NRNP 6552 Final Exam: Questions and Answers for Walden University, Exams of Nursing

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NRNP 6552 Final Exam/ NRNP

Final Exam (100 Q & A)(2024-

2025):Walden university

NRNP 6552 Final Exam

Question 1 1/

In a^ woman^ who^ is^20 weeks^ pregnant,^ the^ fundus^ is^ typically^ the^ same^ height^ as:

A

The symphysis

pubis

B The umbilicus

C

The xiphoid

process

D

None of the

above

Question 2 0/

The following^ are^ risk^ factors^ for^ breast^ cancer^ except:

A Menarche after the age of 12

B Nulliparity

C

Menopause at age 55 years or

older

D

First full-term pregnancy after

age 30

Question 3 1/

Your patient is pregnant and has three cats. You educate her that she should have someone else clean the litter box as there is an infection that can spread through cat feces that can be harmful to the unborn baby. The infection is called:

A E. Coli

B Toxoplasmosis

C

Cat-scratch

fever

D Tetanus

Question 4 1/

All of^ the^ following^ are^ disadvantages^ of^ Combined^ Oral^ Contraceptives^ except:

B

The ongoing cost of the method for some

individuals

C Side effects for some women

D

Reduction in the risk of some types of

cancer

Question 5 0/

With irritable bowel syndrome (IBS), typically defecation:

A

Makes the pain more

intense

B

Provides relief from the

Pain

C

Makes no difference in the

pain

D Causes intense cramping

Question 6 1/

The Tanner scale divides sexual physical maturity into stages

A

Thre

e

B Five

C

Seve

n

D Nine

Question 7 1/

Nonlatex condoms:

A Fit tighter on the penis than latex condoms

B Come in a variety of colors

C

Have an increased risk of breakage or slippage during intercourse than

latex condom

D Lead to a greater incidence of allergies than latex condoms

All of the following are risk factors for fetal genetic or development abnormalities in maternal, paternal, and family history except:

A

Maternal age equal or greater than

30 years

B Mother and father related by blood

C Maternal exposure to toxins

D Congenital blindness or deafness

Question 12 1/

During pregnancy,^ blood^ volume:

A

Remains the same as pre-pregnant

amounts

B Increases by 10%

C Increases by 30-50%

D Decreases by 20%

Question 13 0/

A complete^ male^ evaluation^ usually^ includes:

A

Two semen analyses, approximately one

hour apart

B

Two semen analyses, approximately one

month apart

C One complete semen analysis

D A fractionated semen analysis

Question 14 1/

Maura is pregnant and comes in for a visit. She tells you that she has never had chicken pox and is wanting to know if she should get the varicella vaccine today. You let

A

It is very important that she receive this vaccine today because you do not want her

to get chicken pox while she is pregnant.

B She should not get the vaccine today as it is contraindicated in pregnancy.

C

Most health care providers leave it up to the patient and you are willing to do

whatever she requests.

D Adults never need this vaccine.

Question 15 1/

The following gonadotropins are responsible for regulating gynecologic organ activities.

A

Testosterone and

androgen

B FSH and progesterone

C FSH and LH

D LH and prolactin

Question 16 1/

Clara is a 67-year-old female who comes in requesting a pap smear. In gathering her history, she tells you all of her pap smear have been normal. Her last pap smear was at

A

You tell her you are pleased she remembered this important test and proceed with

the pap smear.

B You tell her that she hasn’t really needed to have a pap smear since age 50.

C You explain to her that this is important, and you also need to test for HPV.

D

You explain to her that the USPTF and ASCCP recommend that in a woman with a

history of negative pap smears, the test can be discontinued at age 65

Question 17 1/

Paula is 30 weeks pregnant and is in your office today. She is very concerned about her stretch marks. She wants to know if there is anything, she can put on them to make them go away. She has seen a few products on infomercials and wonders if they work. You tell

A

There are a few products on the market which have proven to be very helpful in

making stretch marks disappear

B

Despite advertiser’s claims, there is no magic cream to prevent them or make them

go away.

C

Watching weight gain and eating nutritiously can help decrease their number and

severity

D B and C

C Tdap

D A and B

E

A, B,

and C

Question 22 1/

When presenting the laboratory tests that should be performed during the pregnancy it is important to let the woman know:

A

She must have all the recommended tests done or it can be

considered child abuse

B She is required to have all tests done, except for the HIV test

C She can “opt out” of any test

D

She should make sure that her partner signs the consent for all the

tests done.

