NR 602 FINAL EXAM LATEST UPDATE 2023 GRADED A+

NR 602 FINAL EXAM LATEST UPDATE
2023 GRADED A+
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? - ANSWERColposcopy
A well woman visit for an adolescent should include which of the following - ANSWER-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 - ANSWER-CIN 1
A single Pap smear reading of ASCUS in a patient negative for HPV infection should
have what as follow-up? - ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-Repeat Pap and HPV screen
Which of the following is not part of the criteria for an older woman to see if having any
future Pap test performed - ANSWER-Over 55 years of age
You are evaluating a 17-year-old Emily who presented with amenorrhea and normal
secondary sex characteristics. The purpose of the progesterone challenge is to a
certain the presence of - ANSWER-Endogenous estrogen
A 17-year-old female patient presents with amenorrhea for four months she did
experience menarche at age 15 but had not had a menstrual cycle since. On physical
examination, it is noted that she has normal secondary sexual characteristics. The
nurse practitioner will consider progesterone challenge to determine the presence of
adequate - ANSWER-Endogenous estrogen
A teenage patient presents with amenorrhea and moral secondary sex characteristics.
The progesterone challenge is ordered. the purpose is to determine the presence of -
ANSWER-Endogenous estrogen
18-year-old female complaining of secondary amenorrhea. On exam, there is a normal
secondary sex characteristics and normal genitalia. Pregnancy is ruled out what would
necessitate further evaluation - ANSWER-Galactorrhea
Primary amenorrhea is best described as - ANSWER-Failure to menstrate by 13 years
old
A nurse practitioner is participating in a woman's health fair. When educating the
woman about risk factors for breast cancer which of the following statements is
incorrect? - ANSWER-Fibrocystic breast disease
When educating women about breast cancer risk factors which statement is incorrect -
ANSWER-Fibrocystic breast disease
A woman with lobular carcinoma in situ has a relative risk of developing invasive breast
cancer of - ANSWER-8.0
Changes and hormonal regulation during menopause result in the gradual cessation of
menstruation. From which gland is Androstenedione secreted - ANSWER-Adrenals
A Pap smear results of atypical squamous cells of undetermined significance rule out
high-grade squamous intraepithelial lesion will require which procedure - ANSWERColposcopy
A Pap smear results of atypical squamous cells of undetermined significance require
which procedure next - ANSWER-Follow-up Pap smear
A 25-year-old presents with a report of a very tender area just near her introitus and to
the left of her perineum. Very painful sex is how she knew something wasn't right. She
showered and when washing, she felt a P sized painful lump on the left side of her
bottom. She tells you she looked at it with the mirror and it was very small but now it is
the size of a ping-pong ball and getting worse. when you Inspect her genitalia you are
amazed at the size and appearance of the lump you know what appears to be an
abscess on the left medial side of the labia minora and there is some edema extending
into the perineum. Your diagnosis for this presentation is - ANSWER-Bartholins cyst
You explain to this young woman what this "lump" is and let her know you will be
referring her to a gynecologist you consult with regularly. You explain to her the likely
treatment as follows: - ANSWER-A possible incision might be necessary and a catheter
placed for 2 to 4 weeks to allow for drainage and appropriate healing
A client at the woman's health clinic complains of swelling of the labia and throbbing
pain in the labial area after sexual intercourse. For what condition does the nurse
anticipate the client will be treated - ANSWER-Bartholinitis
Which of the following choices represents a disorder of the reproductive tract that
causes pain, erythema, dyspareunia, and a perineal mass - ANSWER-Bartholin cyst
A nurse practitioner instructor is reviewing the anatomy of the external genitalia. At the
opening of the vagina are the Bartolian glands. Which of the following describes the
function of these glands - ANSWER-Production of alkaline secretions for sperm viability
A 23-year-old woman presents to your practice with a chief complaint of postcoital
bleeding. Which of the following would not be included in the initial assessment of this
patient - ANSWER-Uterine biopsy
A nurse practitioner is educating a woman who has a colposcopy. Which of the
following most accurately describes a colposcopy - ANSWER-A procedure that
visualizes the vagina, vulvar or cervical epithelium with magnification to identify
abnormal areas that may need to be biopsied
A 33-year-old woman presents to your clinic complaining of dark brown watery vaginal
discharge and postcoital bleeding. There is a strong history of multiple unprotected
sexual encounters. Which of the following findings on examination would be suspicious
for cervical cancer - ANSWER-A very firm, easily friable cervix
A 23-year-old woman comes to the clinic for a Pap smear. After the examination, the
client confides that her mother had died of endometrial cancer one year ago and says
that she is afraid that she would die of the same cancer. Which risk factor stated by the
client after an education session on wrist factors indicate that brother teaching is
needed - ANSWER-Late onset menarche
The frequency for cervical screening depends on the patient and her age. What is the
longest recommended time interval between cervical screens for patients who are 65
years old or younger - ANSWER-Five years
What is the leading cause of death from a gynecologic malignancy in American women
- ANSWER-Cervical cancer