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NR509 FINAL EXAM ACTUAL EXAM AND STUDY GUIDE QUESTION BANK LATEST COMPLETE 250 QUESTIONS AND CORRECT DETAILED SOLUTIONS JUST RELEASED$15.99
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NR509 FINAL EXAM ACTUAL EXAM AND STUDY GUIDE
QUESTION BANK LATEST 2024-2025 COMPLETE 250
QUESTIONS AND CORRECT DETAILED SOLUTIONS JUST
RELEASED
Q: A 20-year-old college student presents for his annual physical examination. He
recently became sexually active and is inquiring about the best means of
preventing sexually transmitted infections (STIs). Of the following, which would be
the most effective means of prevention?
a. Early withdrawal
b. Male condoms
c. Spermicides
d. Diaphragms
e. Cervical caps - ANSWER✔✔b. Male condoms
Q: A 21-year-old college student presents to the student health clinic for a full
physical examination. He is generally healthy; however, he reports that he has had
sexual intercourse with multiple partners in the past couple of months. He noticed
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a small lesion on the shaft of his penis a few days ago. While performing the
examination, he unwillingly achieves an erection. How should the clinician
proceed at this point?
a. Stop the examination immediately.
b. Have him return to see another provider.
c. Explain this is a normal response and finish the examination.
d. Tell him the examination cannot proceed until the erection subsides.
e. Assume that he is malingering. - ANSWER✔✔c. Explain this is a normal
response and finish the examination.
Q: A 45-year-old driver's education instructor presents to the clinic for heavy
periods and pelvic pain during her menses. She reached menarche at age 13 years
and has had regular periods except during her pregnancies. She is a G4P3013 and
does not use birth control as her husband has had a vasectomy. She states this has
been going on for about a year but seems to be getting worse. Her last period was
1 week ago. On bimanual exam, a large midline mass halfway to the umbilicus is
palpated. Each adnexal area is nonpalpable. Her rectal exam is normal. Her body
mass index (BMI) is 27. What is the best explanation for her physical finding?
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a. Large colonic stool
b. Ovarian mass
c. Fibroids
d. 4-Month pregnancy
e. Bartholin gland enlargement - ANSWER✔✔c. Fibroids
Q: A 32-year-old G0 woman comes for evaluation on why she and her husband
have been unable to get pregnant. Her husband has been married before and has
two other children, ages 7 and 4 years. The patient relates she began her periods
at age 12 and has been fairly regular ever since. She began oral contraceptive pills
from when she got married until last year, when she began to try for a pregnancy.
Before this she had regular cycles for 10 years. She has had a history of five prior
partners. She relates she was once treated for a severe genital infection when she
was in college. Based on this patient's history, what is the best explanation for her
infertility?
a. Prior pelvic inflammatory disease (PID)
b. Prior Bartholin gland infection
c. Prior herpes infection
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d. Metabolic disorder with subsequent hormonal irregularities leading to
anovulation
e. Secondary amenorrhea - ANSWER✔✔a. Prior pelvic inflammatory disease (PID)
Q: A 24-year-old retail clerk presents to the clinic for an annual exam. Her last Pap
was 3 years ago and was normal. She is a G0 and is currently not sexually active
although she has had two lifetime partners. She is on oral contraceptive pills for
cycle control and has no medical problems. Based on guidelines, the clinician
proceeds to perform a Pap smear and places the speculum. There are two layers
of cells, squamous and columnar. Where is the most important area to obtain cells
for a Pap smear?
a. Zona reticularis
b. Transformation zone
c. Squamous zone
d. Columnar zone
e. Linea nigra - ANSWER✔✔b. Transformation zone
Q: A 35-year-old grade school teacher presents for her annual exam. Her last Pap
smear was 4 years ago and normal. She is a G1P1 with a 6-year-old child. She has
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