NSG6430 Midterm Study Guide Questions

LIMITED QUESTIONS

Question : Jackie is a fifteen-year-old African American female who resides in a housing plan. You realize that barriers exist in providing preventive services to adolescents that include all of the following except:

Student Answer: Reluctance of adolescents to seek care

Concept that adolescents are “healthy” and don’t need services

Concerns about lack of confidentiality

Availability of guidelines for preventive care

Points Received: 0 of 4

Comments:

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Question 11. Question : Seventeen-year-old Stella presents with the chief complaint of unilateral breast tenderness and swelling. Which of the following would be the least likely etiology for this problem?

Student Answer: Breast cancer

Mastitis

Fibrocystic breast

Fibroadenoma

Points Received: 0 of 4

Comments:

Question 19. Question : You are working in a women’s health practice and decide to incorporate brief preconception counseling into every visit. Which of the following would not be included in brief preconception counseling?

Student Answer: Maternal assessment

Risk screening

Immunizations

Medication management

Points Received: 0 of 4

Comments:

Question 20. Question : The nurse practitioner is completing a follow-up visit on a woman who was previously prescribed hormonal therapy (HT), which she has not taken for the last month. The primary reason the patient discontinued HT is _________.

Student Answer: weight gain

vaginal bleeding

breast tenderness

mood changes

Points Received: 0 of 4

Comments:

Question 26. Question : A Pap smear result of atypical squamous cells of undetermined significance—rule out high-grade squamous intraepithelial lesion (ASCUS r/o HGSIL) will require which procedure next?

Student Answer: Cold knife cone (CKC)

Follow-up Pap smear

Colposcopy

Loop electro-excision procedure (LEEP)

Points Received: 0 of 4

Comments:

Question 27. Question : In caring for a menopausal client who has had a total hysterectomy, the nurse practitioner would include which of the following options?

Student Answer: Estrogen alone

Estrogen and progestin

Progestin and testosterone

Testosterone alone

Points Received: 0 of 4

Comments:

Question 28. Question : The most effective interventions available to women’s healthcare providers for reducing the incidence and severity of the leading causes of death and disability in this group are ______.

Student Answer: screening tests

immunizations

chemoprophylaxis

lifestyle changes

Points Received: 0 of 4

Comments:

Question 30. Question : A woman has just stopped birth control pills in efforts to become pregnant. You recall that estrogen withdrawal reflects activity primarily from the _________.

Student Answer: hypothalamus

uterus

ovary

pituitary

Points Received: 0 of 4

Comments:

Question 36. Question : There are several phases to the menstrual cycle. What phase begins with ovulation and ends with menstruation?

Student Answer: Ovulatory phase

Follicular phase

Proliferative phase

Luteal phase

Points Received: 0 of 4

Comments:

Question 37. Question : A woman has been diagnosed with polycystic ovary syndrome (PCOS). Management of PCOS includes all of the following except ___________.

Student Answer: oral contraceptives to establish a regular menstrual cycle

a planned program of regular exercise

consult with dietician for weight management

daily basal insulin to reduce blood sugar

Points Received: 0 of 4

Comments:

Question 48. Question : Elizabeth, twenty-four years old, is pregnant, and you are educating her on common problems during the first trimester. Which of the following is abnormal and requires immediate attention?

Student Answer: Nausea and vomiting (aka “morning sickness”)

Fatigue and tiredness

Back ache in the lumbar area

Vaginal bleeding