NR602 Week 8 Final Exam August 2026
Which nipple discharge characteristic is MOST concerning for malignancy?
- Bilateral clear discharge during pregnancy
- Green multi-ductal discharge in a 55-year-old patient
- Bilateral milky discharge with nipple manipulation
- Spontaneous unilateral bloody discharge with a palpable mass ✅
A patient with a history of sexual trauma presents for gynecologic evaluation. Which statement BEST demonstrates trauma-informed communication?
- “This examination is necessary, so try to relax.”
- “Most patients tolerate this examination without difficulty.”
- “You are in control, and we can stop or pause anytime.” ✅
- “Let me know if anything hurts, but I need to finish quickly.”
A 6-year-old child presents with a 3-day history of fever, decreased appetite, and new onset of vomiting. The parent reports no urine output in the last 10 hours. On exam, the child is listless, has dry mucous membranes, delayed capillary refill, and tachycardia. Based on pediatric primary care assessment principles, which action is the MOST appropriate next step?
- Order routine outpatient labs and schedule a follow-up visit in 24 hours
- Recommend oral rehydration therapy at home every 5–10 minutes to restore fluid balance
- Prescribe an antiemetic to control vomiting before reassessing hydration status
- Refer the child for urgent evaluation for possible moderate to severe dehydration requiring intravenous fluids ✅
A 27-year-old primiparous patient presents 3 weeks postpartum with complaints that her infant frequently chokes, pulls away from the breast during feeding, and appears distressed. She also reports excessive milk leakage between feedings. The infant’s growth is appropriate. Which is the MOST appropriate initial management?…………………………….purchase all the 100 exam questions and answers at $99 only
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