D120 Exam 1 Questions with 100% Correct
Answers
The advanced practice registered nurse (APRN) is performing a bimanual pelvic
examination on a 30-year-old female patient. The APRN will be checking the patient's
cervix for cervical motion tenderness and explains this to the patient.
Which condition is the APRN evaluating in this patient?
Pelvic infection or inflammation
A 17-year-old female is being seen in the clinic for a wellness visit. The patient tells the
advanced practice registered nurse (APRN) that she is currently sexually active, has a
history of three different partners, does not routinely use condoms, had a normal
menstrual cycle the week before, and denies any complaints.
Which testing should the APRN provide for this patient?
STI test
A 67-year-old woman asks the advanced practice registered nurse (APRN) when her
next Pap smear should be performed. The APRN notes that the client has had three
consecutive negative cytology results.
Which schedule should the APRN recommend for this patient?
Ongoing cervical cytology is not necessary
A 21-year-old female patient presents to the clinic for a routine exam and asks the
advanced practice registered nurse (APRN) about the frequency recommended for a
Papanicolaou (Pap) smear.
Which recommendation should the APRN share with this patient?
Every three years
,A 32-year-old female presents to the clinic as a new patient to establish care and
complains of vague symptoms of abdominal fullness and bloating. On the rectovaginal
exam, the advanced practice registered nurse (APRN) notes a solid, irregular, and fixed
pelvic mass.
Which cancer diagnosis should the APRN make for this patient?
Ovarian
A 26-year-old female patient presents to the clinic with complaints of abdominal pain,
vaginal discharge, and vaginal pruritis. The advanced practice registered nurse (APRN)
performs a pelvic exam, including pH tape test and wet mount. The APRN notes a
vaginal pH of 6.2 and visualizes ovoid, flagellated organisms under the microscopy.
What should the APRN diagnose?
Trichomoniasis
A 28-year-old woman presents to clinic with complaints of painful vulvar ulcerations.
After further evaluation, the advanced practice registered nurse (APRN) diagnoses the
client with herpes simplex virus.
Which education should the APRN provide to the patient for this condition?
Daily suppressive therapy should be used for 10 or more occurrences per year.
An advanced practice registered nurse (APRN) is treating a female patient with
bacterial vaginitis.
Which action should be included in the plan of care?
Metronidazole 500 mg orally twice a day for seven days
A patient presents to the primary clinic complaining of a foul smelling vaginal discharge
that worsens before menses and after intercourse. The advanced practice registered
, nurse (APRN) assesses the patient's diagnostic tests which reveals a vaginal pH >4.5,
positive whiff test, and clue cells on wet prep. A diagnosis of bacterial vaginosis is
confirmed.
Which treatment regimen should the APRN use with this patient?
Metronidazole 500 mg PO bid for seven days
A female patient presents to the primary care clinic complaining of lower abdominal
pain, abnormal menses, and difficulty urinating. The advanced practice nurse (APRN)
performed a pelvic examination that revealed cervical motion tenderness (CMT) with
purulent discharge. A diagnosis of gonorrhea is confirmed. The APRN prescribes
ceftriaxone 250 mg IM; however, the medication is unavailable. Which alternative
treatment regimen should the APRN use for this patient?
Gentamicin 240 mg IM plus azithromycin 2 g orally once
A 15-year-old female presents to the clinic with the complaint of amenorrhea. The
advanced practice registered nurse (APRN) completes an assessment with the following
results:
-breast development normal
-recent weight loss of 15 lb with BMI of 16.5 kg/m2
-no drug use
The patient reports being on the track team in high school and runs five miles every day
as part of the sport.
Which care plan should the APRN recommend for this patient?
Review complications, refer to counseling, and refer to nutritionist
An advanced practice registered nurse (APRN) is seeing a 30-year-old patient who is
having excessive and prolonged menses that last more than seven days. The interval
Answers
The advanced practice registered nurse (APRN) is performing a bimanual pelvic
examination on a 30-year-old female patient. The APRN will be checking the patient's
cervix for cervical motion tenderness and explains this to the patient.
Which condition is the APRN evaluating in this patient?
Pelvic infection or inflammation
A 17-year-old female is being seen in the clinic for a wellness visit. The patient tells the
advanced practice registered nurse (APRN) that she is currently sexually active, has a
history of three different partners, does not routinely use condoms, had a normal
menstrual cycle the week before, and denies any complaints.
Which testing should the APRN provide for this patient?
STI test
A 67-year-old woman asks the advanced practice registered nurse (APRN) when her
next Pap smear should be performed. The APRN notes that the client has had three
consecutive negative cytology results.
Which schedule should the APRN recommend for this patient?
Ongoing cervical cytology is not necessary
A 21-year-old female patient presents to the clinic for a routine exam and asks the
advanced practice registered nurse (APRN) about the frequency recommended for a
Papanicolaou (Pap) smear.
Which recommendation should the APRN share with this patient?
Every three years
,A 32-year-old female presents to the clinic as a new patient to establish care and
complains of vague symptoms of abdominal fullness and bloating. On the rectovaginal
exam, the advanced practice registered nurse (APRN) notes a solid, irregular, and fixed
pelvic mass.
Which cancer diagnosis should the APRN make for this patient?
Ovarian
A 26-year-old female patient presents to the clinic with complaints of abdominal pain,
vaginal discharge, and vaginal pruritis. The advanced practice registered nurse (APRN)
performs a pelvic exam, including pH tape test and wet mount. The APRN notes a
vaginal pH of 6.2 and visualizes ovoid, flagellated organisms under the microscopy.
What should the APRN diagnose?
Trichomoniasis
A 28-year-old woman presents to clinic with complaints of painful vulvar ulcerations.
After further evaluation, the advanced practice registered nurse (APRN) diagnoses the
client with herpes simplex virus.
Which education should the APRN provide to the patient for this condition?
Daily suppressive therapy should be used for 10 or more occurrences per year.
An advanced practice registered nurse (APRN) is treating a female patient with
bacterial vaginitis.
Which action should be included in the plan of care?
Metronidazole 500 mg orally twice a day for seven days
A patient presents to the primary clinic complaining of a foul smelling vaginal discharge
that worsens before menses and after intercourse. The advanced practice registered
, nurse (APRN) assesses the patient's diagnostic tests which reveals a vaginal pH >4.5,
positive whiff test, and clue cells on wet prep. A diagnosis of bacterial vaginosis is
confirmed.
Which treatment regimen should the APRN use with this patient?
Metronidazole 500 mg PO bid for seven days
A female patient presents to the primary care clinic complaining of lower abdominal
pain, abnormal menses, and difficulty urinating. The advanced practice nurse (APRN)
performed a pelvic examination that revealed cervical motion tenderness (CMT) with
purulent discharge. A diagnosis of gonorrhea is confirmed. The APRN prescribes
ceftriaxone 250 mg IM; however, the medication is unavailable. Which alternative
treatment regimen should the APRN use for this patient?
Gentamicin 240 mg IM plus azithromycin 2 g orally once
A 15-year-old female presents to the clinic with the complaint of amenorrhea. The
advanced practice registered nurse (APRN) completes an assessment with the following
results:
-breast development normal
-recent weight loss of 15 lb with BMI of 16.5 kg/m2
-no drug use
The patient reports being on the track team in high school and runs five miles every day
as part of the sport.
Which care plan should the APRN recommend for this patient?
Review complications, refer to counseling, and refer to nutritionist
An advanced practice registered nurse (APRN) is seeing a 30-year-old patient who is
having excessive and prolonged menses that last more than seven days. The interval
