Women’s Health Nurse Practitioner Exam Prep - Question List

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56.

Your client received a diagnosis of torticollis. Which of the following muscles would be impacted?

  1. Levator scapula
  2. Sternocleidomastoid
  3. Erector spinae
  4. Platysma
57.

Your patient is a 48-year-old diabetic woman. You administer a dose of six units of regular insulin (Humulin R) to a patient at 8AM. Given the action of regular insulin, when would it make sense to monitor for a hypoglycemic reaction could occur?

  1. Between 8:00 AM and 10:00 AM
  2. Between 10:00 AM and 12:00 PM
  3. Between 2:00 PM and 10:00 PM
  4. Between 10:00 PM and 8:00 AM the next day
58.

Your 71-year-old female patient comes in for a regular appointment. She complains of worsening dyspnea and chest pain that increases with inspiration and palpation. She states that her symptoms are much better when she holds pressure on her left side. When probed, she sheepishly admits she slipped and fell on her side 3 days ago, but that it was not that hard.

What is the most likely cause of her symptoms?

  1. Hypovolemia from hip fracture
  2. Tension pneumothorax
  3. Rib fracture
  4. Traumatic asphyxiation
59.

You are working at the local urgent care. A 32-year-old woman complains of abdominal pain and vaginal bleeding. The patient states the symptoms began several days ago and have rapidly worsened. The patient describes the bleeding as light spotting and reports that she has missed her usual menstrual period this month.

On exam, vital signs show blood pressure 110/70, pulse 65, temperature 98.6, respiratory rate 20, and oxygen saturation of 99% on room air. Blood is present in the vaginal vault, and cervical motion tenderness is present. Upon examination, the cervix has a blue coloration.

What is the best next step in management?

  1. Prescribe NSAIDs
  2. Quantitative serum beta hCG level
  3. Ultrasound of the abdomen and pelvis
  4. Admission and gynecologic surgery consult for emergent exploratory laparoscopy
  5. Dilatation and curettage
  6. Bedside urine pregnancy test (beta hCG)
60.

Mara, a G1P0 female at 30 weeks gestation. On physical assessment, a blood pressure of 180/130 mm Hg was noted. Laboratory tests were conducted, revealing proteinuria of more than 5 grams in a 24-hour collection. History reveals that Mara was diagnosed with pre-eclampsia. The NP orders the administration of magnesium sulfate IV to prevent convulsions. The NP who is tasked ensures that which of the following medications is readily available as an antidote for magnesium sulfate toxicity?

  1. Naloxone
  2. Calcium gluconate
  3. Protamine sulfate
  4. Acetylcysteine

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