NURS 620 EXAM 4 REVIEW QUESTIONS
WITH DETAILED VERIFIED ANSWERS
A 17-year-old female patient requests to start
medroxyprogesterone acetate (Depo-Provera) injections as her
method of birth control. She discloses that she has had 4 sexual
partners in the past year. Her last menstrual period was 12 days
ago, and she had unprotected intercourse 3 days ago. The
appropriate management for this patient would be to:
1.Administer the injection today.
2.Advise her to use another method for now and return with her
next menses.
3.Give the injection after a negative pregnancy test and tell her
to use condoms for the next 7 days.
4.Give the injection and tell her to use a barrier method for 7
days. - correct answer- Advise her to use another method
for now and return with her next menses.
A 21-year-old woman comes to your office and reports a history
of genital warts. In reference to the human papillomavirus (HPV)
vaccination (ie, Gardasil, Gardasil 9, and Cervarix), she should be
educated that:
1.She is not in the correct age group and is not a candidate for
vaccination.
,2.She should receive HPV vaccination.
3.She has already been exposed to HPV; therefore, she is not a
candidate for vaccination.
4.There is a vaccine coming out shortly specifically for those who
have been exposed. She should wait. - correct answer-
She should receive HPV vaccination.
A 26-year-old woman comes to your office to discuss birth
control options. Her history includes migraine headaches with
aura while on combination oral contraceptives in the past. She
does not want to become pregnant. Which of the following birth
control options would be the best choice for her?
1.Combined hormonal contraceptive pills
2.Birth control patch (Ortho Evra)
3.Mirena intrauterine device (IUD)
4.Vaginal contraceptive ring (NuvaRing) - correct answer-
IUD
A 27-year-old female presents to your office for a
levonorgestrel-releasing intrauterine system (Mirena) insertion.
She reports that her menses started 3 days ago and is normal.
How soon after insertion will she be able to safely rely on the
intrauterine device (IUD) for contraception?
, 1.Immediately
2.After 48 hours
3.In 1 week
4.In 1 month - correct answer- Immediately
A 33-year-old woman complains of dyspareunia in the lower
back during orgasm. The nurse practitioner should consider:
1.Endometriosis.
2.Cystitis.
3.Vaginitis.
4.Pelvic inflammatory disease. - correct answer-
Endometriosis.
A vaginal pH of 4.2 is an expected finding in:
1.A healthy girl of prepubertal age.
2.A woman with Trichomonas vaginalis.
3.A postmenopausal woman with atrophic vaginitis.
4.A healthy woman of reproductive age. - correct answer-
A healthy woman of reproductive age.
WITH DETAILED VERIFIED ANSWERS
A 17-year-old female patient requests to start
medroxyprogesterone acetate (Depo-Provera) injections as her
method of birth control. She discloses that she has had 4 sexual
partners in the past year. Her last menstrual period was 12 days
ago, and she had unprotected intercourse 3 days ago. The
appropriate management for this patient would be to:
1.Administer the injection today.
2.Advise her to use another method for now and return with her
next menses.
3.Give the injection after a negative pregnancy test and tell her
to use condoms for the next 7 days.
4.Give the injection and tell her to use a barrier method for 7
days. - correct answer- Advise her to use another method
for now and return with her next menses.
A 21-year-old woman comes to your office and reports a history
of genital warts. In reference to the human papillomavirus (HPV)
vaccination (ie, Gardasil, Gardasil 9, and Cervarix), she should be
educated that:
1.She is not in the correct age group and is not a candidate for
vaccination.
,2.She should receive HPV vaccination.
3.She has already been exposed to HPV; therefore, she is not a
candidate for vaccination.
4.There is a vaccine coming out shortly specifically for those who
have been exposed. She should wait. - correct answer-
She should receive HPV vaccination.
A 26-year-old woman comes to your office to discuss birth
control options. Her history includes migraine headaches with
aura while on combination oral contraceptives in the past. She
does not want to become pregnant. Which of the following birth
control options would be the best choice for her?
1.Combined hormonal contraceptive pills
2.Birth control patch (Ortho Evra)
3.Mirena intrauterine device (IUD)
4.Vaginal contraceptive ring (NuvaRing) - correct answer-
IUD
A 27-year-old female presents to your office for a
levonorgestrel-releasing intrauterine system (Mirena) insertion.
She reports that her menses started 3 days ago and is normal.
How soon after insertion will she be able to safely rely on the
intrauterine device (IUD) for contraception?
, 1.Immediately
2.After 48 hours
3.In 1 week
4.In 1 month - correct answer- Immediately
A 33-year-old woman complains of dyspareunia in the lower
back during orgasm. The nurse practitioner should consider:
1.Endometriosis.
2.Cystitis.
3.Vaginitis.
4.Pelvic inflammatory disease. - correct answer-
Endometriosis.
A vaginal pH of 4.2 is an expected finding in:
1.A healthy girl of prepubertal age.
2.A woman with Trichomonas vaginalis.
3.A postmenopausal woman with atrophic vaginitis.
4.A healthy woman of reproductive age. - correct answer-
A healthy woman of reproductive age.
