NUR 622 Final Exam

A 20-year-old woman is seen in the clinic because her boyfriend was found to have gonorrhea. Which of the following is the treatment of choice for gonorrhea? A. Ceftriaxone B. Doxycycline C. Acyclovir D. Metronidazole

A. Ceftriaxone

A 37-year-old woman is admitted to the unit with severe menorrhagia. During assessment the nurse learns that she has a history of fibroids, menorrhagia, pelvic pain, and depression. The client has been undergoing hormone therapy in hopes of easing the symptoms and reducing the size of the fibroids, without success. The lab reports hemoglobin and hematocrit readings of 6.8 and 20.2, respectively. The client begins to sob and cries, "I don't know what to do—the doctor is recommending a hysterectomy, but I haven't had children yet!" What is the best response by the nurse? A. "There are so many orphans looking for a mother.. B. This must be so difficult for you. Children are really important to you. C. You really have no choice but to follow the recommendation; the doctor is right. D. Believe me when I tell you that kids are so difficult to raise—you're better off without them."

B. This must be so difficult for you. Children are really important to you.

The clinician is seeing Jalissa, a 17-year-old patient, for a well woman's exam. She mentions that she has been depressed and has been yo-yo dieting because she feels "so fat." She marked "no" to whether she feels safe in her home on her intake form, and mentions she is worried about getting STIs from her boyfriend of three months. Which of the following is the correct way to interact with the patient, based on her history? A. "The amount of time allotted for your well woman exam does not allow time to talk about depression today." B. "I know you said you are concerned about your body image, but your weight looks good to me." C. "You mentioned on your intake form that you do not feel safe in your home. Why is that?" D. "You've been dating your boyfriend for three months, but you haven't had an STI screening yet? That's not safe."

C. "You mentioned on your intake form that you do not feel safe in your home. Why is that?"

A 20-year-old woman visiting the clinic says that she wishes to begin using depot medroxyprogesterone acetate (Depo-Provera) as a form of birth control. What important information should the nurse include when teaching the client about Depo-Provera? A. Depo-Provera offers protection against the herpes simplex virus. B. To continue the contraceptive effects the client will need to return for another injection in 6 months. C. Women using Depo-Provera may lose more blood each month with their periods, so it is important to add iron-rich foods to the diet to help prevent anemia. D. Calcium intake and exercise should be increased because of possible loss of bone mineral density with increasing duration of use

D. Calcium intake and exercise should be increased because of possible loss of bone mineral density with increasing duration of use

Which of these patients needs a cervical cancer screening? A. Lisa, a 45-year-old patient who has atypical squamous cells of uncertain significance (ASCUS) and a human papillomavirus (HPV) positive Pap 1 month ago B. April, a 26-year-old patient who had a negative Pap with negative HPV 1 year ago C. Sondra, a 66-year-old patient who had a negative Pap with negative HPV 11 years, 6 years, and 1 year ago D. Gillian, a 33-year-old patient who had a negative Pap with negative HPV 5 years ago

D. Gillian, a 33-year-old patient who had a negative Pap with negative HPV 5 years ago

A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge. The clinician identifies clue cells on the vaginal smear. Which of the following diagnoses is associated with this finding? A. Trichomonas B. Bacterial vaginosis C. HPV D. Herpes simplex virus

B. Bacterial vaginosis

A 32-year-old woman is admitted to the unit with a history of fibroids and menorrhagia. Which findings does the nurse expect to encounter during assessment of the client? Select all that apply. 1 Fluid overload 2 Intermittent diarrhea 3 Pale mucous membranes 4 Difficulty emptying the bladder 5 High hemoglobin and hematocrit

3 Pale mucous membranes 4 Difficulty emptying the bladder

A client asks the nurse at the family planning clinic whether contraception is needed while she is breastfeeding. How should the nurse reply? 1 As long as you aren't having periods, you won't need a contraceptive." 2 It would be best to delay sexual relations until you have your first period. 3 You should use contraceptives, because ovulation may occur without a period. 4 Breastfeeding suppresses ovulation, so you don't need to worry about pregnancy."

3 You should use contraceptives, because ovulation may occur without a period.

A 23-year-old woman comes to the clinic for a Pap smear. After the examination, the client confides that her mother died of endometrial cancer 1 year ago and says that she is afraid that she will die of the same cancer. Which risk factor stated by the client after an education session on risk factors indicates that further teaching is needed? 1 Obesity 2 High-fat diet 3 Hypertension 4 Late-onset menarche

4 Late-onset menarche

A 23-year-old sexually active woman presents for her first Pap smear. Her history includes nulligravida, age at first intercourse 14, and more than 10 sexual partners. Which of the following conditions should the clinician be particularly alert for during her examination? A. Human papillomavirus B. Endometrial hyperplasia C. Vaginismus D. Polycystic ovarian syndrome

A. Human papillomavirus

Which of the following medications is the treatment of choice for Trichomonas? A. Metronidazole B. Ceftriaxone C. Diflucan D. Doxycycline

A. Metronidazole

A 25-year-old woman comes to the clinic complaining of increased vaginal discharge, milky gray in color with a "fishy" odor that both she and her husband have noticed. A wet smear is performed and the presence of "clue cells" confirmed. Which type of infection does the nurse suspect? A. Candidiasis B. Trichomoniasis C. Bacterial vaginosis D. Group B Streptococcus

C. Bacterial vaginosis

A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted disease has she most probably been exposed to? A. Gonorrhea B. HPV C. Chlamydia D. Trichomoniasis

C. Chlamydia

Which of the following is true of the IUD (intrauterine device)? A. The IUD is 95% effective at preventing pregnancy. B. The IUD has an inhibitory effect on sperm capacitation. C. The IUD can only be inserted at menses. D. The IUD can only be inserted in women with multiparity.

B. The IUD has an inhibitory effect on sperm capacitation.