Download NRNP 6552 MIDTERM EXAM QUESTIONS & CORRECT ANSWERS GRADED A and more Exams Nursing in PDF only on Docsity!
NRNP 6552 MIDTERM EXAM QUESTIONS &
CORRECT ANSWERS GRADED A
Question 1
1 out of 1 points
The is a sensitive organ that is typically described as the female homologue of the penis. Ans: Clitoris
Question 2
1 out of 1 points
Normal vaginal discharge has a pH of: Ans: 3.8 and 4.
Question 3
1 out of 1 points
On physical examination, pale atrophic depigmented tissue that has a “cigarette paper” appearance is consistent with: Ans: Lichen Sclerosus
Question 4
1 out of 1 points
Criteria for clinical diagnosis of bacterial vaginosis include the presence of three out of four of the following Amsel criteria: answer: C (white, thin adherent vaginal discharge, pH equal or greater than 4.5; positive whiff/KOH test; presence of WBC on microscopic examination)
Question 5
1 out of 1 points
The most common STI in the United States is: Answer: Chlamydia Question 6
1 out of 1 points
Ovarian failure is diagnosed when estrogen production is identified while the serum FSH is. Answer: B (Low Estrogen, High) Question 7
1 out of 1 points
Approximately of infertility cases are due to female factors and are due to male factors. Answer: D - 55%. 35% Question 8
1 out of 1 points
In women with PCOS, polycystic ovaries are due to: Answer: B (Chronic Anovulation) characterized by hyperandrogenaemia and hyperinsulinemia, which play a role in anovulation (Excess adipose tissues may lead to polycystic ovarian syndrom Question 9
1 out of 1 points
The most common symptoms of uterine cancer are: Answer B. Abnormal uterine bleeding and postmenopausal bleeding. Question 10
1 out of 1 points
Neisseria gonorrhea is a bacteria Answer: Gram-negative diplococci bacteria Question 11
0 out of 1 points
1 out of 1 points
Clinicians are required to report certain STIs to their state public health officials. These include: answer: Nationally notifiable STIs include chancroid, chlamydia, gonorrhea, hepatitis, HIV, and syphilis Question 19
1 out of 1 points
Symptoms of Polycystic Ovary Syndrome (PCOS) include all of the following except: Answer: D – Hypopigmentation of the extremities
**- irregular periods or no periods at all.
- difficulty getting pregnant (because of irregular ovulation or failure to ovulate)
- excessive hair growth (hirsutism) – usually on the face, chest, back or buttocks.
- weight gain.
- thinning hair and hair loss from the head.
- oily skin or acne. Question 20**
0 out of 1 points
Josefina is a 47-year-old patient with family history of diabetes. Her BMI is 30. She has been healthy except for medication-controlled hypertension. She has been very compliant with her appointments. Today, you tell her you need to check her blood sugar. She says “I just read an article that said I only need to have that checked every three years. You just checked it last year.” You tell her: answer: A I will advice Josefina that, the test determines your typical blood sugar levels and their proximity to normal. When you're first diagnosed, you get these checkups every three months, then every six months until you're stable. This can be done by your primary care physician or a diabetic nurse. Every diabetic should see a doctor at least every three months. Routine visits enable your doctor to monitor your status and if required, modify your treatment strategy. weight, feet, heart , diet, Eyes , neuropathy, circulation ,blood , thyroid, electrolytes, cholesterol, blood pressure and other tests should be performed on an annual basis. For patients with diabetes, one reason for hospitalization and unplanned hospital readmission is severe dysglycemia (uncontrolled hyperglycemia -- high blood sugar, or hypoglycemia -- low blood sugar), says new research published in the Journal of General Internal Medic Question 21
1 out of 1 points
The test for the fishy odor that occurs in bacterial vaginosis is called the: Answer: Whiff Test Question 22
0 out of 1 points
