NSG 6330 Final EXAM Study Guide QUESTIONS AND ANSWERS
LATEST UPDATED 2026/2027(Verified By Expert).
How is HIV transmitted?
Vertical transmission from a mother to her baby, blood transfusion, or exchange of any blood
products
HIV risk factors are all of these except:
Unprotected sex or trauma with sexual activity or multiple partners
IV drug use, including shared syringes
Exchange of saliva
Whether you order diagnostic testing or refer the patient to an HIV-specific facility, laboratory
confirmation for documentation for appropriate care rendered.
The test confirming HIV infection is .
HIV-1/2 Ag/Ab combination immunoassay
Treatment, although not curative, is critical for the best outcome possible.
One important principle of antiretroviral therapy is:
Response to drug therapy is monitored by HIV RNA levels.
The HIV is positive, and the chest X-ray reflects bilateral infiltrates. The radiologist telephones
you with a diagnosis of pneumonia. Further evaluation and report are sent to you with a
diagnosis of pneumocystis pneumonia. What stage is this HIV presentation?
AIDS
Women often tend to reschedule a well-woman visit, but they don't do so often with a problem
such as pelvic pain. This symptom can present as an acute, or chronic, insult. When a woman
presents with pelvic pain, the term can encompass many possibilities. Differentiating acute
from chronic assists with narrowing down the possibilities but nonetheless can originate from
more than one system as a referred pain or discomfort. The focus here will be of
reproductive/pelvic origin.
As you know, the most common cause of pelvic pain can be noted as endometriosis. But you
also know that the most acute causes of pelvic pain are probably:
Salpingo-oophoritis (fallopian tube/ovary)
P a g e 1 | 25
,NSG 6330 Final EXAM Study Guide QUESTIONS AND ANSWERS
LATEST UPDATED 2026/2027(Verified By Expert).
A twenty-five-year-old presents with a report of a very tender area just near her introitus and to
the left of her perineum. Very painful sex is how she knew "something wasn't right." She
showered and when washing, she felt a "pea-sized" painful lump on the left side of her
"bottom." She tells you she looked at it with a mirror and it was very small, but now it is the size
of a ping-pong ball and getting worse.
When you inspect her external genitalia, you are amazed at the size and appearance of the
"lump."
You note what appears to be an abscess on the left medial side of the labia minora, and there is
some edema extending into the perineum. Your diagnosis for this presentation is:
Bartholin's cyst
You explain to this young woman what this "lump" is and let her know you will be referring her
to a gynecologist you consult with regularly. You explain to her the likely treatment as follows:
She will need to take sitz baths three times per day and a broad-spectrum antibiotic.
This is likely a fatty tumor and will need to be surgically removed.
A possible incision might be necessary and a catheter placed for two to four weeks to allow for
drainage and appropriate healing.
This is a folliculitis that has become infected and needs a needle aspiration and broad-spectrum
antibiotic treatment.
A possible incision might be necessary and a catheter placed for two to four weeks to allow
for drainage and appropriate healing.
Bartholin's Cyst
If a Bartholin duct gets blocked, fluid builds up in the gland. The blocked gland is called a
Bartholin gland cyst
You are at the office and a thirty-year-old woman presents with an abrupt onset of pain when
attempting to urinate. She is also complaining of frequency and urgency and thinks she may
have seen some blood as well.You take her history and she tells you she had sex three days ago
with her long-term significant other, but she realized she left her diaphragm in until today when
these symptoms occurred.
Her BP is unremarkable, pulse is 90, temperature is 99, no costovertebral angle tenderness
(CVAT), and is experiencing slight suprapubic discomfort. You review her urine dip and you note
2+ blood, +nitrates, +leukocyte esterase. You send the urine for a microscopic and culture and
sensitivity but your management plan is:
P a g e 2 | 25
, NSG 6330 Final EXAM Study Guide QUESTIONS AND ANSWERS
LATEST UPDATED 2026/2027(Verified By Expert).
Provide broad spectrum antibiotic while waiting for culture and sensitivity lab to return for
specific microbe.
The diagnosis of stress incontinence can be confirmed by . the woman's symptom
history to date
Anticholinergic medications are a type of treatment for which type of incontinence?
Urge incontinence
Treatment for stress incontinence can include:
All of the above
A well-woman visit for an adolescent should include which of the following?
Both b and c
(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 externalonly inspection of the genitalia)
A myriad of influencing factors can affect adolescent women in a positive or negative way. As an
advanced practice nurse, you will need to be cognizant of such influences and address them
from a health promotion/prevention lens.
Today, Marie, a sixteen-year-old woman, arrives for a well-woman visit, hoping to begin birth
control since "all her friends are using it."
After a thorough history, you note that Marie resides in a community with very high risk factors.
These include poverty, violence, and lack of recreational facilities. She tells you that she "hangs
out" at a convenience store near the apartment complex she lives at with her mother. "All the
group hangs there," she reports proudly. She shares that she has been menstruating for two
years now although she has irregular cycles. She also lets you know that she has had coitus only
one time and that he "pulled out." She does not want to get pregnant, and this is why she is
here today.
What is your management plan for Marie today? (Select those that apply.)
