NUR 622 TEST TWO MODULE 10 STUDY GUIDE | NUR 622 MODULE 10 PRACTICE
QUESTIONS & ANSWERS | COMPREHENSIVE ADVANCED NURSING REVIEW
2026/2027
True or False: A woman in menopause will have low FSH and low Estradiol serum hormones upon testing
- ANS ✔✔False
A 60 year old female with PMH of HTN and hypothyroidism presents to your clinic with a several month
history of night sweats, insomnia, vaginal dryness, painful sexual intercourse, and wight gain. You are
concerned with menopause and inform her that the more painful sexual intercourse being experienced
is due to :
interstitial cystitis
thinning of the urogenital tissues associated with menopause.
fibromyalgia
her abnormal thyroid - ANS ✔✔thinning of the urogenital tissues associated with menopause
As an advanced provider, you understand that all of the following can be used in the treatment of
menopause EXCEPT:
prophylactic UTI management with Bactrim
Androgen replacement therapy
Estrogen replacement therapy
Mirena
Tamoxifen - ANS ✔✔prophylactic UTI management with Bactrim
A 59 y/o female presents with severe menopausal symptoms of night sweats, insomnia, mood changes,
and difficulty concentrating. As her advanced provider, you understand the best treatment for her is: -
ANS ✔✔low dose short term hormone replacement therapy
As the advanced provider, you understand that when teaching a menopausal woman about hormone
replacement therapy (HRT) that you should consider that:
there may be a worsening of underlying hypertension
it lowers thromboembolic events
helps to preserve bone density
may cause severe weight loss - ANS ✔✔helps to preserve bone density
Those who are menopausal are at high risk for CV disease. T/F? - ANS ✔✔True
As and advanced provider, you understand that all of the following are common fracture sites in those
with osteoporosis EXCEPT:
vertebrae
proximal femur
distal forearm
,clavicle - ANS ✔✔clavicle
As the advanced provider caring for a patient with concerns for undiagnosed osteoporosis, you
understand that the gold standard for diagnosis is: - ANS ✔✔bone mineral density testing through DEXA
scan
You are the advanced provider for your patient reviewing the T-score from a DEXA scan and see that the
value of your T-score is <-2.5. You are able to diagnose your patient with:
Osteopenia
Osteoporosis
Normal bone strength
Low bone density - ANS ✔✔osteoporosis
As an advanced provider and expert on osteoporosis, you know that all of the following are possible
secondary causes of osteoporosis that need further investigation and treatment EXCEPT:
depression
transplantation
liver disease
immobilization
hypothyroidism - ANS ✔✔hypothyroidism
As an advanced provider in the ED caring for a 21 y/o sexually active female, you understand that all of
the following are absolute contraindications to prescribing oral contraceptives EXCEPT:
uncontrolled HTN
renal dysfunction
surgery requiring prolonged immobilization
history of clotting disorder with recurrent PTE/DVT's
migraines with an aura - ANS ✔✔renal dysfunction
All of the following are contraindications to IUD contracpetion therapy EXCEPT
pregnancy
unexplained uterine bleeding
pelvic inflammatory disease
colon cancer - ANS ✔✔colon cancer
A 17 y/o female presents to the ED six hours after being sexually assaulted with bilateral wrist
ecchymosis, scalp lacerations, vaginal bleeding, and conjunctival hemorrhages. Her mother is at the
bedside and asking for an exam by a sexual assault trained provider. An appropriate choice of emergency
contracetpion would be the: - ANS ✔✔emergency contraceptive pill
Which of the following contraception methods is least effective:
diaphragm
Male sterilization
, Nuva Ring
oral contraceptives
IUD's - ANS ✔✔diaphragm
As an advanced provder who underwent intimate partner violence training, you recognize that all of the
following clues my be indicators of intimate partner violence EXCEPT
injuries hidden by clothing or on central body areas
low self-esteem
injuries at different stages of healings
frequent office visits with somatic complaints
a rash to the extremities - ANS ✔✔a rash to the extremities
All of the following are forms of treatment for intimate partner violence EXCEPT:
counseling and psychosocial support
STI testing and prophylactic STI treatment
prevent pregancy by using emergency contraceptives
Asking the patient if he/she did an action that caused his/her partner to react this way. - ANS ✔✔asking
the patient if he/she did an action that caused his/her partner to react this way
Compared with younger women, elderly women who present with a UTI are more likely to display all of
the following symptoms EXCEPT:
hematuria
encephalopathy
new onset urinary incontinence
weakness - ANS ✔✔hematuria
Most common UTI pathogen? - ANS ✔✔E coli
True or False: Most UTI pathogens are gram negative - ANS ✔✔True
As an advanced provider, you know that all of the following medications are the preferred mainstay
treatment for treatment of outpatient acute cystitis EXCEPT:
Bactrim
Nitrofurantoin
Amoxcillin
Correct
Ciprofloxacin - ANS ✔✔amoxicillin
drug of choice for treatment of uncomplicated UTI in pregnant women? - ANS ✔✔macrobid
A 40 y/o female presents with a few day history of severe flank and back pain, dysuria, fever, chills,
dysuria, frequency, and hesitancy. Exam reveals positive costovertebral angle tenderness (CVAT). Labs
reveal a dirty urinalysis and an acute kidney injury with a Creatinine of 1.5 (baseline 0.8). As the NP
caring for this patient, you order a renal u/s that reveals left sided hydronephrosis. The BEST NEXT step
of action in the treatment plan would be:
QUESTIONS & ANSWERS | COMPREHENSIVE ADVANCED NURSING REVIEW
2026/2027
True or False: A woman in menopause will have low FSH and low Estradiol serum hormones upon testing
- ANS ✔✔False
A 60 year old female with PMH of HTN and hypothyroidism presents to your clinic with a several month
history of night sweats, insomnia, vaginal dryness, painful sexual intercourse, and wight gain. You are
concerned with menopause and inform her that the more painful sexual intercourse being experienced
is due to :
interstitial cystitis
thinning of the urogenital tissues associated with menopause.
