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2023 NR602 Clinical Analysis Final Real Exam With Answers (51 Solved Questions)

Prepare with 2023 NR602 Clinical Analysis Final Real Exam With Answers, covering all past exam scenarios in detail.

Benjamin White
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NR602FINALEXAMLATEST2023REALEXAM(COMPLETE EXAM) QUESTIONS AND CORRECTANSWERS|AGRADE•Asexuallyactive18-yearsoldpresentswithpostcoitalspotting, dysuriaandayellow discharge.Onexamyou find hercervix iserythematousandbleedswithcontact.The most likely diagnosis is•Cervicalcancer•Chlamydia•Primarysyphilis•Tamponinjury•Oneoftheleadingcausesoffemaleinfertility,Stein-Leventhalsyndromeis•Pelvicinflammatorydisease•Polycysticovarydisease•Multiplesexpartners•Ectopicpregnancysyndrome•HIVtestisindicatedfora(n)•18-year-oldfemalewhosesexpartnerhasahistoryofgenitalwarts•24-year-oldfemalewithcurrentgenitalwartsasadjuncttoroutinepaptest•30-year-oldfemalewithnohistoryofgenitalwartsasadjuncttoroutinepaptest•67-yearold femalewithnewsexpartnerinpast yearwho hashistoryofgenitalwarts•Whichofthefollowingcontraceptivemethodswouldbebest forawomanwithsickle cell anemia?•Combinationoralcontraceptives•Transdermalcontraceptivepatch•Progestin-onlycontraceptives•Femalecondom•APatienttakingmetronidazoleandcimetidineatthesametimeisatriskfor:•Bothersomesideeffectfromthemetronidazole•Decreasedeffectivenessofcimetidine•Renalimpairment•Severedisulfiramtypereaction•A58-yearoldwomancomplainofseverevulvular pruritis. Onexaminationofthevulva, you note thinning of the epidermis and loss of pigmentation, as well asmaculopapular lesions. You suspect the diagnosis may be•Lichensclerosus•Localallergicreaction•Lichensimplexchonicus

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•Vulvodynia•Measuringwaistcircumferenceismostappropriatewhentheclient’sBMIplaceherinwhichofthefollowingcategories?•Underweight•Normalweight•Overweight•Extremeobesity•ThelevonogestrelreleasingIUCmaybeabetterchoicethenthecopperreleasingIUCfor a woman who:•Hasneverbeenpregnant•Hasdysmenorrhea•Iscurrentlybreastfeeding•Issureshedoesnotwant morechildren•A 30-year old is seen in your office on day18 of her cycle for her routineannual examination.Shehasnocomplaints.Pelvicexamrevealsa9-cmfirm,pelvicmass anterior to the uterus.The most likely diagnosis is•Benigncysticteratoma•Ectopicpregnancy•Endometrioma•Follicularcyst•Firstlinetreatmentforpolycysticovarysyndromeis BilateraloophorectomyBeginningandrogentherapiesAcombinationofdietmodification,weightloss,andstressmanagementAlaparotomywithabilateralwedgeresection•A45-year old female presents with complaint of lower abdominalpain with urinaryurgency and frequencyforthepastthreemonths.Thepainisworseduringsexualintercourseandrelieved somewhat whenshe urinates. Physicalexamreveals suprapubic tenderness aswellas tenderness along the anterior vaginal wall and urethra. The remainder of her exam isnormal. What diagnosis best fits these findings?ChronicurinarytractinfectionInterstitialcystitis/painfulbladdersyndrome

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Pelvicinflammatorydisease Pyelonephritis•Ifyoudiagnoseacervicalgonococcalinfection, whichotherinfectionisprobablypresent?CandidiasisSyphilisTrichomoniasisChlamydia•A24-year old female presents to your office witha request for combinationcontraceptives. Hercurrentmedicationsincludeabronchodilatorforasthma.Managementforthisclientshould include advising her that:Combination oral contraceptives are not recommended for women with asthmaCombinationoralcontraceptivesmaypotentiatetheactionofherbronchodilatorShe should use a backup method if using the bronchodilatorseveral days in a row Progestin-only contraceptive injections may reduce herasthma attacks•TheCDCrecommendationforfollow-upofafemaletreatedforPIDwitharecommended outpatient regimen is:Advisepatient toreturnifpainand/orfeverpersistsmorethanfivedaysRe-examine patient within 72 hours after initiation oftreatmentRetest for chlamydia and gonorrhea in two weeksSeepatientinoneweekfor seconddoseceftriaxoneIM•A16-yearoldwomanhasnot yet begunmenstruatingbut doeshavesecondarysexual characteristics.She is best described as having:Asherman’ssyndromeOligomenorrheaPrimaryamenorrheaSecondaryamenorrhea•Theglandslocatedposteriorlyoneachsideofthevaginalorificearethe:Bartholin’sglands
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Document Details

University
Chamberlain College of Nursing
Course
NR 602
Subject
Medicine

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