NURS 6615 Review
Study online at https://quizlet.com/_i0ndzx
1. If a patient presents with breast discharge, the NP should do all of the
following in the evaluation except?: If nipple discharge is present, send for cytology evaluation
**GUAIAC all nipple discharge for occult blood, cytology is not recommended, refer to breast specialist for consideration
of biopsy or duct excision
2. What laboratory test would the NP consider not appropriate for a patient with
nipple discharge?: all are appropriate: Thyroid panel, prolactin panel, serum pregnancy test if indicated
3. When a patient presents with a breast mass, what would be considered a
nonmodifiable risk factor?: Family history of breast cancer
4. Which statement is true regarding conducting a breast exam?: The best time to
examine the breast is 1 week after the 1st day of the menstrual cycle.
5. Which statement would be the most accurate documentation by the NP in
the breast exam section of a patient's chart?: Bilateral breasts were symmetrical, no dimpling or
discoloration of the skin was noted in bilateral breasts, no nipple scaling or discoloration was noted in bilateral breasts,
no nipple discharge either spontaneous or elicited bilaterally, and no palpable masses bilaterally.
6. The NP knows which statement is true regarding breast pain?: An ultrasound can be
ordered for focal pain in women under 30 years old.
7. The NP knows this statement is true regarding the recommendations from
ACS for patients without symptoms?: Mammograms are recommended evey year for ages 40 and
older, Clinical breast exam every year age 40, Clinical breast exam with regular exams every 3 years for patients 20-30s,
and Self breast exam is optional starting in the 20s.
8. What month is Breast Cancer Awareness Month?: October
9. A man aged 30, questions the NP about symptoms of testicular cancer. Which
statement is best to tell the patient?: Usually, a lump on the testicle is the first symptom.
10. A patient is seen at a routine gyn exam and asks a question about Gardasil
for her teenage daughter. Which statement is true regarding this vaccination?-
: Gardasil helps prevent certain types of HPV related diseases.
11. A patient presents for a routine gyn exam, the NP is performing a breast
exam and notices the breast to have a "peau d' orange" appearance. What
type of breast cancer is commonly associated with this presentation?: Inflammatory
carcinoma
, NURS 6615 Review
Study online at https://quizlet.com/_i0ndzx
12. A patient presents to the clinic with a discrete solid mass in the breast. The
NP knows which type of breast cancer is the most common malignancy of the
breast and has this presentation.: Invasive ductal carcinoma
13. A woman aged 33 years old with a cervix without a diagnosis of high grade
precancerous lesion or cervical cancer and who is not immunocompromised
comes to the office and asks the NP how often she is to have a pap smear.
Which statement is the best response to the question?: Every 5 years with HPV testing
14. A patient aged 19 years old asks to have her pap done before she goes to
college. What is the best response by the NP to the patient?: Screening earlier than 21
years old regardless of sexual history may be more harmful than having benefit, you can have a pap performed at 21
years old.
15. Mrs. Jones, age 68 years old, comes into the office for her yearly exam.
She has had a total hysterectomy due to fibroids and has been otherwise
healthy.She states her last pap was 10 years ago. She asks when she needs
another pap. The NP's best response is?: You no longer need a pap smear
16. A patient aged 32 has a pap results of unsatisfactory cytology with negative
HPV testing. What would be the NP next step according to ASCCP algorithm
guidelines?: Repeat pap in 2-4 months
17. A patient aged 35 years old has a negative cytology with positive HPV Types
16 and 18 testing. What would be the NP next step according to the ASCCP
algorithm guidelines?: Refer for colposcopy
18. A patient aged 30 has a pap results showing ASCUS on cytology with negative
HPV testing. What would be the NP next step according to ASCCP algorithm
guidelines?: Repeat pap and HPV in 3 years
19. For an initial gynecological visit, what would be included in the comprehen-
sive health history?: General medical history, gynecological history, sexual history
20. For an initial gynecoloical visit, what would be included in the physical
exam?: Vital signs & BMI, general systems exam, gynecological exam
21. When assessing abnormal vaginal bleeding, the NP asks a detailed history
which would include all except?: Tell me about your partner's medical and surgical history.
22. The PE of a patient with abnormal vaginal bleeding may include?: VS with BP, skin
exam, thyroid exam, genital and vaginal exam.
