nr_602_final_week_8_poss_questions and answers graded a+ 2026.pdf

NR602
j




WEEK8FINAj j




LEXAMQUE
j j




STION&ANS j j




WERS

,NR 602 P0SS Q&A

NR 602 WEEK 8 FINALEXAM – j j j j j j



ALL POSSIBLE QUESTION & CORRECT ANSW j j jj j j j



ERS
ACOG guidelines regarding well women exams
What is the ASCCP recommended management for an ASCUS (atypical squamous cells o
j j j j j j j j j j j j


f undeterminedsignificance) pap result with a positive high-risk HPV 16 cotest in a 26-
j j j j j j j j j j j j j


year-old woman without a history of abnormal pap smears?j j j j j j j j

• Colposcopy
A well-woman visitfor an adolescent should include which of the following?
j j j j j j j j j j j


• A general health history focusing on reproductive and sexual health concerns (menses
j j j j j j j j j j j


, gynecologic, and pregnancy related) and psychosocial (family related, peer related,
j j j j j j j j j j j


emotional, and physical as wellas related to abuse, drug use, and alcohol use) con j j j j j j j j j j j j j


cerns
Physical exam, screening tests, and immunizations as indicated by the health hist j j j j j j j j j j j


ory and gynecologicconsiderations for an external- j j j j j


only inspection of the genitalia j j j j

ACOG Pap smear guidelines j j j

A Bethesda system Pap smear report that reads LSIL is most consistent with which classifi
j j j j j j j j j j j j j j

cation?
• CIN 1 j

A single Pap smear reading ofASCUS in a patient negative for HPV infection should have
j j j j j j j j j j j j j j j j

what as follow-up? j j

• Routine screening j


A female patientis 35 years old. She has neverhad an abnormal PAPsmear and has had reg
j j j j j j j j j j j j j j j j j j


ular screeningsince age
j j


18. If she has a normal PAP smear with HPV testing today, when should she
j j j j j j j j j j j j j j


have the next cervicalcancerscreening?
j j j


• 5 years j


A young sexually active client at the family planning clinic is advised to have a Papanicol
j j j j j j j j j j j j j j j


aou (Pap)smear. Shehasnever had a Papsmear before. What should the nurse include in t
j j j j j j j j j j j j j j j


he explanation of this procedure?
j j j j


• The Pap smear can detect cancer of the cervix j j j j j j j j


Lab results on your 26-year-
j j j j


oldpatient show a negative Pap smear with a positive human papillomavirus (HPV)scree
j j j j j j j j j j j j


n. Which procedure will be required next?
j j j j j j


• Repeat Pap and HPV screen j j j j


Which ofthe following is not part of the criteria for an older woman to cease having any fut
j j j j j j j j j j j j j j j j j j


ure Pap testsperformed?
j j


• Over 55 years of age j j j j


Amenorrhea (Primary and Secondary) j j jj

You are evaluating a 17-year-
j j j j
old Emily who presented with amenorrhea and normal secondary sex
j j j j j j j j j


characteristics.The purpose of the progesterone challenge is to ascertain the presence j j j j j j j j j j

, NR 602 P0SS Q&A

of?
• Endogenous estrogen j


A 17-year-
j


old female patient presents with amenorrhea for 4 months she did experience menarche
j j j j j j j j j j j j j


at age 15 but hadnot had a menstrual cycle since. On physical examination, it is noticed th
j j j j j j j j j j j j j j j j


at she has normal secondary sexual characteristics. The nursepractitioner will consider a
j j j j j j j j j j j j


progesterone challenge to determinethe presenceof adequate
j j j j j j j


• Endogenous estrogen j


A teenage patient presents with amenorrhea and moral secondary sex characteristi
j j j j j j j j j j


cs. A progesterone challenge isordered. The purposeis to determine the presence
j j j j j j j j j j j j


of ? j

• Endogenous estrogen j


A 16year old girl who comes to your office with ahistory of secondary amenorrhea. She e
j j j j j j j j j j j j j j j j


xperienced menarche atage 10, regular cycles for 2 years. She has not menstruated now j j j j j j j j j j j j j j


for 4 years. In your initial consideration of differential diagnoses, what is the most frequ
j j j j j j j j j j j j j j


ent etiology of this problem:
j j j j


• Eating disorder j


18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex charact
j j j j j j j j j j j j


eristics and normalgenitalia. Pregnancy is ruled out. What would necessitate further eva
j j j j j j j j j j j


l?
• Galactorrhea
Primary amenorrhea is best described as: j j j j j

• Failure to menstruation to occur by 13 yr j j j j j j j


A nurse practitioner is caring for a woman with primary and secondary amenorrhea. The
j j j j j j j j j j j j j j


pelvic exam was normal.Which of the following may be the cause if etiology originate
j j j j j j j j j j j j j


s in the hypothalamus?
j j j


• Sheehan’s syndrome j


American Cancer Society recommend j j jj


ations
A nurse practitioner is participating in a women’s health fair. When educating the w
j j j j j j j j j j j j j


omen about riskfactors forbreast cancer, which of the following statements is in
j j j j j j j j j j j


correct?
• Fibrocystic breast disease j j

When educating women about breast cancer risk factors, which statement is incorrect?
j j j j j j j j j j j

• Fibrocystic breast disease j j


A womanwith lobular carcinoma in situhas a relative risk ofdeveloping invasive brea
j j j j j j j j j j j j j j


st cancer of
j j




• 8.0
Changes in hormonal regulation during menopause result in the gradual cessation of menstr
j j j j j j j j j j j j


uation. Fromwhichgland is Androstenedione secreted? j j j j


• Adrenals