NR 602 Final exam with precise detailed
| | | | | | |
answers
What |is |the |ASCCP |recommended |management |for |an |ASCUS |(atypical |squamous |cells |of |
undetermined |significance) |pap |result |with |a |positive |high-risk |HPV |16 |co-test |in |a |26-year-old
|woman |without |a |history |of |abnormal |Pap |smears? |- |correct |answer |Colposcopy
A |well |woman |visit |for |an |adolescent |should |include |which |of |the |following |- |correct |answer |A
|general |health |history |focusing |on |reproductive |and |sexual |health |concerns |(mentors, |
gynecologic, |and |pregnancy |related) |and |psychosocial |(Family |related, |peer |related, |emotional,
|and |physical |as |well |as |related |to |abuse, |drug |use |and |alcohol |use) |concerns
Physical |exam, |screening |test, |and |immunizations |as |indicated |by |the |health |history |and |
gynecologic |considerations |for |an |extern |only |inspection |of |the |genitalia
A |Bethesda |System |Pap |smear |report |that |reads |LSIL |is |most |consistent |with |which |
classification |- |correct |answer |CIN |1
A |single |Pap |smear |reading |of |ASCUS |in |a |patient |negative |for |HPV |infection |should |have |what
|as |follow-up? |- |correct |answer |Routine |screening
A |female |patient |is |35 |years |old. |She |has |never |had |an |abnormal |Pap |smear |and |has |had |
regular |screening |since |age |18. |If |she |has |a |normal |Pap |smear |with |HPV |testing |today, |when |
should |she |have |the |next |cervical |cancer |screening |- |correct |answer |Five |years
A |young |sexually |active |client |of |the |family |planning |clinic |is |advised |to |have |a |Pap |smear. |She |
has |never |had |a |Pap |smear |before. |What |should |the |nurse |include |in |the |explanation |of |this |
procedure |- |correct |answer |The |Pap |smear |can |detect |cancer |of |the |cervix
Lab |results |on |your |26-year-old |patient |show |a |negative |Pap |smear |with |a |positive |HPV |
screen. |Which |procedure |will |be |required |next |- |correct |answer |Repeat |Pap |and |HPV |screen
,Which |of |the |following |is |not |part |of |the |criteria |for |an |older |woman |to |see |if |having |any |
future |Pap |test |performed |- |correct |answer |Over |55 |years |of |age
You |are |evaluating |a |17-year-old |Emily |who |presented |with |amenorrhea |and |normal |
secondary |sex |characteristics. |The |purpose |of |the |progesterone |challenge |is |to |a |certain |the |
presence |of |- |correct |answer |Endogenous |estrogen
A |17-year-old |female |patient |presents |with |amenorrhea |for |four |months |she |did |experience |
menarche |at |age |15 |but |had |not |had |a |menstrual |cycle |since. |On |physical |examination, |it |is |
noted |that |she |has |normal |secondary |sexual |characteristics. |The |nurse |practitioner |will |
consider |progesterone |challenge |to |determine |the |presence |of |adequate |- |correct |answer |
Endogenous |estrogen
A |teenage |patient |presents |with |amenorrhea |and |moral |secondary |sex |characteristics. |The |
progesterone |challenge |is |ordered. |the |purpose |is |to |determine |the |presence |of |- |correct |
answer |Endogenous |estrogen
18-year-old |female |complaining |of |secondary |amenorrhea. |On |exam, |there |is |a |normal |
secondary |sex |characteristics |and |normal |genitalia. |Pregnancy |is |ruled |out |what |would |
necessitate |further |evaluation |- |correct |answer |Galactorrhea
Primary |amenorrhea |is |best |described |as |- |correct |answer |Failure |to |menstrate |by |13 |years |old
A |nurse |practitioner |is |participating |in |a |woman's |health |fair. |When |educating |the |woman |
about |risk |factors |for |breast |cancer |which |of |the |following |statements |is |incorrect? |- |correct |
answer |Fibrocystic |breast |disease
When |educating |women |about |breast |cancer |risk |factors |which |statement |is |incorrect |- |
correct |answer |Fibrocystic |breast |disease
A |woman |with |lobular |carcinoma |in |situ |has |a |relative |risk |of |developing |invasive |breast |
cancer |of |- |correct |answer |8.0
, Changes |and |hormonal |regulation |during |menopause |result |in |the |gradual |cessation |of |
menstruation. |From |which |gland |is |Androstenedione |secreted |- |correct |answer |Adrenals
A |Pap |smear |results |of |atypical |squamous |cells |of |undetermined |significance |rule |out |high-
grade |squamous |intraepithelial |lesion |will |require |which |procedure |- |correct |answer |
