NR 602 WEEK 4 FINAL EXAM LATEST 2025 / NR 602 MIDTERM EXAM 200
FINAL 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 17-year-old female patient presents with amenorrhea for four months she did experience
menarche at age 15 but had not had a menstrual cycle since. On physical examination, it is noted
that she has normal secondary sexual characteristics. The nurse practitioner will consider
progesterone challenge to determine the presence of adequate - ANSWER-Endogenous estrogen
A teenage patient presents with amenorrhea and moral secondary sex characteristics. The
progesterone challenge is ordered. the purpose is to determine the presence of - ANSWER-
Endogenous estrogen
18-year-old female complaining of secondary amenorrhea. On exam, there is a normal secondary sex
characteristics and normal genitalia. Pregnancy is ruled out what would necessitate further
evaluation - ANSWER-Galactorrhea
Primary amenorrhea is best described as - ANSWER-Failure to menstrate by 13 years old
A nurse practitioner is participating in a woman's health fair. When educating the woman about risk
factors for breast cancer which of the following statements is incorrect? - ANSWER-Fibrocystic
breast disease
When educating women about breast cancer risk factors which statement is incorrect - ANSWER-
Fibrocystic breast disease
A woman with lobular carcinoma in situ has a relative risk of developing invasive breast cancer of -
ANSWER-8.0
,Changes and hormonal regulation during menopause result in the gradual cessation of menstruation.
From which gland is Androstenedione secreted - ANSWER-Adrenals
A Pap smear results of atypical squamous cells of undetermined significance rule out high-grade
squamous intraepithelial lesion will require which procedure - ANSWER-Colposcopy
A Pap smear results of atypical squamous cells of undetermined significance require which
procedure next - ANSWER-Follow-up Pap smear
A 25-year-old presents with a report of a very tender area just near her introitus and to the left of
her perineum. Very painful sex is how she knew something wasn't right. She showered and when
washing, she felt a P sized painful lump on the left side of her bottom. She tells you she looked at it
with the mirror and it was very small but now it is the size of a ping-pong ball and getting worse.
when you Inspect her genitalia you are amazed at the size and appearance of the lump you know
what appears to be an abscess on the left medial side of the labia minora and there is some edema
extending into the perineum. Your diagnosis for this presentation is - ANSWER-Bartholins cyst
You explain to this young woman what this "lump" is and let her know you will be referring her to a
gynecologist you consult with regularly. You explain to her the likely treatment as follows: -
ANSWER-A possible incision might be necessary and a catheter placed for 2 to 4 weeks to allow
for drainage and appropriate healing
A client at the woman's health clinic complains of swelling of the labia and throbbing pain in the
labial area after sexual intercourse. For what condition does the nurse anticipate the client will be
treated - ANSWER-Bartholinitis
Which of the following choices represents a disorder of the reproductive tract that causes pain,
erythema, dyspareunia, and a perineal mass - ANSWER-Bartholin cyst
A nurse practitioner instructor is reviewing the anatomy of the external genitalia. At the opening of
the vagina are the Bartolian glands. Which of the following describes the function of these glands -
ANSWER-Production of alkaline secretions for sperm viability
, A 23-year-old woman presents to your practice with a chief complaint of postcoital bleeding. Which
of the following would not be included in the initial assessment of this patient - ANSWER-Uterine
biopsy
A nurse practitioner is educating a woman who has a colposcopy. Which of the following most
accurately describes a colposcopy - ANSWER-A procedure that visualizes the vagina, vulvar or
cervical epithelium with magnification to identify abnormal areas that may need to be biopsied
A 33-year-old woman presents to your clinic complaining of dark brown watery vaginal discharge and
postcoital bleeding. There is a strong history of multiple unprotected sexual encounters. Which of the
following findings on examination would be suspicious for cervical cancer - ANSWER-A very firm,
easily friable cervix
A 23-year-old woman comes to the clinic for a Pap smear. After the examination, the client confides
that her mother had died of endometrial cancer one year ago and says that she is afraid that she
would die of the same cancer. Which risk factor stated by the client after an education session on
wrist factors indicate that brother teaching is needed - ANSWER-Late onset menarche
The frequency for cervical screening depends on the patient and her age. What is the longest
recommended time interval between cervical screens for patients who are 65 years old or younger -
ANSWER-Five years
What is the leading cause of death from a gynecologic malignancy in American women - ANSWER-
Cervical cancer
849-year-old female patient presents with a chief complaint of dark, watery brown vaginal discharge.
