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NURS 6111 EXAM 1 ADVANCED PRACTICE NURSING
EXAM NEWEST 300 QUESTIONS AND VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR
The NP is treating a 35 year old patient for primary herpes infection. The first line treatment
option for primary herpes infection include
A. Acyclovir 400mg TID for 7-10 days
B. Valacyclovir 1g daily for 3 days
C. Famciclovir 250mg BID for5 days
D. No treatment needed
A. Acyclovir 400mg TID 7-10 days (genital herpes)
The NP examines a patient with complaints of foul smelling, frothy, copious and pale yellow
to gray green vaginal discharge On exam, vulvogaginal irritation and cervical petechiae is
noted. Based on this the most likely tx includes
A. Fluconazole
B. Metronidazole
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C. Clindamycin
D. Azithromycin
B. Metronidazole
these findings are consistent with trichomoniasis, metronidazole is the first line tx of choice for
protozoal infection
Mary is a 36 year old women who complains of vaginal burning. The NP assess grayish white
adherent vaginal discharge that had fishy odor. The discharge pH level is 5.1 and there is a
positive whiff test. The treatment of choice is
A. Fluconazole
B. Metronidazole
C. Clindamycin
D. Oral doxycycline
B. Metronidazole
(-KOH is whiff test- bacterial vaginosis. Metronidazole is the first line tx for bacterial vaginosis)
Jane is a 38 year old female who presents with non odorous thick, white, curd like vaginal
discharge and vulvar itching. She is in a monogamous relationship. She was recently treated
for a sinus infection. The most likely treatment includes which of the following
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A. Fluconazole 800mg single dose
B. Metronidazole 500mg BID 7 days
C. Clotrimazole cream
D. Oral doxycycline
Fluconazole 800mg for initial (yeast infection)
A female patient is diagnosed with chlamydia. She has complaints of vaginal discharge and
dysuria. Her male partner is asymptomatic. How should they be treated
Doxycycline 100mg BID x7 days or azithromycin (exposed partner should be treated as well)
A female patient is 31 year old. She has never had an abnormal PAP smear and has had
regular screening since age 22. According to the AVS and ACOG guideline, if she has a normal
PAP smear with HPV testing today, when should she have the next cervical cancer screening
5 years (HPV in 5 years, Pap smear ONLY STI can be in 3 years)
A 53 year old woman who is taking HRT with conjugated estrogen, .45mg/ day with
medroxyprogesterone acetate 1.5mg, has bothersome atrophic vaginitis symptoms. You
would consider
the addition of topical estrogen can be helpful (helps with dryness)
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Samantha is a 23 year old female presents with urinary burning, frequency and urgency.
Urine dipsticks is positive for leukocytes and nitrates. Given that she has no medical hx and
no other pertinent clinical findings, the recommended treatment of choice is
Nitrofurantoin 100mg BID x 5 days (1st line tx for uncomplicated UTI)
A 29 year old female patient with no medical history presented to the NP office with fever,
chills and WBC casts and has been diagnosed with pyelonephritis. Which clinical finding
would be consistent in this patient
CVA tenderness
Hot flashes that occur during peri menopause are thought to be related to
fluctuating estrogen level
Which of the following physical exam findings in a 65 year old woman warrant further
evaluation
Inverted nipple
Which of the following is not representative of the presentation of primary syphillis
flu like symptoms
A patient diagnosed with trichomoniasis is being treated with metronidazole. When teaching
the patient about this medication, which of the following will the nurse practitioner include
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NURS 6111 EXAM 1 ADVANCED PRACTICE NURSING
EXAM NEWEST 300 QUESTIONS AND VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR
The NP is treating a 35 year old patient for primary herpes infection. The first line treatment
option for primary herpes infection include
A. Acyclovir 400mg TID for 7-10 days
B. Valacyclovir 1g daily for 3 days
C. Famciclovir 250mg BID for5 days
D. No treatment needed
A. Acyclovir 400mg TID 7-10 days (genital herpes)
The NP examines a patient with complaints of foul smelling, frothy, copious and pale yellow
to gray green vaginal discharge On exam, vulvogaginal irritation and cervical petechiae is
noted. Based on this the most likely tx includes
A. Fluconazole
B. Metronidazole
1
, Page 2 of 42
C. Clindamycin
D. Azithromycin
B. Metronidazole
these findings are consistent with trichomoniasis, metronidazole is the first line tx of choice for
protozoal infection
Mary is a 36 year old women who complains of vaginal burning. The NP assess grayish white
adherent vaginal discharge that had fishy odor. The discharge pH level is 5.1 and there is a
positive whiff test. The treatment of choice is
A. Fluconazole
B. Metronidazole
C. Clindamycin
D. Oral doxycycline
B. Metronidazole
(-KOH is whiff test- bacterial vaginosis. Metronidazole is the first line tx for bacterial vaginosis)
Jane is a 38 year old female who presents with non odorous thick, white, curd like vaginal
discharge and vulvar itching. She is in a monogamous relationship. She was recently treated
for a sinus infection. The most likely treatment includes which of the following
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, Page 3 of 42
A. Fluconazole 800mg single dose
B. Metronidazole 500mg BID 7 days
C. Clotrimazole cream
D. Oral doxycycline
Fluconazole 800mg for initial (yeast infection)
A female patient is diagnosed with chlamydia. She has complaints of vaginal discharge and
dysuria. Her male partner is asymptomatic. How should they be treated
Doxycycline 100mg BID x7 days or azithromycin (exposed partner should be treated as well)
A female patient is 31 year old. She has never had an abnormal PAP smear and has had
regular screening since age 22. According to the AVS and ACOG guideline, if she has a normal
PAP smear with HPV testing today, when should she have the next cervical cancer screening
5 years (HPV in 5 years, Pap smear ONLY STI can be in 3 years)
A 53 year old woman who is taking HRT with conjugated estrogen, .45mg/ day with
medroxyprogesterone acetate 1.5mg, has bothersome atrophic vaginitis symptoms. You
would consider
the addition of topical estrogen can be helpful (helps with dryness)
3
, Page 4 of 42
Samantha is a 23 year old female presents with urinary burning, frequency and urgency.
Urine dipsticks is positive for leukocytes and nitrates. Given that she has no medical hx and
no other pertinent clinical findings, the recommended treatment of choice is
Nitrofurantoin 100mg BID x 5 days (1st line tx for uncomplicated UTI)
A 29 year old female patient with no medical history presented to the NP office with fever,
chills and WBC casts and has been diagnosed with pyelonephritis. Which clinical finding
would be consistent in this patient
CVA tenderness
Hot flashes that occur during peri menopause are thought to be related to
fluctuating estrogen level
Which of the following physical exam findings in a 65 year old woman warrant further
evaluation
Inverted nipple
Which of the following is not representative of the presentation of primary syphillis
flu like symptoms
A patient diagnosed with trichomoniasis is being treated with metronidazole. When teaching
the patient about this medication, which of the following will the nurse practitioner include
4
