NUR 684- Test#3 exam questions with
complete solutions 2024
Cervical jcancer jscreening jrecommendations j- jANS✓✓-Pap jsmear jalone jevery j3
jyears j(21-65 jyears jold)
OR
Pap jsmear j+ jHPV jtest jevery j5 jyears j(30-65 jyears jold)
Cervical jcancer jscreening jfor jwomen jwith jhistory jof jCIN2 jor ja jmore jserious
jdiagnosis? j- jANS✓✓-Should jcontinue jroutine jscreening jfor jat jleast j20 jyears
jafter jspontaneous jregression jor jtreatment
Colorectal jcancer jscreening jrecommendations j- jANS✓✓-Beginning jat jage j45-50
jtill j75
-guaiac jfecal joccult jblood jtest j(yearly) jOR jstool jDNA jtests j(every j3 jyears)
OR
-colonoscopy jevery j10 jyears
Breast jcancer jscreening jrecommendations j- jANS✓✓-Beginning jat jage j40-50 j
Can jstop jat j74 jyears jold
Mammograms jevery j1-2 jyears
Diabetes jscreening jrecommendations j- jANS✓✓-Every j3 jyears jstarting jat jage j45
Herpes jzoster jvaccine j- jANS✓✓-2 jdoses jof jrecombinant jzoster jvaccine j(RZV)
j2-6 jmonths japart jfor jadults jaged j50 jor jolder j
^regardless jof jpast jepisode jof jherpes jzoster jor jreceipt jof jzoster jvaccine jlive
j(ZVL) j(Zostavax)
Pneumococcal jvaccine j- jANS✓✓-First, jPCV13
<1 jyear japart>
Second, jPPSV23
Tdap jvaccine j- jANS✓✓--One jdose jof jTdap jvaccine jfor jadults jwho jhave jnot
jpreviously jreceived jTdap
,-Td jbooster jevery j10 jyears
Menopause j(define) j- jANS✓✓-Permanent jcessation jof jovulation jand jmenses
jconfirmed jafter j12 jconsecutive jmonths jwithout ja jperiod
The javerage jage jof jnatural jmenopause jin jNorth jAmerica j- jANS✓✓-52 jyears jold
Premature jmenopause j(define) j- jANS✓✓-Cessation jof jovulation jand jmenses
jbefore jage j40; jspontaneous jor jinduced
Menopause jtransition j(define) j- jANS✓✓-Span jof jtime jwhen jmenstrual jcycle jand
jendocrine jchanges jbegin jto joccur jand jending jwith jthe jfinal jmenstrual jperiod
j(FMP)
^can jlast j2-8 jyears
Perimenopause j(define) j- jANS✓✓-Extends jfrom jbeginning jof jmenopause
jtransition juntil j12 jmonths jafter jfinal jmenstrual jperiod
"Early" jmenopause jtransition j- jANS✓✓-Variable jduration; jmenstrual jcycle
jlength jvaries j(persistent jdifference jof jseven jor jmore jdays jin jlength jof
jconsecutive jcycles)
"Late" jmenopause jtransition j- jANS✓✓-1-3 jyear jduration; jintervals jof
jamenorrhea j> j60 jdays
^vasomotor jsymptoms jlikely
Predominant jevent jleading jto jmenopause? j- jANS✓✓-Ovarian jaging jwith
jfollicular jatresia
Pre-menopausal jhormone jchanges? j- jANS✓✓-Estradiol jdecreases j--> jFSH
jincreases
^hormone jlevels jfluctuate, jso jcannot jrely jon jthese jmeasurements jto jdetermine
jmenopause
Generally jrely jon jwhat jto jdetermine jmenopause? j- jANS✓✓-**Cessation jof
jmenses**
-Age
-Hypoestrogenic jsymptoms
Is jmenopause jresponsible jfor jweight jgain? j- jANS✓✓-NO!
~may jbe jresponsible jfor jchanges jin jfat jdistribution~
, Menopause j& jskin jchanges j- jANS✓✓--Acne
-Skin jbecomes jthinner j& jdrier
-Hair jbecomes jthinner j& jdrier
-Hirsutism/virilization
Menopause j& jbone jintegrity j- jANS✓✓-Decrease jin jestrogen jcauses jincreased
jbone jloss; jgreatest jloss jin jfirst jfew jyears jafter jmenopause jthen jslows jbut
jcontinues
Menopause j& jgenital jchanges j- jANS✓✓--Increased jvaginal jpH j> j5.0
-Decrease jin jsubcutaneous jfat jof jlabia
-Vaginal jatrophy j(vaginal jwalls jthin, jpale, jmay jhave jpetechiae jand jbe jfriable)
-Vaginal/vulvar jburning, jirritation, j& jpruritus j
-Dyspareunia
-Recurrent jvaginitis
-Smaller jcervix
-Smaller juterus j& jovaries
Menopause j& jurinary jtract j- jANS✓✓--Atrophic jchanges jto jurethra j& jtrigone jof
jbladder
-Urinary jfrequency j& jurgency j
-Dysuria
-Nocturia j
-Stress jurinary jincontinence j
-Recurrent jcystitis/UTIs
Menopause j& jcardiovascular jsystem j- jANS✓✓--Increase jin jLDL, jVLDL, j&
jtriglycerides j
-Palpitations
Menopause- jother jS/S j- jANS✓✓--Depression j& janxiety
-Insomnia j
-Decreased jconcentration
-Forgetfulness
-Headaches
-Dizziness j
-Dry jeyes
-Paresthesias
Vasomotor jsymptoms jof jmenopause j- jANS✓✓-Recurrent, jtransient jepisodes jof
jflushing jaccompanied jby jsensation jof jwarmth jto jintense jheat jon jupper jbody
jand jface
