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NR 602 Final Exam Questions and Answers
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NR 602 Final Exam Questions and Answers
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NR 602 Final Exam Questions andAnswers
A 28-year-old happily married woman presents with new onset insertional dyspareunia. The
most likely diagnosis is Correct Ans-Vulvar vestibulitus
All of the following medications may be use for neuropathic pain management of vulvodynia
except Correct Ans-SSRIs
The nurse practitioner understands that which of the following lab test is appropriate for the
patient who presents with symptoms of dysesthetic vulvodynia Correct Ans-RPR
A 14-year-old is brought to the clinic by her mother. The mother explained to the nurse that her
daughter has just started using tampons but is not yet sexually active. The mother states I am
very concerned because my daughter is having a lot of stabbing pain and burning. What might
the nurses backed is the problem with the 14-year-old Correct Ans-Vulvodynia
A young woman presents to your practice with vaginal itching and white discharge. She denied
sexual activity or douching. She has been in good health except for recurrent strep throat. Pelvic
examination reveals a tender vulvovaginal area with edema and white patches, no odor is
detected. Which of the following is the most likely cause of this problem Correct Ans-
Candidiasis after antibiotic treatment
My patient has symptoms consistent with chlamydia. Which laboratory test is gold standard In
the diagnosis? Correct Ans-Nucleic acid amplification test
A 24-year-old female presents to the office with a complaint of vaginal itching in addition to
thick mucoid discharge. She also has some mild urinary discomfort. The wet mount preparation
using potassium hydroxide reveals a negative whiff test and few clue cells. There was no
trichomonas visualized but the WBCs were too numerous to count. Which of the following
would be the most likely diagnosis in the patient Correct Ans-Chlamydia
,A 21-year-old female presents with three 0.5cm HPV lesions on her vulva. An appropriate
treatment option for this patient would be Correct Ans-Podophyllin
A 25-year-old woman comes to clinic complaining of increased vaginal discharge, milky gray in
color with a fishy odor that both she and her husband have noticed. I wet smear is performed
and the presence of clue cells confirmed. Which type of infection does the nurse suspect
Correct Ans-Bacterial vaginosis
A nurse in the family planning clinic reviews the health history of a sexually active 16-year-old
girl whose chief concern is a thick, burning discharge accompanied by a burning sensation and
lower abdominal pain. After an examination the girl is informed that she may have a sexually
transmitted infection that requires treatment. The adolescent is concerned that her parents will
discover that she has been sexually active and asked the nurse whether her parents will be
contacted. The nurse explains that her parents will Correct Ans-Not to be contacted, because
treatment at the clinic is confidential
A woman visits the clinic for an annual physical exam and herpes genitalis is diagnosed. The
client asks how the disease can be diagnosed without any tests. How should the nurse reply
Correct Ans-you have blisters on the skin around your vagina
The clinic nurse is planning care for a client found to have chlamydia. Which treatment should
the nurse plan to implement Correct Ans-Administration of azithromycin (Zithromax) 1 g
orally in a single dose
The clinical syndrome resulting from replacement of normal vaginal flora with anaerobic
bacteria is Correct Ans-Bacterial vaginosis
A patient has symptoms consistent with chlamydia which laboratory test would aid in the
diagnosis Correct Ans-Culture and sensitivity
, What is the ASCCP recommended management for an ASCUS (atypical squamous cells of
undetermined significance) pap result with a positive high-risk HPV 16 co-test in a 26-year-old
woman without a history of abnormal Pap smears? Correct Ans-Colposcopy
A well woman visit for an adolescent should include which of the following Correct Ans-A
general health history focusing on reproductive and sexual health concerns (mentors,
gynecologic, and pregnancy related) and psychosocial (Family related, peer related, emotional,
and physical as well as related to abuse, drug use and alcohol use) concerns
Physical exam, screening test, and immunizations as indicated by the health history and
gynecologic considerations for an extern only inspection of the genitalia
A Bethesda System Pap smear report that reads LSIL is most consistent with which classification
Correct Ans-CIN 1
A single Pap smear reading of ASCUS in a patient negative for HPV infection should have what as
follow-up? Correct Ans-Routine screening
A female patient is 35 years old. She has never had an abnormal Pap smear and has had regular
screening since age 18. If she has a normal Pap smear with HPV testing today, when should she
have the next cervical cancer screening Correct Ans-Five years
A young sexually active client of the family planning clinic is advised to have a Pap smear. She
has never had a Pap smear before. What should the nurse include in the explanation of this
procedure Correct Ans-The Pap smear can detect cancer of the cervix
Lab results on your 26-year-old patient show a negative Pap smear with a positive HPV screen.
Which procedure will be required next Correct Ans-Repeat Pap and HPV screen
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