NR 602
WEEK 8
FINAL EXAM
QUESTION &
ANSWERS
,NR 602 P0SS Q&A
NR 602 WEEK 8 FINAL EXAM – ALL POSSIBLE
QUESTION & CORRECT ANSWERS
ACOG guidelines regarding well women exams
What is the ASCCP recommended management for an ASCUS (atypical squamous
cells of undeterminedsignificance) pap result with a positive high-risk HPV 16 cotest
in a 26-year-old woman without a history of abnormal pap smears?
• Colposcopy
A well-woman visit for an adolescent should include which of the following?
• A general health history focusing on reproductive and sexual health concerns
(menses, gynecologic, and pregnancy related) and psychosocial (family related,
peer related, emotional, and physical as wellas related to abuse, drug use, and
alcohol use) concerns
Physical exam, screening tests, and immunizations as indicated by the health
history and gynecologicconsiderations for an external-only inspection of the
genitalia
ACOG Pap smear guidelines
A Bethesda system Pap smear report that reads LSIL is most consistent with which
classification?
• CIN 1
A single Pap smear reading of ASCUS in a patient negative for HPV infection should
have what as follow-up?
• Routine screening
A female patient is 35 years old. She has never had an abnormal PAP smear and has
had regular screeningsince age
18. If she has a normal PAP smear with HPV testing today, when should
she have the next cervicalcancerscreening?
• 5 years
A young sexually active client at the family planning clinic is advised to have a
Papanicolaou (Pap) smear. Shehasnever had a Pap smear before. What should the
nurse include in the explanation of this procedure?
• 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
human papillomavirus (HPV)screen. Which procedure will be required next?
• Repeat Pap and HPV screen
Which of the following is not part of the criteria for an older woman to cease having
any future Pap testsperformed?
• Over 55 years of age
Amenorrhea (Primary and
Secondary)
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 ascertain the presence
, NR 602 P0SS Q&A
of?
• Endogenous estrogen
A 17-year-old female patient presents with amenorrhea for 4 months she did
experience menarche at age 15 but hadnot had a menstrual cycle since. On physical
examination, it is noticed that she has normal secondary sexual characteristics. The
nurse practitioner will consider a progesterone challenge to determine the presenceof
adequate
• Endogenous estrogen
A teenage patient presents with amenorrhea and moral secondary sex
characteristics. A progesterone challenge isordered. The purpose is to
determine the presence of ?
• Endogenous estrogen
A 16year old girl who comes to your office with a history of secondary amenorrhea.
She experienced menarche atage 10, regular cycles for 2 years. She has not
menstruated now for 4 years. In your initial consideration of differential diagnoses,
what is the most frequent etiology of this problem:
• Eating disorder
18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex
characteristics and normalgenitalia. Pregnancy is ruled out. What would necessitate
further eval?
• Galactorrhea
Primary amenorrhea is best described as:
• Failure to menstruation to occur by 13 yr
A nurse practitioner is caring for a woman with primary and secondary amenorrhea.
The pelvic exam was normal.Which of the following may be the cause if etiology
originates in the hypothalamus?
• Sheehan’s syndrome
American Cancer Society
recommendations
A nurse practitioner is participating in a women’s health fair. When educating
the women about riskfactors forbreast cancer, which of the following
statements is incorrect?
• Fibrocystic breast disease
When educating women about breast cancer risk factors, which statement is incorrect?
• Fibrocystic breast disease
A woman with lobular carcinoma in situ has a relative risk of developing invasive
breast cancer of
• 8.0
Changes in hormonal regulation during menopause result in the gradual cessation of
menstruation. Fromwhichgland is Androstenedione secreted?
• Adrenals
WEEK 8
FINAL EXAM
QUESTION &
ANSWERS
,NR 602 P0SS Q&A
NR 602 WEEK 8 FINAL EXAM – ALL POSSIBLE
QUESTION & CORRECT ANSWERS
ACOG guidelines regarding well women exams
What is the ASCCP recommended management for an ASCUS (atypical squamous
cells of undeterminedsignificance) pap result with a positive high-risk HPV 16 cotest
in a 26-year-old woman without a history of abnormal pap smears?
• Colposcopy
A well-woman visit for an adolescent should include which of the following?
• A general health history focusing on reproductive and sexual health concerns
(menses, gynecologic, and pregnancy related) and psychosocial (family related,
peer related, emotional, and physical as wellas related to abuse, drug use, and
alcohol use) concerns
Physical exam, screening tests, and immunizations as indicated by the health
history and gynecologicconsiderations for an external-only inspection of the
genitalia
ACOG Pap smear guidelines
A Bethesda system Pap smear report that reads LSIL is most consistent with which
classification?
• CIN 1
A single Pap smear reading of ASCUS in a patient negative for HPV infection should
have what as follow-up?
• Routine screening
A female patient is 35 years old. She has never had an abnormal PAP smear and has
had regular screeningsince age
18. If she has a normal PAP smear with HPV testing today, when should
she have the next cervicalcancerscreening?
• 5 years
A young sexually active client at the family planning clinic is advised to have a
Papanicolaou (Pap) smear. Shehasnever had a Pap smear before. What should the
nurse include in the explanation of this procedure?
• 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
human papillomavirus (HPV)screen. Which procedure will be required next?
• Repeat Pap and HPV screen
Which of the following is not part of the criteria for an older woman to cease having
any future Pap testsperformed?
• Over 55 years of age
Amenorrhea (Primary and
Secondary)
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 ascertain the presence
, NR 602 P0SS Q&A
of?
• Endogenous estrogen
A 17-year-old female patient presents with amenorrhea for 4 months she did
experience menarche at age 15 but hadnot had a menstrual cycle since. On physical
examination, it is noticed that she has normal secondary sexual characteristics. The
nurse practitioner will consider a progesterone challenge to determine the presenceof
adequate
• Endogenous estrogen
A teenage patient presents with amenorrhea and moral secondary sex
characteristics. A progesterone challenge isordered. The purpose is to
determine the presence of ?
• Endogenous estrogen
A 16year old girl who comes to your office with a history of secondary amenorrhea.
She experienced menarche atage 10, regular cycles for 2 years. She has not
menstruated now for 4 years. In your initial consideration of differential diagnoses,
what is the most frequent etiology of this problem:
• Eating disorder
18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex
characteristics and normalgenitalia. Pregnancy is ruled out. What would necessitate
further eval?
• Galactorrhea
Primary amenorrhea is best described as:
• Failure to menstruation to occur by 13 yr
A nurse practitioner is caring for a woman with primary and secondary amenorrhea.
The pelvic exam was normal.Which of the following may be the cause if etiology
originates in the hypothalamus?
• Sheehan’s syndrome
American Cancer Society
recommendations
A nurse practitioner is participating in a women’s health fair. When educating
the women about riskfactors forbreast cancer, which of the following
statements is incorrect?
• Fibrocystic breast disease
When educating women about breast cancer risk factors, which statement is incorrect?
• Fibrocystic breast disease
A woman with lobular carcinoma in situ has a relative risk of developing invasive
breast cancer of
• 8.0
Changes in hormonal regulation during menopause result in the gradual cessation of
menstruation. Fromwhichgland is Androstenedione secreted?
• Adrenals
