NSG 6430 Midterm Exam
Question 1 Question : A thirty-nine-year-old female has not had menses for over six
. months and has a negative pregnancy test. Which of the following
characteristics puts her at risk for an early menopause?
Student Answer:
Obesity (BMI 30)
Current smoker
Early menarche
Nulliparity
Points Received: 2 of 2
Comments:
Question : 2 Suzanne, a forty-six-year-old client, reports shortened menstrual
cycles for one year. The most likely diagnosis is __________.
Student Answer:
anovulatory bleeding
menopause
perimenopause
breakthrough bleeding
Points Received: 2 of 2
Comments:
Question 3 Question : Sally, a sixty-one-year-old Caucasian female, presents to your
. practice for a well-woman examination. She remarks that she
feels like she is shrinking over the past year, despite keeping
active and incorporating sources of calcium in her diet. Which of
the following is not a risk factor for osteoporosis?
, Student Answer:
Smoking
History of maternal osteoporosis
Excessive use of alcohol or caffeine
Use of combined oral contraception
Points Received: 2 of 2
Comments:
Question 4 Question : You are seeing a twenty-two-year-old pregnant woman for routing
. antepartal care. She discloses that she forgets to take her
prenatal vitamins. Which of the following would not be part of
your counseling and education?
Student Answer:
Try putting them next to your toothbrush and taking them at
night when you brush before going to bed.
Using an OTC stool softener and drinking plenty of water
can help with constipation.
You can just take a regular multivitamin in place of the
prenatals.
Prenatal vitamins are specially formulated to prevent anemia in
you and your baby.
Points Received: 2 of 2
Comments:
Question 5. A pathology report has been returned on a woman’s breast mass malignancy.
The most common type of invasive breast cancer is ______________. (Points : 2)
lobular
infiltrating ductal
infiltrating papillary
medullary
Points Received: 2 of 2
Comments:
,Question 6 Question : You are performing a pelvic exam on a forty-seven-year-old
. woman when you notice a large, soft bulge in the vaginal floor.
The primary diagnosis is ________________.
Student Answer:
enterocele
rectocele
rectal tumor
fecal impaction
Points Received: 2 of 2
Comments:
Question 7 Question : A young woman presents to your practice with vaginal itching and
. a white discharge. She denies sexual activity or douching. She
has been in good health except for a 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?
Student Answer:
Bacterial vaginosis
Diabetes mellitus
Allergy to personal hygiene product
Candidiasis after antibiotic treatment
Points Received: 2 of 2
Comments:
Question 8 Question : The nurse practitioner is prescribing an oral contraception to
. Sally. She is concerned about having one that has “two
hormones” as the active ingredients. You instruct her that adding
progestin to estrogen therapy will decrease the risk of
___________.
Student Answer:
breast cancer
withdrawal bleeding
, endometrial cancer
osteoporosis
Points Received: 2 of 2
Comments:
Question 9 Question : A twenty-one-year-old woman presents for her initial well-woman
. examination. She has never been sexually active and has a
negative family history for gynecology problems. Personal history
is negative for abuse, and she exercises regularly and eats a
balanced diet. Menstrual history reveals that she experienced
menarche at fourteen years of age, has a regular twenty-eight-
day cycle, and denies dysmenorrhea. Which of the following
would be included in her physical examination today?
Student Answer:
Stool for occult blood
Baseline mammography
Cultures for gonorrhea and chlamydia
Pap smear
Points Received: 2 of 2
Comments:
Question 10 Question : Frankie is concerned that she has an ultrasound ordered after the
. results of her mammogram of been reviewed by the nurse
practitioner. You emphasize that the primary role of a breast
ultrasound is to _____.
Student Answer:
screen for breast cancer
definitively diagnose breast cancer
determine if a breast lesion is cystic or solid
locate small lesions before surgery
Points Received: 2 of 2
Comments:
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