NUR 622 FINAL EXAM STUDY GUIDE | NUR 622 FINAL EXAM PRACTICE
QUESTIONS & ANSWERS | COMPREHENSIVE ADVANCED NURSING REVIEW
2026/2027
A 25-year-old woman comes to the clinic complaining of increased vaginal discharge, milky gray in color
with a "fishy" odor that both she and her husband have noticed. A wet smear is performed and the
presence of "clue cells" confirmed. Which type of infection does the nurse suspect?
A. Candidiasis
B. Trichomoniasis
C. Bacterial vaginosis
D. Group B Streptococcus - correct answer ✔✔C. Bacterial vaginosis
A 20-year-old woman visiting the clinic says that she wishes to begin using depot medroxyprogesterone
acetate (Depo-Provera) as a form of birth control. What important information should the nurse include
when teaching the client about Depo-Provera?
A. Depo-Provera offers protection against the herpes simplex virus.
B. To continue the contraceptive effects the client will need to return for another injection in 6 months.
C. Women using Depo-Provera may lose more blood each month with their periods, so it is important to
add iron-rich foods to the diet to help prevent anemia.
D. Calcium intake and exercise should be increased because of possible loss of bone mineral density with
increasing duration of use - correct answer ✔✔D. Calcium intake and exercise should be increased
because of possible loss of bone mineral density with increasing duration of use
A 37-year-old woman is admitted to the unit with severe menorrhagia. During assessment the nurse
learns that she has a history of fibroids, menorrhagia, pelvic pain, and depression. The client has been
undergoing hormone therapy in hopes of easing the symptoms and reducing the size of the fibroids,
without success. The lab reports hemoglobin and hematocrit readings of 6.8 and 20.2, respectively. The
client begins to sob and cries, "I don't know what to do—the doctor is recommending a hysterectomy,
but I haven't had children yet!" What is the best response by the nurse?
A. "There are so many orphans looking for a mother..
B. This must be so difficult for you. Children are really important to you.
C. You really have no choice but to follow the recommendation; the doctor is right.
D. Believe me when I tell you that kids are so difficult to raise—you're better off without them." - correct
answer ✔✔B. This must be so difficult for you. Children are really important to you.
A 23-year-old woman comes to the clinic for a Pap smear. After the examination, the client confides that
her mother died of endometrial cancer 1 year ago and says that she is afraid that she will die of the same
cancer. Which risk factor stated by the client after an education session on risk factors indicates that
further teaching is needed?
1 Obesity
2 High-fat diet
3 Hypertension
4 Late-onset menarche - correct answer ✔✔4 Late-onset menarche
A 32-year-old woman is admitted to the unit with a history of fibroids and menorrhagia. Which findings
does the nurse expect to encounter during assessment of the client? Select all that apply.
,1 Fluid overload
2 Intermittent diarrhea
3 Pale mucous membranes
4 Difficulty emptying the bladder
5 High hemoglobin and hematocrit - correct answer ✔✔3 Pale mucous membranes
4 Difficulty emptying the bladder
A client asks the nurse at the family planning clinic whether contraception is needed while she is
breastfeeding. How should the nurse reply?
1 As long as you aren't having periods, you won't need a contraceptive."
2 It would be best to delay sexual relations until you have your first period.
3 You should use contraceptives, because ovulation may occur without a period.
4 Breastfeeding suppresses ovulation, so you don't need to worry about pregnancy." - correct answer
✔✔3 You should use contraceptives, because ovulation may occur without a period.
The clinician is seeing Jalissa, a 17-year-old patient, for a well woman's exam. She mentions that she has
been depressed and has been yo-yo dieting because she feels "so fat." She marked "no" to whether she
feels safe in her home on her intake form, and mentions she is worried about getting STIs from her
boyfriend of three months. Which of the following is the correct way to interact with the patient, based
on her history?
A. "The amount of time allotted for your well woman exam does not allow time to talk about depression
today."
B. "I know you said you are concerned about your body image, but your weight looks good to me."
C. "You mentioned on your intake form that you do not feel safe in your home. Why is that?"
D. "You've been dating your boyfriend for three months, but you haven't had an STI screening yet? That's
not safe." - correct answer ✔✔C. "You mentioned on your intake form that you do not feel safe in your
home. Why is that?"
Which of these patients needs a cervical cancer screening?
A. Lisa, a 45-year-old patient who has atypical squamous cells of uncertain significance (ASCUS) and a
human papillomavirus (HPV) positive Pap 1 month ago
B. April, a 26-year-old patient who had a negative Pap with negative HPV 1 year ago
C. Sondra, a 66-year-old patient who had a negative Pap with negative HPV 11 years, 6 years, and 1 year
ago
D. Gillian, a 33-year-old patient who had a negative Pap with negative HPV 5 years ago - correct answer
✔✔D. Gillian, a 33-year-old patient who had a negative Pap with negative HPV 5 years ago
Which of the following is true of the IUD (intrauterine device)?
