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 - ANS ✔✔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 - ANS ✔✔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." - ANS
✔✔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 - ANS ✔✔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.
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 - ANS ✔✔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 - ANS ✔✔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." - ANS
✔✔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 - ANS ✔✔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.
