2020 NSG6430 Clinical Analysis Final Exam With Answers (100 Solved Questions)

Name: 2020 NSG6430 Clinical Analysis Final Exam With Answers (100 Solved Questions)
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Familiarize yourself with time management using 2020 NSG6430 Clinical Analysis Final Exam With Answers, featuring real past papers.

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Question 1 (2.5 points)
The nurse practitioner knows that a highly valuable
assessment tool for evaluating urinary incontinence and
contributing factors in daily life is:
Question 1 options:
A) the interview
B) a voiding diary
C) the physical exam
D) the patient's response to non-pharmacologic treatments
Save
Question 2 (2.5 points)
The nurse practitioner is counseling a 57 year-old patient
with urinary incontinence. The patient desires to try non-
pharmacological, non-invasive methods of treatment at
this time. Which of the following should be included in the
patient's plan of care? Select all that apply.
Question 2 options:
Bladder training
Kegel exercises
Eliminate caffeine and alcohol consumption
Use of bulking agents
Save
Question 3 (2.5 points)

The nurse practitioner is performing a bimanual exam on
a new OB patient and notices that the lower portion of
the patient’s uterus is soft. This is known as:
Question 3 options:
A) Hegar's Sign
B) Chadwick's Sign
C) Nightingale's Sign
D) Goodell's Sign
Save
Question 4 (2.5 points)
Your female patient presents for vaginal discharge with
an odor, and has noticed painless “bumps” on her vaginal
area. Sexual history includes past male partners and her
current female partner. On exam you note beefy red
papules and an ulcerative lesion on her vulva, granular
tissue and scarring, and inguinal adenopathy. You
suspect she has:
Question 4 options:
A) HSV-2
B) Granuloma Inguinale
C) Chancroid
D) Molluscum Contagiosum
Save
Question 5 (2.5 points)

The physical examination of any woman suspected of
being abused or battered includes all of the
following except:
Question 5 options:
A) a thorough inspection for signs of injury, past and present
B) a physical assessment just like that of any other adult female
C) a focus on the patient's physical appearance, not her behavior
D) the use of body maps and diagrams to accurately portray the patient's physical condition
Save
Question 6 (2.5 points)
The most effective means of obtaining the history of
abuse is to use a communication model that:
Question 6 options:
A) avoids having the patient's children present during the discussion
B) signals someone is interested and that the woman is not alone
C) emphasizes the belief that violence is not acceptable, no matter what the batterer might have said to the patient
D) allows the patient to talk without interruption and with time to relate, emphasize, and repeat her full story
Save
Question 7 (2.5 points)
Clinicians should routinely consider intimate partment
violence (IPV) as a possible diagnosis for women who
present with all of the following except:
Question 7 options:
A) chronic stress-related symptoms

B) denial of any physical health problems
C) central nervous system (CNS) symptoms
D) gynecologic problems, especially multiple ones
Save
Question 8 (2.5 points)
The factors that enable women to enjoy and control their
sexual and reproductive lives, including a physical and
emotional state of well-being and the quality of sexual
and other close relationships, make up a woman's:
Question 8 options:
A) sexual health
B) gender identit
C) gender role behaviors
D) psychosocial orientation
Save
Question 9 (2.5 points)
Which one of the following is not among the ways
clinicians can provide a welcoming, safe environment for
Lesbian, Gay, Bixsexual, or Transgender (LGBT) patients?
Question 9 options:
A) Avoid the heterosexual assumption by using gender-neutral language.
B) Explain whether and how information will be documented in the patient's medical record.

C) Ignore the sexual status or gender identity of all patients.
D) Offer mainstream referrals that are culturally sensitive to SGMs.
Save
Question 10 (2.5 points)
Which one of the following is the definition of the term
"gender identity"?
Question 10 options:
A) People who respond erotically to both sexes
B) A self-label, regardless of biologic or natal sex
C) People who are similar in age, class, and sexual status
D) A label for behavior not usually associated with one's natal sex
Save
Question 11 (2.5 points)
Which one of the following statements about sexually
transmitted infections (STIs) is false?
Question 11 options:
A) Lesbians are at very low risk for development of STIs and vaginal infections.
B) HIV has been identified in case studies of women who report sex only with women.
C) Transgender women (Male to Female) have extremely high rates of HIV infection.
D) Risky behaviors for STIs include sex during menses.
Save
Question 12 (2.5 points)

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Among the midlife health issues of women, the number
one cause of mortality in the United States is:
Question 12 options:
A) primary osteoporosis
B) cardiovascular disease
C) overweight and obesity
D) cancer
Save
Question 13 (2.5 points)
Lifestyle approaches to manage menopause related
vasomotor symptoms include:
Question 13 options:
A) sleeping more than 8 hours per night
B) avoiding spicy foods, hot drinks, caffeine, and alcohol
C) decreasing levels of physical activity
D) more than 1,000 international units/day of vitamin E
Save
Question 14 (2.5 points)
The standard for managing moderate to severe
menopausal symptoms is:
Question 14 options:
A) lifestyle changes, such as dieting and exercising
B) nonhormone products, such as antidepressant medications