Part of the differential diagnosis includes that a cervical cancer. Which of the following best describes
what might be visualized - ANSWER-Ulcerated firm cervix
A nurse practitioner is completing a speculum exam on a female. Which of the following findings
would be considered a normal surface characteristic of the cervix - ANSWER-Small, yellow, raised
around area on the cervix
And collection of a specimen for a Pap smear, how is the endocervical specimen collected -
ANSWER-After the ectocervical specimen with a brush
FINAL 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 17-year-old female patient presents with amenorrhea for four months she did experience
menarche at age 15 but had not had a menstrual cycle since. On physical examination, it is noted
that she has normal secondary sexual characteristics. The nurse practitioner will consider
progesterone challenge to determine the presence of adequate - ANSWER-Endogenous estrogen
A teenage patient presents with amenorrhea and moral secondary sex characteristics. The
progesterone challenge is ordered. the purpose is to determine the presence of - ANSWER-
Endogenous estrogen
18-year-old female complaining of secondary amenorrhea. On exam, there is a normal secondary sex
characteristics and normal genitalia. Pregnancy is ruled out what would necessitate further
evaluation - ANSWER-Galactorrhea
Primary amenorrhea is best described as - ANSWER-Failure to menstrate by 13 years old
A nurse practitioner is participating in a woman's health fair. When educating the woman about risk
factors for breast cancer which of the following statements is incorrect? - ANSWER-Fibrocystic
breast disease
When educating women about breast cancer risk factors which statement is incorrect - ANSWER-
Fibrocystic breast disease
A woman with lobular carcinoma in situ has a relative risk of developing invasive breast cancer of -
ANSWER-8.0
,Changes and hormonal regulation during menopause result in the gradual cessation of menstruation.
From which gland is Androstenedione secreted - ANSWER-Adrenals
A Pap smear results of atypical squamous cells of undetermined significance rule out high-grade
squamous intraepithelial lesion will require which procedure - ANSWER-Colposcopy
A Pap smear results of atypical squamous cells of undetermined significance require which
procedure next - ANSWER-Follow-up Pap smear
A 25-year-old presents with a report of a very tender area just near her introitus and to the left of
her perineum. Very painful sex is how she knew something wasn't right. She showered and when
washing, she felt a P sized painful lump on the left side of her bottom. She tells you she looked at it
with the mirror and it was very small but now it is the size of a ping-pong ball and getting worse.
when you Inspect her genitalia you are amazed at the size and appearance of the lump you know
what appears to be an abscess on the left medial side of the labia minora and there is some edema
extending into the perineum. Your diagnosis for this presentation is - ANSWER-Bartholins cyst
You explain to this young woman what this "lump" is and let her know you will be referring her to a
gynecologist you consult with regularly. You explain to her the likely treatment as follows: -
ANSWER-A possible incision might be necessary and a catheter placed for 2 to 4 weeks to allow
for drainage and appropriate healing
A client at the woman's health clinic complains of swelling of the labia and throbbing pain in the
labial area after sexual intercourse. For what condition does the nurse anticipate the client will be
treated - ANSWER-Bartholinitis
Which of the following choices represents a disorder of the reproductive tract that causes pain,
erythema, dyspareunia, and a perineal mass - ANSWER-Bartholin cyst
A nurse practitioner instructor is reviewing the anatomy of the external genitalia. At the opening of
the vagina are the Bartolian glands. Which of the following describes the function of these glands -
ANSWER-Production of alkaline secretions for sperm viability
, A 23-year-old woman presents to your practice with a chief complaint of postcoital bleeding. Which
of the following would not be included in the initial assessment of this patient - ANSWER-Uterine
biopsy
A nurse practitioner is educating a woman who has a colposcopy. Which of the following most
accurately describes a colposcopy - ANSWER-A procedure that visualizes the vagina, vulvar or
cervical epithelium with magnification to identify abnormal areas that may need to be biopsied
A 33-year-old woman presents to your clinic complaining of dark brown watery vaginal discharge and
postcoital bleeding. There is a strong history of multiple unprotected sexual encounters. Which of the
following findings on examination would be suspicious for cervical cancer - ANSWER-A very firm,
easily friable cervix
A 23-year-old woman comes to the clinic for a Pap smear. After the examination, the client confides
that her mother had died of endometrial cancer one year ago and says that she is afraid that she
would die of the same cancer. Which risk factor stated by the client after an education session on
wrist factors indicate that brother teaching is needed - ANSWER-Late onset menarche
The frequency for cervical screening depends on the patient and her age. What is the longest
recommended time interval between cervical screens for patients who are 65 years old or younger -
ANSWER-Five years
What is the leading cause of death from a gynecologic malignancy in American women - ANSWER-
Cervical cancer
849-year-old female patient presents with a chief complaint of dark, watery brown vaginal discharge.
Part of the differential diagnosis includes that a cervical cancer. Which of the following best describes
what might be visualized - ANSWER-Ulcerated firm cervix
A nurse practitioner is completing a speculum exam on a female. Which of the following findings
would be considered a normal surface characteristic of the cervix - ANSWER-Small, yellow, raised
around area on the cervix
And collection of a specimen for a Pap smear, how is the endocervical specimen collected -
ANSWER-After the ectocervical specimen with a brush
