NR 602 FINAL EXAM 2025 PREP/VERIFIED
QUESTIONS AND ANSWERS GRADED A+
A 16 year old sexually active female has a fever, bilateral lower abdominal
pain,and malaise. A speculum and bimanual exam reveals adnexal tenderness.
The urinalysis is normal and cervical cultures are pending. What medications will the primary
care pediatric nurse practitioner prescribe for this patient?
PID- she is Sexually active+Adnexal Tenderness and negative for UTI.
Ceftriaxone, doxycycline, and metronidazole
Rational- This is PID the treatment is Ceftriaxone 250 mg IM plus Doxyclicline 100 mg BID for
14 days plus with or without Metronidazole 500 mg PO bid for 14 days.
A sexually active adolescent female tests positive for N. gonorrhea
and Chalmydia. She tells the primary care pediatric nurse practitioner that she
wants to be treated today since she is moving out of town the next day. What will the nurse
practitioner order?What is the treatment for her
Ceftriaxone 250 mg IM and azithromycin 1 g PO one time each
Rational- Remember the G in Gonorehea for or Ceftriaxone and Chlamydia you can give either
Doxycycline 100 mg for 7 days or Azithromycin 1 g PO x1 because she is moving she are
giving this combination.
,A 14yearold female has menometrorrhagia with moderate increase in menstrual flow and
irregular periods. Her hemoglobin is 13.1 g/dL. How will this be managed?
Iron supplementation and prostaglandin inhibitors
Rationale: Her hemoglobin level is at 13.1 and the normal range for this age group is 11.9-15.
It is better to give Iron because of the bleeding and for pain reliefe Prostoglandins such as
Ibuprofen.
An adolescent female has heavy periods that are also irregular. The physical exam is normal. A
complete blood count reveals a hemoglobin of 8.9 g/dL. What test will the primary care
pediatric nurse practitioner order next?
Coagulation studies
Rational-The normal Hemoglobin range is 11.9-13.1 and she is outside the range. We need to
look for reasons of this.
An adolescent female has periods every 30 days that are consistently
heavy and last from 5 to 8 days. What is her diagnosis?
Menorrhagia-
Rationale- The diagnosis for this is periods lasting longer than 7 days. Hers are lasting 8 days.
She is consistant with when her periods start so it won't be menometrorrhagia because that is
irregular periods.
We have an expert-written solution to this problem!
,A 16yearold female has not had a menstrual period yet and is concerned. She
denies sexual activity. An exam reveals an adult sexual maturity rating.
Which laboratory test will the primary care pediatric nurse practitioner order initially?
Pregnancy Test
Rationale- All people lie and the number one reason for Ammenorrhea is pregnancy. After I rule
out that then I can look at other things such as nutrition, is she an athlete and is it Primary
Amenorrhea which is failure to have a period for 3 years or creast development or by age 15. or
Secondary Anemia which is no menstrual periods for 3 months or absent of period for 6 months
for those on irregular periods.
A 16yearold female reports breast tenderness and a "lump." The primary care pediatric nurse
practitioner palpates a small fluidfilled mass in her right breast.
Order an Ultra Sound of Breast
Rationale- First thing you always do is order an ultra sound first to determine reason. Most girls
this age do not have breast cancer.
A 15yearold n female has a positive pregnancy test and asks the primary care
pediatric nurse practitioner not to tell her parents. She is tearful and says she isn't sure she wants
to keep the baby. What will the nurse practitioner do first?
Determine the state mandated reporting laws.
Rationale- Each state has different laws on reporting to parents about STIs and Pregnancy.
, A 17yearold sexually active female who began having periods at age 14 reports having
moderate to severe dull lower abdominal pain associated
predominantly with periods but that occurs at other times as well. The history reveals a recent
onset of these symptoms. A pregnancy test is negative. Which course of action is most
important?
Perform a full diagnostic workup to evaluate potential causes.
Rationale- This is not normal and needs more workup to determine the reason for it. She is
sexually active so this raises more concerns for other things that might be going on such as PID
or an STI
A 16yearold female reports dull, achy cramping pa in in her lower abdomen
lasting 2 or 3 hours that occurs between her menstrual periods each month.
The adolescent is not sexually active. What is the treatment for this condition?
Prostaglandin inhibitor analgesics and a heating pad
Rationale -This is signs of normal period and the 1st line treatment is Prostoglandin and heating
pad.
A schoolage female has had vulvovaginitis for 2 months. All cultures and tests .are negative, but
the symptoms persist after treatment with both topical antibiotics and oral amoxicillin. What is
the next course of action to treat this condition?
