PRAC 6552 – ADVANCED NURSE PRACTICE IN REPRODUCTIVE HEALTH
CARE PRACTICUM – FINAL EXAM PREP 2026/2027 NEWEST ACTUAL
EXAM TEST BANK | PRAC 6552 FINAL EXAM PREP REVIEW WITH
COMPLETE EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS |
ALREADY GRADED A+
1. A 29-year-old patient presents for a preconception visit and reports regular
28-day menstrual cycles, no chronic illnesses, and plans to attempt
pregnancy within the next three months. Which recommendation should
the advanced practice nurse prioritize to reduce the risk of neural tube
defects in a future pregnancy?
A) Begin folic acid supplementation before conception
B) Begin progesterone supplementation immediately
C) Avoid all physical activity during the preconception period
D) Begin routine low-dose aspirin regardless of risk factors
Answer: A
2. A 24-year-old patient with a new sexual partner requests contraception but
states that she does not want a method requiring daily adherence. She has
no contraindications to hormonal contraception and also wants highly
effective pregnancy prevention. Which option best addresses these
preferences?
A) Combined oral contraceptive taken at the same time every day
B) Levonorgestrel-releasing intrauterine device
C) Fertility-awareness-based method
D) Withdrawal during intercourse
Answer: B
3. A 31-year-old patient presents with heavy menstrual bleeding, fatigue, and
laboratory findings showing microcytic anemia. She reports that her
menstrual periods have become progressively heavier over the past year.
Which additional assessment is most important before selecting treatment?
A) Determine whether she has seasonal allergies
pg. 1
, B) Ask whether she has experienced recent migraine headaches
C) Assess pregnancy status and investigate the cause of abnormal uterine
bleeding
D) Determine whether she has received the influenza vaccine
Answer: C
4. A 27-year-old patient reports dysuria, urinary frequency, and lower pelvic
discomfort after intercourse with a new partner. She has no fever or flank
pain. Which approach is most appropriate when evaluating this patient?
A) Treat empirically for pyelonephritis without further assessment
B) Assume the symptoms are caused by vaginal candidiasis
C) Perform a pregnancy test only and defer all other testing
D) Evaluate for urinary infection while also assessing for sexually
transmitted infection based on exposure risk
Answer: D
5. A patient requesting contraception reports a history of migraine with aura.
She is otherwise healthy and wants a highly effective method. Which
contraceptive approach should be avoided because of increased vascular
risk?
A) Combined estrogen-progestin contraceptive
B) Copper intrauterine device
C) Levonorgestrel intrauterine device
D) Etonogestrel implant
Answer: A
6. A 35-year-old patient presents with six months of irregular menstrual
bleeding and intermittent pelvic pressure. Pregnancy testing is negative.
During pelvic examination, the uterus is enlarged and irregularly contoured.
Which condition should the clinician consider most strongly?
A) Vulvovaginal candidiasis
B) Uterine leiomyomas
C) Pelvic inflammatory disease
pg. 2
, D) Genital herpes
Answer: B
7. A 22-year-old patient presents with lower abdominal pain, fever, cervical
motion tenderness, and purulent cervical discharge. Pregnancy testing is
negative. Which diagnosis is most consistent with this clinical presentation?
A) Endometriosis
B) Bacterial vaginosis
C) Pelvic inflammatory disease
D) Primary dysmenorrhea
Answer: C
8. A 42-year-old patient reports progressively painful menstruation, deep
dyspareunia, and chronic pelvic pain. Pelvic examination reveals uterine
tenderness without evidence of acute infection. Which condition should be
included prominently in the differential diagnosis?
A) Vulvar dermatitis
B) Trichomoniasis
C) Functional urinary incontinence
D) Endometriosis
Answer: D
9. A 19-year-old patient presents with a painless genital ulcer following recent
sexual contact. The lesion is clean-based and non-tender. Which infection
should be considered most strongly?
A) Syphilis
B) Genital herpes
C) Candidiasis
D) Trichomoniasis
Answer: A
10. A patient presents with multiple painful grouped vesicles on an
erythematous base involving the external genital region. She reports
burning and tingling before the lesions appeared. Which diagnosis is most
likely?
pg. 3
, A) Syphilis
B) Genital herpes
C) Chancroid
D) Genital warts
Answer: B
11. A 26-year-old patient reports a thin, homogeneous vaginal discharge with a
noticeable fish-like odor that becomes more pronounced after intercourse.
Vaginal examination reveals no significant inflammation. Which diagnosis is
most likely?
A) Vulvovaginal candidiasis
B) Genital herpes
C) Bacterial vaginosis
D) Gonorrhea
Answer: C
12. A patient presents with intense vulvar itching, erythema, and thick white
vaginal discharge without a strong odor. Which diagnosis best explains
these findings?
A) Bacterial vaginosis
B) Trichomoniasis
C) Gonococcal cervicitis
D) Vulvovaginal candidiasis
Answer: D
13. A patient presents with a frothy yellow-green vaginal discharge, vulvar
irritation, and a cervix described as having a punctate erythematous
appearance. Which infection should the clinician suspect?
