NR 602 CEA Final Exam | Chamberlain
University | 2025 | Actual Exam Questions
with Verified Answers
1. Turner’s syndrome can be suspected when the patient has primary amenorrhea
and:
a) Normal secondary sexual characteristics
b) Short stature and neck webbing
c) Polycystic ovaries
d) Elevated prolactin levels
Correct Answer: b) Short stature and neck webbing
Explanation: Turner syndrome (45,X) is associated with primary amenorrhea, short
stature, neck webbing, and other features due to partial or complete X chromosome
absence.
2. A 21-year-old woman comes into your practice seeking birth control. She has only
recently become sexually active and has consistently used condoms for safe sex.
Your history reveals that she does not use tampons during her menses and has very
little knowledge about female reproductive anatomy. Based on this information,
which of the following birth control choices would be least likely to meet her needs
for contraceptive management?
a) Oral contraceptives
b) Vaginal ring
c) Intrauterine device
d) Transdermal patch
Correct Answer: b) Vaginal ring
Explanation: The vaginal ring requires insertion and removal, which may be challenging
for a patient with limited knowledge of reproductive anatomy and discomfort with
vaginal manipulation.
3. The most common type of invasive breast carcinoma is:
a) Lobular carcinoma
b) Ductal carcinoma
c) Medullary carcinoma
d) Mucinous carcinoma
Correct Answer: b) Ductal carcinoma
Explanation: Invasive ductal carcinoma is the most common type of breast cancer,
accounting for approximately 70–80% of cases.
, 4. Measuring waist circumference is most appropriate when the client’s BMI places
her in which of the following categories?
a) Underweight
b) Normal weight
c) Overweight
d) Obese
Correct Answer: c) Overweight
Explanation: Waist circumference is a useful measure in overweight individuals (BMI
25–29.9) to assess central obesity and cardiometabolic risk.
5. The American Cancer Society recommends yearly mammogram screening
beginning at:
a) 40
b) 45
c) 50
d) 55
Correct Answer: b) 45
Explanation: The American Cancer Society recommends annual mammograms starting
at age 45 for women at average risk, with an option to start at age 40.
6. A dancer from an adult club down the street comes in for a renewal of her birth
control pill prescription. She says that everything is fine. On examination, you find
grayish-white vaginal discharge, greenish cervical discharge, and cervical motion
tenderness. All of the following are differential diagnoses except?
a) Pelvic inflammatory disease
b) Bacterial vaginosis
c) Gonorrhea
d) Yeast infection
Correct Answer: d) Yeast infection
Explanation: Cervical motion tenderness and greenish cervical discharge suggest pelvic
inflammatory disease or gonorrhea, not yeast infection, which typically presents with
thick, white discharge.
7. Which of the following contraception would be best for a woman with sickle cell
anemia?
a) Combined oral contraceptives
b) Progestin-only pills
c) Copper IUD
d) Transdermal patch
Correct Answer: b) Progestin-only pills
Explanation: Progestin-only pills are safer for women with sickle cell anemia, as
combined hormonal contraceptives increase the risk of thromboembolism, a concern in
this population.
University | 2025 | Actual Exam Questions
with Verified Answers
1. Turner’s syndrome can be suspected when the patient has primary amenorrhea
and:
a) Normal secondary sexual characteristics
b) Short stature and neck webbing
c) Polycystic ovaries
d) Elevated prolactin levels
Correct Answer: b) Short stature and neck webbing
Explanation: Turner syndrome (45,X) is associated with primary amenorrhea, short
stature, neck webbing, and other features due to partial or complete X chromosome
absence.
2. A 21-year-old woman comes into your practice seeking birth control. She has only
recently become sexually active and has consistently used condoms for safe sex.
Your history reveals that she does not use tampons during her menses and has very
little knowledge about female reproductive anatomy. Based on this information,
which of the following birth control choices would be least likely to meet her needs
for contraceptive management?
a) Oral contraceptives
b) Vaginal ring
c) Intrauterine device
d) Transdermal patch
Correct Answer: b) Vaginal ring
Explanation: The vaginal ring requires insertion and removal, which may be challenging
for a patient with limited knowledge of reproductive anatomy and discomfort with
vaginal manipulation.
3. The most common type of invasive breast carcinoma is:
a) Lobular carcinoma
b) Ductal carcinoma
c) Medullary carcinoma
d) Mucinous carcinoma
Correct Answer: b) Ductal carcinoma
Explanation: Invasive ductal carcinoma is the most common type of breast cancer,
accounting for approximately 70–80% of cases.
, 4. Measuring waist circumference is most appropriate when the client’s BMI places
her in which of the following categories?
a) Underweight
b) Normal weight
c) Overweight
d) Obese
Correct Answer: c) Overweight
Explanation: Waist circumference is a useful measure in overweight individuals (BMI
25–29.9) to assess central obesity and cardiometabolic risk.
5. The American Cancer Society recommends yearly mammogram screening
beginning at:
a) 40
b) 45
c) 50
d) 55
Correct Answer: b) 45
Explanation: The American Cancer Society recommends annual mammograms starting
at age 45 for women at average risk, with an option to start at age 40.
6. A dancer from an adult club down the street comes in for a renewal of her birth
control pill prescription. She says that everything is fine. On examination, you find
grayish-white vaginal discharge, greenish cervical discharge, and cervical motion
tenderness. All of the following are differential diagnoses except?
a) Pelvic inflammatory disease
b) Bacterial vaginosis
c) Gonorrhea
d) Yeast infection
Correct Answer: d) Yeast infection
Explanation: Cervical motion tenderness and greenish cervical discharge suggest pelvic
inflammatory disease or gonorrhea, not yeast infection, which typically presents with
thick, white discharge.
7. Which of the following contraception would be best for a woman with sickle cell
anemia?
a) Combined oral contraceptives
b) Progestin-only pills
c) Copper IUD
d) Transdermal patch
Correct Answer: b) Progestin-only pills
Explanation: Progestin-only pills are safer for women with sickle cell anemia, as
combined hormonal contraceptives increase the risk of thromboembolism, a concern in
this population.
