NR 602 FINAL EXAM 2025/2026 /ACTUAL COMPLETE REAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS )ALREADY A+ GRADED WITH EXPERT FEEDBACK |BRAND NEW{ACTUAL EXAM}

-




NR 602 FINAL EXAM 2025/2026 /ACTUAL COMPLETE REAL
EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS )ALREADY A+ GRADED WITH EXPERT FEEDBACK
|BRAND NEW{ACTUAL EXAM}




What are some diagnostic studies for breast ca? - ANSWER-
Mammo
-US (differentiates fluid-filled cyst from solid mass)
-MRI
-Breast thermography (digital infrared thermal imaging)
-Fine needle or core bx
-Incisional or excisional bx


What are some preventions for breast ca? - ANSWER-
Screening (varies by expert organization)
-More frequent mammo or MRI for higher risk women
-Annual screening starting at 40yo (ACOG, ACOR, ACS, NCCN)
-Biennial screening 50-74yo (USPSTF)


What are some diagnostic lab studies for DUB? - ANSWER-
*Serum hCG: always do first before examining pt of
menstruating age w/vag bleeding
-CBC

,-

-ABO/Rh if preg. suspected/severe bleeding
-STD tests/wet prep
-Cervical cytology
-CMP (w/renal & liver panel)
-Coags
-If hx indicates: screen for bleeding disorders for DUB at
menarche.
-If hx indicates: thyroid panel
-Endometrial bx


What are some diagnostic imaging studies for DUB? -
ANSWER--TVUS: firstline if imaging needed
-Saline infusion sonohysterography (helpful for leiomyoma)
-Hysteroscopy (can be used for guided endometrial bx)
-MRI


What are some diagnostic studies for polyps in DUB? -
ANSWER--TVUS
-Saline infusion sonography
-Hysteroscopy


What are some diagnostic studies for adenomyosis in DUB? -
ANSWER-TVUS or MRI

What are some diagnostic studies for leiomyomas in DUB? -
ANSWER-TVUS What are some diagnostic studies for
malignancy in DUB? – ANSWER-Bx/pathology


What are some diagnostic studies for coagulopathies in DUB?

,- ANSWER-Labs


What are some surgical options for DUB? - ANSWER--Varies
depending on dx, age, fertility status/desire
-If bleeding severe/pregn. related: D&C or hysterectomy in
extreme cases
-Hysteroscopic removal of polyps
-Endometrial ablation
-Hysterectomy
-Traumatic repair


What are some pharm options for DUB? - ANSWER--NSAIDs
(cyclic DUB)
-Antifibrinolytics (cyclic DUB)
-Combined OCP, medroxyprogesterone acetate,
levonorgestrel-releasing intrauterine systems (effective if
agreeable to contraceptive effects) -Danazol/GnRH agonists
(reduce DUB if med/surg treatments fail/contraindicated -
Abx if infection/STD
-Intravag estrogen for vag atrophy


Which meds for DUB are contraindicated in pregnancy? -
ANSWER--Ethinyl Estradiol (Estinyl): estrogen; risk of VTE;
use w/progesterone if pt hasn't had hysterectomy.
-Medroxyprogesterone Acetate (Provera): progesterone; risk of
VTE; caution w/CVA, CA risk
-Levonorgestrel-releasing intrauterine system (Mirena):
combined hormone; risk of infection/migration;
bleeding/cramping may occur x1-3mo -Danazol

, -
(Danocrine): androgen; risk of acne/wt
gain/hirsutism; short-term use for refractory DUB


Which meds for DUB are pregnancy cat C? - ANSWER-
ibuprofen (Motrin), naprosyn (Aleve): NSAID; risk of gastric
upset/ulcer; don't use w/other NSAIDs


Which med for DUB is preg cat B? - ANSWER-Tranexamic acid
(Lysteda): antifibrinolytic; risk of VTE; don't use w/hormones
(risk of
CVA/VTE)


What are some consultation/referral recommendations
for DUB? - ANSWER-Severity of acute DUB may warrant
admission/consultation w/gyn -Hematology:
coagulopathies

-Endocrine: thyroid, hyperprolactinemia, PCOS findings
-Surg/Gyn: polyps, adenomyosis, leiomyoma


What are the follow up recommendations for DUB? - ANSWER-
-Depends on type, severity, course of treatment Acute: 1-2wks
to assess anemia prn
-Combined OCPs require at least 21-day course to eval
efficacy, though improvement seen by ~80% in 3 days


What is the expected course of acute DUB? - ANSWER-Once
bleeding stabilized: transition to maintenance therapy prn


What is expected course of chronic DUB? – ANSWER-
Treatment should progress until DUB controlled; may required