NUR 6111 Exam 3 Review Questions and 100% Correct Answers 2026
/27 Latest – William Paterson University
1. “Hot flashes” that occur during peri-menopause are thought to be related to:
Fluctuating estrogen level
2. Which of the following physical examination findings in a 65-year-old woman warrants
further evaluation? INVERTED Nipple
3. Which of the following is not representative of the presentation of primary syphilis? Flu-
like symptoms
4. A patient diagnosed with trichomoniasis is being treated with metronidazole (Flagyl). When
teaching the patient about this medication, which of the following will the nurse practitioner
include? Do not consume alcohol (reduce the possibility of a disulfiram-like reaction)
5. The recommended time to initiate screening for cervical cancer in women is: 21 years old
6. The nurse practitioner recognizes the following assessment findings as being
consistent with Chlamydia (select all that apply) vaginal discharge, and it was
something about cervical changes
7. The nurse practitioner is treating a 35-year-old patient for a primary herpes infection. The
first-line treatment option for primary herpes infection includes: Acyclovir 400 mg TID for 7-10
days
8. The nurse practitioner examines a patient with complaints of foul-smelling, frothy,
copious, and pale yellow to gray-green vaginal discharge. On exam, vulvovaginal irritation
and cervical petechiae are noted. Based on this, the most likely treatment includes:
Metronidazole (trichomoniasis)
9. Mary is a 36-year-old woman who complains of vaginal burning. The nurse practitioner
assesses greyish-white adherent vaginal discharge that has a fishy odor. The discharge pH
level is 5.1, and there is a (+) whiff test. The treatment of choice for this is: Metronidazole (-
KOH is whiff test- bacterial vaginosis)
10. 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
NUR 6111 Exam 3
, recently treated for a sinus infection. The most likely treatment includes which of the following?
Fluconazole 800 mg for initial (yeast infection)
11. A female patient is diagnosed with chlamydia. She has complaints of vaginal discharge and
dysuria. Her male patient is asymptomatic. How should they be treated? Doxycycline 100 mg
BID x 7 days or Azithromycin (exposed partner should also be treated).
12. A female patient is 31 years old. She has never had an abnormal PAP smear and has had
regular screening since age 22. According to the ACS and ACOG guidelines, 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 yrs, pap smear only (STI) can be in 3yrs).
13. A 53-year-old woman who is taking HRT with conjugated estrogen, 0.45mg/day with
medroxyprogesterone acetate (MPA), 1.5mg, has bothersome atrophic vaginitis symptoms.
You would consider: The addition of a topical estrogen can be helpful (helps with dryness)
14. Samantha is a 23-year-old female who presents with urinary burning, frequency, and
urgency. Urine dipsticks are positive for leukocytes and nitrites. Given her medical history and
no other pertinent clinical findings, the recommended treatment of choice is nitrofurantoin
100mg BID x 5 days (first-line treatment for uncomplicated UTI).
15. A 29-year-old female patient with no medical history presented to the NP's office with
fever, chills, and +WBC casts and has been diagnosed with pyelonephritis. Which clinical
findings would be consistent in this patient? CVA tenderness
16. A 29-year-old female patient with no medical history presented to the NP's office with
fever, chills, and +WBC casts and has been diagnosed with pyelonephritis. What is the
recommended pharmacological management for the above patient? Bactrim DS 160/800 mg
BID x 7 days, Levaquin 750mg PO x 5 days, or Cipro 500mg BID x 7 days.
