NSG 6440 APEA Exam - WOMEN’S HEALTH
NSG 6440 APEA Exam WOMEN’S HEALTH
1. “Hot flashes” that occur during menopause are thought to be related to:
2. When collecting cervical cells for a PAP smear, when are the endocervical cells typically collected?
3. A 14-year-old female has never menstruated. She and her mother are concerned. What is most important for the NP to assess?
4. Athletic amenorrhea increases the risk of:
5. A 52-year-old female presents to your clinic with a palpable mass in her right breast. Her last normal mammogram was 6 months ago. What is true about this lump?
6. A 17-year-old presents with complaints of dysmenorrhea. Which finding below suggest that this is secondary dysmenorrhea?
7. A patient who is scheduled for pelvic exam with PAP smear should be advised to avoid douching, sexual intercourse, and tampon use before her exam. For how long should she be advised to avoid these activities for optimal evaluation?
8. A 54-year-old female presents with a small to moderate amount of vaginal bleeding of recent onset. She has been postmenopausal for approximately 2 years. What diagnosis is least likely?
9. A 32-year-old female presents to your clinic for her annual GYN exam. A 1cm soft, non-tender, round mass is found at the 4 o’clock position at the posterior vaginal introitus. What is most likely diagnosis?
10. The recommended time to initiate screening for cervical cancer in women is:
11. An 84-year-old female patient is a resident in an assistant living facility. She has early dementia. She walks daily and has had urinary incontinence for years. She has loss of urine with coughing, sneezing, and if she is unable to get to the bathroom quickly enough. Her urinary incontinence is likely to be:
12. A 50-year-old female believes that she is menopausal. She complains of hot flashes and has not had menses in 12 months. Which of the following test results would be expected during menopause?
13. A 22-year-old female has been diagnosed with polycystic ovarian syndrome (PCOS). What is a common finding?
14. A 28-year-old female presents with a slightly tender 1.5cm lump in her right breast. She noticed it 2 days ago. She had no associated lymphadenopathy and there is no nipple discharge. How should she be managed?
15. Three of the following interventions are appropriately used to prevent osteoporosis after menopause. Which one is not?
16. A 16-year-old female is diagnosed with primary dysmenorrhea. She has taken over-the-counter ibuprofen in 800mg increments every 8 hours during menses for the past 3 months, with minimal relief of symptoms. What interventions will provide greatest relief of dysmenorrhea symptoms?
17. What choice below has no precautions for oral contraceptive pill use?
18. A patient asks the NP’s advice about an herb to help with her hot flashes. The NP knows these:
19. A female patient is 35 years old. She has never had an abnormal PAP smear and has had regular periodic screening. If she has a normal PAP smear with HPV testing today, when should she have the next cervical cancer screening?
20. An initial pharmacological approach to a patient who is diagnosed with primary dysmenorrhea could be:
21. A 21-year-old female presents with six 0.5cm human papillomavirus (HPV) lesions on her vulva. An appropriate treatment option for this patient would be:
22. What type of incontinence would NOT benefit from pelvic floor muscle training?
23. A young female adult presents with vaginal discharge and itching. Besides trichomoniasis and yeast, what else should be included in the differential?
24. A female should be told to take her oral contraceptive pill (ocp) at bedtime if she experiences:
25. The frequency of cervical screening depends on the patient and her age. What is the longest recommended time interval between cervical screens for patients who are 30-64 years old?
26. The first step in evaluating a breast lump is:
27. Women who use diaphragms for contraception have an increased incidence of: urinary tract infections
28. A female patient who takes oral contraceptives has just completed her morning exercise routine. She complains of pain in her right calf. Her blood pressure and heart rate are normal. She is not short of breath. Her calf is red and warm to touch. What is NOT part of the differential diagnosis?
29. A patient who takes oral contraceptive pills is at an increased risk of:
30. A 25-year-old female presents with lower abdominal pain. Which finding would indicate the etiology as pelvic inflammatory disease?
31. A 70-year-old female has been in a mutually monogamous relationship for the past 33 years. She has never had an abnormal Pap smear. What recommendation should be made regarding Pap smears for her?
32. A 51-year-old female patient presents with a 2cm palpable breast mass. How should this be evaluated to determine whether it is solid or cystic in nature?
33. A patient who is 35 years old has identified a small, discrete mass in one breast. How should this be evaluated initially?
34. Ultrasounds are commonly performed during the first trimester of pregnancy because they help estimate gestational age and:
35. A 24-year-old patient presents to your clinic with intermittent nausea and vomiting for the past 5 days. She feels well otherwise. What should the nurse practitioner order initially?
36. A pregnant teenager asks if sexual activity is safe during pregnancy. The nurse practitioner responds:
37. What component of prenatal vitamin is intended to prevent neural tube defects?
38. A 17-year-old female is found to be pregnant. What is the most important part of her initial screening?
39. The NP suspects that a pregnant patient may be been physically abused by a domestic partner. The NP knows that:
40. The classic presentation of placenta previa is:
41. A pregnant patient in her second trimester enters your clinic in October to inquire about the influenza vaccination. Which immunization below may be safely administered?
42. In order to establish pregnancy, a pregnancy test of the urine or blood is routinely performed. How early can this be done with reliable results?
43. A pregnant patient in her second trimester is found to have positive leukocytes and positive nitrites in a second voided urine specimen. She is asymptomatic. This patient should be prescribed:
44. Which of the following immunizations may be safely administered during the first trimester of pregnancy?
45. Which form of birth control would be the best choice in a lactating mother who wanted to ensure that she did not become pregnant?
46. Naegele’s rule is calculated by adding 7 days to the last menstrual period and:
47. A pregnant patient presents with asymptomatic bacteriuria. Which is the likely pathogen?
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