Study online at https://quizlet.com/_i0ndzx
1. If a patient presents with breast discharge, the NP should do all of the
following in the evaluation except?: If nipple discharge is present, send for cytology evaluation
**GUAIAC all nipple discharge for occult blood, cytology is not recommended, refer to breast specialist for consideration
of biopsy or duct excision
2. What laboratory test would the NP consider not appropriate for a patient with
nipple discharge?: all are appropriate: Thyroid panel, prolactin panel, serum pregnancy test if indicated
3. When a patient presents with a breast mass, what would be considered a
nonmodifiable risk factor?: Family history of breast cancer
4. Which statement is true regarding conducting a breast exam?: The best time to
examine the breast is 1 week after the 1st day of the menstrual cycle.
5. Which statement would be the most accurate documentation by the NP in
the breast exam section of a patient's chart?: Bilateral breasts were symmetrical, no dimpling or
discoloration of the skin was noted in bilateral breasts, no nipple scaling or discoloration was noted in bilateral breasts,
no nipple discharge either spontaneous or elicited bilaterally, and no palpable masses bilaterally.
6. The NP knows which statement is true regarding breast pain?: An ultrasound can be
ordered for focal pain in women under 30 years old.
7. The NP knows this statement is true regarding the recommendations from
ACS for patients without symptoms?: Mammograms are recommended evey year for ages 40 and
older, Clinical breast exam every year age 40, Clinical breast exam with regular exams every 3 years for patients 20-30s,
and Self breast exam is optional starting in the 20s.
8. What month is Breast Cancer Awareness Month?: October
9. A man aged 30, questions the NP about symptoms of testicular cancer. Which
statement is best to tell the patient?: Usually, a lump on the testicle is the first symptom.
10. A patient is seen at a routine gyn exam and asks a question about Gardasil
for her teenage daughter. Which statement is true regarding this vaccination?-
: Gardasil helps prevent certain types of HPV related diseases.
11. A patient presents for a routine gyn exam, the NP is performing a breast
exam and notices the breast to have a "peau d' orange" appearance. What
type of breast cancer is commonly associated with this presentation?: Inflammatory
carcinoma
, NURS 6615 Review
Study online at https://quizlet.com/_i0ndzx
12. A patient presents to the clinic with a discrete solid mass in the breast. The
NP knows which type of breast cancer is the most common malignancy of the
breast and has this presentation.: Invasive ductal carcinoma
13. A woman aged 33 years old with a cervix without a diagnosis of high grade
precancerous lesion or cervical cancer and who is not immunocompromised
comes to the office and asks the NP how often she is to have a pap smear.
Which statement is the best response to the question?: Every 5 years with HPV testing
14. A patient aged 19 years old asks to have her pap done before she goes to
college. What is the best response by the NP to the patient?: Screening earlier than 21
years old regardless of sexual history may be more harmful than having benefit, you can have a pap performed at 21
years old.
15. Mrs. Jones, age 68 years old, comes into the office for her yearly exam.
She has had a total hysterectomy due to fibroids and has been otherwise
healthy.She states her last pap was 10 years ago. She asks when she needs
another pap. The NP's best response is?: You no longer need a pap smear
16. A patient aged 32 has a pap results of unsatisfactory cytology with negative
HPV testing. What would be the NP next step according to ASCCP algorithm
guidelines?: Repeat pap in 2-4 months
17. A patient aged 35 years old has a negative cytology with positive HPV Types
16 and 18 testing. What would be the NP next step according to the ASCCP
algorithm guidelines?: Refer for colposcopy
18. A patient aged 30 has a pap results showing ASCUS on cytology with negative
HPV testing. What would be the NP next step according to ASCCP algorithm
guidelines?: Repeat pap and HPV in 3 years
19. For an initial gynecological visit, what would be included in the comprehen-
sive health history?: General medical history, gynecological history, sexual history
20. For an initial gynecoloical visit, what would be included in the physical
exam?: Vital signs & BMI, general systems exam, gynecological exam
21. When assessing abnormal vaginal bleeding, the NP asks a detailed history
which would include all except?: Tell me about your partner's medical and surgical history.
22. The PE of a patient with abnormal vaginal bleeding may include?: VS with BP, skin
exam, thyroid exam, genital and vaginal exam.