Colposcopy
A |Pap |smear |results |of |atypical |squamous |cells |of |undetermined |significance |require |which |
procedure |next |- |correct |answer |Follow-up |Pap |smear
A |25-year-old |presents |with |a |report |of |a |very |tender |area |just |near |her |introitus |and |to |the |
left |of |her |perineum. |Very |painful |sex |is |how |she |knew |something |wasn't |right. |She |showered |
and |when |washing, |she |felt |a |P |sized |painful |lump |on |the |left |side |of |her |bottom. |She |tells |you
|she |looked |at |it |with |the |mirror |and |it |was |very |small |but |now |it |is |the |size |of |a |ping-pong |
ball |and |getting |worse. |when |you |Inspect |her |genitalia |you |are |amazed |at |the |size |and |
appearance |of |the |lump |you |know |what |appears |to |be |an |abscess |on |the |left |medial |side |of |
the |labia |minora |and |there |is |some |edema |extending |into |the |perineum. |Your |diagnosis |for |
this |presentation |is |- |correct |answer |Bartholins |cyst
You |explain |to |this |young |woman |what |this |"lump" |is |and |let |her |know |you |will |be |referring |
her |to |a |gynecologist |you |consult |with |regularly. |You |explain |to |her |the |likely |treatment |as |
follows: |- |correct |answer |A |possible |incision |might |be |necessary |and |a |catheter |placed |for |2 |to
|4 |weeks |to |allow |for |drainage |and |appropriate |healing
A |client |at |the |woman's |health |clinic |complains |of |swelling |of |the |labia |and |throbbing |pain |in |
the |labial |area |after |sexual |intercourse. |For |what |condition |does |the |nurse |anticipate |the |
client |will |be |treated |- |correct |answer |Bartholinitis
Which |of |the |following |choices |represents |a |disorder |of |the |reproductive |tract |that |causes |
pain, |erythema, |dyspareunia, |and |a |perineal |mass |- |correct |answer |Bartholin |cyst
A |nurse |practitioner |instructor |is |reviewing |the |anatomy |of |the |external |genitalia. |At |the |
opening |of |the |vagina |are |the |Bartolian |glands. |Which |of |the |following |describes |the |function |
of |these |glands |- |correct |answer |Production |of |alkaline |secretions |for |sperm |viability
| | | | | | |
answers
What |is |the |ASCCP |recommended |management |for |an |ASCUS |(atypical |squamous |cells |of |
undetermined |significance) |pap |result |with |a |positive |high-risk |HPV |16 |co-test |in |a |26-year-old
|woman |without |a |history |of |abnormal |Pap |smears? |- |correct |answer |Colposcopy
A |well |woman |visit |for |an |adolescent |should |include |which |of |the |following |- |correct |answer |A
|general |health |history |focusing |on |reproductive |and |sexual |health |concerns |(mentors, |
gynecologic, |and |pregnancy |related) |and |psychosocial |(Family |related, |peer |related, |emotional,
|and |physical |as |well |as |related |to |abuse, |drug |use |and |alcohol |use) |concerns
Physical |exam, |screening |test, |and |immunizations |as |indicated |by |the |health |history |and |
gynecologic |considerations |for |an |extern |only |inspection |of |the |genitalia
A |Bethesda |System |Pap |smear |report |that |reads |LSIL |is |most |consistent |with |which |
classification |- |correct |answer |CIN |1
A |single |Pap |smear |reading |of |ASCUS |in |a |patient |negative |for |HPV |infection |should |have |what
|as |follow-up? |- |correct |answer |Routine |screening
A |female |patient |is |35 |years |old. |She |has |never |had |an |abnormal |Pap |smear |and |has |had |
regular |screening |since |age |18. |If |she |has |a |normal |Pap |smear |with |HPV |testing |today, |when |
should |she |have |the |next |cervical |cancer |screening |- |correct |answer |Five |years
A |young |sexually |active |client |of |the |family |planning |clinic |is |advised |to |have |a |Pap |smear. |She |
has |never |had |a |Pap |smear |before. |What |should |the |nurse |include |in |the |explanation |of |this |
procedure |- |correct |answer |The |Pap |smear |can |detect |cancer |of |the |cervix
Lab |results |on |your |26-year-old |patient |show |a |negative |Pap |smear |with |a |positive |HPV |
screen. |Which |procedure |will |be |required |next |- |correct |answer |Repeat |Pap |and |HPV |screen
,Which |of |the |following |is |not |part |of |the |criteria |for |an |older |woman |to |see |if |having |any |
future |Pap |test |performed |- |correct |answer |Over |55 |years |of |age