Evidence from randomized trials on intimate partner violence screening support the following intervention(s) for women of childbearing age: Answer: E (A, B, and C) Evidence from randomized trials support a variety of interventions for women of childbearing age which includes counseling, home visits, and mentoring support Question 23
1 out of 1 points
The act that was established that mandated every American to carry health insurance is called: answer: The Patient Protection and Affordable Care Act (ACA) Question 24
1 out of 1 points
All of the following are risk factors for UTI, except: Answer: B (infrequent sexual activity) Question 25
0 out of 1 points
Reproductive coercion includes behaviors: Answer D. (Any of the above) Question 26
1 out of 1 points
An appropriate medication for Herpes Simplex virus is: Answer: D (all of the above) The most effective treatments for persons infected with HSV are antiviral medications including acyclovir, famciclovir and valacyclovir. Question 27
1 out of 1 points
Just prior to ovulation, rising levels of oestradiol increases the amount of cervical mucus, making it: Answer: C (thin and watery) Just prior to ovulation, your estrogen levels are rising. You may see more clear, stretchy, watery, and slippery mucus. This mucus may remind you of the consistency of egg whites. During ovulation. Question 28
Question 34
1 out of 1 points
A pharmacologic treatment for patients with Hydradenitis Suppurativa (HI) may include D. All of the above Answer: Metformin, oral contraceptives, and spironolactone Answer: tetracycline 500 mg, doxycycline 100 mg, minocycline100 mg orally, or amoxicillin 500 mg Question 35
1 out of 1 points
EBP stands for: Answer: Evidence Based Practice Question 36
1 out of 1 points
Women in the following profession have a higher rate of UTI Answer: A (Nursing) Question 37
1 out of 1 points
One of the reasons that substance use is a concern in LBQ and TGNC communities is: Answer: CULTURAL CONTEXT, bars and clubs scenes have long been safe spaces for gay, LBQ and TGNC people. Lack of support Internalized homophobia Discrimination and social stigma Question 38
0 out of 1 points
Pelvic support structures include: Answer: D (all of the above) Question 39
1 out of 1 points
The following is an appropriate sexual health assessment question: Answer: ANSWER: C – Are there any sexual problems. Question 40
1 out of 1 points
The use of a pain rating scale may assist the clinician to comprehend the intensity of a woman’s pain. Example(s) of pain rating scale(s) include: answer:D (All of the above)
Numeric ranking scales, visual analog scales, verbal descriptive scales, allow the woman to identify the severity of her pain. If there is a language barrier related to culture or mental ability, the Wong-Baker FACES pain rating scale Question 41
1 out of 1 points
Female orgasmic disorder is present when there is a marked delay in, marked infrequency of, or absence of orgasm or reduced intensity of orgasm sensations that last more than.
Answer: 6 months (75-100% of situations of sexual intercourse)
Question 42
0 out of 1 points
Abnormal uterine bleeding can sometimes be caused by Answer: None of the above hormone changes, cancer, fibroids, polyps or early pregnancy People with menstrual-related problems are more likely to report anxiety, depression, insomnia, excessive sleepiness, and pain than people without menstrual-related problems Question 43
1 out of 1 points
Margaret has several risk factors for osteoporosis. She is 72 years old, is a 30-pack year smoker, and has never had children. Which one of these risk factors was nonmodifiable? Answer: D – all of the above (age, smoking and nulliparity) Question 44
1 out of 1 points
A person whose gender identity is the same as their sex when he or she was born is: Answer: Cisgender Question 45
0 out of 1 points
Trichomonas vaginalis can be asymptomatic, but when symptomatic, the vaginal discharge tends to be: Answer: Yellow to green frothy Question 46
1 out of 1 points
When performing a pain history, the term OLD CAARTS is an aid. This stands for: Answer: A (onset, location, duration, characteristics, alleviating..)