Estrogen cream at bedtime for 2 to 3 weeks
QUESTIONS AND ANSWERS GRADED A+
A 16 year old sexually active female has a fever, bilateral lower abdominal
pain,and malaise. A speculum and bimanual exam reveals adnexal tenderness.
The urinalysis is normal and cervical cultures are pending. What medications will the primary
care pediatric nurse practitioner prescribe for this patient?
PID- she is Sexually active+Adnexal Tenderness and negative for UTI.
Ceftriaxone, doxycycline, and metronidazole
Rational- This is PID the treatment is Ceftriaxone 250 mg IM plus Doxyclicline 100 mg BID for
14 days plus with or without Metronidazole 500 mg PO bid for 14 days.
A sexually active adolescent female tests positive for N. gonorrhea
and Chalmydia. She tells the primary care pediatric nurse practitioner that she
wants to be treated today since she is moving out of town the next day. What will the nurse
practitioner order?What is the treatment for her
Ceftriaxone 250 mg IM and azithromycin 1 g PO one time each
Rational- Remember the G in Gonorehea for or Ceftriaxone and Chlamydia you can give either
Doxycycline 100 mg for 7 days or Azithromycin 1 g PO x1 because she is moving she are
giving this combination.
,A 14yearold female has menometrorrhagia with moderate increase in menstrual flow and
irregular periods. Her hemoglobin is 13.1 g/dL. How will this be managed?
Iron supplementation and prostaglandin inhibitors
Rationale: Her hemoglobin level is at 13.1 and the normal range for this age group is 11.9-15.
It is better to give Iron because of the bleeding and for pain reliefe Prostoglandins such as
Ibuprofen.
An adolescent female has heavy periods that are also irregular. The physical exam is normal. A
complete blood count reveals a hemoglobin of 8.9 g/dL. What test will the primary care
pediatric nurse practitioner order next?
Coagulation studies
Rational-The normal Hemoglobin range is 11.9-13.1 and she is outside the range. We need to
look for reasons of this.
An adolescent female has periods every 30 days that are consistently
heavy and last from 5 to 8 days. What is her diagnosis?
Menorrhagia-
Rationale- The diagnosis for this is periods lasting longer than 7 days. Hers are lasting 8 days.
She is consistant with when her periods start so it won't be menometrorrhagia because that is
irregular periods.
We have an expert-written solution to this problem!
,A 16yearold female has not had a menstrual period yet and is concerned. She
denies sexual activity. An exam reveals an adult sexual maturity rating.
Which laboratory test will the primary care pediatric nurse practitioner order initially?
Pregnancy Test
Rationale- All people lie and the number one reason for Ammenorrhea is pregnancy. After I rule
out that then I can look at other things such as nutrition, is she an athlete and is it Primary
Amenorrhea which is failure to have a period for 3 years or creast development or by age 15. or
Secondary Anemia which is no menstrual periods for 3 months or absent of period for 6 months
for those on irregular periods.
A 16yearold female reports breast tenderness and a "lump." The primary care pediatric nurse
practitioner palpates a small fluidfilled mass in her right breast.
Order an Ultra Sound of Breast
Rationale- First thing you always do is order an ultra sound first to determine reason. Most girls
this age do not have breast cancer.
A 15yearold n female has a positive pregnancy test and asks the primary care
pediatric nurse practitioner not to tell her parents. She is tearful and says she isn't sure she wants
to keep the baby. What will the nurse practitioner do first?
Determine the state mandated reporting laws.
Rationale- Each state has different laws on reporting to parents about STIs and Pregnancy.
, A 17yearold sexually active female who began having periods at age 14 reports having
moderate to severe dull lower abdominal pain associated
predominantly with periods but that occurs at other times as well. The history reveals a recent
onset of these symptoms. A pregnancy test is negative. Which course of action is most
important?
Perform a full diagnostic workup to evaluate potential causes.
Rationale- This is not normal and needs more workup to determine the reason for it. She is
sexually active so this raises more concerns for other things that might be going on such as PID
or an STI
A 16yearold female reports dull, achy cramping pa in in her lower abdomen
lasting 2 or 3 hours that occurs between her menstrual periods each month.
The adolescent is not sexually active. What is the treatment for this condition?
Prostaglandin inhibitor analgesics and a heating pad
Rationale -This is signs of normal period and the 1st line treatment is Prostoglandin and heating
pad.
A schoolage female has had vulvovaginitis for 2 months. All cultures and tests .are negative, but
the symptoms persist after treatment with both topical antibiotics and oral amoxicillin. What is
the next course of action to treat this condition?
Estrogen cream at bedtime for 2 to 3 weeks
