NR 602 MY FINAL STUDY SET|QUESTIONS AND 100% CORRECT ANSWERS |LATEST 2025/2026|GUARANTEED A+|VERIFIED

NR 602 MY FINAL STUDY SET|QUESTIONS AND
100% CORRECT ANSWERS |LATEST


A 16yearold sexually active female has a fever, bilateral lower abdominal
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pain,and malaise. A speculum and bimanual exam reveals adnexal tenderness.
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The urinalysis is normal and cervical cultures are pending. What medications will the primary
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care pediatric nurse practitioner prescribe for this patient? - ANSWER-
B B B B B B B B B PID-
she is Sexually active+Adnexal Tenderness and negative for UTI.
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Ceftriaxone, doxycycline, and metronidazole B B B B




Rational-
This is PID the treatment is Ceftriaxone 250 mg IM plus Doxyclicline 100 mg BID for 14 days pl
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us with or without Metronidazole 500 mg PO bid for 14 days.
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4. A sexually active adolescent female tests positive for N. gonorrhea
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and Chalmydia. She tells the primary care pediatric nurse practitioner that she
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wants to be treated today since she is moving out of town the next day. What will the nurse pr
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actitioner order?What is the treatment for her - ANSWER-
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Ceftriaxone 250 mg IM and azithromycin 1 g PO one time each
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Rational-
BRemember the G in Gonorehea for or Ceftriaxone and Chlamydia you can give either Doxycycl
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ine 100 mg for 7 days or Azithromycin 1 g PO x1 because she is moving she are giving this com
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bination.



A 14yearold female has menometrorrhagia with moderate increase in menstrual flow and irre
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gular periods. Her hemoglobin is 13.1 g/dL. How will this be managed? - ANSWER-
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Iron supplementation and prostaglandin inhibitors
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Wicky

,Rationale: Her hemoglobin level is at 13.1 and the normal range for this age group is 11.9-
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15. It is better to give Iron because of the bleeding and for pain reliefe Prostoglandins such as I
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buprofen.



An adolescent female has heavy periods that are also irregular. The physical exam is normal. A
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complete blood count reveals a hemoglobin of 8.9 g/dL. What test will the primary care pediat
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ric nurse practitioner order next? - ANSWER-
B B B B B B Coagulation studies B




Rational-The normal Hemoglobin range is 11.9- B B B B B



13.1 and she is outside the range. We need to look for reasons of this.
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An adolescent female has periods every 30 days that are consistently
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heavy and last from 5 to 8 days. What is her diagnosis? - ANSWER-
B B B B B B B B B B B B B Menorrhagia- B




Rationale-
The diagnosis for this is periods lasting longer than 7 days. Hers are lasting 8 days. She is consi
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stant with when her periods start so it won't be menometrorrhagia because that is irregular p
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eriods.



A 16yearold female has not had a menstrual period yet and is concerned. She
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denies sexual activity. An exam reveals an adult sexual maturity rating.
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Which laboratory test will the primary care pediatric nurse practitioner order initially? -
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B ANSWER- Pregnancy Test B




Rationale-
BAll people lie and the number one reason for Ammenorrhea is pregnancy. After I rule out that
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then I can look at other things such as nutrition, is she an athlete and is it Primary Amenorrhea
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Bwhich is failure to have a period for 3 years or creast development or by age 15. or Secondary
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Anemia which is no menstrual periods for 3 months or absent of period for 6 months for those
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Bon irregular periods.
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Wicky

, A 16yearold female reports breast tenderness and a "lump." The primary care pediatric nurse
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practitioner palpates a small fluidfilled mass in her right breast. - ANSWER-
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Order an Ultra Sound of Breast B B B B B




Rationale-
First thing you always do is order an ultra sound first to determine reason. Most girls this age
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do not have breast cancer.
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A 15yearold n female has a positive pregnancy test and asks the primary care
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pediatric nurse practitioner not to tell her parents. She is tearful and says she isn't sure she wa
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nts to keep the baby. What will the nurse practitioner do first? - ANSWER-
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Determine the state mandated reporting laws. B B B B B B




Rationale- Each state has different laws on reporting to parents about STIs and Pregnancy.
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A 17yearold sexually active female who began having periods at age 14 reports having modera
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te to severe dull lower abdominal pain associated
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predominantly with periods but that occurs at other times as well. The history reveals a recent
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onset of these symptoms. A pregnancy test is negative. Which course of action is most import
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ant? - ANSWER- B B Perform a full diagnostic workup to evaluate potential causes.
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Rationale-
This is not normal and needs more workup to determine the reason for it. She is sexually activ
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e so this raises more concerns for other things that might be going on such as PID or an STI
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A 16yearold female reports dull, achy cramping pa in in her lower abdomen
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lasting 2 or 3 hours that occurs between her menstrual periods each month.
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The adolescent is not sexually active. What is the treatment for this condition? - ANSWER-
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Prostaglandin inhibitor analgesics and a heating pad B B B B B B




Rationale - B



This is signs of normal period and the 1st line treatment is Prostoglandin and heating pad.
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3
Wicky