EXAM 2 & EXAM 3: NUR 6111 / NUR6111 (LATEST
UPDATES STUDY BUNDLE PACKAGE WITH
SOLUTIONS) ADVANCED PRACTICE NURSING I |
QUESTIONS & ANSWERS | GRADE A | 100%
CORRECT (VERIFIED SOLUTIONS) - WPUNJ
Hot flashes during periImenopause .....ANSWER.....Fluctuating
estrogen levels
Physical exam finding in a 65-year-old woman that warrants
evaluation .....ANSWER.....New inverted nipple
Which is NOT typical of primary syphilis? .....ANSWER.....Flu-like
symptoms
Metronidazole teaching for trichomoniasis .....ANSWER.....Avoid
alcohol to prevent disulfiram-like reaction
Recommended age to initiate cervical cancer screening
.....ANSWER.....21 years old
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Chlamydia findings .....ANSWER.....Vaginal discharge, cervical
changes
First-line drug and dose for primary genital herpes infection
.....ANSWER.....Acyclovir 400 mg TID × 7-10 days
Tx for foul, frothy yellow-green discharge with strawberry cervix
.....ANSWER.....Metronidazole (Trichomoniasis)
Tx for BV with fishy odor, pH >4.5, +whiff
.....ANSWER.....Metronidazole
Tx for thick curd-like discharge after antibiotics
.....ANSWER.....Fluconazole 800 mg single dose
Treatment plan when female has chlamydia & partner
asymptomatic .....ANSWER.....Both get Doxycycline 100 mg BID ×
7 d (or Azithromycin 1 g)
31-year-old HPV co-test negative—next screen .....ANSWER.....5
years
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Add-on for HRT user with atrophic vaginitis
.....ANSWER.....Topical vaginal estrogen
First-line antibiotic for uncomplicated UTI (nitrite+, leuk+)
.....ANSWER.....Nitrofurantoin 100 mg BID × 5 d
Finding consistent with pyelonephritis .....ANSWER.....CVA
tenderness
Outpatient pyelonephritis antibiotic options
.....ANSWER.....Bactrim DS BID × 14 d, or Levo 750 mg × 5 d, or
Cipro 500 mg BID × 7 d
Uncomplicated cystitis in diabetic female—drug & duration
.....ANSWER.....Bactrim DS BID × 7 d
Asymptomatic bacteriuria in 65-year-old woman
.....ANSWER.....No treatment—observe
GFR 65 (CKD Stage 2) management—what NOT to do
.....ANSWER.....Refer to nephrologist now
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Gold standard imaging for kidney stones .....ANSWER.....Non-
contrast CT
Sudden flank pain, hematuria on thiazide—likely
.....ANSWER.....Nephrolithiasis
Sudden high-riding painful testis diagnosis
.....ANSWER.....Testicular torsion
Classic torsion exam finding .....ANSWER.....Absent cremasteric
reflex (−Prehn)
Epididymitis clue .....ANSWER.....Relief of pain with scrotal
elevation (Prehn +)
Stress incontinence history question .....ANSWER.....Do you leak
urine when you cough?
Med for urge incontinence .....ANSWER.....Oxybutynin
Baseline prostate cancer screen in 40-year healthy male
.....ANSWER.....Not recommended