HEALTH NURSING EXAMINATION
COMPLETE QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR
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Exam Coverage
Advanced Health Assessment
o Comprehensive history taking, pelvic examination, diagnostic interpretation, and
differential diagnosis.
Preventive Women's Healthcare
o Screening guidelines, immunizations, counseling, lifestyle modification, and
disease prevention.
Gynecologic Disorders
o Diagnosis and management of common benign and malignant gynecologic
conditions.
Menstrual Disorders
o Evaluation of abnormal uterine bleeding, amenorrhea, dysmenorrhea, and
endocrine disorders.
Contraceptive Management
o Patient-centered contraceptive selection, contraindications, adverse effects, and
counseling.
Sexually Transmitted Infections
o Screening, diagnosis, treatment, partner management, and prevention.
Infertility
o Initial evaluation, diagnostic testing, counseling, and referral indications.
Pregnancy Care
, o Prenatal assessment, fetal surveillance, maternal adaptations, and routine prenatal
management.
High-Risk Obstetrics
o Hypertensive disorders, diabetes, hemorrhage, infections, fetal complications, and
emergency recognition.
Labor, Delivery, and Postpartum Care
o Maternal assessment, postpartum complications, breastfeeding, and newborn
transition.
Menopause and Aging
o Hormonal changes, symptom management, osteoporosis prevention, and
cardiovascular risk reduction.
Breast Health
o Screening, benign breast disease, breast cancer recognition, and patient education.
Pharmacology
o Medication safety, prescribing principles, pregnancy considerations, lactation, and
adverse effects.
Professional Practice
o Ethics, legal responsibilities, evidence-based practice, cultural competence,
patient safety, and interdisciplinary collaboration.
N582 Final Exam – Advanced Women's Health Nursing
1.
A 24-year-old woman presents with dysuria, urinary
frequency, and urgency for two days. She denies vaginal
discharge, fever, or flank pain. Which management
approach is most appropriate?
,A. Begin empiric treatment for uncomplicated cystitis
B. Order pelvic ultrasound immediately
C. Refer for cystoscopy before treatment
D. Start antifungal therapy
Answer: A
Rationale: Classic symptoms indicate uncomplicated
cystitis. Empiric treatment is appropriate when no signs of
upper urinary tract involvement are present.
2.
A 31-year-old pregnant patient at 11 weeks' gestation
reports persistent nausea and vomiting resulting in weight
loss and dehydration. Which diagnosis is most likely?
A. Gastroenteritis
B. Hyperemesis gravidarum
C. Cholecystitis
D. Placental insufficiency
Answer: B
Rationale: Severe nausea and vomiting causing
dehydration and weight loss suggest hyperemesis
gravidarum.
3.
, A 52-year-old woman reports hot flashes, sleep
disturbances, and irregular menses occurring over the past
year. Which physiologic process most likely explains her
symptoms?
A. Elevated progesterone production
B. Declining ovarian follicular activity
C. Increased prolactin secretion
D. Increased androgen production
Answer: B
Rationale: Menopausal transition symptoms result
primarily from declining ovarian function and fluctuating
estrogen levels.
4.
A patient using combined oral contraceptives develops
sudden unilateral leg swelling and calf pain after a long
international flight. Which action should the provider take
first?
A. Continue contraceptives and reassess later
B. Evaluate immediately for venous thromboembolism
C. Prescribe antibiotics
D. Recommend increased dietary calcium
Answer: B