P a g e 3 | 25
LATEST UPDATED 2026/2027(Verified By Expert).
How is HIV transmitted?
Vertical transmission from a mother to her baby, blood transfusion, or exchange of any blood
products
HIV risk factors are all of these except:
Unprotected sex or trauma with sexual activity or multiple partners
IV drug use, including shared syringes
Exchange of saliva
Whether you order diagnostic testing or refer the patient to an HIV-specific facility, laboratory
confirmation for documentation for appropriate care rendered.
The test confirming HIV infection is .
HIV-1/2 Ag/Ab combination immunoassay
Treatment, although not curative, is critical for the best outcome possible.
One important principle of antiretroviral therapy is:
Response to drug therapy is monitored by HIV RNA levels.
The HIV is positive, and the chest X-ray reflects bilateral infiltrates. The radiologist telephones
you with a diagnosis of pneumonia. Further evaluation and report are sent to you with a
diagnosis of pneumocystis pneumonia. What stage is this HIV presentation?
AIDS
Women often tend to reschedule a well-woman visit, but they don't do so often with a problem
such as pelvic pain. This symptom can present as an acute, or chronic, insult. When a woman
presents with pelvic pain, the term can encompass many possibilities. Differentiating acute
from chronic assists with narrowing down the possibilities but nonetheless can originate from
more than one system as a referred pain or discomfort. The focus here will be of
reproductive/pelvic origin.
As you know, the most common cause of pelvic pain can be noted as endometriosis. But you
also know that the most acute causes of pelvic pain are probably:
Salpingo-oophoritis (fallopian tube/ovary)
P a g e 1 | 25
,NSG 6330 Final EXAM Study Guide QUESTIONS AND ANSWERS
LATEST UPDATED 2026/2027(Verified By Expert).
A twenty-five-year-old presents with a report of a very tender area just near her introitus and to
the left of her perineum. Very painful sex is how she knew "something wasn't right." She
showered and when washing, she felt a "pea-sized" painful lump on the left side of her
"bottom." She tells you she looked at it with a mirror and it was very small, but now it is the size
of a ping-pong ball and getting worse.
When you inspect her external genitalia, you are amazed at the size and appearance of the
"lump."
You note what appears to be an abscess on the left medial side of the labia minora, and there is
some edema extending into the perineum. Your diagnosis for this presentation is:
Bartholin's cyst
You explain to this young woman what this "lump" is and let her know you will be referring her
to a gynecologist you consult with regularly. You explain to her the likely treatment as follows:
She will need to take sitz baths three times per day and a broad-spectrum antibiotic.
This is likely a fatty tumor and will need to be surgically removed.
A possible incision might be necessary and a catheter placed for two to four weeks to allow for
drainage and appropriate healing.
This is a folliculitis that has become infected and needs a needle aspiration and broad-spectrum
antibiotic treatment.
A possible incision might be necessary and a catheter placed for two to four weeks to allow
for drainage and appropriate healing.
Bartholin's Cyst
If a Bartholin duct gets blocked, fluid builds up in the gland. The blocked gland is called a
Bartholin gland cyst
You are at the office and a thirty-year-old woman presents with an abrupt onset of pain when
attempting to urinate. She is also complaining of frequency and urgency and thinks she may
have seen some blood as well.You take her history and she tells you she had sex three days ago
with her long-term significant other, but she realized she left her diaphragm in until today when
these symptoms occurred.
Her BP is unremarkable, pulse is 90, temperature is 99, no costovertebral angle tenderness
(CVAT), and is experiencing slight suprapubic discomfort. You review her urine dip and you note
2+ blood, +nitrates, +leukocyte esterase. You send the urine for a microscopic and culture and
sensitivity but your management plan is:
P a g e 2 | 25
, NSG 6330 Final EXAM Study Guide QUESTIONS AND ANSWERS
LATEST UPDATED 2026/2027(Verified By Expert).
Provide broad spectrum antibiotic while waiting for culture and sensitivity lab to return for
specific microbe.
The diagnosis of stress incontinence can be confirmed by . the woman's symptom
history to date
Anticholinergic medications are a type of treatment for which type of incontinence?
Urge incontinence
Treatment for stress incontinence can include:
All of the above
A well-woman visit for an adolescent should include which of the following?
Both b and c
(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 externalonly inspection of the genitalia)
A myriad of influencing factors can affect adolescent women in a positive or negative way. As an
advanced practice nurse, you will need to be cognizant of such influences and address them
from a health promotion/prevention lens.
Today, Marie, a sixteen-year-old woman, arrives for a well-woman visit, hoping to begin birth
control since "all her friends are using it."
After a thorough history, you note that Marie resides in a community with very high risk factors.
These include poverty, violence, and lack of recreational facilities. She tells you that she "hangs
out" at a convenience store near the apartment complex she lives at with her mother. "All the
group hangs there," she reports proudly. She shares that she has been menstruating for two
years now although she has irregular cycles. She also lets you know that she has had coitus only
one time and that he "pulled out." She does not want to get pregnant, and this is why she is
here today.
What is your management plan for Marie today? (Select those that apply.)
P a g e 3 | 25