Question 23 1/

During the second trimester, a test that is offered is the alpha-fetoprotein test. This test indicates:

A If the woman will go to full term

B If the heart has any defects

C

Whether the fetal neural tube has

properly fused

D If the fetus is living

Question 24 1/

Taylor just found out she is pregnant. She has irregular periods so she is not exactly sure how far along she is, but she thinks it is pretty early. She asks you about an ultrasound to find out how many weeks she is. You tell her that:

A

Early in the pregnancy is ideal because the ultrasound dating is more accurate than

later in the pregnancy

B

She should wait a couple of months as ultrasound dating is most accurate in the

second trimester of pregnancy

C An ultrasound really won’t be able to tell her that information

B Chadwick contractions

C

Uteroplacental

contractions

D

Braxton-Hicks

contractions

Question 29 1/

Ibandronate (Boniva, a medication for osteoporosis, can be administered:

A Orally

B

Through an IM

injection

C Intravenously

D A and C

E A, B, and C

Question 30 1/

Progestin-only contraceptives are generally considered safer for women who:

A

Have a diagnosis of

Diabetes

B

Experience Migraines with

aura

C Are 15 or younger

D Are healthy and fit

Question 31 1/

The following are foods to avoid during pregnancy except:

A Soy products

B

Unpasteurized

milk

C Raw eggs

D

Raw alfalfa

sprouts

Question 32 1/

A generic prenatal vitamin supplement should be prescribed and should include:

A Iron, folic acid, and vitamins

B Mercury, folic acid, and vitamins

C

Vitamins only with no other

supplements

D

Iron and Vitamins with no other

supplements

Question 33 1/

When using FIGO staging for cancer of the ovary, fallopian tube, and peritoneum, Stage I means:

A The tumor is confined to the ovaries or fallopian tube(s)

B

The tumor involves one or both ovaries or fallopian tubes with pelvic extension or

primary peritoneal cancer The tumor involves one or both ovaries or fallopian tubes, or primary peritoneal

C

cancer, with cytologically and histologically confirmed spread to the peritoneum outside the pelvis and/or metastasis to the retroperitoneal lymph nodes, and pelvis;

has extended to bowel, peritoneum, or lymph nodes

D Distant metastasis excluding peritoneal metastasis

Question 34 1/

When discussing contraception, LARC stands for:

A

Less aggressive reversible

contraception

B

Long awaited reversible

contraception

C

Long acting reversible

contraception

D None of the above

Question 35 1/

B

days

C

days

D

days

Question 39 1/

The following is/are absolute contraindication(s) to estrogen use:

A

Known or suspected cancer of the

breast

B History of biliary tract disorder

C

History of uterine or ovarian

cancer

D A and C

E A, B, and C

Question 40 0/

The standard treatment for patients with vulvar cancer regardless of the stage of the disease is:

A Laser treatment

B Cryosurgery

C

Surgical

resection

D

Topical

medication

Question 41 0/

In a male, the urethra carries through the penis.

A Urine

B Semen

C Testostero

ne

D A and B

E A, B, and C

Question 42 1/

When using the TNM system for staging cancers, the letters stand for:

A

Tumor, nodes,

melanoma

B

Tumor, nodes,

metastasis

C

Tension, number,

metastasis

D

Tumor, number,

metastasis

Question 43 1/

The bluish hue that the cervix takes on during pregnancy is called:

A Goodell’s sign

B Baby Blues sign

C

Cervical ripening

sign

D Chadwick’s sign

Question 44 1/

Paula also asks you about the dark line that starts at her sternal notch and goes down toward the genitalia vertically. You tell her that is called and that is normal in pregnancy and may appear due to increasing levels of melanocyte-stimulating

A Linea alba

B

Striae

gravidarum

C Linea nigra

D Melanin

B 11-

C

D

Question 49 1/

The current FDA approval limit for the copper IUD is:

A

years

B

years

C

years

D

years

Question 50 1/

When a woman is pregnant and calculating the last menstrual period (LMP), it should be counted from:

A

The first day of the last

period

B

The last day of the last

period

C

The middle of the last

period

D None of the above

Question 51 0/

The most frequent causal finding(s) on laparoscopy for chronic pelvic pain is/are:

A Endometriosis

B Adhesions

C

Absence of pathologic

condition