NSG6020 LATEST FINAL EXAM REVIEW
WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS RATED A+
PALM- Correct Answer in relation to AUB, acronym used to
describe objective structural criteria-polyp, adenomyosis,
leiomyoma, and malignancy and hyperplasia-The components of
PALM are generally discrete, structural entities that can be
evaluated or measured visually using some combination of
imaging techniques and histopathology
A patient's annual physical examination reveals a lateral curvature
of the thoracic and lumbar segments of his spine; however, this
curvature disappears with forward bending. The nurse knows that
this abnormality of the spine is called:
A) structural scoliosis.
B) functional scoliosis.
C) herniated nucleus pulposus.
D) dislocated hip. Correct Answer Functional scoliosis
Assessment of a 60-yr-old patient has taken longer than
anticipated. in testing pain perception nurse decides to complete
the test as quickly as possible. When nurse applies sharp point of
pin on his arm several times, he is only able to identify these as
,one 'very sharp prick.' most accurate explanation? Correct
Answer Most likely the result of the summation effect
Assessing a 7-month-old infant you make a loud noise and note
the following response: Abduction and flexion of arms and legs;
fanning of fingers and curling of index finger and thumb in C-
position; followed by infant bringing in arms and legs to body.
What do you know about this? Correct Answer This reflect should
disappear between 1 and 4 months of age
The nurse is assessing a 75-year-old man. As the nurse beings
the mental status portion of the assessment, the nurse expects
that this patient: Correct Answer May take a little longer to
respond, but his general knowledge and abilities should not have
a decline
COEIN- Correct Answer ● in relation to AUB, describes categories
that are unrelated to structural abnormalities- coagulopathy,
ovulatory dysfunction, endometrial, iatrogenic, and not otherwise
classified- COEIN comprises entities that are not defined by
imaging or histopathology and are considered nonstructural
FSH: Amenorrhea due to menopause; premature ovarian failure
Correct Answer Levels greater than 30 mIU/mL, some texts cite
40 mIU/mL
,Progesterone: Anovulatory: Correct Answer Levels less than 10
ng/mL
TSH: Correct Answer Hypothyroidism or hyperthyroidism: Levels
less than 0.8 mU/L or greater than 4.0 mU/L
Prolactin: Correct Answer Pituitary adenoma: Levels greater than
100 ng/mL
Amenorrhea- teens-LMP a vital sign, look for pregnancy, every
had cycle, potential eating disorder.
Heavy menstrual bleeding-may begin OCPs Correct Answer
Hallmark of PCOS Correct Answer menstrual irregularity.
Hirstuism, alopecia, acne, virlization, menstral dysfunction and
infertility, polycyctic ovaries (result of chronic anovulation),
obesity, insulin resistance, dylipidemia, CVD markers (c-reactive
protien), psychological impact, cancer risk.
PCOS implications: Correct Answer prolactin, TSH, pregnancy
test, fasting lipids, hgba1c. The prolactin and TSH levels are used
to exclude hyperprolactinemia and thyroid disorders, both of
which can cause ovulatory dysfunction.
, PCOS managment Correct Answer COC or progesterone,
spironolactone, metformin, LIFSTYLE
CA-125- Correct Answer ○ High levels of CA-125, especially in
combination with radiological testing, may indicate epithelial
ovarian, fallopian tube, or peritoneal cancer, though elevations are
seen more often in late-stage disease.
○ found in about 80 percent of epithelial ovarian cancers, but it is
present in only 50 percent of early-stage cancers.
○ An elevation in CA-125 (greater than 35 units) is not specific for
ovarian cancer and may be elevated in women with
endometriosis, benign ovarian cysts, and leiomyomas.
○ An extremely high CA-125 level may assist in the evaluation of
women who present with signs and symptoms of ovarian cancer,
and it may suggest whether further definitive testing is needed.
Cervical Cancer risks Correct Answer HPV, smoking, multiple
partners, high parity 3 or more kids, COCs (cancer doubels after 5
years use), poor nutrition
Endometrial cancer: Correct Answer It is caused by an excess of
endogenous or exogenous estrogen unopposed by progesterone.
