NUR 622 Final Exam Preparation – NUR 622 (2026–2027) –
Complete Exam Material with 100 Practice Questions and
Detailed Answer Explanations
Introduction
This document contains a comprehensive set of 100 practice
questions with verified answers for the NUR 622 final
examination. It covers key women's health, gynecology,
obstetrics, reproductive health, sexually transmitted
infections, contraception, menopause, infertility, breast
disorders, pregnancy complications, and selected mental
health topics commonly tested in advanced nursing exams.
The material is organized in a question-and-answer format
with detailed explanations to reinforce clinical reasoning and
exam preparation. It serves as a complete review resource for
students preparing for the NUR 622 final exam.
Exam Questions and Answers
A 15-year-old girl is seen in the clinic because she has not yet
had her first period. Which of the following questions would
help the clinician determine the cause?
A. "Are you sexually active?"
B. "How long have you been underweight?"
C. "Was your mother pregnant with you when she was of
advanced maternal age?"
,D. "Have you noticed any changes in your moods lately?" ---
correct precise solution ---B. "How long have you been
underweight?"
What is the most common cause of secondary amenorrhea?
A. Pregnancy
B. Pituitary dysfunction
C. Inadequate estrogen levels
D. Genetic disorders --- correct precise solution ---A.
Pregnancy
A 22-year-old woman is diagnosed with premenstrual
syndrome. Which of the following lifestyle changes should the
clinician suggest to help minimize the patient's symptoms?
A. At least 4 cups of green tea daily
B. Regular exercise
C. Take vitamin A supplements
D. Eat a diet high in iron --- correct precise solution ---B.
Regular exercise
A 25-year-old woman is seen in the clinic complaining of
painful menstruation. Which of the following pelvic
pathologies is the most common cause of secondary
dysmenorrhea?
A. Pelvic inflammatory disease
B. Endometriosis
C. Sexually transmitted infections
,D. Ovarian cyst --- correct precise solution ---B.
Endometriosis
A 26-year-old woman tells the clinician that she has
endometriosis, because she has frequent pelvic pain. The
clinician also should consider which of these differential
diagnoses?
A. Diverticulitis
B. Cholelithiasis
C. Kidney stones
D. Ovarian cysts --- correct precise solution ---D. Ovarian
cysts
Which of the following would be appropriate treatment for a
woman with mild endometriosis?
A. Oral contraceptives
B. Leuprolide acetate injections
C. Nafarelin nasal spray
D. Hysterectomy --- correct precise solution ---A. Oral
contraceptives
A 45-year-old woman is seen in the clinic with abnormal
uterine bleeding and pain during intercourse. The clinician
should consider which of the following diagnoses?
A. Postmenopausal syndrome
B. Infertility
C. Mittelschmerz
D. Polyp --- correct precise solution ---D. Polyp
, A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and states she
can no longer exercise. Pelvic exam reveals a single, very
large mass. Which of the following diagnostic tests should the
clinician order first?
A. Transvaginal ultrasound
B. Endometrial biopsy
C. MRI
D. Abdominal computed tomography scan --- correct precise
solution ---A. Transvaginal ultrasound
Which of the following tests is essential for a 46-year-old
woman who the clinician suspects is perimenopausal?
A. Pregnancy
B. Estrogen level
C. Progesterone level
D. LH level --- correct precise solution ---A. Pregnancy
A 60-year-old woman is seen for an annual checkup. Her
obstetric history reveals para 6, gravida 6. She reports that
she went through menopause at age 45. Her grandmother died
at age 80 of colon cancer, and her father died of lung cancer.
What in her history would be a risk factor for ovarian cancer?
A. Her numerous pregnancies
B. Her age at menopause
C. Her father's history of lung cancer
Complete Exam Material with 100 Practice Questions and
Detailed Answer Explanations
Introduction
This document contains a comprehensive set of 100 practice
questions with verified answers for the NUR 622 final
examination. It covers key women's health, gynecology,
obstetrics, reproductive health, sexually transmitted
infections, contraception, menopause, infertility, breast
disorders, pregnancy complications, and selected mental
health topics commonly tested in advanced nursing exams.
The material is organized in a question-and-answer format
with detailed explanations to reinforce clinical reasoning and
exam preparation. It serves as a complete review resource for
students preparing for the NUR 622 final exam.
Exam Questions and Answers
A 15-year-old girl is seen in the clinic because she has not yet
had her first period. Which of the following questions would
help the clinician determine the cause?
A. "Are you sexually active?"
B. "How long have you been underweight?"
C. "Was your mother pregnant with you when she was of
advanced maternal age?"
,D. "Have you noticed any changes in your moods lately?" ---
correct precise solution ---B. "How long have you been
underweight?"
What is the most common cause of secondary amenorrhea?
A. Pregnancy
B. Pituitary dysfunction
C. Inadequate estrogen levels
D. Genetic disorders --- correct precise solution ---A.
Pregnancy
A 22-year-old woman is diagnosed with premenstrual
syndrome. Which of the following lifestyle changes should the
clinician suggest to help minimize the patient's symptoms?
A. At least 4 cups of green tea daily
B. Regular exercise
C. Take vitamin A supplements
D. Eat a diet high in iron --- correct precise solution ---B.
Regular exercise
A 25-year-old woman is seen in the clinic complaining of
painful menstruation. Which of the following pelvic
pathologies is the most common cause of secondary
dysmenorrhea?
A. Pelvic inflammatory disease
B. Endometriosis
C. Sexually transmitted infections
,D. Ovarian cyst --- correct precise solution ---B.
Endometriosis
A 26-year-old woman tells the clinician that she has
endometriosis, because she has frequent pelvic pain. The
clinician also should consider which of these differential
diagnoses?
A. Diverticulitis
B. Cholelithiasis
C. Kidney stones
D. Ovarian cysts --- correct precise solution ---D. Ovarian
cysts
Which of the following would be appropriate treatment for a
woman with mild endometriosis?
A. Oral contraceptives
B. Leuprolide acetate injections
C. Nafarelin nasal spray
D. Hysterectomy --- correct precise solution ---A. Oral
contraceptives
A 45-year-old woman is seen in the clinic with abnormal
uterine bleeding and pain during intercourse. The clinician
should consider which of the following diagnoses?
A. Postmenopausal syndrome
B. Infertility
C. Mittelschmerz
D. Polyp --- correct precise solution ---D. Polyp
, A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and states she
can no longer exercise. Pelvic exam reveals a single, very
large mass. Which of the following diagnostic tests should the
clinician order first?
A. Transvaginal ultrasound
B. Endometrial biopsy
C. MRI
D. Abdominal computed tomography scan --- correct precise
solution ---A. Transvaginal ultrasound
Which of the following tests is essential for a 46-year-old
woman who the clinician suspects is perimenopausal?
A. Pregnancy
B. Estrogen level
C. Progesterone level
D. LH level --- correct precise solution ---A. Pregnancy
A 60-year-old woman is seen for an annual checkup. Her
obstetric history reveals para 6, gravida 6. She reports that
she went through menopause at age 45. Her grandmother died
at age 80 of colon cancer, and her father died of lung cancer.
What in her history would be a risk factor for ovarian cancer?
A. Her numerous pregnancies
B. Her age at menopause
C. Her father's history of lung cancer