fibromyalgia
her abnormal thyroid - ANS ✔✔thinning of the urogenital tissues associated with menopause
As an advanced provider, you understand that all of the following can be used in the treatment of
menopause EXCEPT:
prophylactic UTI management with Bactrim
Androgen replacement therapy
Estrogen replacement therapy
Mirena
Tamoxifen - ANS ✔✔prophylactic UTI management with Bactrim
A 59 y/o female presents with severe menopausal symptoms of night sweats, insomnia, mood changes,
and difficulty concentrating. As her advanced provider, you understand the best treatment for her is: -
ANS ✔✔low dose short term hormone replacement therapy
As the advanced provider, you understand that when teaching a menopausal woman about hormone
replacement therapy (HRT) that you should consider that:
there may be a worsening of underlying hypertension
it lowers thromboembolic events
helps to preserve bone density
may cause severe weight loss - ANS ✔✔helps to preserve bone density
Those who are menopausal are at high risk for CV disease. T/F? - ANS ✔✔True
As and advanced provider, you understand that all of the following are common fracture sites in those
with osteoporosis EXCEPT:
vertebrae
proximal femur
distal forearm
,clavicle - ANS ✔✔clavicle
As the advanced provider caring for a patient with concerns for undiagnosed osteoporosis, you
understand that the gold standard for diagnosis is: - ANS ✔✔bone mineral density testing through DEXA
scan
You are the advanced provider for your patient reviewing the T-score from a DEXA scan and see that the
value of your T-score is <-2.5. You are able to diagnose your patient with:
Osteopenia
Osteoporosis
Normal bone strength
Low bone density - ANS ✔✔osteoporosis
As an advanced provider and expert on osteoporosis, you know that all of the following are possible
secondary causes of osteoporosis that need further investigation and treatment EXCEPT:
depression
transplantation
liver disease
immobilization
hypothyroidism - ANS ✔✔hypothyroidism
As an advanced provider in the ED caring for a 21 y/o sexually active female, you understand that all of
the following are absolute contraindications to prescribing oral contraceptives EXCEPT:
uncontrolled HTN
renal dysfunction
surgery requiring prolonged immobilization
history of clotting disorder with recurrent PTE/DVT's
migraines with an aura - ANS ✔✔renal dysfunction
All of the following are contraindications to IUD contracpetion therapy EXCEPT
pregnancy
unexplained uterine bleeding
pelvic inflammatory disease
colon cancer - ANS ✔✔colon cancer
A 17 y/o female presents to the ED six hours after being sexually assaulted with bilateral wrist
ecchymosis, scalp lacerations, vaginal bleeding, and conjunctival hemorrhages. Her mother is at the
bedside and asking for an exam by a sexual assault trained provider. An appropriate choice of emergency
contracetpion would be the: - ANS ✔✔emergency contraceptive pill
Which of the following contraception methods is least effective:
diaphragm
Male sterilization
, Nuva Ring
oral contraceptives
IUD's - ANS ✔✔diaphragm
As an advanced provder who underwent intimate partner violence training, you recognize that all of the
following clues my be indicators of intimate partner violence EXCEPT
injuries hidden by clothing or on central body areas
low self-esteem
injuries at different stages of healings
frequent office visits with somatic complaints
a rash to the extremities - ANS ✔✔a rash to the extremities
All of the following are forms of treatment for intimate partner violence EXCEPT:
counseling and psychosocial support
STI testing and prophylactic STI treatment
prevent pregancy by using emergency contraceptives
Asking the patient if he/she did an action that caused his/her partner to react this way. - ANS ✔✔asking
the patient if he/she did an action that caused his/her partner to react this way
Compared with younger women, elderly women who present with a UTI are more likely to display all of
the following symptoms EXCEPT:
hematuria
encephalopathy
new onset urinary incontinence
weakness - ANS ✔✔hematuria
Most common UTI pathogen? - ANS ✔✔E coli
True or False: Most UTI pathogens are gram negative - ANS ✔✔True
As an advanced provider, you know that all of the following medications are the preferred mainstay
treatment for treatment of outpatient acute cystitis EXCEPT:
Bactrim
Nitrofurantoin
Amoxcillin
Correct
Ciprofloxacin - ANS ✔✔amoxicillin
drug of choice for treatment of uncomplicated UTI in pregnant women? - ANS ✔✔macrobid
A 40 y/o female presents with a few day history of severe flank and back pain, dysuria, fever, chills,
dysuria, frequency, and hesitancy. Exam reveals positive costovertebral angle tenderness (CVAT). Labs
reveal a dirty urinalysis and an acute kidney injury with a Creatinine of 1.5 (baseline 0.8). As the NP
caring for this patient, you order a renal u/s that reveals left sided hydronephrosis. The BEST NEXT step
of action in the treatment plan would be:
