NUR 6111 Exam 3 | High-Yield Questions & Answers,
Rationales & Advanced Nursing Study Guide| Expert
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and Updated | Frequently Most Tested Questions |
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The NP examines a patient with complaints of foul smelling, frothy,
copious and pale yellow to gray green vaginal discharge On exam,
vulvogaginal irritation and cervical petechiae is noted. Based on this
the most likely tx includes
A. Fluconazole
B. Metronidazole
C. Clindamycin
D. Azithromycin
ANSWER:
B. Metronidazole
RATIONALE: these findings are consistent with trichomoniasis,
metronidazole is the first line tx of choice for protozoal infection
Mary is a 36 year old women who complains of vaginal burning. The
NP assess grayish white adherent vaginal discharge that had fishy
odor. The discharge pH level is 5.1 and there is a positive whiff test.
The treatment of choice is
A. Fluconazole
B. Metronidazole
C. Clindamycin
D. Oral doxycycline
,ANSWER:
B. Metronidazole
RATIONALE: (-KOH is whiff test- bacterial vaginosis. Metronidazole
is the first line tx for bacterial vaginosis)
Jane is a 38 year old female who presents with non odorous thick,
white, curd like vaginal discharge and vulvar itching. She is in a
monogamous relationship. She was recently treated for a sinus
infection. The most likely treatment includes which of the following
A. Fluconazole 800mg single dose
B. Metronidazole 500mg BID 7 days
C. Clotrimazole cream
D. Oral doxycycline
ANSWER:
Fluconazole 800mg for initial (yeast infection)
Hot flashes that occur during peri menopause are thought to be
related to
ANSWER:
fluctuating estrogen level
Which of the following physical exam findings in a 65 year old woman
warrant further evaluation
ANSWER:
Inverted nipple
Which of the following is not representative of the presentation of
primary syphilis
ANSWER:
flu like symptoms
,A patient diagnosed with trichomoniasis is being treated with
metronidazole. When teaching the patient about this medication,
which of the following will the nurse practitioner include
ANSWER:
do not consume alcohol (reduce possibility of a disulfiram like
reaction)
The recommended time to initiate screening for cervical cancer in
women is
ANSWER:
21 years old
The NP recognizes the following assessment findings as being
consistent with Chalmydia (select all that apply)
ANSWER:
Vaginal discharge
Cervical changes
The NP is treating a 35 year old patient for primary herpes infection.
The first line treatment option for primary herpes infection include
A. Acyclovir 400mg TID for 7-10 days
B. Valacyclovir 1g daily for 3 days
C. Famciclovir 250mg BID for5 days
D. No treatment needed
ANSWER:
A. Acyclovir 400mg TID 7-10 days (genital herpes)
A female patient is diagnosed with chlamydia. She has complaints of
vaginal discharge and dysuria. Her male partner is asymptomatic.
How should they be treated
ANSWER:
, Doxycycline 100mg BID x7 days or azithromycin (exposed partner
should be treated as well)
A female patient is 31 year old. She has never had an abnormal PAP
smear and has had regular screening since age 22. According to the
AVS and ACOG guideline, if she has a normal PAP smear with HPV
testing today, when should she have the next cervical cancer
screening
ANSWER:
5 years (HPV in 5 years, Pap smear ONLY STI can be in 3 years)
A 53 year old woman who is taking HRT with conjugated estrogen,
.45mg/ day with medroxyprogesterone acetate 1.5mg, has
bothersome atrophic vaginitis symptoms. You would consider
ANSWER:
the addition of topical estrogen can be helpful (helps with dryness)
Samantha is a 23 year old female presents with urinary burning,
frequency and urgency. Urine dipsticks is positive for leukocytes
and nitrates. Given that she has no medical hx and no other pertinent
clinical findings, the recommended treatment of choice is
ANSWER:
Nitrofurantoin 100mg BID x 5 days (1st line tx for uncomplicated UTI)
A 29 year old female patient with no medical history presented to the
NP office with fever, chills and WBC casts and has been diagnosed
with pyelonephritis. Which clinical finding would be consistent in this
patient
ANSWER:
CVA tenderness
A 29 year old female with no medical history presented to the NP
office with fever, chills and positive WBC casts and has been
Rationales & Advanced Nursing Study Guide| Expert
Guarantee Pass and 100% Accurate | Well Verified
and Updated | Frequently Most Tested Questions |
Latest Exam and Newest Version!!!
The NP examines a patient with complaints of foul smelling, frothy,
copious and pale yellow to gray green vaginal discharge On exam,
vulvogaginal irritation and cervical petechiae is noted. Based on this
the most likely tx includes
A. Fluconazole
B. Metronidazole
C. Clindamycin
D. Azithromycin
ANSWER:
B. Metronidazole
RATIONALE: these findings are consistent with trichomoniasis,
metronidazole is the first line tx of choice for protozoal infection
Mary is a 36 year old women who complains of vaginal burning. The
NP assess grayish white adherent vaginal discharge that had fishy
odor. The discharge pH level is 5.1 and there is a positive whiff test.
The treatment of choice is
A. Fluconazole
B. Metronidazole
C. Clindamycin
D. Oral doxycycline
,ANSWER:
B. Metronidazole
RATIONALE: (-KOH is whiff test- bacterial vaginosis. Metronidazole
is the first line tx for bacterial vaginosis)
Jane is a 38 year old female who presents with non odorous thick,
white, curd like vaginal discharge and vulvar itching. She is in a
monogamous relationship. She was recently treated for a sinus
infection. The most likely treatment includes which of the following
A. Fluconazole 800mg single dose
B. Metronidazole 500mg BID 7 days
C. Clotrimazole cream
D. Oral doxycycline
ANSWER:
Fluconazole 800mg for initial (yeast infection)
Hot flashes that occur during peri menopause are thought to be
related to
ANSWER:
fluctuating estrogen level
Which of the following physical exam findings in a 65 year old woman
warrant further evaluation
ANSWER:
Inverted nipple
Which of the following is not representative of the presentation of
primary syphilis
ANSWER:
flu like symptoms
,A patient diagnosed with trichomoniasis is being treated with
metronidazole. When teaching the patient about this medication,
which of the following will the nurse practitioner include
ANSWER:
do not consume alcohol (reduce possibility of a disulfiram like
reaction)
The recommended time to initiate screening for cervical cancer in
women is
ANSWER:
21 years old
The NP recognizes the following assessment findings as being
consistent with Chalmydia (select all that apply)
ANSWER:
Vaginal discharge
Cervical changes
The NP is treating a 35 year old patient for primary herpes infection.
The first line treatment option for primary herpes infection include
A. Acyclovir 400mg TID for 7-10 days
B. Valacyclovir 1g daily for 3 days
C. Famciclovir 250mg BID for5 days
D. No treatment needed
ANSWER:
A. Acyclovir 400mg TID 7-10 days (genital herpes)
A female patient is diagnosed with chlamydia. She has complaints of
vaginal discharge and dysuria. Her male partner is asymptomatic.
How should they be treated
ANSWER:
, Doxycycline 100mg BID x7 days or azithromycin (exposed partner
should be treated as well)
A female patient is 31 year old. She has never had an abnormal PAP
smear and has had regular screening since age 22. According to the
AVS and ACOG guideline, if she has a normal PAP smear with HPV
testing today, when should she have the next cervical cancer
screening
ANSWER:
5 years (HPV in 5 years, Pap smear ONLY STI can be in 3 years)
A 53 year old woman who is taking HRT with conjugated estrogen,
.45mg/ day with medroxyprogesterone acetate 1.5mg, has
bothersome atrophic vaginitis symptoms. You would consider
ANSWER:
the addition of topical estrogen can be helpful (helps with dryness)
Samantha is a 23 year old female presents with urinary burning,
frequency and urgency. Urine dipsticks is positive for leukocytes
and nitrates. Given that she has no medical hx and no other pertinent
clinical findings, the recommended treatment of choice is
ANSWER:
Nitrofurantoin 100mg BID x 5 days (1st line tx for uncomplicated UTI)
A 29 year old female patient with no medical history presented to the
NP office with fever, chills and WBC casts and has been diagnosed
with pyelonephritis. Which clinical finding would be consistent in this
patient
ANSWER:
CVA tenderness
A 29 year old female with no medical history presented to the NP
office with fever, chills and positive WBC casts and has been
