NURS 511 UPDATED COMPREHENSIVE EXAM
QUESTIONS AND ANSWERS SURE A+
✔✔Roger, a healthy 68-year-old man, comes in to see you with a complaint of sudden
episodes of an urgent need to void. He has had several episodes of moderate amounts
of unintentional urine loss during these times. Other than these episodes, he is voiding
in amounts "normal" for him, with no leakage when he coughs or sneezes. The
practitioner's initial diagnosis is which type of incontinence? - ✔✔Urge incontinence.
✔✔A male patient presents to the clinic for evaluation of infertility. Subjectively, the
patient complains of pain and fullness of the testes and states, "My testicles feel like a
bag of worms." On physical examination, the nurse practitioner notes tortuous veins
posterior to and above the testes that extend up into the external inguinal ring. Based
on the preceding assessment, the nurse practitioner refers the patient to surgery for a
diagnosis of: - ✔✔Varicocele.
✔✔Gerri, age 26, is thinking about getting pregnant in the near future, and she asks you
what kind of vitamins she should be taking. You respond: - ✔✔"All women capable of
becoming pregnant should take a daily supplement of 0.4 mg of folic acid a day to
reduce the risk of neural tube defects."
✔✔Cynthia says that her health care provider wants to do a colposcopy. She asks you
what this is. You tell her that a colposcopy: - ✔✔Visualizes the cervical, vaginal, or
, vulvar epithelium under magnification to identify abnormal areas that may require a
biopsy.
✔✔Mikey had an undescended testicle at birth, and at age 2 it remains in the inguinal
region. His mother is afraid of surgery and asks for your advice. How do you respond? -
✔✔"If it hasn't descended by now, it probably won't. He needs to have surgery by age
six."
✔✔Susan, age 28, is 9 months pregnant and asks you about using umbilical cord blood
after birth for newborn DNA identification. What do you tell her? - ✔✔"A cord blood
sample is identical to the genetic profile of the infant."
✔✔Joanne, age 23, wants to use some form of birth control, but because she is getting
married next year, she wants to be able to stop the birth control method after the
wedding and have her fertility restored almost immediately. Which method do you
recommend for her? - ✔✔Diaphragm.
✔✔Julia is nursing her 8-week-old baby and states that he is very irritable and sleeps
poorly. What medication or substance do you ask her if she is taking or using? -
✔✔Caffeine.
✔✔Marsha, age 42, is having chronic abnormal uterine bleeding (AUB) and cannot take
oral contraceptives (OCs) due to a history of a deep vein thrombosis (DVT).
Management includes which medication? - ✔✔Medroxyprogesterone.
✔✔Ms. Russo, age 59, is a postmenopausal woman who comes to your office
complaining of vaginal dryness. She has been sexually active with a new partner and
says that penetration is very painful. She has tried over-the-counter lubricants but has
not found one that works. Her history is significant for hypertension only. After
examination and wet prep, you diagnose her with atrophic vaginitis. The treatment for
this condition includes: - ✔✔Vaginal estrogen cream.
✔✔Mary, age 33, delivered a healthy baby boy 6 months ago by cesarean delivery. Her
baby weighed 9 lb 6 oz. Her prenatal care was complicated by gestational diabetes
mellitus (GDM). She did not need to take any medications. She asks you about the
possibility of getting diabetes later in life. The correct response should be: - ✔✔"Up to
50% of women diagnosed with GDM will eventually develop diabetes."
✔✔Herb, a 47-year-old with diabetes, is complaining of a rash on his penis. Before
examining him, you suspect that he may have: - ✔✔Candida.
✔✔You are performing a school physical examination on Damon, age 5. You are
unable to retract his foreskin over the glans while inspecting his penis. This is referred
to as: - ✔✔Phimosis.
QUESTIONS AND ANSWERS SURE A+
✔✔Roger, a healthy 68-year-old man, comes in to see you with a complaint of sudden
episodes of an urgent need to void. He has had several episodes of moderate amounts
of unintentional urine loss during these times. Other than these episodes, he is voiding
in amounts "normal" for him, with no leakage when he coughs or sneezes. The
practitioner's initial diagnosis is which type of incontinence? - ✔✔Urge incontinence.
✔✔A male patient presents to the clinic for evaluation of infertility. Subjectively, the
patient complains of pain and fullness of the testes and states, "My testicles feel like a
bag of worms." On physical examination, the nurse practitioner notes tortuous veins
posterior to and above the testes that extend up into the external inguinal ring. Based
on the preceding assessment, the nurse practitioner refers the patient to surgery for a
diagnosis of: - ✔✔Varicocele.
✔✔Gerri, age 26, is thinking about getting pregnant in the near future, and she asks you
what kind of vitamins she should be taking. You respond: - ✔✔"All women capable of
becoming pregnant should take a daily supplement of 0.4 mg of folic acid a day to
reduce the risk of neural tube defects."
✔✔Cynthia says that her health care provider wants to do a colposcopy. She asks you
what this is. You tell her that a colposcopy: - ✔✔Visualizes the cervical, vaginal, or
, vulvar epithelium under magnification to identify abnormal areas that may require a
biopsy.
✔✔Mikey had an undescended testicle at birth, and at age 2 it remains in the inguinal
region. His mother is afraid of surgery and asks for your advice. How do you respond? -
✔✔"If it hasn't descended by now, it probably won't. He needs to have surgery by age
six."
✔✔Susan, age 28, is 9 months pregnant and asks you about using umbilical cord blood
after birth for newborn DNA identification. What do you tell her? - ✔✔"A cord blood
sample is identical to the genetic profile of the infant."
✔✔Joanne, age 23, wants to use some form of birth control, but because she is getting
married next year, she wants to be able to stop the birth control method after the
wedding and have her fertility restored almost immediately. Which method do you
recommend for her? - ✔✔Diaphragm.
✔✔Julia is nursing her 8-week-old baby and states that he is very irritable and sleeps
poorly. What medication or substance do you ask her if she is taking or using? -
✔✔Caffeine.
✔✔Marsha, age 42, is having chronic abnormal uterine bleeding (AUB) and cannot take
oral contraceptives (OCs) due to a history of a deep vein thrombosis (DVT).
Management includes which medication? - ✔✔Medroxyprogesterone.
✔✔Ms. Russo, age 59, is a postmenopausal woman who comes to your office
complaining of vaginal dryness. She has been sexually active with a new partner and
says that penetration is very painful. She has tried over-the-counter lubricants but has
not found one that works. Her history is significant for hypertension only. After
examination and wet prep, you diagnose her with atrophic vaginitis. The treatment for
this condition includes: - ✔✔Vaginal estrogen cream.
✔✔Mary, age 33, delivered a healthy baby boy 6 months ago by cesarean delivery. Her
baby weighed 9 lb 6 oz. Her prenatal care was complicated by gestational diabetes
mellitus (GDM). She did not need to take any medications. She asks you about the
possibility of getting diabetes later in life. The correct response should be: - ✔✔"Up to
50% of women diagnosed with GDM will eventually develop diabetes."
✔✔Herb, a 47-year-old with diabetes, is complaining of a rash on his penis. Before
examining him, you suspect that he may have: - ✔✔Candida.
✔✔You are performing a school physical examination on Damon, age 5. You are
unable to retract his foreskin over the glans while inspecting his penis. This is referred
to as: - ✔✔Phimosis.
