and Correct Verified Answers/ NURS 620 Adult
Gerontology Health Care 1 Exam 4 Prep Test (Latest!)
Darcy it to undergo a cone-needle biopsy for a suspicious breast mass. This
procedure includes:
A. A 21- or 22- guage needle that is used to aspirate cells from the lesion for
analysis
B. Removal of a large core of tissue from the lesion for histological evaluation
usually a large guage cutting needle
C. Removal of a wedge of tissue for examination
D. Removal of the entire lesion - ANSWER-B
Which of the following is a contraindication to using the copper intrauterine device
(IUD)?
A. History of ectopic pregnancy
B. Nulliparity
C. Treated cervical dysplasia
D. Heart Disease - ANSWER-D
Joy has been breastfeeding and has developed puerperal mastitis. You tell her
A. "Using cool compresses to the affected breast before pumping will increase
milk expression"
B. "Continue breastfeeding the baby to avoid mild stasis"
C. "Continue doing your normal activities during the acute phase to keep things
flowing"
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,D. "Do not massage the breast" - ANSWER-B
A 17 year old female asks to start Depo-Provera injections as her method of birth
control. She discloses she has had four sexual partners in the past year. Her last
menstrual period was 12 days ago, and she had unprotected sex 3 days ago. The
appropriate management for this patient would be to:
A. Administer the injection today
B. Advise her to use another method for now and return with her next menses
C. Give the injection after a negative pregnancy test and tell her to use a condom
for the next 7 days
D. Give her injection and tell her to use a barrier method for 7 days - ANSWER-B
Beth is breastfeeding her 3-month-old infant with no supplementation. She says
she has heard she can not get pregnant during this time. What do you tell her:
A. "It's highly likely that you may become, so you should use another method of
birth control"
B. "Yes, you are safe as long as you breastfeed"
C. "For the first 6months, if you breastfeed and have very little supplementation,
you chances are less than 2% that you will get pregnant"
D. " You're more at risk for getting pregnant now because of your fluctuating
hormone levels" - ANSWER-C
Mrs. Williams would like to schedule an appointment to bring her 18-year-old
daughter in for her first gynecological exam and Pap smear. The most appropriate
reply would include:
A. "I would be happy to see your daughter and complete her gynecological exam
and Pap smear"
B. "Your daughter does not need gynecological exam and Pap at this time"
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,C. "Your daughter only needs a gynecological exam and Pap smear when she
becomes sexually active"
D. "I would be happy to see your daughter and complete her gynecological exam;
however, she does not need a Pap smear until the age of 21" - ANSWER-D
Candidiasis is more common in:
A. Teenage girls
B. Women on low-fat diets
C. Women with diabetes
D. Women with frequent urinary tract infections - ANSWER-C
Characteristics of polycystic ovarian syndrome include:
A. Hirsutism, thinness, hypoinsulinemia
B. Menopause onset, vitiligo, hyperinsulinemia
C. Alopecia, thinness, abdominal cramping
D. Premenarcheal onset, obesity, hyperinsulinemia - ANSWER-D
A treatment used to improve the chance of pregnancy in an infertile woman who
has minimal or mild endometriosis is
A. A laparoscopic resection or ablation of the lesions
B. Dilation or curettage
C. The use of gonadotropin-releasing hormone analogs
D. The use of birth control pills for 3 months followed by an abrupt stop -
ANSWER-A
an occurrence of genital herpes is:
A. Cured with acyclovir (Zovirax)
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, B. Best managed with trichloroacetic acid, 80%-90%, applied directly to the lesion
C. Expected to be completely resolved within 21 days (for the primary lesion)
D. Not a factor in continuing with intercourse - ANSWER-C
During a pelvic examination, you ask Mrs. Kane to Valsalva (strain). While doing
this, a pouching is seen in the anterior wall of the vagina. This in indicative of:
A. A cystocele
B. A rectocele
C. An enterocele
D. A uterine prolapse - ANSWER-A
Which type of breast cancer involves infiltration of the nipple epithelium and has
an initial symptom of itching or burning of the nipple?
A. Ductal Cancer
B. Paget's Disease
C. Mammary duct ectasia
D. Fibroadenoma - ANSWER-B
Mrs. Hale, age 73, was diagnosed with procidentia. This condition is a:
A. Cystocele
B. Rectocele
C. Vaginal fistula
D. Third-degree uterine prolapse - ANSWER-D
Which of the following ovarian tumors or cysts has the potential for malignancy?
A. Follicle cysts
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