NURSING 602 final exam with questions and answers (100% solved)
18-year-old female complaining of secondary amenorrhea. On exam, there is a normal
secondary sex characteristics and normal genitalia. Pregnancy is ruled out what would
necessitate further evaluation - ✔✔✔-Galactorrhea
22-year-old female complains of pelvic pain. Exam reveals cervical motion and uterine
tenderness. Which supports a P ID diagnosis - ✔✔✔-Mucopurulent Vaginal discharge
35-year-old woman complains of six month history of hypermenorrhea, backache, pelvic
pressure. On exam you discover 12 weeks size uterus with a regular contour. What does this
represent - ✔✔✔-Uterine fibroid
845-year-old woman has an abnormal screening mammogram. The next step in management
should be - ✔✔✔-Diagnostic mammogram
849-year-old female patient presents with a chief complaint of dark, watery brown vaginal
discharge. Part of the differential diagnosis includes that a cervical cancer. Which of the
following best describes what might be visualized - ✔✔✔-Ulcerated firm cervix
855-year-old woman presents to the clinic for evaluation of a breast mass. Which of the
following is not a typical presenting sign of breast cancer - ✔✔✔-A 2cm, rubbery, tender lesion
A 14-year-old is brought to the clinic by her mother. The mother explained to the nurse that her
daughter has just started using tampons but is not yet sexually active. The mother states I am
very concerned because my daughter is having a lot of stabbing pain and burning. What might
the nurses backed is the problem with the 14-year-old - ✔✔✔-Vulvodynia
A 16-year-old female is diagnosed with primary dysmenorrhea. She has taken over the counter
ibuprofen 800 mg increments every eight hours during mentors for the past three months with
minimal relief of symptoms. What intervention will provide greatest relief of dysmenorrhea
symptoms - ✔✔✔-Combined oral contraceptives
,NURSING 602 final exam with questions and answers (100% solved)
A 17-year-old female patient presents with amenorrhea for four months she did experience
menarche at age 15 but had not had a menstrual cycle since. On physical examination, it is
noted that she has normal secondary sexual characteristics. The nurse practitioner will consider
progesterone challenge to determine the presence of adequate - ✔✔✔-Endogenous estrogen
A 20-year-old woman visiting the clinic says that she wishes to begin using Depot
Medroxyprogesterone acetate (Depo-Provera) as a form of birth control what important
information said the nurse include when teaching the client about Depo-Provera - ✔✔✔-
Calcium intake and exercise should be increased because of the possible loss of bone mineral
density with increasing duration of use
A 21-year-old female presents with three 0.5cm HPV lesions on her vulva. An appropriate
treatment option for this patient would be - ✔✔✔-Podophyllin
A 21-year-old woman comes into your practice seeking birth control. She has only recently
become sexually active and has consistently use condoms for say sex. Your history reveals that
she does not use tampons during her inventors I has very little knowledge about female
reproductive anatomy. Based on this information, which of the following birth control choices
would be the least likely to meet her needs for contraceptive management - ✔✔✔-NuvaRing
A 23-year-old woman comes to the clinic for a Pap smear. After the examination, the client
confides that her mother had died of endometrial cancer one year ago and says that she is
afraid that she would die of the same cancer. Which risk factor stated by the client after an
education session on wrist factors indicate that brother teaching is needed - ✔✔✔-Late onset
menarche
A 23-year-old woman presents to your practice with a chief complaint of postcoital bleeding.
Which of the following would not be included in the initial assessment of this patient - ✔✔✔-
Uterine biopsy
, NURSING 602 final exam with questions and answers (100% solved)
A 24-year-old female patient has been diagnosed with primary dysmenorrhea. Which of the
following medications would be best used as the first line to help control her symptoms - ✔✔✔-
NSAIDs
A 24-year-old female presents to the office with a complaint of vaginal itching in addition to
thick mucoid discharge. She also has some mild urinary discomfort. The wet mount preparation
using potassium hydroxide reveals a negative whiff test and few clue cells. There was no
trichomonas visualized but the WBCs were too numerous to count. Which of the following
would be the most likely diagnosis in the patient - ✔✔✔-Chlamydia
A 25-year-old obese female with type two diabetes presents to your office with a complaint of
vaginal itching and burning for two weeks. She has tried douching with an over-the-counter
cream with no relief. Physical examination the Vulva is deep red with some thick white adherent
material. Which of the following conditions would be most likely cause of her symptoms -
✔✔✔-Fungal infection
A 25-year-old patient presents with urinary frequency and urgency. These symptoms have been
occurring for three days without fever. The patient with interstitial cystitis would most likely
describe their symptoms as - ✔✔✔-Urinary urgency and frequency in the morning and at night
A 25-year-old presents with a report of a very tender area just near her introitus and to the left
of her perineum. Very painful sex is how she knew something wasn't right. She showered and
when washing, she felt a P sized painful lump on the left side of her bottom. She tells you she
looked at it with the mirror and it was very small but now it is the size of a ping-pong ball and
getting worse. when you Inspect her genitalia you are amazed at the size and appearance of the
lump you know what appears to be an abscess on the left medial side of the labia minora and
there is some edema extending into the perineum. Your diagnosis for this presentation is -
✔✔✔-Bartholins cyst
A 25-year-old woman comes to clinic complaining of increased vaginal discharge, milky gray in
color with a fishy odor that both she and her husband have noticed. I wet smear is performed
and the presence of clue cells confirmed. Which type of infection does the nurse suspect -
