NR 228 FINAL EXAM/NR 228 FINAL EXAM PREPARATION/NR 228
FINAL EXAM PRACTICE REAL EXAM 350 QUESTIONS AND CORRECT
ANSWERS| 2025/2026 A+GRADE|CHAMBERLAIN COLLEGE OF
NURSING
Annual screening for chlamydia and gonorrhea at increased risk - ......ANSWER........every
3-6 months
Annual screening for pharyngeal gonorrhea throat at increased risk
- ......ANSWER........every 3-6 months
Annual testing for HIV, syphilis and HBsAG - ......ANSWER........test frequently
Screen pregnant woman at first prenatal visit for - ......ANSWER........HIV, chlamydia,
syphilis, hepatitis B
Testing for pregnant women after chlamydia and gonorrhea treatment
- ......ANSWER........within 3-4 weeks after tx
Retest for chlamydia and gonorrhea (not for cure) - ......ANSWER........3 months
PID tx - ......ANSWER........Rocephin 250 IM plus Doxy bid x 14 days with or without flagyl x
14 days
PID symptoms - ......ANSWER........pelvic lower ab pain and one of the following cervical
motion tenderness, uterine or adnexa tenderness
Testing for PID - ......ANSWER........endometrial bx, transvag US, laparoscopy
Cervix disorders - ......ANSWER........fusion of mullerian ducts to form cervix and corpus
uteri
Cervical agenesis - ......ANSWER........an absent uterine cervix with a normal uterine
corpus and normal vagina
rx of cervical agenesis - ......ANSWER........suppression of menstruation with continuous
combined estrogen progesterone pills may improve the pain related complaints.
dx of cervical agenesis - ......ANSWER........ultrasonography, MRI, laparoscopy
,Incomplete Mullerian Fusion - ......ANSWER........complete failure of fusion of the Mullerian
ducts results in duplication of preproduction structures.
Failure of Resorption - ......ANSWER........complete spectate uterus
Diethylstilbestrol (DES) - ......ANSWER........cervical abnormalities and are at increased risk
for infertility
Laceration of the cervix - ......ANSWER........cervical cerclage, precipitous labor, vacuum
extraction, nulliparity and episiotomy are associated with increased risk for clinically
significant lacerations
Perforation of the cervix - ......ANSWER........may occur during sounding of the cervix,
cervical dilation, dilation of cervix, insertions of radioactive sources or conization of the
cervix or during self-inducted abortion with sharp objects
Ulceration of the cervix - ......ANSWER........from pressure necrosis from vaginal pessary. or
from uterine prolapse when the cervix protrudes through the vaginal introitus
Cervical stenosis - ......ANSWER........narrowing or obstruction of the cervical canal caused
by an acquired condition
Pyometra - ......ANSWER........infection of the uterus
Dx of pyometra - ......ANSWER........biopsy to rule out endometrial carcinoma
tx of pyometra - ......ANSWER........1) OHE w/ pre-surgical stabilization is paramount
2. anti-biotic therapy for 2 weeks post-op
Annular detachment - ......ANSWER........extremely rare devitalized and torn uterus and
expelled during labor
Complications of cervical injuries - ......ANSWER........hemorrhage hypovolemic shock
Mongolian spots - ......ANSWER........areas of deep bluish-gray pigmentation most
commonly on the sacral aspect of a newborn
Lead poisoning - ......ANSWER........test at 12 months of age
Cystic fibrosis - ......ANSWER........A genetic disorder that is present at birth and affects
both the respiratory and digestive systems.
, Traumatic Brain Injury (TBI) - ......ANSWER........A traumatic insult to the brain capable of
producing physical, intellectual, emotional, social, and vocational changes.
Sickle cell anemia - ......ANSWER........a genetic disorder that causes abnormal
hemoglobin, resulting in some red blood cells assuming an abnormal sickle shape
Iron deficiency anemia - ......ANSWER........anemia caused by inadequate iron intake
Anemia of prematurity - ......ANSWER........-MC anemia in premature, low birth weight
infant -low RBC production and short RBC lifespan -normocytic normochromic anemia -
retic low (v hemolytic, sickle cell - retic high) -normal WBC, plt count -normal total bili (v
hemolytic) -tx: iron supplements, blood transfusion
Thalassemia - ......ANSWER........inherited defect in ability to produce hemoglobin, leading
to hypochromia
Otitis media - ......ANSWER........inflammation of the middle ear
Tourette Syndrome - ......ANSWER........involuntary, spasmodic, twitching movements;
uncontrollable vocal sounds; and inappropriate words
Cerebral palsy - ......ANSWER........paralysis caused by damage to the area of the brain
responsible for movement
Pediatric UTI - ......ANSWER........-bowel or bladder dysfunction: withholding maneuvers,
incontinence, constipation -vesicoureteral reflux -tx with 3rd generation cephalosporin:
cefixime, cefdinir, ceftibuten for 3-5 days if afebrile and 10 days if febrile -if febrile refer to
urology renal bladder ultrasound (RBUS) for all infants 2-24 months with first febrile UTI
ADHD - ......ANSWER........a psychological disorder marked by the appearance by age 7 of
one or more of three key symptoms: extreme inattention, hyperactivity, and impulsivity
Dyslexia - ......ANSWER........impairment of the ability to read
Odd - ......ANSWER........oppositional defiant disorder
Bipolar disorder - ......ANSWER........A mood disorder in which the person alternates
between the hopelessness and lethargy of depression and the overexcited state of mania.
