MN551 EXAMINATION TEST 2026 QUESTIONS
WITH ANSWERS GRADED A+
◉ Having heard positive reports of the benefits of HT from her sister-in-
law and friends, a 49-year-old woman has presented to her nurse
practitioner asking to start HT. Her uterus is intact and previous bone
scans have indicated low bone density. The patient also has a family
history of heart disease. She characterizes her symptoms of menopause
as "noticeable, but not debilitating by any means." Based on the most
current research, what is her nurse practitioner's best course of action?
A. Begin low-dose HT but perform regular breast cancer screening and
heart health checks
B. Forgo HT but consider alternative therapies and reevaluate if her
symptoms significantly affect her quality of life
C. Forgo HT in light of her preexisting low bone density and consequent
risk of osteoporosis
D. Begin estrogen-progesterone HT (EPT) to prevent future menopausal
symptoms and coronary heart disease (CHD). Answer: B. Forgo HT but
consider alternative therapies and reevaluate if her symptoms
significantly affect her quality of life
,◉ A 71 yearold man has visited his nurse practitioner for a checkup,
during which the nurse practitioner has initiated a discussion about the
patient's sexual function. Which of the following phenomena would the
nurse practitioner most likely consider a pathological rather than an
agerelated change? Question options:
A. A decrease in the force of the man's ejaculation
B. Cessation of FSH production
C. A decrease in the size and firmness of the patient's testes
D. The presence of relative or absolute hypogonadism. Answer: B.
Cessation of FSH production
◉ A 60yearold woman who is 11 years menopausal has presented to the
emergency department stating, "I haven't had my period in years, but
lately I've been bleeding again, and quite heavily in the last few days."
The care team needs to rule out endometrial cancer. How should they
best explain the most accurate plan for confirming or ruling out the
diagnosis? Question options:
A. "We can do a Pap smear right now and we will get the results as soon
as we can."
,B. "We are going to order blood work that will measure your hormone
levels."
C. "We're going to have to open your cervix with a speculum and take
scrapings from the wall of your uterus."
D. "We're going to book a CT scan for you as soon as possible so that we
can see what is inside your uterus.". Answer: C. "We're going to have to
open your cervix with a speculum and take scrapings from the wall of
your uterus."
◉ Long, stretchy cervical mucus that exhibits ferning on a microscope
slide is characteristic of which of the following?
A. Low human chorionic gonadotropin levels
B. High progesterone levels
C. Low estrogen levels
D. High LH level. Answer: D. High LH level
, ◉ During a group prenatal class, the nurse teaching the course is
explaining the thinning of the cervix that accompanies the stages of
labor leading up to delivery. A participant admits that she is not familiar
with either the location or normal role of the cervix. Which of the
following responses, by the nurse, would be most appropriate? Question
options:
A. "The cervix is the soft lining of your uterus that has to expand greatly
to accommodate your baby during delivery."
B. "Your cervix is the part of your uterus where the fallopian tubes join
it and the baby has to pass through it to the vagina."
C. "The cervix is the opening between the uterus and the vagina and so it
opens wide during the leadup to birth."
D. "Your cervix is just the term for the lowest part of your uterus and it
is tightly shut at all times except in women who are giving birth.".
Answer: C. "The cervix is the opening between the uterus and the vagina
and so it opens wide during the leadup to birth."
◉ Which of the following factors are NOT known to contribute to
vaginal yeast infections?
A. High hormone levels during pregnancy
WITH ANSWERS GRADED A+
◉ Having heard positive reports of the benefits of HT from her sister-in-
law and friends, a 49-year-old woman has presented to her nurse
practitioner asking to start HT. Her uterus is intact and previous bone
scans have indicated low bone density. The patient also has a family
history of heart disease. She characterizes her symptoms of menopause
as "noticeable, but not debilitating by any means." Based on the most
current research, what is her nurse practitioner's best course of action?
A. Begin low-dose HT but perform regular breast cancer screening and
heart health checks
B. Forgo HT but consider alternative therapies and reevaluate if her
symptoms significantly affect her quality of life
C. Forgo HT in light of her preexisting low bone density and consequent
risk of osteoporosis
D. Begin estrogen-progesterone HT (EPT) to prevent future menopausal
symptoms and coronary heart disease (CHD). Answer: B. Forgo HT but
consider alternative therapies and reevaluate if her symptoms
significantly affect her quality of life
,◉ A 71 yearold man has visited his nurse practitioner for a checkup,
during which the nurse practitioner has initiated a discussion about the
patient's sexual function. Which of the following phenomena would the
nurse practitioner most likely consider a pathological rather than an
agerelated change? Question options:
A. A decrease in the force of the man's ejaculation
B. Cessation of FSH production
C. A decrease in the size and firmness of the patient's testes
D. The presence of relative or absolute hypogonadism. Answer: B.
Cessation of FSH production
◉ A 60yearold woman who is 11 years menopausal has presented to the
emergency department stating, "I haven't had my period in years, but
lately I've been bleeding again, and quite heavily in the last few days."
The care team needs to rule out endometrial cancer. How should they
best explain the most accurate plan for confirming or ruling out the
diagnosis? Question options:
A. "We can do a Pap smear right now and we will get the results as soon
as we can."
,B. "We are going to order blood work that will measure your hormone
levels."
C. "We're going to have to open your cervix with a speculum and take
scrapings from the wall of your uterus."
D. "We're going to book a CT scan for you as soon as possible so that we
can see what is inside your uterus.". Answer: C. "We're going to have to
open your cervix with a speculum and take scrapings from the wall of
your uterus."
◉ Long, stretchy cervical mucus that exhibits ferning on a microscope
slide is characteristic of which of the following?
A. Low human chorionic gonadotropin levels
B. High progesterone levels
C. Low estrogen levels
D. High LH level. Answer: D. High LH level
, ◉ During a group prenatal class, the nurse teaching the course is
explaining the thinning of the cervix that accompanies the stages of
labor leading up to delivery. A participant admits that she is not familiar
with either the location or normal role of the cervix. Which of the
following responses, by the nurse, would be most appropriate? Question
options:
A. "The cervix is the soft lining of your uterus that has to expand greatly
to accommodate your baby during delivery."
B. "Your cervix is the part of your uterus where the fallopian tubes join
it and the baby has to pass through it to the vagina."
C. "The cervix is the opening between the uterus and the vagina and so it
opens wide during the leadup to birth."
D. "Your cervix is just the term for the lowest part of your uterus and it
is tightly shut at all times except in women who are giving birth.".
Answer: C. "The cervix is the opening between the uterus and the vagina
and so it opens wide during the leadup to birth."
◉ Which of the following factors are NOT known to contribute to
vaginal yeast infections?
A. High hormone levels during pregnancy
