NR 602 FINAL WEEK 8 POSS QUESTIONS AND ALL CORRECT ANSWERS

ACOG guidelines regarding well women exams

What is the ASCCP recommended management for an ASCUS (atypical squamous cells of undetermined significance) pap result with a positive high-risk HPV 16 cotest in a 26-year-old woman without a history of abnormal pap smears?

•          Colposcopy

A well-woman visit for an adolescent should include which of the following?

•          A general health history focusing on reproductive and sexual health concerns (menses, gynecologic, and pregnancy related) and psychosocial (family related, peer related, emotional, and physical as well as related to abuse, drug use, and alcohol use) concerns

Physical exam, screening tests, and immunizations as indicated by the health history and gynecologic considerations for an external-only inspection of the genitalia

ACOG Pap smear guidelines

A Bethesda system Pap smear report that reads LSIL is most consistent with which classification?

•          CIN 1

A single Pap smear reading of ASCUS in a patient negative for HPV infection should have what as follow-up?

•          Routine screening

A female patient is 35 years old. She has never had an abnormal PAP smear and has had regular screening since age

18.  If she has a normal PAP smear with HPV testing today, when should she have the next cervical cancer screening?

•          5 years

A young sexually active client at the family planning clinic is advised to have a Papanicolaou (Pap) smear. She has never had a Pap smear before. What should the nurse include in the explanation of this procedure?

•          The Pap smear can detect cancer of the cervix

Lab results on your 26-year-old patient show a negative Pap smear with a positive human papillomavirus (HPV) screen. Which procedure will be required next?

•          Repeat Pap and HPV screen

Which of the following is not part of the criteria for an older woman to cease having any future Pap tests performed?

•          Over 55 years of age