NSG 6430 MIDTERM EXAM

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

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

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NSG 6430 MIDTERM EXAM

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

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

Question 26. Question

:

A Pap smear result of atypical squamous cells of

undetermined significance—rule out high-grade

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NSG 6430 MIDTERM EXAM

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)

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

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

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NSG 6430 MIDTERM EXAM

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

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

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

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