You |are |evaluating |a |17-year-old |Emily |who |presented |with |amenorrhea |and |normal |
secondary |sex |characteristics. |The |purpose |of |the |progesterone |challenge |is |to |a |certain |the |
presence |of |- |correct |answer |Endogenous |estrogen
A |17-year-old |female |patient |presents |with |amenorrhea |for |four |months |she |did |experience |
menarche |at |age |15 |but |had |not |had |a |menstrual |cycle |since. |On |physical |examination, |it |is |
noted |that |she |has |normal |secondary |sexual |characteristics. |The |nurse |practitioner |will |
consider |progesterone |challenge |to |determine |the |presence |of |adequate |- |correct |answer |
Endogenous |estrogen
A |teenage |patient |presents |with |amenorrhea |and |moral |secondary |sex |characteristics. |The |
progesterone |challenge |is |ordered. |the |purpose |is |to |determine |the |presence |of |- |correct |
answer |Endogenous |estrogen
18-year-old |female |complaining |of |secondary |amenorrhea. |On |exam, |there |is |a |normal |
secondary |sex |characteristics |and |normal |genitalia. |Pregnancy |is |ruled |out |what |would |
necessitate |further |evaluation |- |correct |answer |Galactorrhea
Primary |amenorrhea |is |best |described |as |- |correct |answer |Failure |to |menstrate |by |13 |years |old
A |nurse |practitioner |is |participating |in |a |woman's |health |fair. |When |educating |the |woman |
about |risk |factors |for |breast |cancer |which |of |the |following |statements |is |incorrect? |- |correct |
answer |Fibrocystic |breast |disease
When |educating |women |about |breast |cancer |risk |factors |which |statement |is |incorrect |- |
correct |answer |Fibrocystic |breast |disease
A |woman |with |lobular |carcinoma |in |situ |has |a |relative |risk |of |developing |invasive |breast |
cancer |of |- |correct |answer |8.0
, Changes |and |hormonal |regulation |during |menopause |result |in |the |gradual |cessation |of |
menstruation. |From |which |gland |is |Androstenedione |secreted |- |correct |answer |Adrenals
A |Pap |smear |results |of |atypical |squamous |cells |of |undetermined |significance |rule |out |high-
grade |squamous |intraepithelial |lesion |will |require |which |procedure |- |correct |answer |
Colposcopy
A |Pap |smear |results |of |atypical |squamous |cells |of |undetermined |significance |require |which |
procedure |next |- |correct |answer |Follow-up |Pap |smear
A |25-year-old |presents |with |a |report |of |a |very |tender |area |just |near |her |introitus |and |to |the |
left |of |her |perineum. |Very |painful |sex |is |how |she |knew |something |wasn't |right. |She |showered |
and |when |washing, |she |felt |a |P |sized |painful |lump |on |the |left |side |of |her |bottom. |She |tells |you
|she |looked |at |it |with |the |mirror |and |it |was |very |small |but |now |it |is |the |size |of |a |ping-pong |
ball |and |getting |worse. |when |you |Inspect |her |genitalia |you |are |amazed |at |the |size |and |
appearance |of |the |lump |you |know |what |appears |to |be |an |abscess |on |the |left |medial |side |of |
the |labia |minora |and |there |is |some |edema |extending |into |the |perineum. |Your |diagnosis |for |
this |presentation |is |- |correct |answer |Bartholins |cyst
You |explain |to |this |young |woman |what |this |"lump" |is |and |let |her |know |you |will |be |referring |
her |to |a |gynecologist |you |consult |with |regularly. |You |explain |to |her |the |likely |treatment |as |
follows: |- |correct |answer |A |possible |incision |might |be |necessary |and |a |catheter |placed |for |2 |to
|4 |weeks |to |allow |for |drainage |and |appropriate |healing
A |client |at |the |woman's |health |clinic |complains |of |swelling |of |the |labia |and |throbbing |pain |in |
the |labial |area |after |sexual |intercourse. |For |what |condition |does |the |nurse |anticipate |the |
client |will |be |treated |- |correct |answer |Bartholinitis
Which |of |the |following |choices |represents |a |disorder |of |the |reproductive |tract |that |causes |
pain, |erythema, |dyspareunia, |and |a |perineal |mass |- |correct |answer |Bartholin |cyst
A |nurse |practitioner |instructor |is |reviewing |the |anatomy |of |the |external |genitalia. |At |the |
opening |of |the |vagina |are |the |Bartolian |glands. |Which |of |the |following |describes |the |function |
of |these |glands |- |correct |answer |Production |of |alkaline |secretions |for |sperm |viability
