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NR 602 FINAL QUESTIONS WITH ACCURATE ANSWERS

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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 correct answer Galactorrhea 22-year-old female complains of pelvic pain. Exam reveals cervical motion and uterine tenderness. Which supports a P ID diagnosis correct answer Mucopurulent Vaginal discharge 35-year-old woman complains of six month history of hypermenorrhea, backache, pelvic pressure. On exam you discover 12 weeks size uterus with a regular contour. What does this represent correct answer Uterine fibroid 845-year-old woman has an abnormal screening mammogram. The next step in management should be correct answer Diagnostic mammogram 849-year-old female patient presents with a chief complaint of dark, watery brown vaginal discharge. Part of the differential diagnosis includes that a cervical cancer. Which of the following best describes what might be visualized correct answer Ulcerated firm cervix 855-year-old woman presents to the clinic for evaluation of a breast mass. Which of the following is not a typical presenting sign of breast cancer correct answer A 2cm, rubbery, tender lesion A 14-year-old is brought to the clinic by her mother. The mother explained to the nurse that her daughter has just started using tampons but is not yet sexually active. The mother states I am very concerned because my daughter is having a

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NR 602 FINAL QUESTIONS WITH ACCURATE ANSWERS
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 correct answer Galactorrhea


22-year-old female complains of pelvic pain. Exam reveals cervical motion and
uterine tenderness. Which supports a P ID diagnosis correct answer
Mucopurulent Vaginal discharge


35-year-old woman complains of six month history of hypermenorrhea, backache,
pelvic pressure. On exam you discover 12 weeks size uterus with a regular
contour. What does this represent correct answer Uterine fibroid


845-year-old woman has an abnormal screening mammogram. The next step in
management should be correct answer Diagnostic mammogram


849-year-old female patient presents with a chief complaint of dark, watery
brown vaginal discharge. Part of the differential diagnosis includes that a cervical
cancer. Which of the following best describes what might be visualized correct
answer Ulcerated firm cervix


855-year-old woman presents to the clinic for evaluation of a breast mass. Which
of the following is not a typical presenting sign of breast cancer correct answer A
2cm, rubbery, tender lesion


A 14-year-old is brought to the clinic by her mother. The mother explained to the
nurse that her daughter has just started using tampons but is not yet sexually
active. The mother states I am very concerned because my daughter is having a

,lot of stabbing pain and burning. What might the nurses backed is the problem
with the 14-year-old correct answer Vulvodynia


A 16-year-old female is diagnosed with primary dysmenorrhea. She has taken
over the counter ibuprofen 800 mg increments every eight hours during mentors
for the past three months with minimal relief of symptoms. What intervention
will provide greatest relief of dysmenorrhea symptoms correct answer Combined
oral contraceptives


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 correct answer Endogenous estrogen


A 20-year-old woman visiting the clinic says that she wishes to begin using Depot
Medroxyprogesterone acetate (Depo-Provera) as a form of birth control what
important information said the nurse include when teaching the client about
Depo-Provera correct answer Calcium intake and exercise should be increased
because of the possible loss of bone mineral density with increasing duration of
use


A 21-year-old female presents with three 0.5cm HPV lesions on her vulva. An
appropriate treatment option for this patient would be correct answer
Podophyllin


A 21-year-old woman comes into your practice seeking birth control. She has only
recently become sexually active and has consistently use condoms for say sex.
Your history reveals that she does not use tampons during her inventors I has very
little knowledge about female reproductive anatomy. Based on this information,

, which of the following birth control choices would be the least likely to meet her
needs for contraceptive management correct answer NuvaRing


A 23-year-old woman comes to the clinic for a Pap smear. After the examination,
the client confides that her mother had died of endometrial cancer one year ago
and says that she is afraid that she would die of the same cancer. Which risk
factor stated by the client after an education session on wrist factors indicate that
brother teaching is needed correct answer Late onset menarche


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 correct answer Uterine biopsy


A 24-year-old female patient has been diagnosed with primary dysmenorrhea.
Which of the following medications would be best used as the first line to help
control her symptoms correct answer NSAIDs


A 24-year-old female presents to the office with a complaint of vaginal itching in
addition to thick mucoid discharge. She also has some mild urinary discomfort.
The wet mount preparation using potassium hydroxide reveals a negative whiff
test and few clue cells. There was no trichomonas visualized but the WBCs were
too numerous to count. Which of the following would be the most likely diagnosis
in the patient correct answer Chlamydia


A 25-year-old obese female with type two diabetes presents to your office with a
complaint of vaginal itching and burning for two weeks. She has tried douching
with an over-the-counter cream with no relief. Physical examination the Vulva is
deep red with some thick white adherent material. Which of the following
conditions would be most likely cause of her symptoms correct answer Fungal
infection

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