A. The IUD is 95% effective at preventing pregnancy.
B. The IUD has an inhibitory effect on sperm capacitation.
C. The IUD can only be inserted at menses.
D. The IUD can only be inserted in women with multiparity. - correct answer ✔✔B. The IUD has an
inhibitory effect on sperm capacitation.
A 23-year-old sexually active woman presents for her first Pap smear. Her history includes nulligravida,
age at first intercourse 14, and more than 10 sexual partners. Which of the following conditions should
the clinician be particularly alert for during her examination?
A. Human papillomavirus
, B. Endometrial hyperplasia
C. Vaginismus
D. Polycystic ovarian syndrome - correct answer ✔✔A. Human papillomavirus
A 20-year-old woman is seen in the clinic because her boyfriend was found to have gonorrhea. Which of
the following is the treatment of choice for gonorrhea?
A. Ceftriaxone
B. Doxycycline
C. Acyclovir
D. Metronidazole - correct answer ✔✔A. Ceftriaxone
A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal
discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted
disease has she most probably been exposed to?
A. Gonorrhea
B. HPV
C. Chlamydia
D. Trichomoniasis - correct answer ✔✔C. Chlamydia
A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge. The clinician identifies
clue cells on the vaginal smear. Which of the following diagnoses is associated with this finding?
A. Trichomonas
B. Bacterial vaginosis
C. HPV
D. Herpes simplex virus - correct answer ✔✔B. Bacterial vaginosis
Which of the following medications is the treatment of choice for Trichomonas?
A. Metronidazole
B. Ceftriaxone
C. Diflucan
D. Doxycycline - correct answer ✔✔A. Metronidazole
A 58-year-old woman presents with a breast mass. Which of the following responses by the clinician
would be most appropriate?
A. "It is probably just a cyst because that is the most common breast mass."
B. "We will order a mammogram and ultrasound to help establish a diagnosis."
C. "We will go ahead and schedule you for a biopsy because that is the only way to know for sure."
D. "Because your lump is painful, it is most likely not cancer." - correct answer ✔✔B. "We will order a
mammogram and ultrasound to help establish a diagnosis."
Tina is an 18-year-old female who would like to start using the transdermal contraceptive patch. Which
of the following instructions should the clinician discuss with Tina?
A. Obesity can decrease the effectiveness of the patch.
B. The patch should be applied to the buttocks or breasts.
C. The patch is changed every 10 days.
D. If a patch becomes detached for less than 24 hours, it cannot be reapplied. - correct answer ✔✔A.
Obesity can decrease the effectiveness of the patch.
QUESTIONS & ANSWERS | COMPREHENSIVE ADVANCED NURSING REVIEW
2026/2027
A 25-year-old woman comes to the clinic complaining of increased vaginal discharge, milky gray in color
with a "fishy" odor that both she and her husband have noticed. A wet smear is performed and the
presence of "clue cells" confirmed. Which type of infection does the nurse suspect?
A. Candidiasis
B. Trichomoniasis
C. Bacterial vaginosis
D. Group B Streptococcus - correct answer ✔✔C. Bacterial vaginosis
A 20-year-old woman visiting the clinic says that she wishes to begin using depot medroxyprogesterone
acetate (Depo-Provera) as a form of birth control. What important information should the nurse include
when teaching the client about Depo-Provera?
A. Depo-Provera offers protection against the herpes simplex virus.
B. To continue the contraceptive effects the client will need to return for another injection in 6 months.
C. Women using Depo-Provera may lose more blood each month with their periods, so it is important to
add iron-rich foods to the diet to help prevent anemia.
D. Calcium intake and exercise should be increased because of possible loss of bone mineral density with
increasing duration of use - correct answer ✔✔D. Calcium intake and exercise should be increased
because of possible loss of bone mineral density with increasing duration of use
A 37-year-old woman is admitted to the unit with severe menorrhagia. During assessment the nurse
learns that she has a history of fibroids, menorrhagia, pelvic pain, and depression. The client has been
undergoing hormone therapy in hopes of easing the symptoms and reducing the size of the fibroids,
without success. The lab reports hemoglobin and hematocrit readings of 6.8 and 20.2, respectively. The
client begins to sob and cries, "I don't know what to do—the doctor is recommending a hysterectomy,
but I haven't had children yet!" What is the best response by the nurse?
A. "There are so many orphans looking for a mother..
B. This must be so difficult for you. Children are really important to you.
C. You really have no choice but to follow the recommendation; the doctor is right.
D. Believe me when I tell you that kids are so difficult to raise—you're better off without them." - correct
answer ✔✔B. This must be so difficult for you. Children are really important to you.
A 23-year-old woman comes to the clinic for a Pap smear. After the examination, the client confides that
her mother died of endometrial cancer 1 year ago and says that she is afraid that she will die of the same
cancer. Which risk factor stated by the client after an education session on risk factors indicates that
further teaching is needed?