Depression - ......ANSWER........A prolonged feeling of helplessness, hopelessness, and
sadness
FINAL EXAM PRACTICE REAL EXAM 350 QUESTIONS AND CORRECT
ANSWERS| 2025/2026 A+GRADE|CHAMBERLAIN COLLEGE OF
NURSING
Annual screening for chlamydia and gonorrhea at increased risk - ......ANSWER........every
3-6 months
Annual screening for pharyngeal gonorrhea throat at increased risk
- ......ANSWER........every 3-6 months
Annual testing for HIV, syphilis and HBsAG - ......ANSWER........test frequently
Screen pregnant woman at first prenatal visit for - ......ANSWER........HIV, chlamydia,
syphilis, hepatitis B
Testing for pregnant women after chlamydia and gonorrhea treatment
- ......ANSWER........within 3-4 weeks after tx
Retest for chlamydia and gonorrhea (not for cure) - ......ANSWER........3 months
PID tx - ......ANSWER........Rocephin 250 IM plus Doxy bid x 14 days with or without flagyl x
14 days
PID symptoms - ......ANSWER........pelvic lower ab pain and one of the following cervical
motion tenderness, uterine or adnexa tenderness
Testing for PID - ......ANSWER........endometrial bx, transvag US, laparoscopy
Cervix disorders - ......ANSWER........fusion of mullerian ducts to form cervix and corpus
uteri
Cervical agenesis - ......ANSWER........an absent uterine cervix with a normal uterine
corpus and normal vagina
rx of cervical agenesis - ......ANSWER........suppression of menstruation with continuous
combined estrogen progesterone pills may improve the pain related complaints.
dx of cervical agenesis - ......ANSWER........ultrasonography, MRI, laparoscopy
,Incomplete Mullerian Fusion - ......ANSWER........complete failure of fusion of the Mullerian
ducts results in duplication of preproduction structures.
Failure of Resorption - ......ANSWER........complete spectate uterus
Diethylstilbestrol (DES) - ......ANSWER........cervical abnormalities and are at increased risk
for infertility
Laceration of the cervix - ......ANSWER........cervical cerclage, precipitous labor, vacuum
extraction, nulliparity and episiotomy are associated with increased risk for clinically
significant lacerations
Perforation of the cervix - ......ANSWER........may occur during sounding of the cervix,
cervical dilation, dilation of cervix, insertions of radioactive sources or conization of the
cervix or during self-inducted abortion with sharp objects
Ulceration of the cervix - ......ANSWER........from pressure necrosis from vaginal pessary. or
from uterine prolapse when the cervix protrudes through the vaginal introitus
Cervical stenosis - ......ANSWER........narrowing or obstruction of the cervical canal caused
by an acquired condition
Pyometra - ......ANSWER........infection of the uterus
Dx of pyometra - ......ANSWER........biopsy to rule out endometrial carcinoma
tx of pyometra - ......ANSWER........1) OHE w/ pre-surgical stabilization is paramount
2. anti-biotic therapy for 2 weeks post-op
Annular detachment - ......ANSWER........extremely rare devitalized and torn uterus and
expelled during labor
Complications of cervical injuries - ......ANSWER........hemorrhage hypovolemic shock
Mongolian spots - ......ANSWER........areas of deep bluish-gray pigmentation most
commonly on the sacral aspect of a newborn
Lead poisoning - ......ANSWER........test at 12 months of age
Cystic fibrosis - ......ANSWER........A genetic disorder that is present at birth and affects
both the respiratory and digestive systems.
, Traumatic Brain Injury (TBI) - ......ANSWER........A traumatic insult to the brain capable of
producing physical, intellectual, emotional, social, and vocational changes.
Sickle cell anemia - ......ANSWER........a genetic disorder that causes abnormal
hemoglobin, resulting in some red blood cells assuming an abnormal sickle shape
Iron deficiency anemia - ......ANSWER........anemia caused by inadequate iron intake
Anemia of prematurity - ......ANSWER........-MC anemia in premature, low birth weight
infant -low RBC production and short RBC lifespan -normocytic normochromic anemia -
retic low (v hemolytic, sickle cell - retic high) -normal WBC, plt count -normal total bili (v
hemolytic) -tx: iron supplements, blood transfusion
Thalassemia - ......ANSWER........inherited defect in ability to produce hemoglobin, leading
to hypochromia
Otitis media - ......ANSWER........inflammation of the middle ear
Tourette Syndrome - ......ANSWER........involuntary, spasmodic, twitching movements;
uncontrollable vocal sounds; and inappropriate words
Cerebral palsy - ......ANSWER........paralysis caused by damage to the area of the brain
responsible for movement
Pediatric UTI - ......ANSWER........-bowel or bladder dysfunction: withholding maneuvers,
incontinence, constipation -vesicoureteral reflux -tx with 3rd generation cephalosporin:
cefixime, cefdinir, ceftibuten for 3-5 days if afebrile and 10 days if febrile -if febrile refer to
urology renal bladder ultrasound (RBUS) for all infants 2-24 months with first febrile UTI
ADHD - ......ANSWER........a psychological disorder marked by the appearance by age 7 of
one or more of three key symptoms: extreme inattention, hyperactivity, and impulsivity
Dyslexia - ......ANSWER........impairment of the ability to read
Odd - ......ANSWER........oppositional defiant disorder
Bipolar disorder - ......ANSWER........A mood disorder in which the person alternates
between the hopelessness and lethargy of depression and the overexcited state of mania.
Depression - ......ANSWER........A prolonged feeling of helplessness, hopelessness, and
sadness