17. Mrs. Lowell is a 45-year-old active woman with diabetes who presents with urinary
frequency, dysuria, and fatigue. She has no fever or chills. Urine dipstick shows the presence
of leukocytes and nitrites. As a nurse practitioner, which pharmacological treatment is
appropriate for this patient? Bactrim for 14 days
18. Mrs. Jones is a physically independent 65 y/o who walks one mile daily most days. She is
beginning to have some joint pain but is otherwise healthy and takes only her
NUR 6111 Exam 3
/27 Latest – William Paterson University
1. “Hot flashes” that occur during peri-menopause are thought to be related to:
Fluctuating estrogen level
2. Which of the following physical examination findings in a 65-year-old woman warrants
further evaluation? INVERTED Nipple
3. Which of the following is not representative of the presentation of primary syphilis? Flu-
like symptoms
4. A patient diagnosed with trichomoniasis is being treated with metronidazole (Flagyl). When
teaching the patient about this medication, which of the following will the nurse practitioner
include? Do not consume alcohol (reduce the possibility of a disulfiram-like reaction)
5. The recommended time to initiate screening for cervical cancer in women is: 21 years old
6. The nurse practitioner recognizes the following assessment findings as being
consistent with Chlamydia (select all that apply) vaginal discharge, and it was
something about cervical changes
7. The nurse practitioner is treating a 35-year-old patient for a primary herpes infection. The
first-line treatment option for primary herpes infection includes: Acyclovir 400 mg TID for 7-10
days
8. The nurse practitioner examines a patient with complaints of foul-smelling, frothy,
copious, and pale yellow to gray-green vaginal discharge. On exam, vulvovaginal irritation
and cervical petechiae are noted. Based on this, the most likely treatment includes:
Metronidazole (trichomoniasis)
9. Mary is a 36-year-old woman who complains of vaginal burning. The nurse practitioner
assesses greyish-white adherent vaginal discharge that has a fishy odor. The discharge pH
level is 5.1, and there is a (+) whiff test. The treatment of choice for this is: Metronidazole (-
KOH is whiff test- bacterial vaginosis)
10. 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
NUR 6111 Exam 3
, recently treated for a sinus infection. The most likely treatment includes which of the following?
Fluconazole 800 mg for initial (yeast infection)
11. A female patient is diagnosed with chlamydia. She has complaints of vaginal discharge and
dysuria. Her male patient is asymptomatic. How should they be treated? Doxycycline 100 mg
BID x 7 days or Azithromycin (exposed partner should also be treated).
12. A female patient is 31 years old. She has never had an abnormal PAP smear and has had
regular screening since age 22. According to the ACS and ACOG guidelines, 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 yrs, pap smear only (STI) can be in 3yrs).
13. A 53-year-old woman who is taking HRT with conjugated estrogen, 0.45mg/day with
medroxyprogesterone acetate (MPA), 1.5mg, has bothersome atrophic vaginitis symptoms.
You would consider: The addition of a topical estrogen can be helpful (helps with dryness)
14. Samantha is a 23-year-old female who presents with urinary burning, frequency, and
urgency. Urine dipsticks are positive for leukocytes and nitrites. Given her medical history and
no other pertinent clinical findings, the recommended treatment of choice is nitrofurantoin
100mg BID x 5 days (first-line treatment for uncomplicated UTI).
15. A 29-year-old female patient with no medical history presented to the NP's office with
fever, chills, and +WBC casts and has been diagnosed with pyelonephritis. Which clinical
findings would be consistent in this patient? CVA tenderness
16. A 29-year-old female patient with no medical history presented to the NP's office with
fever, chills, and +WBC casts and has been diagnosed with pyelonephritis. What is the
recommended pharmacological management for the above patient? Bactrim DS 160/800 mg
BID x 7 days, Levaquin 750mg PO x 5 days, or Cipro 500mg BID x 7 days.
17. Mrs. Lowell is a 45-year-old active woman with diabetes who presents with urinary
frequency, dysuria, and fatigue. She has no fever or chills. Urine dipstick shows the presence
of leukocytes and nitrites. As a nurse practitioner, which pharmacological treatment is
appropriate for this patient? Bactrim for 14 days
18. Mrs. Jones is a physically independent 65 y/o who walks one mile daily most days. She is
beginning to have some joint pain but is otherwise healthy and takes only her
NUR 6111 Exam 3
