Exam (elaborations)
NSG 6430 MIDTERM QUESTIONS AND ANSWERS
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NSG 6430 MIDTERM QUESTIONS AND ANSWERS
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Name: Score:53 Multiple choice questions
Term 1 of 53
Lakeisha, seventeen years old, is seeing her regular nurse practitioner for a sports physical.
While participating in a psychosocial screen, Lakeisha volunteers that she "hasn't had sex
yet." What is the best initial response to Lakeisha's statement?
Tell lakeisha that she should wait Until marriage to have sex
Inform lakeisha about the risks of unprotected sex
Clarify which behaviors are included in Lakeisha's definition of "having sex"
Assume lakeisha means penetrative sex and move on to the next question
Term 2 of 53
A nurse practitioner student is researching as to why menopausal women have an
increased risk of heart disease. Which of the following lipid changes occur with estrogen
withdrawal in menopause?
decrease in HDL with and increase in LDL and triglycerides
well-circumscribed, rubbery and tender lesion
no change in hdl, ldl, or triglycerides
availability of guidelines for preventive care
Term 3 of 53
A mother presents to the clinic with her female child who she is concerned about because
her breasts are developing "when she is so young." When performing the initial assessment, it
is
Early breast development is normal after age ten
Delayed breast development indicates early puberty
Puberty starts before eight years of age in a female
Breast development is a sign of illness
,Term 4 of 53
Jackie is a fifteen-year-old African American female who resides in a housing plan. You
realize that barriers exist in providing preventive services to adolescents that include all of the
following except
late onset of pubertal sexual maturity
reluctance of adolescents to seek care
concept that adolescents are "healthy" and don't need services
availability of guidelines for preventive care
Term 5 of 53
The National Osteoporosis Foundation has screening guidelines for DEXA scans. Which of
the following women would be most in need of bone mineral density testing?
a twenty-year-old man with a broken arm
a fifty-one-year-old woman with COPD on long-term corticosteroid therapy
a forty-five-year-old woman with a peanut allergy
a sixty-year-old woman with A history of marathon running
Term 6 of 53
thirty-two-yearold woman presents to your practice with a complaint of postcoital
bleeding. Which of the following must be included in the assessment of this patient?
medication management
migraine headaches
breast cancer
papanicolaonu smear
,Term 7 of 53
The nurse practitioner is caring for a menopausal patient reporting vaginal dryness with
intercourse. How would this best be managed?
prevent pyelonephritis
vaginal bleeding
duloxetine
vaginal estrogen
Term 8 of 53
Seventeen-year-old Stella presents with the chief complaint of unilateral breast tenderness
and swelling. Which of the following would be the least likely etiology for this problem?
prostate cancer
ovarian cancer
breast cancer
lung cancer
Term 9 of 53
A woman has been diagnosed with polycystic ovary syndrome (PCOS). Management of
PCOS includes all of the following except ___________.
daily basal insulin to reduce blood sugar
yearly hormone replacement therapy for menopause symptoms
weekly oral contraceptives for menstrual regulation
monthly metformin for weight loss
, Term 10 of 53
A twenty-four-yearold woman in your practice has been trying to conceive. She comes in
for a pregnancy test, and it is positive. LMP was five weeks ago. She is prone to migraines and
has used Imitrex (sumatriptan) with good success. She asks you about what to do if she has a
migraine during pregnancy. Which of the following would be an inappropriate intervention as
part of your counseling?
migraines often occur less frequently during pregnancy due to hormonal changes
lifestyle changes
dating a partner that is >3 years older than the teen
prior ectopic pregnancy
Term 11 of 53
The nurse practitioner student is studying the ovarian cycle of the woman. Which of the
following phases are comprised in the ovarian cycle? Select all that apply.
follicular, granulosa
menarche, follicular
follicular, luteal
anovulation, luteal
Term 12 of 53
Elisabeth comes for a consultation. She has been in a committed relationship for five
years now and wants to become pregnant. She is seeking information on the menstrual cycle
and her "fertile period." Her cycle is twenty-eight days and regular. She and her partner have
used condoms consistently to avoid pregnancy. Which of the following would be most
valuable
to her initially?
ovulation occurs on day 86+/- 2 days, before next period
ovulation occurs on day 14+/- 2 days, before next period
ovulation occurs on day 14+/- 102 days, before next period
ovulation occurs on day 14+/- 3 days, before next period
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