NSG 6430 Final Exam | Questions and Answers

NSG 6430 Final Exam | Questions and Answers The nurse practitioner knows that a highly valuable assessment tool for evaluating urinary incontinence and contributing factors in daily life is: A voiding dairy The nurse practitioner is counseling a 57-year-old patient with urinary incontinence. The patient desires to try non-pharmacological, non-invasive methods of treatment at this time. Which of the following should be included in the patient's plan of care? (Select all) Bladder training Kegel exercises Eliminate caffeine and alcohol consumption The nurse practitioner is performing a bimanual exam on a new OB patient and notices that the lower portion of the patient's uterus is soft. This is known as: Hegar's sign Your female patient presents for vaginal discharge with an odor, and has noticed painless "bumps" on her vaginal area. Sexual history includes past male partners and her current female partner. On exam you note beefy red papules and an ulcerative lesion on her vulva, granular tissue and scarring, and inguinal adenopathy. You suspect she has: Granuloma inguinale The physical examination of any woman suspected of being abused or battered includes all of the following except A focus on the patient's physical appearance, not her behavior the most effective means of obtaining the history of abuse is to use a communication model that Allows the patient to talk without interruption and with time to relate, emphasize, and repeat her full story Clinicians should routinely consider intimate partner violence (IPV) as a possible diagnosis for women who present with all of the following except: Denial of any physical health problems The factors that enable women to enjoy and control their sexual and reproductive lives, including a physical and emotional state of well-being and the quality of sexual and other close relationships, make up a woman's Sexual health Which one of the following is not among the ways clinicians can provide a welcoming, safe environment for lesbian, gay, bisexual or transgender (LGBT) Ignore the sexual status or gender identity of all patients Which one of the following is the definition of the term "gender identity" A self-label, regardless of biological or natural sex Which one of the following statements about sexually transmitted infections (STIs) is false Lesbians are at very low risk for development of STIs and vaginal infections Among the midlife health issues of women, the number one cause of mortality in the United States is Cardiovascular disease Lifestyle approaches to manage menopause related vasomotor symptoms include Avoiding spicy foods, hot drinks, caffeine, and alcohol The standard for managing moderate to severe menopausal symptoms is Prescription systemic hormone products, such as estrogen and progesterone The nurse practitioner is managing an adolescent with a 4 cm functional ovarian cyst that was confirmed on a recent ultrasound. what plan of care should be anticipated fo the patient? Repeat ultrasound in 2 months Non-pharmacological therapy for chronic pelvic pain includes the following: select all that apply Physical therapy Aerobic and no aerobic exercise The nurse practitioner understands that all of the following organisms are responsible for infection of the Bartholin's gland except Klebsiella Treatment of a large, symptomatic Bartholin's cyst includes all of the following except Topical corticosteroids A 44 year-old African American female presents with complaints of menorrhagia x15 months. Pelvic ultrasound confirms the presence of a large intramural leiomyomata. The nurse practitioner should discuss all of the following options with the patient except Estrogen therapy The nurse practitioner is treating a patient with emilite for scabies. the proper instructions to the patient should include Apply to all areas of the body from the neck down, wash off after 8 to 14 hours, then repeat treatment 1 week The nurse practitioner understands that the proper management of an asymptomatic woman with a small fibroid should include Reassess in 6 to 12 months The nurse practitioner is teaching a patient about pediculosis. Which of the following statements by the nurse practitioner is correct The condition is treated with permethrin cream All of the following medications may be used for neuropathic pain management of vulvodynai except Methotrexate The nurse practitioner understands that which of the following lab test is appropriate for the patient who presents with symptoms of dysesthetic vulvodynia Wet mount Which of the following is a common antibiotic for the treatment of an infected Bartholin's cyst Bactrium The patient presents with complaints of a painful, swollen lump in her vaginal area. She's reports difficulty sitting and walking due to the pain. Which of the following is a likely diagnosis for this patient Bartholin's cyst The nurse practitioner understands that which of the following are differential diagnoses in an adult female patient with acute pelvic pain. Select all that apply Ectopic pregnancy Appendicitis Ovarian cyst with rupture When women experience mild premenstrual symptoms, such as mild breast tenderness, abdominal bloating, and mild weight gain form water retention, this is known as Premenstrual syndrome A patient with introduction papilloma will commonly present with a chief complaint of Bloody nipple discharge The nurse practitioner understands that the necessary screening techniques in a patient with suspicious of ovarian cancer should include the following; Select all that apply CA 125 Transnational ultrasound Early symptoms experienced by a woman with ovarian cancer include all of the following except: Unexplained weight gain The nurse practitioner is evaluating a patient's risk of ovarian cancer. All of the following factors are associated with an increased risk for ovarian cancer except: Oral contraceptive use Patient education for condylomata acuminata should include