**Hot jflashes**
**Night jsweats**
complete solutions 2024
Cervical jcancer jscreening jrecommendations j- jANS✓✓-Pap jsmear jalone jevery j3
jyears j(21-65 jyears jold)
OR
Pap jsmear j+ jHPV jtest jevery j5 jyears j(30-65 jyears jold)
Cervical jcancer jscreening jfor jwomen jwith jhistory jof jCIN2 jor ja jmore jserious
jdiagnosis? j- jANS✓✓-Should jcontinue jroutine jscreening jfor jat jleast j20 jyears
jafter jspontaneous jregression jor jtreatment
Colorectal jcancer jscreening jrecommendations j- jANS✓✓-Beginning jat jage j45-50
jtill j75
-guaiac jfecal joccult jblood jtest j(yearly) jOR jstool jDNA jtests j(every j3 jyears)
OR
-colonoscopy jevery j10 jyears
Breast jcancer jscreening jrecommendations j- jANS✓✓-Beginning jat jage j40-50 j
Can jstop jat j74 jyears jold
Mammograms jevery j1-2 jyears
Diabetes jscreening jrecommendations j- jANS✓✓-Every j3 jyears jstarting jat jage j45
Herpes jzoster jvaccine j- jANS✓✓-2 jdoses jof jrecombinant jzoster jvaccine j(RZV)
j2-6 jmonths japart jfor jadults jaged j50 jor jolder j
^regardless jof jpast jepisode jof jherpes jzoster jor jreceipt jof jzoster jvaccine jlive
j(ZVL) j(Zostavax)
Pneumococcal jvaccine j- jANS✓✓-First, jPCV13
<1 jyear japart>
Second, jPPSV23
Tdap jvaccine j- jANS✓✓--One jdose jof jTdap jvaccine jfor jadults jwho jhave jnot
jpreviously jreceived jTdap
,-Td jbooster jevery j10 jyears
Menopause j(define) j- jANS✓✓-Permanent jcessation jof jovulation jand jmenses
jconfirmed jafter j12 jconsecutive jmonths jwithout ja jperiod
The javerage jage jof jnatural jmenopause jin jNorth jAmerica j- jANS✓✓-52 jyears jold
Premature jmenopause j(define) j- jANS✓✓-Cessation jof jovulation jand jmenses
jbefore jage j40; jspontaneous jor jinduced
Menopause jtransition j(define) j- jANS✓✓-Span jof jtime jwhen jmenstrual jcycle jand
jendocrine jchanges jbegin jto joccur jand jending jwith jthe jfinal jmenstrual jperiod
j(FMP)
^can jlast j2-8 jyears
Perimenopause j(define) j- jANS✓✓-Extends jfrom jbeginning jof jmenopause
jtransition juntil j12 jmonths jafter jfinal jmenstrual jperiod
"Early" jmenopause jtransition j- jANS✓✓-Variable jduration; jmenstrual jcycle
jlength jvaries j(persistent jdifference jof jseven jor jmore jdays jin jlength jof
jconsecutive jcycles)
"Late" jmenopause jtransition j- jANS✓✓-1-3 jyear jduration; jintervals jof
jamenorrhea j> j60 jdays
^vasomotor jsymptoms jlikely
Predominant jevent jleading jto jmenopause? j- jANS✓✓-Ovarian jaging jwith
jfollicular jatresia
Pre-menopausal jhormone jchanges? j- jANS✓✓-Estradiol jdecreases j--> jFSH
jincreases
^hormone jlevels jfluctuate, jso jcannot jrely jon jthese jmeasurements jto jdetermine
jmenopause
Generally jrely jon jwhat jto jdetermine jmenopause? j- jANS✓✓-**Cessation jof
jmenses**
-Age
-Hypoestrogenic jsymptoms
Is jmenopause jresponsible jfor jweight jgain? j- jANS✓✓-NO!
~may jbe jresponsible jfor jchanges jin jfat jdistribution~
, Menopause j& jskin jchanges j- jANS✓✓--Acne
-Skin jbecomes jthinner j& jdrier
-Hair jbecomes jthinner j& jdrier
-Hirsutism/virilization
Menopause j& jbone jintegrity j- jANS✓✓-Decrease jin jestrogen jcauses jincreased
jbone jloss; jgreatest jloss jin jfirst jfew jyears jafter jmenopause jthen jslows jbut
jcontinues
Menopause j& jgenital jchanges j- jANS✓✓--Increased jvaginal jpH j> j5.0
-Decrease jin jsubcutaneous jfat jof jlabia
-Vaginal jatrophy j(vaginal jwalls jthin, jpale, jmay jhave jpetechiae jand jbe jfriable)
-Vaginal/vulvar jburning, jirritation, j& jpruritus j
-Dyspareunia
-Recurrent jvaginitis
-Smaller jcervix
-Smaller juterus j& jovaries
Menopause j& jurinary jtract j- jANS✓✓--Atrophic jchanges jto jurethra j& jtrigone jof
jbladder
-Urinary jfrequency j& jurgency j
-Dysuria
-Nocturia j
-Stress jurinary jincontinence j
-Recurrent jcystitis/UTIs
Menopause j& jcardiovascular jsystem j- jANS✓✓--Increase jin jLDL, jVLDL, j&
jtriglycerides j
-Palpitations
Menopause- jother jS/S j- jANS✓✓--Depression j& janxiety
-Insomnia j
-Decreased jconcentration
-Forgetfulness
-Headaches
-Dizziness j
-Dry jeyes
-Paresthesias
Vasomotor jsymptoms jof jmenopause j- jANS✓✓-Recurrent, jtransient jepisodes jof
jflushing jaccompanied jby jsensation jof jwarmth jto jintense jheat jon jupper jbody
jand jface
**Hot jflashes**
**Night jsweats**
