Maryville NURS 620 Exam 4 |2025-2026 LATEST UPDATED| REAL EXAM
QUESTIONS AND ANSWERS | 100% RATED CORRECT | 100% VERFIED |
ALREADY GRADED A+
1. 23-year-old, sexually active female who presents for her first pap smear. Her history
includes no pregnancies. Her first intercourse was at age 14 and has had at least 10 sexual
partners if not 12 partners since. Which conditions do you want to be alert for during her exam?:
HPV
2. 20-year-old, sexually active female seen in the clinic because her boyfriend was diagnosed
with gonorrhea. What is the treatment of choice for gonorrhea?: ceftriaxone
3. A 24-year-old female with complaints of dysuria, pain with sex, and mucopurulent vaginal
discharge. Her boyfriend was recently treated for nongonococcal urethritis. What STIs has she
most likely been exposed to?: Chlamydia 4. 45-year-old women with complaints of vaginal
discharge. You identify clue cells on the vaginal smear. What diagnosis?: BV
5. Which of the following medications is the treatment of choice for Trich?: Flagyl
6. A 26-year-old woman presents with complaints of irregular vaginal bleeding.
Which of the following tests should be the first priority.: pregnancy test
7. A 36-year-old woman with complaints of vaginal itching, burning, and discharge. On the
wet mount, you notice hyphae. Which treatment would be appropriate?: fluconazole
, 8. 21-year-old woman requesting birth control pills. Which of the following tests would be
essential before prescribing any oral contraceptives?: HCG 9. A 40-year-old woman who sees
you yearly for exams. She is single and not in a monogamous relationship. She smokes
occasional and drinks 2 beers a day. Her BMI is 25. She is requesting birth control. Which is
appropriate for her?: IUD
10. What is the most common cause of secondary amenorrhea?: Pregnancy 11. A 22-year-old
woman diagnosed with PMS. Which of the following lifestyle changes to minimize symptoms?:
getting regular exercise
12. A 25-year-old woman complaining of painful menstruation. Which pelvic pathology is the
most common cause of dysmenorrhea?: endometriosis
13. A male patient comes in with complaints of painful penile lesions. Small fluid-filled vesicles
that are painful to the touch. Which treatment would you give?: acyclovir
14. What is the most common serious gynecological complication in women?: PID
15. When providing education to a woman about the use of Plan B, the NP knows to tell the
patient that the latest it can be used after intercourse and be effective is?: 72 hours
16 Male patient presents with painful lesions on the penis. They are small fluid-filled vesicles
clustered to the shaft of his penis. What is the diagnosis?: Herpes
17. Which medication would the NP prescribe for a patient diagnosed with primary
syphilis who has no known drug allergies?: penicillin G
, 18. What age should a woman receive her first pap smear regardless of sexual activity?:
21
19. A 24-year-old female comes in with complaints of dysuria, pain with sex, and
mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal
urethritis. What medication would you treat her with?: azithromycin
20. A 45-year-old woman with complaints of vaginal discharge. On the wet mount, you
notice clue cells. What medications would you use to treat this patient?: flagyl
21. A 36-year-old woman with vaginal itching, burning, and discharge. On the wet
mount, you notice hyphae. Based on clinical symptoms and findings what diagnosis do you
suspect?: candida
22. A 25-year-old female with complaints of no menstrual cycle for 6 months.
What test would be appropriate to order?: prolactin
23. Which of the following is contraindicated to estrogen-containing contraceptive
methods: factor 5 Leiden mutation
24. You are counseling a patient on oral combination contraceptive treatment. She wants
to know what to do if she misses a pill.: take last missed pill along with today's pill
25. In providing contraceptive counseling to a patient on Dilantin for a seizure disorder.
Which contraceptive would you recommend?: Depo provera
, 26. Which of the following is a common side effect reported after one year use of depo?:
weight gain
27. With a hormonal IUD, which of the following is commonly reported by patients?:
reduction in menstrual flow
28. A patient wants to become pregnant and wants to stop oral combination
contraceptives. When is it safe for her to try and conceive?: Immediately
29. Perimenopause in women usually starts between what ages?: 40-45 30. When
checking hormone levels in a 42-year-old woman who reports hot flashes and no menstrual
cycle for 6 months. What would you expect to find?: increased LH
31. A patient has a 101.5F, abdominal pain and vaginal discharge for 3 days. Which medication
would you likely prescribe? (PID): ceftriaxone with doxycycline
32 IV drug user presents for routine blood tests. Her HIV blood test is negative today. What
would you advise her to do?: repeat in one year
33. A nurse presents after an accidental needle stick. Her HIV test is negative today. What
would you counsel her to do?: repeat in 2 months
34. A 33-year-old woman who had a negative pap smear last week, with two prior negative
paps. When would you have her return for a pap?: 5 yrs 35. Risk factors for HPV?: intercourse at
an early age & multiple sex partners 36. A woman presents to discuss contraceptive options. She is
QUESTIONS AND ANSWERS | 100% RATED CORRECT | 100% VERFIED |
ALREADY GRADED A+
1. 23-year-old, sexually active female who presents for her first pap smear. Her history
includes no pregnancies. Her first intercourse was at age 14 and has had at least 10 sexual
partners if not 12 partners since. Which conditions do you want to be alert for during her exam?:
HPV
2. 20-year-old, sexually active female seen in the clinic because her boyfriend was diagnosed
with gonorrhea. What is the treatment of choice for gonorrhea?: ceftriaxone
3. A 24-year-old female with complaints of dysuria, pain with sex, and mucopurulent vaginal
discharge. Her boyfriend was recently treated for nongonococcal urethritis. What STIs has she
most likely been exposed to?: Chlamydia 4. 45-year-old women with complaints of vaginal
