STUDYGUIDE / NR 602 MIDTERM EXAM 200 MIDTERM EXAM QUESTIONS
AND ANSWERS(GUARANTEED PASS 100%)
What is the ASCCP recommended management for an ASCUS (atypical squamous cells of
undetermined significance) pap result with a positive high-risk HPV 16 co-test in a 26-year-old
woman without a history of abnormal Pap smears? - ANSWER-Colposcopy
A well woman visit for an adolescent should include which of the following - ANSWER-A general
health history focusing on reproductive and sexual health concerns (mentors, gynecologic, and
pregnancy related) and psychosocial (Family related, peer related, emotional, and physical as well as
related to abuse, drug use and alcohol use) concerns
A 16-year-old female is diagnosed with primary dysmenorrhea. She has taken over the counter
ibuprofen 800 mg increments every eight hours during mentors for the past three months with
minimal relief of symptoms. What intervention will provide greatest relief of dysmenorrhea
symptoms - ANSWER-Combined oral contraceptives
A woman visit the clinic because she has dysmenorrhea. What goal should the nurse identify for this
client - ANSWER-Easing the pain of the clients menstration
This is defined as cramping pain in the lower abdomen occurring just before or during menstruation
in the absence of other diseases - ANSWER-Dysmenorrhea
After treatment for a bladder infection, a client asks whether there is anything she can do to prevent
cystitis in the future. What is the best response by the nurse - ANSWER-Increase daily fluid
consumption
A patient has been diagnosed with interstitial cystitis. The nurse practitioner remembers that this is
best defined as - ANSWER-A non-infectious disorder of the urinary bladder
A nurse practitioner is examining a 29-year-old female with a three day history of dysuria and urinary
frequency. On examination the patient is positive for suprapubic tenderness and negative for
costovertebral angle tenderness this most likely represents which of the following - ANSWER-
Cystitis
,A 25-year-old patient presents with urinary frequency and urgency. These symptoms have been
occurring for three days without fever. The patient with interstitial cystitis would most likely describe
their symptoms as - ANSWER-Urinary urgency and frequency in the morning and at night
Hey 65-year-old female presents for a health maintenance examination. She complains of a bulbar
itching due to what she recalls recurrent used infections and her symptoms have worsened over the
last few months. She is sexually active with her husband and has experienced dyspareunia with
Penetration lately. She always uses a water-based lubricant with intercourse. On examination you
find complete loss of the borders of the labia minora, constriction of the vaginal outlet, and several
thin white plaques on the Vulva. There is no other skin or mucosal involvement - ANSWER-Lichen
sclerosus
Hey 65-year-old patient is diagnosed with lichen sclerosus. The woman asked the nurse what this
really means. What is the nurses best response - ANSWER-Lichen sclerosus is a benign condition
that is easily treated
The appearance of lichen simplex chronicus is best described as - ANSWER-Diffusely red to red
brown
The patient asked why she need a breast ultrasound when she already has had a mammogram.
Which of the following would be the best response of the use - ANSWER-To determine if her
breast lesion is cystic or solid
A 55-year-old female patient presents with pain in the upper outer quadrant of her left breast for
over one month now. The best course of action would be to - ANSWER-Perform a breast
examination and order a mammogram
My 24-year-old female presents to the practice with a painless 2 cm lobular mass in the right breast
that is freely mobile and firm. This has noted on self breast examination, and she reports it has been
unchanged for the past three months. The best course of action by the nurse practitioner would be
to - ANSWER-Order a diagnostic ultrasound or diagnostic mammogram
When educating a patient about the rationale for obtaining a mammogram which of the following
statements is false - ANSWER-Mammography detects all breast cancer's
, 855-year-old woman presents to the clinic for evaluation of a breast mass. Which of the following is
not a typical presenting sign of breast cancer - ANSWER-A 2cm, rubbery, tender lesion
During a breast exam of a 30-year-old Nulliparis female the nurse practitioner palpates several
robbery mobile areas of the breast tissue. They are slightly tender to palpation. Both breast have
symmetrical findings. There are no skin changes or any nipple discharge. The patient is expecting her
menstrual period in five days. Which of the following would you recommend - ANSWER-Tell her to
return one week after her. So her breast can be rechecked
Which of the following statements is accurate regarding the usefulness of mammo in screening and
detection of breast cancer - ANSWER-All women >40 years should have a mammo on an annual
basis
845-year-old woman has an abnormal screening mammogram. The next step in management should
be - ANSWER-Diagnostic mammogram
What recommendation should be made to a 70-year-old female regarding mammograms -
ANSWER-She should have them annually as long as she has a reasonable life expectancy
A nurse is caring for a client who has contracted a trichomonal infection. Which oral drug should the
nurse anticipate that the healthcare provider will most likely prescribe - ANSWER-Metronidazole
(Flagyl)
An important part of patient education for the patient with bacterial vaginosis who is receiving a
prescription for oral Flagyl is - ANSWER-Avoid alcohol for 48 hours after completing medication
For the patient with chronic bacterial vaginosis, the nurse practitioner will prescribe - ANSWER-
Metronidazole gel .75% vaginally 1-2 times a week for 4-6 months
The differential diagnoses for general ulceration include all of the following except - ANSWER-
Molluscum contagiosum
When molluscum contagiosum is found on the general area of children which of the following is the
best explanation - ANSWER-It should raise the suspicion of child abuse