✔✔✔-Bacterial vaginosis
18-year-old female complaining of secondary amenorrhea. On exam, there is a normal
secondary sex characteristics and normal genitalia. Pregnancy is ruled out what would
necessitate further evaluation - ✔✔✔-Galactorrhea
22-year-old female complains of pelvic pain. Exam reveals cervical motion and uterine
tenderness. Which supports a P ID diagnosis - ✔✔✔-Mucopurulent Vaginal discharge
35-year-old woman complains of six month history of hypermenorrhea, backache, pelvic
pressure. On exam you discover 12 weeks size uterus with a regular contour. What does this
represent - ✔✔✔-Uterine fibroid
845-year-old woman has an abnormal screening mammogram. The next step in management
should be - ✔✔✔-Diagnostic mammogram
849-year-old female patient presents with a chief complaint of dark, watery brown vaginal
discharge. Part of the differential diagnosis includes that a cervical cancer. Which of the
following best describes what might be visualized - ✔✔✔-Ulcerated firm cervix
855-year-old woman presents to the clinic for evaluation of a breast mass. Which of the
following is not a typical presenting sign of breast cancer - ✔✔✔-A 2cm, rubbery, tender lesion
A 14-year-old is brought to the clinic by her mother. The mother explained to the nurse that her
daughter has just started using tampons but is not yet sexually active. The mother states I am
very concerned because my daughter is having a lot of stabbing pain and burning. What might
the nurses backed is the problem with the 14-year-old - ✔✔✔-Vulvodynia
A 16-year-old female is diagnosed with primary dysmenorrhea. She has taken over the counter
ibuprofen 800 mg increments every eight hours during mentors for the past three months with
minimal relief of symptoms. What intervention will provide greatest relief of dysmenorrhea
symptoms - ✔✔✔-Combined oral contraceptives
,NURSING 602 final exam with questions and answers (100% solved)
A 17-year-old female patient presents with amenorrhea for four months she did experience
menarche at age 15 but had not had a menstrual cycle since. On physical examination, it is
noted that she has normal secondary sexual characteristics. The nurse practitioner will consider
progesterone challenge to determine the presence of adequate - ✔✔✔-Endogenous estrogen
A 20-year-old woman visiting the clinic says that she wishes to begin using Depot
Medroxyprogesterone acetate (Depo-Provera) as a form of birth control what important
information said the nurse include when teaching the client about Depo-Provera - ✔✔✔-
Calcium intake and exercise should be increased because of the possible loss of bone mineral
density with increasing duration of use
A 21-year-old female presents with three 0.5cm HPV lesions on her vulva. An appropriate
treatment option for this patient would be - ✔✔✔-Podophyllin
A 21-year-old woman comes into your practice seeking birth control. She has only recently
become sexually active and has consistently use condoms for say sex. Your history reveals that
she does not use tampons during her inventors I has very little knowledge about female
reproductive anatomy. Based on this information, which of the following birth control choices
would be the least likely to meet her needs for contraceptive management - ✔✔✔-NuvaRing
A 23-year-old woman comes to the clinic for a Pap smear. After the examination, the client
confides that her mother had died of endometrial cancer one year ago and says that she is
afraid that she would die of the same cancer. Which risk factor stated by the client after an
education session on wrist factors indicate that brother teaching is needed - ✔✔✔-Late onset
menarche
A 23-year-old woman presents to your practice with a chief complaint of postcoital bleeding.
Which of the following would not be included in the initial assessment of this patient - ✔✔✔-
Uterine biopsy
, NURSING 602 final exam with questions and answers (100% solved)
A 24-year-old female patient has been diagnosed with primary dysmenorrhea. Which of the
following medications would be best used as the first line to help control her symptoms - ✔✔✔-
NSAIDs
A 24-year-old female presents to the office with a complaint of vaginal itching in addition to
thick mucoid discharge. She also has some mild urinary discomfort. The wet mount preparation
using potassium hydroxide reveals a negative whiff test and few clue cells. There was no
trichomonas visualized but the WBCs were too numerous to count. Which of the following
would be the most likely diagnosis in the patient - ✔✔✔-Chlamydia
A 25-year-old obese female with type two diabetes presents to your office with a complaint of
vaginal itching and burning for two weeks. She has tried douching with an over-the-counter
cream with no relief. Physical examination the Vulva is deep red with some thick white adherent
material. Which of the following conditions would be most likely cause of her symptoms -
✔✔✔-Fungal infection
A 25-year-old patient presents with urinary frequency and urgency. These symptoms have been
occurring for three days without fever. The patient with interstitial cystitis would most likely
describe their symptoms as - ✔✔✔-Urinary urgency and frequency in the morning and at night
A 25-year-old presents with a report of a very tender area just near her introitus and to the left
of her perineum. Very painful sex is how she knew something wasn't right. She showered and
when washing, she felt a P sized painful lump on the left side of her bottom. She tells you she
looked at it with the mirror and it was very small but now it is the size of a ping-pong ball and
getting worse. when you Inspect her genitalia you are amazed at the size and appearance of the
lump you know what appears to be an abscess on the left medial side of the labia minora and
there is some edema extending into the perineum. Your diagnosis for this presentation is -
✔✔✔-Bartholins cyst
A 25-year-old woman comes to clinic complaining of increased vaginal discharge, milky gray in
color with a fishy odor that both she and her husband have noticed. I wet smear is performed
and the presence of clue cells confirmed. Which type of infection does the nurse suspect -
✔✔✔-Bacterial vaginosis
