D120 PA UPDATED ACTUAL Questions and CORRECT
Answers
The advanced practice Pelvic infection or inflammation
registered nurse (APRN) is
performing a bimanual pelvic
examination on a 30-year-old
female patient. The APRN will be
checking the patient's cervix for
cervical motion tenderness and
explains this to the patient.
Which condition is the APRN
evaluating in this patient?
A 17-year-old female is being STI test
seen in the clinic for a wellness
visit. The patient tells the
advanced practice registered
nurse (APRN) that she is
currently sexually active, has a
history of three different
partners, does not routinely use
condoms, had a normal
menstrual cycle the week
before, and denies any
complaints.
Which testing should the APRN
provide for this patient?
,A 67-year-old woman asks the Ongoing cervical cytology is not necessary
advanced practice registered
nurse (APRN) when her next Pap
smear should be performed. The
APRN notes that the client has
had three consecutive negative
cytology results.
Which schedule should the
APRN recommend for this
patient?
A 21-year-old female patient Every three years
presents to the clinic for a
routine exam and asks the
advanced practice registered
nurse (APRN) about the
frequency recommended for a
Papanicolaou (Pap) smear.
Which recommendation should
the APRN share with this
patient?
A 32-year-old female presents Ovarian
to the clinic as a new patient to
establish care and complains of
vague symptoms of abdominal
fullness and bloating. On the
rectovaginal exam, the
advanced practice registered
nurse (APRN) notes a solid,
irregular, and fixed pelvic mass.
Which cancer diagnosis should
the APRN make for this patient?
A 26-year-old female patient Trichomoniasis
presents to the clinic with
complaints of abdominal pain,
vaginal discharge, and vaginal
pruritis. The advanced practice
registered nurse (APRN)
performs a pelvic exam,
including pH tape test and wet
mount. The APRN notes a
vaginal pH of 6.2 and visualizes
ovoid, flagellated organisms
under the microscopy.
What should the APRN
diagnose?
, A 28-year-old woman presents Daily suppressive therapy should be used for 10 or more
to clinic with complaints of occurrences per year.
painful vulvar ulcerations. After
further evaluation, the advanced
practice registered nurse
(APRN) diagnoses the client with
herpes simplex virus.
Which education should the
APRN provide to the patient for
this condition?
An advanced practice Metronidazole 500 mg orally twice a day for seven days
registered nurse (APRN) is
treating a female patient with
bacterial vaginitis.
Which action should be
included in the plan of care?
A patient presents to the Metronidazole 500 mg PO bid for seven days
primary clinic complaining of a
foul smelling vaginal discharge
that worsens before menses and
after intercourse. The advanced
practice registered nurse
(APRN) assesses the patient's
diagnostic tests which reveals a
vaginal pH >4.5, positive whiff
test, and clue cells on wet prep.
A diagnosis of bacterial
vaginosis is confirmed.
Which treatment regimen should
the APRN use with this patient?
A female patient presents to the Gentamicin 240 mg IM plus azithromycin 2 g orally once
primary care clinic complaining
of lower abdominal pain,
abnormal menses, and difficulty
urinating. The advanced practice
nurse (APRN) performed a
pelvic examination that revealed
cervical motion tenderness
(CMT) with purulent discharge. A
diagnosis of gonorrhea is
confirmed. The APRN prescribes
ceftriaxone 250 mg IM;
however, the medication is
unavailable. Which alternative
treatment regimen should the
APRN use for this patient?
Answers
The advanced practice Pelvic infection or inflammation
registered nurse (APRN) is
performing a bimanual pelvic
examination on a 30-year-old
female patient. The APRN will be
checking the patient's cervix for
cervical motion tenderness and
explains this to the patient.
Which condition is the APRN
evaluating in this patient?
A 17-year-old female is being STI test
seen in the clinic for a wellness
visit. The patient tells the
advanced practice registered
nurse (APRN) that she is
currently sexually active, has a
history of three different
partners, does not routinely use
condoms, had a normal
menstrual cycle the week
before, and denies any
complaints.
Which testing should the APRN
provide for this patient?
,A 67-year-old woman asks the Ongoing cervical cytology is not necessary
advanced practice registered
nurse (APRN) when her next Pap
smear should be performed. The
APRN notes that the client has
had three consecutive negative
cytology results.
Which schedule should the
APRN recommend for this
patient?
A 21-year-old female patient Every three years
presents to the clinic for a
routine exam and asks the
advanced practice registered
nurse (APRN) about the
frequency recommended for a
Papanicolaou (Pap) smear.
Which recommendation should
the APRN share with this
patient?
A 32-year-old female presents Ovarian
to the clinic as a new patient to
establish care and complains of
vague symptoms of abdominal
fullness and bloating. On the
rectovaginal exam, the
advanced practice registered
nurse (APRN) notes a solid,
irregular, and fixed pelvic mass.
Which cancer diagnosis should
the APRN make for this patient?
A 26-year-old female patient Trichomoniasis
presents to the clinic with
complaints of abdominal pain,
vaginal discharge, and vaginal
pruritis. The advanced practice
registered nurse (APRN)
performs a pelvic exam,
including pH tape test and wet
mount. The APRN notes a
vaginal pH of 6.2 and visualizes
ovoid, flagellated organisms
under the microscopy.
What should the APRN
diagnose?
, A 28-year-old woman presents Daily suppressive therapy should be used for 10 or more
to clinic with complaints of occurrences per year.
painful vulvar ulcerations. After
further evaluation, the advanced
practice registered nurse
(APRN) diagnoses the client with
herpes simplex virus.
Which education should the
APRN provide to the patient for
this condition?
An advanced practice Metronidazole 500 mg orally twice a day for seven days
registered nurse (APRN) is
treating a female patient with
bacterial vaginitis.
Which action should be
included in the plan of care?
A patient presents to the Metronidazole 500 mg PO bid for seven days
primary clinic complaining of a
foul smelling vaginal discharge
that worsens before menses and
after intercourse. The advanced
practice registered nurse
(APRN) assesses the patient's
diagnostic tests which reveals a
vaginal pH >4.5, positive whiff
test, and clue cells on wet prep.
A diagnosis of bacterial
vaginosis is confirmed.
Which treatment regimen should
the APRN use with this patient?
A female patient presents to the Gentamicin 240 mg IM plus azithromycin 2 g orally once
primary care clinic complaining
of lower abdominal pain,
abnormal menses, and difficulty
urinating. The advanced practice
nurse (APRN) performed a
pelvic examination that revealed
cervical motion tenderness
(CMT) with purulent discharge. A
diagnosis of gonorrhea is
confirmed. The APRN prescribes
ceftriaxone 250 mg IM;
however, the medication is
unavailable. Which alternative
treatment regimen should the
APRN use for this patient?
