NR 602 My Final Study Set 2024/2025
Exam Questions and Answers 100%
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A 16yearold 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? - 🧠ANSWER ✔✔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.
4. A sexually active adolescent female tests positive for N. gonorrhea
and Chalmydia. She tells the primary care pediatric nurse practitioner that
she
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 1
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,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 -
🧠ANSWER ✔✔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? - 🧠ANSWER ✔✔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? - 🧠ANSWER ✔✔Coagulation studies
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 2
STATEMENT. ALL RIGHTS RESERVED
,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? - 🧠ANSWER
✔✔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.
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? - 🧠ANSWER ✔✔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
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 3
STATEMENT. ALL RIGHTS RESERVED
, 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. - 🧠ANSWER ✔✔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? - 🧠ANSWER ✔✔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
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 4
STATEMENT. ALL RIGHTS RESERVED
Exam Questions and Answers 100%
Guaranteed Success | Already Rated A+
A 16yearold 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? - 🧠ANSWER ✔✔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.
4. A sexually active adolescent female tests positive for N. gonorrhea
and Chalmydia. She tells the primary care pediatric nurse practitioner that
she
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 1
STATEMENT. ALL RIGHTS RESERVED
,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 -
🧠ANSWER ✔✔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? - 🧠ANSWER ✔✔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? - 🧠ANSWER ✔✔Coagulation studies
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 2
STATEMENT. ALL RIGHTS RESERVED
,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? - 🧠ANSWER
✔✔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.
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? - 🧠ANSWER ✔✔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
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 3
STATEMENT. ALL RIGHTS RESERVED
, 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. - 🧠ANSWER ✔✔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? - 🧠ANSWER ✔✔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
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 4
STATEMENT. ALL RIGHTS RESERVED