1 out of 1 points
The term used to describe painful cramps that occur with menstruation is: Answer: D (Dysmenorrhea) Question 56
1 out of 1 points
An umbrella term that describes all people with non-heterosexual gender identities is: Answer: A - Queer Question 57
1 out of 1 points
A progesterone challenge test that produces withdrawal bleeding is indicative of: Answer: C (functioning ovaries) Question 58
1 out of 1 points
Marianne presents for a well woman exam. In gathering her history, she tells you she has been pregnant 3 times. She has two children, both born at 39 weeks, and had one miscarriage. Using the GTPAL system, you note that in her chart as the following answer: A (G3 T2 p0 A1 L2) Question 59
0 out of 1 points
On vaginal exam you find that Polly’s cervix is in the most common position, which is: Answer: A ( Antiflexion) Question 60
0 out of 1 points
Emergency contraception therapy may be given to a woman who seeks treatment immediately following sexual assault. It may be given within hours of the assault. ANSWER: C (72 Hours) it should be 120 hours Question 61
1 out of 1 points
For women at high risk for breast cancer, ACS recommends annual screening with mammography and beginning at age 30. Answer: C (MRI)
Question 62
1 out of 1 points
A cluster of mild to moderate physical and psychological symptoms that occur during the late luteal phase of menses and resolve with menstruation is the definition of answer: A (Premenstrual dysphoric disorder ) Question 63
0 out of 1 points
Olivia presents with a complaint of “bumps” around her vagina. They are nonpainful and nonpruritic. Upon inspection, you note several flesh colored and pearly white papules with depressed centers. This appearance is characteristic of: Answer: D (Molluscum contagiosum) Question 64
1 out of 1 points
Pelvic muscle exercises, where the woman performs a repetitive pelvic floor muscle contraction regimen are known as: answer: B – Kegel Exercise 65
0 out of 1 points
The USPTF, ACOG, and ACS all recommend pap tests to begin at: Answer: C – 21 YEARS Question 66
1 out of 1 points
Martha is a 65 - year-old woman who is a new patient to you. In telling you her history, she states that she has a history of a rare type of breast cancer. She cannot remember the name of it but tells you that it also involved itchy eczema-like nipple changes. With this info and your knowledge of breast cancer, you surmise that she may be referring to: Answer: C Pagets disease Question 67
0 out of 1 points
In women, fertility declines gradually beginning at age and more rapidly after age. Answer: B. 32; 37 Question 68
1 out of 1 points
Uterine fibroids are also known as: ANSWER: D (A & B) – Myomas and Leiomyomatas Question 75
1 out of 1 points
A waiting period of between bariatric surgery and pregnancy is recommended. Answer: C: 12 – 24 months. Question 76
0 out of 1 points
Approximately 50% to 70% of women with PCOS are insulin resistant. Insulin resistance often results in: answer: A (compensatory hyperinsulinemia) Question 77
1 out of 1 points
The endometrial cycle has three phases, which are: Answer: C (Proliferative, secretory and menstrual) Question 78
1 out of 1 points
The frontline analgesics for painful menstrual cramps are: Answer: C(NSAIDS) Question 79
1 out of 1 points
Angela just adopted an 11-year-old from another country. Unfortunately, there are no records of previous immunizations on this child. When discussing immunizations, you mention that the child needs several, including the MMR. Angela asks you what MMR stands for. You tell her: Answer: C (Mumps, measles and rubella) Question 80
1 out of 1 points
The least invasive way to assess bladder capacity is through: Answer: A (Filling cystometrogram) Question 81
1 out of 1 points
The majority of female infertility is due to: Answer: A – Ovulatory dysfunction and tubal and peritoneal pathology Question 82 Endometriosis is: Answer: B. The presence of endometrial glands and stroma outside the lining of the uterus Question 83 The timing of an adolescent growth spurt typically occurs in puberty than it does for boys. Answer: D (None of the above) Question 84
0 out of 1 points
Serum FSH indirectly measures ovarian function, with levels of FSH indicating normally functioning ovaries. A. Lower Question 85
1 out of 1 points
The following is/are risk factor(s) for bacterial vaginosis. Answers: Answer: B (Douching) Question 86
1 out of 1 points
The most common type of UTI affecting women is: ANSWER: C (Acute bacterial cystitis) Question 87
1 out of 1 points
Bone density testing for osteoporosis should start at age for women and age
Question 93
1 out of 1 points
To avoid the development of Bartholin’s gland cysts, women should: Question 94
1 out of 1 points
Endometrial polyps are most commonly identified by: Answer: a transvaginal ultrasound Question 95
0 out of 1 points
The are easily sensitized and become engorged with blood during sexual arousal. Answer: A (Labia Minora) Question 96
0 out of 1 points
Infected hair follicles on the vulvar skin that are small and scattered often occur because of: Answer: C. Shaving the pubic hair Question 97
1 out of 1 points
The glands are oil-producing glands on the areola that protect and lubricate the nipple during lactation. Answer: A - Montgomery Question 98
1 out of 1 points
Nearly pregnant women have been abused by the partner. Answer: C (1 in 6)
Question 99
1 out of 1 points
The following are risk factors for endometrial cancer. Answer: D: A and C (Age 40 and unopposed estrogen stimulation of the endometrium) Question 100
1 out of 1 points
Hirsutism is defined as: D. Excessive terminal hair growth in women Question 101 A type of contraceptive that does not contain hormones is Answer: Paragard IUD
