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NR 602 FINAL EXAM REVISION Q&A
ACOG guidelines regarding well women exams
What is the ASCCP recommended management for an ASCUS (atypical
squamous cells of undetermined significance) pap result with a positive
high-risk HPV 16 cotest 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 (menses, 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 tests, and immunizations as indicated by
the health history and gynecologic considerations for an external-
only inspection of the genitalia
ACOG Pap smear guidelines
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?
5 years
A young sexually active client at the family planning clinic is advised to
have a Papanicolaou (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 human papillomavirus (HPV) screen. Which procedure will be
required next?
, 2
Repeat Pap and HPV screen
Which of the following is not part of the criteria for an older woman to
cease having any future Pap tests performed?
Over 55 years of age
Amenorrhea (Primary and Secondary)
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 ascertain the presence of?
Endogenous estrogen
A 17-year-old female patient presents with amenorrhea for 4 months she
did experience menarche at age 15 but had not had a menstrual cycle since.
On physical examination, it is noticed that she has normal secondary
sexual characteristics. The nurse practitioner will consider a progesterone
challenge to determine the presence of adequate
Endogenous estrogen
A teenage patient presents with amenorrhea and moral secondary sex
characteristics. A progesterone challenge is ordered. The purpose is to
determine the presence of ____________?
Endogenous estrogen
A 16year old girl who comes to your office with a history of secondary
amenorrhea. She experienced menarche at age 10, regular cycles for 2
years. She has not menstruated now for 4 years. In your initial
consideration of differential diagnoses, what is the most frequent etiology
of this problem:
Eating disorder
18yo female c/o secondary amenorrhea. On exam, there is normal
secondary sex characteristics and normal genitalia. Pregnancy is ruled out.
What would necessitate further eval?
Galactorrhea
Primary amenorrhea is best described as:
Failure to menstruation to occur by 13 yr
A nurse practitioner is caring for a woman with primary and secondary
amenorrhea. The pelvic exam was normal. Which of the following may be
the cause if etiology originates in the hypothalamus?
Sheehan’s syndrome
NR 602 FINAL EXAM REVISION Q&A
ACOG guidelines regarding well women exams
What is the ASCCP recommended management for an ASCUS (atypical
squamous cells of undetermined significance) pap result with a positive
high-risk HPV 16 cotest 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 (menses, 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 tests, and immunizations as indicated by
the health history and gynecologic considerations for an external-
only inspection of the genitalia
ACOG Pap smear guidelines
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?
5 years
A young sexually active client at the family planning clinic is advised to
have a Papanicolaou (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 human papillomavirus (HPV) screen. Which procedure will be
required next?
, 2
Repeat Pap and HPV screen
Which of the following is not part of the criteria for an older woman to
cease having any future Pap tests performed?
Over 55 years of age
Amenorrhea (Primary and Secondary)
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 ascertain the presence of?
Endogenous estrogen
A 17-year-old female patient presents with amenorrhea for 4 months she
did experience menarche at age 15 but had not had a menstrual cycle since.
On physical examination, it is noticed that she has normal secondary
sexual characteristics. The nurse practitioner will consider a progesterone
challenge to determine the presence of adequate
Endogenous estrogen
A teenage patient presents with amenorrhea and moral secondary sex
characteristics. A progesterone challenge is ordered. The purpose is to
determine the presence of ____________?
Endogenous estrogen
A 16year old girl who comes to your office with a history of secondary
amenorrhea. She experienced menarche at age 10, regular cycles for 2
years. She has not menstruated now for 4 years. In your initial
consideration of differential diagnoses, what is the most frequent etiology
of this problem:
Eating disorder
18yo female c/o secondary amenorrhea. On exam, there is normal
secondary sex characteristics and normal genitalia. Pregnancy is ruled out.
What would necessitate further eval?
Galactorrhea
Primary amenorrhea is best described as:
Failure to menstruation to occur by 13 yr
A nurse practitioner is caring for a woman with primary and secondary
amenorrhea. The pelvic exam was normal. Which of the following may be
the cause if etiology originates in the hypothalamus?
Sheehan’s syndrome