A) Trichomoniasis
B) Candidiasis
C) Syphilis
D) Bacterial vaginosis
Answer: A
pg. 4
CARE PRACTICUM – FINAL EXAM PREP 2026/2027 NEWEST ACTUAL
EXAM TEST BANK | PRAC 6552 FINAL EXAM PREP REVIEW WITH
COMPLETE EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS |
ALREADY GRADED A+
1. A 29-year-old patient presents for a preconception visit and reports regular
28-day menstrual cycles, no chronic illnesses, and plans to attempt
pregnancy within the next three months. Which recommendation should
the advanced practice nurse prioritize to reduce the risk of neural tube
defects in a future pregnancy?
A) Begin folic acid supplementation before conception
B) Begin progesterone supplementation immediately
C) Avoid all physical activity during the preconception period
D) Begin routine low-dose aspirin regardless of risk factors
Answer: A
2. A 24-year-old patient with a new sexual partner requests contraception but
states that she does not want a method requiring daily adherence. She has
no contraindications to hormonal contraception and also wants highly
effective pregnancy prevention. Which option best addresses these
preferences?
A) Combined oral contraceptive taken at the same time every day
B) Levonorgestrel-releasing intrauterine device
C) Fertility-awareness-based method
D) Withdrawal during intercourse
Answer: B
3. A 31-year-old patient presents with heavy menstrual bleeding, fatigue, and
laboratory findings showing microcytic anemia. She reports that her
menstrual periods have become progressively heavier over the past year.
Which additional assessment is most important before selecting treatment?
A) Determine whether she has seasonal allergies
pg. 1
, B) Ask whether she has experienced recent migraine headaches
C) Assess pregnancy status and investigate the cause of abnormal uterine
bleeding
D) Determine whether she has received the influenza vaccine
Answer: C
4. A 27-year-old patient reports dysuria, urinary frequency, and lower pelvic
discomfort after intercourse with a new partner. She has no fever or flank
pain. Which approach is most appropriate when evaluating this patient?
A) Treat empirically for pyelonephritis without further assessment
B) Assume the symptoms are caused by vaginal candidiasis
C) Perform a pregnancy test only and defer all other testing
D) Evaluate for urinary infection while also assessing for sexually
transmitted infection based on exposure risk
Answer: D
5. A patient requesting contraception reports a history of migraine with aura.
She is otherwise healthy and wants a highly effective method. Which
contraceptive approach should be avoided because of increased vascular
risk?
A) Combined estrogen-progestin contraceptive
B) Copper intrauterine device
C) Levonorgestrel intrauterine device
D) Etonogestrel implant
Answer: A
6. A 35-year-old patient presents with six months of irregular menstrual
bleeding and intermittent pelvic pressure. Pregnancy testing is negative.
During pelvic examination, the uterus is enlarged and irregularly contoured.
Which condition should the clinician consider most strongly?
A) Vulvovaginal candidiasis
B) Uterine leiomyomas
C) Pelvic inflammatory disease
pg. 2
, D) Genital herpes
Answer: B
7. A 22-year-old patient presents with lower abdominal pain, fever, cervical
motion tenderness, and purulent cervical discharge. Pregnancy testing is
negative. Which diagnosis is most consistent with this clinical presentation?
A) Endometriosis
B) Bacterial vaginosis
C) Pelvic inflammatory disease
D) Primary dysmenorrhea
Answer: C
8. A 42-year-old patient reports progressively painful menstruation, deep
dyspareunia, and chronic pelvic pain. Pelvic examination reveals uterine
tenderness without evidence of acute infection. Which condition should be
included prominently in the differential diagnosis?
A) Vulvar dermatitis
B) Trichomoniasis
C) Functional urinary incontinence
D) Endometriosis
Answer: D
9. A 19-year-old patient presents with a painless genital ulcer following recent
sexual contact. The lesion is clean-based and non-tender. Which infection
should be considered most strongly?
A) Syphilis
B) Genital herpes
C) Candidiasis
D) Trichomoniasis
Answer: A
10. A patient presents with multiple painful grouped vesicles on an
erythematous base involving the external genital region. She reports
burning and tingling before the lesions appeared. Which diagnosis is most
likely?
pg. 3
, A) Syphilis
B) Genital herpes
C) Chancroid
D) Genital warts
Answer: B
11. A 26-year-old patient reports a thin, homogeneous vaginal discharge with a
noticeable fish-like odor that becomes more pronounced after intercourse.
Vaginal examination reveals no significant inflammation. Which diagnosis is
most likely?
A) Vulvovaginal candidiasis
B) Genital herpes
C) Bacterial vaginosis
D) Gonorrhea
Answer: C
12. A patient presents with intense vulvar itching, erythema, and thick white
vaginal discharge without a strong odor. Which diagnosis best explains
these findings?
A) Bacterial vaginosis
B) Trichomoniasis
C) Gonococcal cervicitis
D) Vulvovaginal candidiasis
Answer: D
13. A patient presents with a frothy yellow-green vaginal discharge, vulvar
irritation, and a cervix described as having a punctate erythematous
appearance. Which infection should the clinician suspect?
A) Trichomoniasis
B) Candidiasis
C) Syphilis
D) Bacterial vaginosis
Answer: A
pg. 4
