NSG 6430 FINAL EXAM ACTUAL QUESTIONS AND
ANSWERS GRADED A+
✔A patient is being rechecked after having a total hysterectomy performed and is
having
multiple problems since. Which of the following is/are early symptom(s) of estrogen
withdrawal? - ✔✔sleep disturbances
✔✔Elba, a thirty-five year- old woman, presents with a six month history of
hypermenorrhea,
backache, and pelvic pressure. On examination, you discover twelve week- size uterus
with
irregular contour. Which of the following does this represent? - ✔✔uterine fibroid
✔✔The most effective interventions available to women's healthcare providers for
reducing
the incidence and severity of the leading causes of death and disability - ✔✔lifestyle
changes
✔✔Strategies to protect teenagers from risks include all of the following except ___ -
✔✔pairing young adolescents with middle adolescents
✔✔A postmenopausal patient is prescribed hormonal therapy (HT). The nurse
practitioner
recalls that HT is indicated for the management of ________. - ✔✔hot flashes
✔✔A thirty-nine-yearold female has not had menses for over six months and has a
negative
pregnancy test. Which of the following characteristics puts her at risk for an early
menopause? - ✔✔current smoker
✔✔Suzanne, a forty-six year- old client, reports shortened menstrual cycles for one
year. The
most likely diagnosis is - ✔✔perimenopause
✔✔The nurse practitioner is caring for a menopausal patient reporting vaginal dryness
with
intercourse. How would this best be managed? - ✔✔vaginal estrogen
✔✔Jackie is a fifteen-year-old African American female who resides in a housing plan.
You
realize that barriers exist in providing preventive services to adolescents that include all
of the
following except - ✔✔availability of guidelines for preventive care
, ✔✔Seventeen-year-old Stella presents with the chief complaint of unilateral breast
tenderness
and swelling. Which of the following would be the least likely etiology for this problem? -
✔✔breast cancer
✔✔The nurse practitioner is completing a follow-up visit on a woman who was
previously
prescribed hormonal therapy (HT), which she has not taken for the last month. The
primary
reason the patient discontinued HT is _________. - ✔✔vaginal bleeding
✔✔A Pap smear result of atypical squamous cells of undetermined significance—rule
out
high-grade squamous intraepithelial lesion (ASCUS r/o HGSIL) will require which
procedure
next? - ✔✔colposcopy
✔✔In caring for a menopausal client who has had a total hysterectomy, the nurse
practitioner
would include which of the following options? - ✔✔estrogen alone
✔✔A woman has been diagnosed with polycystic ovary syndrome (PCOS).
Management of
PCOS includes all of the following except ___________. - ✔✔daily basal insulin to
reduce blood sugar
✔✔Elizabeth, twenty-four years old, is pregnant, and you are educating her on common
problems during the first trimester. Which of the following is abnormal and requires
immediate attention? - ✔✔vaginal bleeding
✔✔The nurse practitioner is assessing a patient in her last month of pregnancy.
Lightening
typically occurs during this time, in which the height of the __________ drops slightly. -
✔✔fundus
✔✔The nurse practitioner is performing a pelvic exam on a new OB patient. The cervix
shows
Goodell's sign when __________; and it shows Chadwick's sign when __________. -
✔✔it softens; it turns bluish in color
✔✔The nurse practitioner is providing prenatal education regarding pregnancy signs
and
ANSWERS GRADED A+
✔A patient is being rechecked after having a total hysterectomy performed and is
having
multiple problems since. Which of the following is/are early symptom(s) of estrogen
withdrawal? - ✔✔sleep disturbances
✔✔Elba, a thirty-five year- old woman, presents with a six month history of
hypermenorrhea,
backache, and pelvic pressure. On examination, you discover twelve week- size uterus
with
irregular contour. Which of the following does this represent? - ✔✔uterine fibroid
✔✔The most effective interventions available to women's healthcare providers for
reducing
the incidence and severity of the leading causes of death and disability - ✔✔lifestyle
changes
✔✔Strategies to protect teenagers from risks include all of the following except ___ -
✔✔pairing young adolescents with middle adolescents
✔✔A postmenopausal patient is prescribed hormonal therapy (HT). The nurse
practitioner
recalls that HT is indicated for the management of ________. - ✔✔hot flashes
✔✔A thirty-nine-yearold female has not had menses for over six months and has a
negative
pregnancy test. Which of the following characteristics puts her at risk for an early
menopause? - ✔✔current smoker
✔✔Suzanne, a forty-six year- old client, reports shortened menstrual cycles for one
year. The
most likely diagnosis is - ✔✔perimenopause
✔✔The nurse practitioner is caring for a menopausal patient reporting vaginal dryness
with
intercourse. How would this best be managed? - ✔✔vaginal estrogen
✔✔Jackie is a fifteen-year-old African American female who resides in a housing plan.
You
realize that barriers exist in providing preventive services to adolescents that include all
of the
following except - ✔✔availability of guidelines for preventive care
, ✔✔Seventeen-year-old Stella presents with the chief complaint of unilateral breast
tenderness
and swelling. Which of the following would be the least likely etiology for this problem? -
✔✔breast cancer
✔✔The nurse practitioner is completing a follow-up visit on a woman who was
previously
prescribed hormonal therapy (HT), which she has not taken for the last month. The
primary
reason the patient discontinued HT is _________. - ✔✔vaginal bleeding
✔✔A Pap smear result of atypical squamous cells of undetermined significance—rule
out
high-grade squamous intraepithelial lesion (ASCUS r/o HGSIL) will require which
procedure
next? - ✔✔colposcopy
✔✔In caring for a menopausal client who has had a total hysterectomy, the nurse
practitioner
would include which of the following options? - ✔✔estrogen alone
✔✔A woman has been diagnosed with polycystic ovary syndrome (PCOS).
Management of
PCOS includes all of the following except ___________. - ✔✔daily basal insulin to
reduce blood sugar
✔✔Elizabeth, twenty-four years old, is pregnant, and you are educating her on common
problems during the first trimester. Which of the following is abnormal and requires
immediate attention? - ✔✔vaginal bleeding
✔✔The nurse practitioner is assessing a patient in her last month of pregnancy.
Lightening
typically occurs during this time, in which the height of the __________ drops slightly. -
✔✔fundus
✔✔The nurse practitioner is performing a pelvic exam on a new OB patient. The cervix
shows
Goodell's sign when __________; and it shows Chadwick's sign when __________. -
✔✔it softens; it turns bluish in color
✔✔The nurse practitioner is providing prenatal education regarding pregnancy signs
and