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C) alternative care, such as acupuncture, combined with organic herbs
D) prescription systemic hormone products, such as estrogen and progestogen
Save
Question 15 (2.5 points)
The nurse practitioner is managing an adolescent with a
4 cm functional ovarian cyst that was confirmed on a
recent ultrasound. What plan of care should be
anticipated for this patient?
Question 15 options:
A) Repeat bimanual exam in 1 week
B) Refer for surgical consult
C) Repeat ultrasound in 2 months
D) Stop all ovulatory inhibitor meds
Save
Question 16 (2.5 points)
Non-pharmacologic therapy for chronic pelvic pain
includes the following: Select all that apply.
Question 16 options:
A) Vitamin B6
B) Physical therapy
C) Aerobic and nonaerobic exercise
D) Antidepressants

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Save
Question 17 (2.5 points)
The nurse practitioner understands that all of the
following organisms are responsible for infection of the
Bartholin's gland except:
Question 17 options:
Streptococcus faecalis
Klebsiella
Staphylococcus aureus
E. Coli
Save
Question 18 (2.5 points)
Treatment of a large, symptomatic Bartholin's cyst
includes all of the following except:
Question 18 options:
Sitz baths
Incision and drainage
Topical corticosteroids
Antibiotics
Save
Question 19 (2.5 points)
A 44 year-old African American female presents with
complaints of menorrhagia x 15 months. Pelvic

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ultrasound confirms the presence of a large intramural
leiomyomata. The nurse practitioner should discuss all of
the following options with the patient except:
Question 19 options:
GnRH agonist therapy
Referral for surgical consult
Progestin therapy
Estrogen therapy
Save
Question 20 (2.5 points)
The nurse practitioner is treating a patient with Elimite
for scabies. The proper instructions to the patient should
include:
Question 20 options:
All household contacts should be treated with Elimite regardless of symptoms.
The medication should be taken orally in one single dose and repeated in 2 weeks.
Apply only to the body area infested with scabies and repeat treatment in 5 days.
Apply to all areas of the body from the neck down, wash off after 8 to 14 hours, then repeat treatment in one week
Save
Question 21 (2.5 points)
The nurse practitioner understands that the proper
management of an asymptomatic woman with a small
fibroid should include:
Question 21 options:
Start combination COC therapy.

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Repeat ultrasound in 3-4 months.
Reassess in 6 to 12 months.
Refer for myomectomy.
Save
Question 22 (2.5 points)
The nurse practitioner is teaching a patient about
pediculosis. Which of the following statements by the
nurse practitioner is correct?
Question 22 options:
Nits can survive in hot and humid climates up to 21 days.”
“Adult pubic lice can survive 72 hours off their host.”
“Pruritus is not a common manifestation.”
“The condition is treated with Permethrin cream.”
Save
Question 23 (2.5 points)
All of the following medications may be used for
neuropathic pain management of vulvodynia, except:
Question 23 options:
Neurontin
SSRIs
Methotrexate

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Tricyclics
Save
Question 24 (2.5 points)
The nurse practitioner understands that which of the
following lab tests is appropriate for the patient who
presents with symptoms of dysesthetic vulvodynia?
Question 24 options:
RPR
Pap smear
Wet mount
Endometrial biopsy
Save
Question 25 (2.5 points)
Which of the following is a common antibiotic for
treatment of an infected Bartholin's cyst?
Question 25 options:
Minocycline
Levaquin
Bactrim
Ampicillin
Save
Question 26 (2.5 points)
The patient presents with complaints of a painful, swollen
lump in her vaginal area. She reports difficulty sitting and

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walking due to the pain. Which of the following is a likely
diagnosis for this patient?
Question 26 options:
Syphilis chancre
Lichen Planus
Genital Wart
Bartholin's cyst
Save
Question 27 (2.5 points)
The nurse practitioner understands that which of the
following are differential diagnoses in an adult female
patient with acute pelvic pain. Select all that apply:
Question 27 options:
A) Ectopic pregnancy
B) Appendicitis
C) Ovarian cyst with rupture
D) Pelvic Congestion Syndrome
Save
Question 28 (2.5 points)
When women experience mild premenstrual symptoms,
such as mild breast tenderness, abdominal bloating, and
mild weight gain from water retention, this is known as:
Question 28 options:
Luteal phase deficiency

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Premenstrual dysmorphic disorder
Premenstrual syndrome
Follicular phase deficiency
Save
Question 29 (2.5 points)
A patient with intraductal papilloma will commonly
present with a chief complaint of:
Question 29 options:
A palpable mass
Bloody nipple discharge
Bilateral milky discharge
Mild localized pain
Save
Question 30 (2.5 points)
The nurse practitioner understands that the necessary
screening techniques in a patient suspicious of ovarian
cancer should include the following: Select all that apply.
Question 30 options:
CA-125
Transvaginal ultrasound
Bimanual pelvic exam
Pap smear
Save

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