Barkley WHNP PRACTICE QUESTIONS
|ORIGINAL QUESTIONS & ANSWERS
|DETAILED RATIONALES |HINTED
COMPLETE EXAM PREP GRADED
A+*INSTANT DOWNLOAD PDF
Section 1: Primary Care & Preventive Women's Health
1.
A 24-year-old woman presents for an annual preventive visit. She has
no medical problems and reports being sexually active with one male
partner. Which screening is routinely recommended for this patient
based on age?
A. Mammography
B. Bone density screening
C. Cervical cancer screening
D. Colorectal cancer screening
Answer: C. Cervical cancer screening
Rationale: Average-risk women begin cervical cancer screening at
age 21. Screening recommendations depend on age and the testing
strategy used.
2.
A 32-year-old woman asks how often she should receive cervical
cancer screening with primary high-risk HPV testing when this
strategy is used. What is the typical interval?
,A. Every year
B. Every 2 years
C. Every 5 years
D. Every 10 years
Answer: C. Every 5 years
Rationale: For average-risk women, primary HPV testing can be
performed at 5-year intervals beginning at age 25 in many current
screening guidelines, although age thresholds vary somewhat among
organizations.
3.
A 45-year-old woman with average breast cancer risk asks when
routine mammography should begin. Which response is most
appropriate?
A. Routine mammography is unnecessary before age 55
B. Mammography generally begins in the 40s for average-risk women
C. Mammography begins only after menopause
D. Screening begins at age 65
Answer: B. Mammography generally begins in the 40s for average-
risk women
Rationale: Current major guidelines generally recommend initiating
mammographic screening during the 40s for average-risk women,
with exact intervals varying by organization.
4.
A 67-year-old woman asks why osteoporosis screening is
recommended. Which test is the standard screening study?
,A. Serum calcium
B. Plain pelvic radiograph
C. Dual-energy X-ray absorptiometry
D. Serum alkaline phosphatase
Answer: C. Dual-energy X-ray absorptiometry
Rationale: DXA is the standard method for assessing bone mineral
density and diagnosing osteoporosis.
5.
Which factor is a modifiable risk factor for osteoporosis?
A. Increasing age
B. Female sex
C. Low physical activity
D. Previous menopause
Answer: C. Low physical activity
Rationale: Weight-bearing and resistance exercise help maintain
bone density. Age, sex, and menopausal status are nonmodifiable
factors.
6.
A 29-year-old woman reports never having received the HPV vaccine.
Which counseling is appropriate?
A. HPV vaccination is contraindicated after age 18
B. Vaccination may be offered through age 26 routinely and through
age 45 based on shared decision-making
C. HPV vaccine is only effective before sexual activity begins
D. HPV vaccination eliminates the need for cervical screening
, Answer: B. Vaccination may be offered through age 26 routinely
and through age 45 based on shared decision-making
Rationale: Catch-up HPV vaccination is routinely recommended
through age 26. Adults ages 27–45 may consider vaccination through
shared clinical decision-making.
7.
Which behavior most effectively reduces the risk of sexually
transmitted infections?
A. Urinating after intercourse
B. Using condoms consistently and correctly
C. Douching after intercourse
D. Avoiding hormonal contraception
Answer: B. Using condoms consistently and correctly
Rationale: Consistent and correct condom use reduces transmission
of many STIs, although it does not eliminate risk.
8.
A 19-year-old sexually active woman asks whether she needs annual
chlamydia screening. Which response is appropriate?
A. No, screening begins at age 25
B. Yes, sexually active women younger than 25 should be screened
annually
C. Screening is necessary only when symptoms occur
D. Screening is indicated only during pregnancy
Answer: B. Yes, sexually active women younger than 25 should be
screened annually
|ORIGINAL QUESTIONS & ANSWERS
|DETAILED RATIONALES |HINTED
COMPLETE EXAM PREP GRADED
A+*INSTANT DOWNLOAD PDF
Section 1: Primary Care & Preventive Women's Health
1.
A 24-year-old woman presents for an annual preventive visit. She has
no medical problems and reports being sexually active with one male
partner. Which screening is routinely recommended for this patient
based on age?
A. Mammography
B. Bone density screening
C. Cervical cancer screening
D. Colorectal cancer screening
Answer: C. Cervical cancer screening
Rationale: Average-risk women begin cervical cancer screening at
age 21. Screening recommendations depend on age and the testing
strategy used.
2.
A 32-year-old woman asks how often she should receive cervical
cancer screening with primary high-risk HPV testing when this
strategy is used. What is the typical interval?
,A. Every year
B. Every 2 years
C. Every 5 years
D. Every 10 years
Answer: C. Every 5 years
Rationale: For average-risk women, primary HPV testing can be
performed at 5-year intervals beginning at age 25 in many current
screening guidelines, although age thresholds vary somewhat among
organizations.
3.
A 45-year-old woman with average breast cancer risk asks when
routine mammography should begin. Which response is most
appropriate?
A. Routine mammography is unnecessary before age 55
B. Mammography generally begins in the 40s for average-risk women
C. Mammography begins only after menopause
D. Screening begins at age 65
Answer: B. Mammography generally begins in the 40s for average-
risk women
Rationale: Current major guidelines generally recommend initiating
mammographic screening during the 40s for average-risk women,
with exact intervals varying by organization.
4.
A 67-year-old woman asks why osteoporosis screening is
recommended. Which test is the standard screening study?
,A. Serum calcium
B. Plain pelvic radiograph
C. Dual-energy X-ray absorptiometry
D. Serum alkaline phosphatase
Answer: C. Dual-energy X-ray absorptiometry
Rationale: DXA is the standard method for assessing bone mineral
density and diagnosing osteoporosis.
5.
Which factor is a modifiable risk factor for osteoporosis?
A. Increasing age
B. Female sex
C. Low physical activity
D. Previous menopause
Answer: C. Low physical activity
Rationale: Weight-bearing and resistance exercise help maintain
bone density. Age, sex, and menopausal status are nonmodifiable
factors.
6.
A 29-year-old woman reports never having received the HPV vaccine.
Which counseling is appropriate?
A. HPV vaccination is contraindicated after age 18
B. Vaccination may be offered through age 26 routinely and through
age 45 based on shared decision-making
C. HPV vaccine is only effective before sexual activity begins
D. HPV vaccination eliminates the need for cervical screening
, Answer: B. Vaccination may be offered through age 26 routinely
and through age 45 based on shared decision-making
Rationale: Catch-up HPV vaccination is routinely recommended
through age 26. Adults ages 27–45 may consider vaccination through
shared clinical decision-making.
7.
Which behavior most effectively reduces the risk of sexually
transmitted infections?
A. Urinating after intercourse
B. Using condoms consistently and correctly
C. Douching after intercourse
D. Avoiding hormonal contraception
Answer: B. Using condoms consistently and correctly
Rationale: Consistent and correct condom use reduces transmission
of many STIs, although it does not eliminate risk.
8.
A 19-year-old sexually active woman asks whether she needs annual
chlamydia screening. Which response is appropriate?
A. No, screening begins at age 25
B. Yes, sexually active women younger than 25 should be screened
annually
C. Screening is necessary only when symptoms occur
D. Screening is indicated only during pregnancy
Answer: B. Yes, sexually active women younger than 25 should be
screened annually
