NRNP 6552 advanced reproductive health EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS LATEST UPDATE!!!!

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Exam 3 Leik 2026 A+ GRADE ASSURED COMPLETE SOL
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UTIONS AND VERIFIED ANSWERS (DF23B) zm zm zm zm




QUESTION 1 zm




The nurse practitioner would test the obturator and iliopsoas muscle to evaluate for:
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A) Cholecystitis
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B) Acute appendicitis
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C) Inguinal hernia
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D) Gastric ulcer
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ANSWER

B) Acute appendicitis Signs and symptoms of an acute abdomen include involuntary guarding, rebou
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nd tenderness, boardlike abdomen, and a positive obturator and psoas sign. A positive obturator sig
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n occurs when pain is elicted by internal rotation of the right hip from 90 degrees hip/knee flexion.
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mThe psoas sign is positive when pain occurs with passive extension of the thigh while the patient is
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mlying on his or her side with knees extended, or when pain occurs with active flexion of the thigh a
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t the hip.
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QUESTION 2 zm




Signs and symptoms of depression include all of the following except:
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A) Anhedonia
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B) Low self-esteem
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C) Apathy zm



D) Apraxia zm




ANSWER

D) Apraxia Apraxia is characterized by loss of the ability to execute or carry out learned purposeful
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movements despite the desire and the physical ability to perform the movements. Apraxia is not a s
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ign or symptom of depression; it is a disorder of motor planning caused by damage to specific areas
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of the cerebrum. Common signs of depression include anhedonia (loss of interest in activities that t
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he patient finds pleasurable), unintentional weight loss or gain, fatigue, change in appetite, insomnia
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mor hypersomnia, feelings of guilt and worthlessness, and recurrent thoughts of suicide.
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QUESTION 3 zm

, A 22-year-old sexually active woman is complaining of amenorrhea and new-
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onset bloody vaginal spotting. On examination, her left adnexa is tender and cervical
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motion tenderness is positive. Which test should the nurse practitioner order initially
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?
A) Flat plate of the abdomen
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B) Complete blood count (CBC) with white cell differential
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C) Urine pregnancy test
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D) Pelvic ultrasound
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ANSWER

C) Urine pregnancy test The patient's history of amenorrhea and new onset of bloody vaginal spotti
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ng combined with positive physical findings of left adnexal tenderness and cervical motion tenderne
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ss are highly suggestive of an ectopic pregnancy rather than pelvic inflammatory disease (PID). Refe
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r this patient to the emergency department if ectopic pregnancy is suspected. The presence of amen
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orrhea should be treated as a pregnancy until proven otherwise.
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QUESTION 4 zm




All of the following patients are at higher risk for suicide except:
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A) A 66-year-old White man whose wife of 40 years recently died
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B) A high school student with a history of bipolar disorder
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C) A depressed 45-year-old woman with family history of suicide
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D) A 17-year-old teen who has only one close friend in school
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ANSWER

Risk factors for suicide include (
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d) plans for use of a lethal weapon such as a gun or knife; (
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a) elderly White men (especially after the death of a spouse); (
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b) past history of suicide; (
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c) family history of suicide; (
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e) gender (higher attempt rate in females, but higher success rate in males); and (f) personal histor
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y of bipolar disorder or depression.
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QUESTION 5 zm




Rocky Mountain spotted fever is caused by the bite of a:
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A) Mosquito
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B) Tickzm



C) Louse
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D) Flea zm




ANSWER

B) Tick Rocky Mountain spotted fever is caused by a bite from a tick infected with the parasite Rick
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ettsia rickettsii. The mortality rate is 1% to 7% if left untreated.
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