discharge. You identify clue cells on the vaginal smear. What diagnosis?: BV
5. Which of the following medications is the treatment of choice for Trich?: Flagyl
6. A 26-year-old woman presents with complaints of irregular vaginal bleeding.
Which of the following tests should be the first priority.: pregnancy test
7. A 36-year-old woman with complaints of vaginal itching, burning, and discharge. On the
wet mount, you notice hyphae. Which treatment would be appropriate?: fluconazole
, 8. 21-year-old woman requesting birth control pills. Which of the following tests would be
essential before prescribing any oral contraceptives?: HCG 9. A 40-year-old woman who sees
you yearly for exams. She is single and not in a monogamous relationship. She smokes
occasional and drinks 2 beers a day. Her BMI is 25. She is requesting birth control. Which is
appropriate for her?: IUD
10. What is the most common cause of secondary amenorrhea?: Pregnancy 11. A 22-year-old
woman diagnosed with PMS. Which of the following lifestyle changes to minimize symptoms?:
getting regular exercise
12. A 25-year-old woman complaining of painful menstruation. Which pelvic pathology is the
most common cause of dysmenorrhea?: endometriosis
13. A male patient comes in with complaints of painful penile lesions. Small fluid-filled vesicles
that are painful to the touch. Which treatment would you give?: acyclovir
14. What is the most common serious gynecological complication in women?: PID
15. When providing education to a woman about the use of Plan B, the NP knows to tell the
patient that the latest it can be used after intercourse and be effective is?: 72 hours
16 Male patient presents with painful lesions on the penis. They are small fluid-filled vesicles
clustered to the shaft of his penis. What is the diagnosis?: Herpes
17. Which medication would the NP prescribe for a patient diagnosed with primary
syphilis who has no known drug allergies?: penicillin G
, 18. What age should a woman receive her first pap smear regardless of sexual activity?:
21
19. A 24-year-old female comes in with complaints of dysuria, pain with sex, and
mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal
urethritis. What medication would you treat her with?: azithromycin
20. A 45-year-old woman with complaints of vaginal discharge. On the wet mount, you
notice clue cells. What medications would you use to treat this patient?: flagyl
21. A 36-year-old woman with vaginal itching, burning, and discharge. On the wet
mount, you notice hyphae. Based on clinical symptoms and findings what diagnosis do you
suspect?: candida
22. A 25-year-old female with complaints of no menstrual cycle for 6 months.
What test would be appropriate to order?: prolactin
23. Which of the following is contraindicated to estrogen-containing contraceptive
methods: factor 5 Leiden mutation
24. You are counseling a patient on oral combination contraceptive treatment. She wants
to know what to do if she misses a pill.: take last missed pill along with today's pill
25. In providing contraceptive counseling to a patient on Dilantin for a seizure disorder.
Which contraceptive would you recommend?: Depo provera
, 26. Which of the following is a common side effect reported after one year use of depo?:
weight gain
27. With a hormonal IUD, which of the following is commonly reported by patients?:
reduction in menstrual flow
28. A patient wants to become pregnant and wants to stop oral combination
contraceptives. When is it safe for her to try and conceive?: Immediately
29. Perimenopause in women usually starts between what ages?: 40-45 30. When
checking hormone levels in a 42-year-old woman who reports hot flashes and no menstrual
cycle for 6 months. What would you expect to find?: increased LH
31. A patient has a 101.5F, abdominal pain and vaginal discharge for 3 days. Which medication
would you likely prescribe? (PID): ceftriaxone with doxycycline
32 IV drug user presents for routine blood tests. Her HIV blood test is negative today. What
would you advise her to do?: repeat in one year
33. A nurse presents after an accidental needle stick. Her HIV test is negative today. What
would you counsel her to do?: repeat in 2 months
34. A 33-year-old woman who had a negative pap smear last week, with two prior negative
paps. When would you have her return for a pap?: 5 yrs 35. Risk factors for HPV?: intercourse at
an early age & multiple sex partners 36. A woman presents to discuss contraceptive options. She is
