1. Jackie is a fifteen-year-old African American female who resides in a housing
plan. You realize that barriers exist in providing preventive services to
adolescents that include all of the following except ------correct answer----
availability of guidelines for preventive care
2. The nurse practitioner is caring for a menopausal patient reporting vaginal
dryness with intercourse. How would this best be managed? ------correct answer-
---vaginal estrogen
3. Seventeen-year-old Stella presents with the chief complaint of unilateral breast
tenderness and swelling. Which of the following would be the least likely etiology
for this problem? ------correct answer----breast cancer
4. The nurse practitioner is completing a follow-up visit on a woman who was
previously prescribed hormonal therapy (HT), which she has not taken for the
last month. The primary reason the patient discontinued HT is _________. ------
correct answer----vaginal bleeding
5. A Pap smear result of atypical squamous cells of undetermined significance—
rule out high-grade squamous intraepithelial lesion (ASCUS r/o HGSIL) will
require which procedure next? ------correct answer----colposcopy
6. According to Neinstein, all stages of adolescent psychosocial development
revolve around issues with independence/dependence, body image concerns,
peer group involvement, and identity development. During which stage are eating
disorders most likely to surface? ------Correct answer----middle adolescence (14
to 16)
7. Iris is a thirty-two-year-old married woman with three children. She comes in for
information on using the copper T intrauterine device (IUD) for contraception.
Which of the following would be a contraindication to using this appliance? ------
Correct answer----Prior ectopic pregnancy
8. You are meeting with twenty-two year- old Emily to discuss birth control options.
She has tried "the pill" in the past but failed to take it regularly. She is interested
in depo because she only has to come in every three months for a shot. She also
heard that one does not get a period on depo, and she likes the thought of that.
Which of the following would be a specific consideration with depo that you would
need to discuss? ------correct answer----Depo depletes skeletal mass, so it is
necessary to take calcium supplements
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