Long-term unopposed estrogen exposure allows for continued
endometrial growth and the development of hyperplasia with or
without atypia. Risk factors: ET therapy, early monarche,
WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS RATED A+
PALM- Correct Answer in relation to AUB, acronym used to
describe objective structural criteria-polyp, adenomyosis,
leiomyoma, and malignancy and hyperplasia-The components of
PALM are generally discrete, structural entities that can be
evaluated or measured visually using some combination of
imaging techniques and histopathology
A patient's annual physical examination reveals a lateral curvature
of the thoracic and lumbar segments of his spine; however, this
curvature disappears with forward bending. The nurse knows that
this abnormality of the spine is called:
A) structural scoliosis.
B) functional scoliosis.
C) herniated nucleus pulposus.
D) dislocated hip. Correct Answer Functional scoliosis
Assessment of a 60-yr-old patient has taken longer than
anticipated. in testing pain perception nurse decides to complete
the test as quickly as possible. When nurse applies sharp point of
pin on his arm several times, he is only able to identify these as
,one 'very sharp prick.' most accurate explanation? Correct
Answer Most likely the result of the summation effect
Assessing a 7-month-old infant you make a loud noise and note
the following response: Abduction and flexion of arms and legs;
fanning of fingers and curling of index finger and thumb in C-
position; followed by infant bringing in arms and legs to body.
What do you know about this? Correct Answer This reflect should
disappear between 1 and 4 months of age
The nurse is assessing a 75-year-old man. As the nurse beings
the mental status portion of the assessment, the nurse expects
that this patient: Correct Answer May take a little longer to
respond, but his general knowledge and abilities should not have
a decline
COEIN- Correct Answer ● in relation to AUB, describes categories
that are unrelated to structural abnormalities- coagulopathy,
ovulatory dysfunction, endometrial, iatrogenic, and not otherwise
classified- COEIN comprises entities that are not defined by
imaging or histopathology and are considered nonstructural
FSH: Amenorrhea due to menopause; premature ovarian failure
Correct Answer Levels greater than 30 mIU/mL, some texts cite
40 mIU/mL
,Progesterone: Anovulatory: Correct Answer Levels less than 10
ng/mL
TSH: Correct Answer Hypothyroidism or hyperthyroidism: Levels
less than 0.8 mU/L or greater than 4.0 mU/L
Prolactin: Correct Answer Pituitary adenoma: Levels greater than
100 ng/mL
Amenorrhea- teens-LMP a vital sign, look for pregnancy, every
had cycle, potential eating disorder.
Heavy menstrual bleeding-may begin OCPs Correct Answer
Hallmark of PCOS Correct Answer menstrual irregularity.
Hirstuism, alopecia, acne, virlization, menstral dysfunction and
infertility, polycyctic ovaries (result of chronic anovulation),
obesity, insulin resistance, dylipidemia, CVD markers (c-reactive
protien), psychological impact, cancer risk.
PCOS implications: Correct Answer prolactin, TSH, pregnancy
test, fasting lipids, hgba1c. The prolactin and TSH levels are used
to exclude hyperprolactinemia and thyroid disorders, both of
which can cause ovulatory dysfunction.
, PCOS managment Correct Answer COC or progesterone,
spironolactone, metformin, LIFSTYLE
CA-125- Correct Answer ○ High levels of CA-125, especially in
combination with radiological testing, may indicate epithelial
ovarian, fallopian tube, or peritoneal cancer, though elevations are
seen more often in late-stage disease.
○ found in about 80 percent of epithelial ovarian cancers, but it is
present in only 50 percent of early-stage cancers.
○ An elevation in CA-125 (greater than 35 units) is not specific for
ovarian cancer and may be elevated in women with
endometriosis, benign ovarian cysts, and leiomyomas.
○ An extremely high CA-125 level may assist in the evaluation of
women who present with signs and symptoms of ovarian cancer,
and it may suggest whether further definitive testing is needed.
Cervical Cancer risks Correct Answer HPV, smoking, multiple
partners, high parity 3 or more kids, COCs (cancer doubels after 5
years use), poor nutrition
Endometrial cancer: Correct Answer It is caused by an excess of
endogenous or exogenous estrogen unopposed by progesterone.
Long-term unopposed estrogen exposure allows for continued
endometrial growth and the development of hyperplasia with or
without atypia. Risk factors: ET therapy, early monarche,
