,NU 647 Final Exam Women's Health Nurse Practitioner I Questions
And Answers 2026/2027 Herzing University
Q1. A 34-year-old reports increasingly heavy menstrual bleeding
over six months. She is hemodynamically stable and wants future
pregnancy. Which approach is most appropriate?
A) Begin long-term hormonal therapy without determining the cause
B) Recommend hysterectomy because treatment should be definitive
C) Reassure her because heavy bleeding is common during reproductive
years
D) Evaluate pregnancy status, anemia, bleeding pattern, medications,
structural causes, and reproductive goals before selecting treatment
Correct Answer: D) Evaluate pregnancy status, anemia, bleeding pattern,
medications, structural causes, and reproductive goals before selecting
treatment
Rationale: Abnormal uterine bleeding has multiple potential causes, and
management should incorporate diagnostic findings, severity, health risks,
and fertility goals.
Q2. Which finding is most characteristic of primary dysmenorrhea?
A) Progressive noncyclic pain with weight loss
B) Pelvic pain beginning years after menopause
C) Cramping associated with menstruation without identifiable pelvic
pathology
D) Sudden unilateral pain with vomiting
Correct Answer: C) Cramping associated with menstruation without
identifiable pelvic pathology
Rationale: Primary dysmenorrhea is painful menstruation caused largely by
prostaglandin-mediated uterine contractions in the absence of underlying
pelvic disease.
Q3. Which condition commonly combines ovulatory dysfunction with
clinical or biochemical evidence of androgen excess?
A) Bacterial vaginosis
B) Uterine prolapse
C) Primary ovarian torsion
D) Polycystic ovary syndrome
, Correct Answer: D) Polycystic ovary syndrome
Rationale: PCOS commonly presents with irregular or absent ovulation
together with manifestations of androgen excess such as hirsutism or acne.
Q4. A patient with chronic anovulation from PCOS is not currently
pursuing pregnancy. Why should endometrial protection be
considered?
A) Anovulation causes continuous progesterone exposure
B) Prolonged estrogen stimulation without regular progesterone opposition
can increase endometrial hyperplasia risk
C) PCOS always progresses to endometrial cancer
D) Endometrial protection restores ovarian reserve
Correct Answer: B) Prolonged estrogen stimulation without regular
progesterone opposition can increase endometrial hyperplasia risk
Rationale: Without regular ovulation and progesterone exposure, prolonged
estrogen-driven endometrial proliferation may occur.
Q5. A patient describes pelvic pain that predictably worsens near
menstruation and is accompanied by deep dyspareunia. Which
diagnosis should remain prominent in the differential?
A) Stress urinary incontinence
B) Endometriosis
C) Acute cystitis
D) Bacterial vaginosis
Correct Answer: B) Endometriosis
Rationale: Cyclic pelvic pain and deep dyspareunia are characteristic
clinical features of endometriosis.
Q6. Sudden severe unilateral pelvic pain with nausea and vomiting
in a patient with an adnexal mass requires urgent evaluation for:
A) uncomplicated dysmenorrhea
B) vulvovaginal candidiasis
C) chronic endometriosis
D) ovarian torsion
Correct Answer: D) ovarian torsion
And Answers 2026/2027 Herzing University
Q1. A 34-year-old reports increasingly heavy menstrual bleeding
over six months. She is hemodynamically stable and wants future
pregnancy. Which approach is most appropriate?
A) Begin long-term hormonal therapy without determining the cause
B) Recommend hysterectomy because treatment should be definitive
C) Reassure her because heavy bleeding is common during reproductive
years
D) Evaluate pregnancy status, anemia, bleeding pattern, medications,
structural causes, and reproductive goals before selecting treatment
Correct Answer: D) Evaluate pregnancy status, anemia, bleeding pattern,
medications, structural causes, and reproductive goals before selecting
treatment
Rationale: Abnormal uterine bleeding has multiple potential causes, and
management should incorporate diagnostic findings, severity, health risks,
and fertility goals.
Q2. Which finding is most characteristic of primary dysmenorrhea?
A) Progressive noncyclic pain with weight loss
B) Pelvic pain beginning years after menopause
C) Cramping associated with menstruation without identifiable pelvic
pathology
D) Sudden unilateral pain with vomiting
Correct Answer: C) Cramping associated with menstruation without
identifiable pelvic pathology
Rationale: Primary dysmenorrhea is painful menstruation caused largely by
prostaglandin-mediated uterine contractions in the absence of underlying
pelvic disease.
Q3. Which condition commonly combines ovulatory dysfunction with
clinical or biochemical evidence of androgen excess?
A) Bacterial vaginosis
B) Uterine prolapse
C) Primary ovarian torsion
D) Polycystic ovary syndrome
, Correct Answer: D) Polycystic ovary syndrome
Rationale: PCOS commonly presents with irregular or absent ovulation
together with manifestations of androgen excess such as hirsutism or acne.
Q4. A patient with chronic anovulation from PCOS is not currently
pursuing pregnancy. Why should endometrial protection be
considered?
A) Anovulation causes continuous progesterone exposure
B) Prolonged estrogen stimulation without regular progesterone opposition
can increase endometrial hyperplasia risk
C) PCOS always progresses to endometrial cancer
D) Endometrial protection restores ovarian reserve
Correct Answer: B) Prolonged estrogen stimulation without regular
progesterone opposition can increase endometrial hyperplasia risk
Rationale: Without regular ovulation and progesterone exposure, prolonged
estrogen-driven endometrial proliferation may occur.
Q5. A patient describes pelvic pain that predictably worsens near
menstruation and is accompanied by deep dyspareunia. Which
diagnosis should remain prominent in the differential?
A) Stress urinary incontinence
B) Endometriosis
C) Acute cystitis
D) Bacterial vaginosis
Correct Answer: B) Endometriosis
Rationale: Cyclic pelvic pain and deep dyspareunia are characteristic
clinical features of endometriosis.
Q6. Sudden severe unilateral pelvic pain with nausea and vomiting
in a patient with an adnexal mass requires urgent evaluation for:
A) uncomplicated dysmenorrhea
B) vulvovaginal candidiasis
C) chronic endometriosis
D) ovarian torsion
Correct Answer: D) ovarian torsion