1 Obesity
2 High-fat diet
3 Hypertension
4 Late-onset menarche - correct answer ✔✔4 Late-onset menarche
A 32-year-old woman is admitted to the unit with a history of fibroids and menorrhagia. Which findings
does the nurse expect to encounter during assessment of the client? Select all that apply.
,1 Fluid overload
2 Intermittent diarrhea
3 Pale mucous membranes
4 Difficulty emptying the bladder
5 High hemoglobin and hematocrit - correct answer ✔✔3 Pale mucous membranes
4 Difficulty emptying the bladder
A client asks the nurse at the family planning clinic whether contraception is needed while she is
breastfeeding. How should the nurse reply?
1 As long as you aren't having periods, you won't need a contraceptive."
2 It would be best to delay sexual relations until you have your first period.
3 You should use contraceptives, because ovulation may occur without a period.
4 Breastfeeding suppresses ovulation, so you don't need to worry about pregnancy." - correct answer
✔✔3 You should use contraceptives, because ovulation may occur without a period.
The clinician is seeing Jalissa, a 17-year-old patient, for a well woman's exam. She mentions that she has
been depressed and has been yo-yo dieting because she feels "so fat." She marked "no" to whether she
feels safe in her home on her intake form, and mentions she is worried about getting STIs from her
boyfriend of three months. Which of the following is the correct way to interact with the patient, based
on her history?
A. "The amount of time allotted for your well woman exam does not allow time to talk about depression
today."
B. "I know you said you are concerned about your body image, but your weight looks good to me."
C. "You mentioned on your intake form that you do not feel safe in your home. Why is that?"
D. "You've been dating your boyfriend for three months, but you haven't had an STI screening yet? That's
not safe." - correct answer ✔✔C. "You mentioned on your intake form that you do not feel safe in your
home. Why is that?"
Which of these patients needs a cervical cancer screening?
A. Lisa, a 45-year-old patient who has atypical squamous cells of uncertain significance (ASCUS) and a
human papillomavirus (HPV) positive Pap 1 month ago
B. April, a 26-year-old patient who had a negative Pap with negative HPV 1 year ago
C. Sondra, a 66-year-old patient who had a negative Pap with negative HPV 11 years, 6 years, and 1 year
ago
D. Gillian, a 33-year-old patient who had a negative Pap with negative HPV 5 years ago - correct answer
✔✔D. Gillian, a 33-year-old patient who had a negative Pap with negative HPV 5 years ago
Which of the following is true of the IUD (intrauterine device)?
A. The IUD is 95% effective at preventing pregnancy.
B. The IUD has an inhibitory effect on sperm capacitation.
C. The IUD can only be inserted at menses.
D. The IUD can only be inserted in women with multiparity. - correct answer ✔✔B. The IUD has an
inhibitory effect on sperm capacitation.
A 23-year-old sexually active woman presents for her first Pap smear. Her history includes nulligravida,
age at first intercourse 14, and more than 10 sexual partners. Which of the following conditions should
the clinician be particularly alert for during her examination?
A. Human papillomavirus
, B. Endometrial hyperplasia
C. Vaginismus
D. Polycystic ovarian syndrome - correct answer ✔✔A. Human papillomavirus
A 20-year-old woman is seen in the clinic because her boyfriend was found to have gonorrhea. Which of
the following is the treatment of choice for gonorrhea?
A. Ceftriaxone
B. Doxycycline
C. Acyclovir
D. Metronidazole - correct answer ✔✔A. Ceftriaxone
A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal
discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted
disease has she most probably been exposed to?
A. Gonorrhea
B. HPV
C. Chlamydia
D. Trichomoniasis - correct answer ✔✔C. Chlamydia
A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge. The clinician identifies
clue cells on the vaginal smear. Which of the following diagnoses is associated with this finding?
A. Trichomonas
B. Bacterial vaginosis
C. HPV
D. Herpes simplex virus - correct answer ✔✔B. Bacterial vaginosis
Which of the following medications is the treatment of choice for Trichomonas?
A. Metronidazole
B. Ceftriaxone
C. Diflucan
D. Doxycycline - correct answer ✔✔A. Metronidazole
A 58-year-old woman presents with a breast mass. Which of the following responses by the clinician
would be most appropriate?
A. "It is probably just a cyst because that is the most common breast mass."
B. "We will order a mammogram and ultrasound to help establish a diagnosis."
C. "We will go ahead and schedule you for a biopsy because that is the only way to know for sure."
D. "Because your lump is painful, it is most likely not cancer." - correct answer ✔✔B. "We will order a
mammogram and ultrasound to help establish a diagnosis."
Tina is an 18-year-old female who would like to start using the transdermal contraceptive patch. Which
of the following instructions should the clinician discuss with Tina?
A. Obesity can decrease the effectiveness of the patch.
B. The patch should be applied to the buttocks or breasts.
C. The patch is changed every 10 days.
D. If a patch becomes detached for less than 24 hours, it cannot be reapplied. - correct answer ✔✔A.
Obesity can decrease the effectiveness of the patch.
