PRACTICE NURSING
ACTUAL EXAM 3
QUESTIONS AND
CORRECT ANSWERS
LATEST UPDATE
2026/2027 .
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, NUR 6111 Exam 3 study guide
1. Hot flashes that occur during peri-menopause are thought to be related to ✔✔ correct answer
Fluctuating estrogen level
2. Which of the following physical examination findings in a 65 yr old woman warrants further evaluation?
Inverted nipple
3. Which of the following is not representative of the presentation of primary syphilis?
Flu Like symptoms
4. A patient diagnosed with trichomoniasis is being treated with metronidazole. When teaching the patient
about this medication, which of the following will the nurse practitioner include?
Do not consume alcohol (reduce possibility of a disulfiram-like reaction)
5. The recommended time to initiate screening for cervical cancer in women is ✔✔
correct answer
21 years old
6. The NP recognizes the following assessment findings as being consistent with Chlamydia (select all that apply)
Vaginal discharge, cervical changes
7. The NP is treated a 35 yr old patient for a primary herpes infection. The first line treatment option for primary
herpes infection include ✔✔ correct answer
Acyclovir 400mg TID 7-10 days (genital herpes)
8. The NP examines a patient with complaints of foul-smelling, frothy, copious and pale yellow to gray-green
vaginal discharge. On exam, vulvovaginal irritation and cervical petechiae is noted. Based on this the most
likely tx includes ✔✔ correct answer
Metronidazole (Trichomoniasis)
9. Mary is a 36 y/o woman who complains of vaginal burning. The NP assess greyish-white adherent vaginal
discharge that had fishy odor. The discharge pH level is 5.1 and there is (+) whif f test. The treatment of choice
for this is ✔✔ correct answer
Metronidazole (- KOH is whiff test- bacterial vaginosis)
10. Jane is a 38 y/o female who presents with non-odorous thick, white, curd-like vaginal discharge and vulvar
itching. She is in a monogamous relationship. She was recently treated for a sinus infection. The most likely
treatment includes which of the following ✔✔ correct answer
Fluconazole 800mg for initial (yeast infection)
11. A female patient is diagnosed with chlamydia. She has complaints of vaginal discharge and dysuria. Her male
partner is asymptomatic. How should they be treated?
Doxycycline 100mg BID X 7 days or azithromycin (exposed partner should be treated as well)
12. A female patient is 31 y/o. She has never had an abnormal PAP smear and has had regular screening since age
22. According to the AVS and ACOG guideline, if she has a normal PAP smear with HPV testing today, when
should she have the next cervical cancer screening?
5 years (HPV in 5 yrs, pap smear ONLY (STI) can be in 3 yrs)
13. A 53 y/o woman who is taking HRT with conjugated estrogen, 0.45mg/day with medroxyprogesterone acetate
(MPA) 1.5mg, has bothersome atrophic vaginitis symptoms. You would consider ✔✔ correct answer
The addition of topical estrogen can be helpful (helps with dryness_
14. Samantha is a 23 y/o female presents with urinary burning, frequency and urgency. Urine dipsticks is positive
for leukocytes and nitrites. Given that she has no medical hx and no other pertinent clinical findings, the
recommended Tx of choice is ✔✔ correct answer
Nitrofurantoin 100mg BID x 5 days (1st line tx for uncomplicated UTI)