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NURS 509 APEA WOMENS HEALTH FINAL
EXAM NEWEST ACTUAL EXAM TEST BANK 100
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
A clinician notes that a full-term newborn at 5 minutes had a heart rate > 100, strong respiratory effort, was crying vigorously, moving actively, and had good color except for some acrocyanosis of the hands and feet. This infant's APGAR score is closest to 9. The APGAR score assesses Appearance, Pulse, Grimace, Activity, and Respiration (0-2 points each, max
10). Appearance: Good color except acrocyanosis (blue
hands/feet) = 1 (not fully pink). Pulse: Heart rate > 100 = 2.
Grimace: Crying vigorously = 2. Activity: Moving actively = 2.
Respiration: Strong respiratory effort = 2. Total = 1 + 2 + 2 + 2
+ 2 = 9.
Correct answer: 9
Vaccination against HPV should be offered to males between 9- 21 years. The CDC recommends HPV vaccination for males starting at age 11-12, with catch-up vaccination recommended up to age 21 for those not previously vaccinated. It can be given as early as age 9.
Correct answer: 9-21 years
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A 25-year-old sexually active male with scrotal pain, swelling, and tenderness on the right testicle after unprotected intercourse most likely has acute epididymitis. Scrotal pain, swelling, and tenderness in a sexually active young male with recent unprotected intercourse suggest epididymitis, often due to sexually transmitted infections (e.g., Chlamydia or Gonorrhea).
Correct answer: Acute epididymitis
Which finding is most consistent with normal aging and does not impair the ability to live alone for a 78-year-old woman is age-related cognitive decline. Normal aging may involve mild memory slowing or reduced processing speed, but it does not significantly impair daily functioning or independence, unlike dementia or other diseases.
Correct answer: Age-related cognitive decline
The following is true about the presentation of pain in the older
adult: The American Geriatrics Society prefers the term
"persistent pain" over "chronic pain." The AGS uses "persistent pain" to emphasize ongoing pain management needs in older adults, avoiding the negative connotations of "chronic."
Correct answer: The American Geriatrics Society prefers the
term "persistent pain" over the term "chronic pain"
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The following is true about the innervation of the anus and
rectum that may explain discomfort during a rectal exam: The
anal canal has a rich somatosensory innervation, making poorly directed examinations painful in this area. The anal canal’s dense sensory nerve supply (via pudendal nerve) makes it highly sensitive, leading to pain if an exam is not carefully performed.
Correct answer: The anal canal has a rich somatosensory
innervation, making poorly directed examinations painful in this area
A 58-year-old with chronic lower back pain and tenderness over the sacroiliac area most likely has ankylosing spondylitis.Chronic back pain with sacroiliac tenderness is a hallmark of ankylosing spondylitis, an inflammatory condition affecting the spine and sacroiliac joints.
Correct answer: Ankylosing spondylitis
The following is true about a 66-year-old’s difficulty hearing in
noisy settings: Any hearing impairment that causes functional
decline warrants formal testing and evaluation. Hearing loss affecting function (e.g., social interaction) in older adults requires audiologic assessment, as it may indicate presbycusis or other treatable causes.
Correct answer: Any hearing impairment that causes functional
decline warrants formal testing and evaluation
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A 29-year-old pregnant woman experiencing partner abuse should be counseled by asking open-ended questions, allowing her to make decisions that she feels are best for herself given the circumstance, and providing immediate or long-term referrals to domestic violence resources. This approach empowers the patient, ensures safety, and connects her to support, aligning with best practices for domestic violence counseling.
Correct answer: Ask open-ended questions, allow her to make
decisions that she feels are best for herself given the circumstance, and provide immediate or long-term referrals to domestic violence resources
The symptom or sign most suggestive of biliary colic in a 46- year-old with recurrent abdominal pain is associated right shoulder pain. Referred right shoulder pain is classic for biliary colic due to gallbladder irritation affecting the diaphragm (phrenic nerve referral).
Correct answer: Associated right shoulder pain
The best immediate response to a floppy, blue newborn with a heart rate of 60 and minimal respiratory effort is to begin neonatal resuscitation. A low heart rate, poor tone, and cyanosis indicate the need for immediate resuscitation per neonatal guidelines (e.g., ventilation, chest compressions if needed).