all of the following except Treatment and elimination of visible warts is a sign of cure, and transmission will not occur Tina is evaluated and diagnosed with molluscum contagious. The nurse practitioner understands that clinical presentation of this disease is characterized by Fleshy, popular skin colored lesions with indented centers that contain white cordlike material Sara is 72 years old and has been a widow for 12 years. She presents for her yearly well woman exam. Sara has not been sexually active since age 60. she has had a regular pap screenings in her life and has had no abnormal Pap tests. Sara asks if she needs a pap test No, you do not need a Pap test, but I do recommend we do a pelvic exam to assess for abnormalities Misty presents with painful "sores" in her perineal area, dysuria and dyspareunia. On exam she has 2 shallow ulcerated lesions on the right labia majors and one on the left. she also presents with enlarged inguinal lymph nodes. Based on these findings you suspect she has: Chancroid Which of the following is not true for HIV infection evaluation If a patient is fearful they have been exposed to HIV, but denies all risk factors, it is not recommended to test for The nurse practitioner understands that the risk factors for developing vaginal candidiasis include which of the following A diet high in refined sugar Cindy presents to your clinic for STI testing after realizing her current boyfriend has been seeing other women. She states she was told that one of the women has hepatitis B. Your patient education regarding Hep B includes all the following except Hepatitis B is transmitted enterically Stacy has made an appointment at your clinic for c/o dysuria. during the HPI she explains, "My bottom hurts when I pee, and I have a bumps there." She has never had this before and she is worried. she denies fever, although she feels a little like I have the flu, explaining she has a headache and feels achy and tired. She denies exposure to a STI noting she and her partner have been monogamous for 6 years. On exam you notice a cluster of painful vehicle adjacent to the virginial intro it's. the most likely diagnosis is Genital herpes You see an 18- year old woman with a history of chlamydia infection and a total of five lifetime partners. based on the latest evidence-based guidelines, you recommend STI testing only Karen was recently diagnosed with primary syphilis. The nurse practitioner understands that the first-line treatment option for primary syphilis include: Penicillin While educating Karen about the different stages of syphilis, which of the following is not representative of the presentation of secondary syphilis? Chancre Karen was recently diagnosed with primary syphilis by her primary care provider, she is very upset and inquires how long after sexual contact do syphilis symptoms typically occur. What is the correct response by the primary care provider? 3 weeks Which of the following terms describe the mechanism of action of Imiquimod (Aldara) in the management of genital warts? immune modifier The nurse practitioner understands that HPV types _____ and ____are most often associated with cervical and anogenital cancer. 16 and 18 Jenna was evaluated and diagnosed with condyloma acuminatum. Treatment options for Jenna will include all of the following except: topical acyclovir Which of the following is a treatment option for a 30-yearold woman with PID and a history of severe hive-form reaction when taking a penicillin or cephalosporin? clindamycin with azithromycin The nurse practitioner understands that a complication of gonococcal and chlamydial genitourinary infection in women include which of the following: Pelvic Inflammatory Disease (PID) The nurse practitioner understands that women with PID typically present with all of the following except: leukopenia Elizabeth was evaluated and diagnosed with a primary outbreak of genital herpes in the clinic today. The treatment plan for Elizabeth will include a prescription for: Valacyclovir Elizabeth was recently diagnosed with genital herpes after having unprotected intercourse with a new partner. The nurse practitioner explains to Christine that the incubation period for HSV Type 2 is approximately: 4 to 7 days up to 4 weeks Kristin returns to the clinic for follow-up on STI results. The nurse practitioner informs her the Chlamydia test was positive. Which of the following agents will the nurse practitioner prescribe for treatment? Azithromycin The nurse practitioner student is studying the CDC guidelines for treating sexually transmitted infections. Which of the following agents is recommended for Gonorrhea treatment? Cefriaxone A 30-year-old woman presents without symptoms but states that her male partner has dysuria without penile discharge. Examination of the woman reveals a friable cervix with yellow discharge from the cervical os. This description is most consistent with an infection caused by: Select all that apply. chlamydia trachomatis Neisseria gonorrhoeae Trichomonas vaginalis Karen was diagnosed with trichomoniasis by her primary care provider and treated with: Metronidazole 500 mg po BID x 7 days (If single-dose metronidazole treatment fails and reinfection is excluded, metronidazole 500 mg orally twice a day days should be prescribed.) this is the correct answer if first treatment doesn't work A 24-year-old woman presents with a 1-week history of thin, greenish yellow vaginal discharge with perivaginal irritation. Physical examination findings include vaginal erythema with petechial hemorrhages on the cervix, numerous white blood cells, and motile organisms on microscopic examination. These findings most likely represent: Trichomoniasis For patients needing topical treatment for vulvovaginitis caused by Candida albicans, the nurse practitioner will prescribe: clotrimazole cream The nurse practitioner understands that women with bacterial vaginosis typically present with: malodorous discharge