. 1000 mg calcium carbonate supplementation daily –
Correct Answer :B. 1500 mg calcium carbonate supplementation plus 10 micrograms vitamin
D daily
A 52-year-old woman with a LMP of 6 months ago presents for an annual exam. She is
currently asymptomatic but her most recent bone scan has shown some loss. Her mother had
a hip fracture at age 60. She has smoked one pack per day of cigarettes for 40 years. Her
sister and maternal aunt had breast cancer. Which of the following would you recommend as
the most appropriate initial therapy for this
A. unopposed estrogen
B. bisphosphonate
C. calcium supplementation alone
D. continuous administration of estrogen and low-dose progestin –
Correct Answer :B. bisphosphonate
What is the typical FSH level during perimenopause?
A. 4 mIU/mL
B. 6-10 mIU/mL
C. 30 mIU/mL
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NURS 684 MIDTERM EXAM
D. 14-24 mIU/mL –
Correct Answer :D. 14-24 mIU/mL
Which of the following is responsible for early menopause in women with Savage syndrome?
A. development of autoantibodies against ovarian endocrine tissue
B. total deletion of the long arm of one X chromosome
C. resistance of ovarian follicles to FSH and LH
D. partial deletion of the long arm of one X chromosome –
Correct Answer :C. resistance of ovarian follicles to FSH and LH
Approximately what percent of women in the US experience vasomotor symptoms (hot
flushes) in the perimenopausal and menopausal period?
A. 75%
B. 35%
C. 95%
D. 55% -
Correct Answer :A. 75%
The perimenopause is defined as the
A. transition from the reproductive to the nonreproductive years
B. time when the symptoms of menopause first begin
C. last five regular menstrual cycles
D. time of the last menstrual flow –
