FNP 652 FINAL EXAM VERSION 2
2026/2027 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST |JUST
RELEASED!!|GUARANTEED PASS
An adolescent female reports a mass on her genitalia which is becoming increasingly painful. On
exam, the provider notes an erythematous, edematous, tender mass lateral to the vestibule
without discharge. What will the provider do initially?
Prescribe empiric metronidazole twice daily
A patient has undergone surgical incision and drainage of a Bartholin's cyst with insertion of a
drain. What is an important aspect of care for this patient?
Weekly follow-up monitoring
A woman who has just weaned her infant from breastfeeding develops signs of mastitis and is
treated with antibiotics. At a follow up visit, the provider notes marked breast edema and
erythema of the affected breast. What will the provider do next?
Refer the patient for an immediate biopsy
A postmenopausal woman reports unilateral breast pain that she describes as sharp and
burning and localized to one area. A breast examination reveals no dimpling, discharge, or
masses. Which diagnostic test will the provider order?
Bilateral mammography
1|Page
,A female patient is identified as having the BRCA mutation and she asks which intervention will
reduce her risk of breast cancer the most? What will the provider tell her?
Prophylactic mastectomy and oophorectomy
A woman with chronic pelvic pain most likely has a gynecological cause for her symptoms.
Which treatment will the provider recommend initially?
Oral contraceptives
Which underlying causes are related to chronic pelvic pain in women?
Faulty posture
Interstitial cystitis
Physical abuse
A patient with primary dysmenorrhea has taken NSAIDs and COX-2 inhibitors without getting
relief from symptoms. What will the provider suggest?
A combined oral contraceptive
A 35-year-old woman without a previous history of dysmenorrhea reports lower pelvic pain and
irregular bleeding between periods. What is the initial action in managing this patient?
Performing an abdominal, pelvic, and rectovaginal examination
An adolescent female reports crampy pelvic pain radiating to the back, sacrum, and inner thighs
during the first 2 days of each menstrual period, associated with nausea and loose tools. She
asks about what causes these symptoms. What will the provider tell her?
Excess prostaglandins, vasopressin will cause these symptoms
A previously healthy 22-year-old female reports pain in the rectovaginal area that occurs with
sexual intercourse. What is the most likely cause of this patient's discomfort?
Endometriosis
2|Page
,A perimenopausal woman reports a recent onset of moderate to severe pain with sexual
intercourse. Which treatment will the provider prescribe initially to treat this pain?
Topical estrogen
A woman asks about her risk of ovarian cancer. To best assess risk in this patient, what will the
provider do first?
Obtain a 3-generation family history
A postmenopausal woman who is overweight and who has hyperlipidemia and a history of
infertility develops vaginal bleeding and reports a feeling of pelvic pressure. The provider
suspects a genital tract cancer and refers the patient for diagnostic evaluation. What is the likely
cause of this woman's symptoms?
Endometrial cancer
A woman who has had routine Pap tests all of her adult life has an abnormal Pap. What will the
provider tell her about this result?
Colposcopy with biopsy is necessary
Which are risk factors for pelvic inflammatory disease?
Select all that apply.
Age under 25 years
Cigarette smoking
Vaginal douching
A sexually active female has symptoms of PID with fever. Cultures are pending. For outpatient
treatment, what will the provider order?
Rocephin, doxycycline, and metronidazole
A female patient reports cramping, dysuria, low back pain, and nausea. A dipstick urinalysis is
normal and a pregnancy test is negative. What will the provider do next?
Obtain vaginal secretions for testing
3|Page
, A female patient reports vulvar pruritus and dyspareunia. The provider notes white papules on
the vulva with thinning of the epithelium. What condition does the provider suspect?
Lichen sclerosis
A sexually active young female reports vaginal discharge and moderate vulvovaginal irritation.
The examination reveals a white, non-inflammatory discharge adhering to the vaginal walls, clue
cells on microscopic examination and a positive KOH whiff test. What will the provider do next?
Prescribe metronidazole 500 mg for 7 days
A postmenopausal woman is diagnosed with lichen planus. After several weeks of treatment
with a potent corticosteroid ointment, the woman reports improvement in itching, but states
that she has extreme vaginal dryness. What will the provider recommend?
Using a topical estrogen cream along with the steroid
What is the benefit of using a liquid-based medium when performing a Pap test?
It allows HPV, gonorrhea, and chlamydia testing with the same specimen.
A young female has a Pap test which reveals atypical squamous cells of undetermined
significance. What will the next step be in managing this patient?
Repeat cytology in 12 months
What is true about HPV infection in women?
Most HPV lesions will resolve spontaneously without causing cancer.
Which is the most important factor limiting access to health care for sexual and gender
minorities?
Laws prohibiting full marriage equality
What is the medical diagnostic term used to identify transgender patients?
Gender dysphoria
4|Page
2026/2027 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST |JUST
RELEASED!!|GUARANTEED PASS
An adolescent female reports a mass on her genitalia which is becoming increasingly painful. On
exam, the provider notes an erythematous, edematous, tender mass lateral to the vestibule
without discharge. What will the provider do initially?
Prescribe empiric metronidazole twice daily
A patient has undergone surgical incision and drainage of a Bartholin's cyst with insertion of a
drain. What is an important aspect of care for this patient?
Weekly follow-up monitoring
A woman who has just weaned her infant from breastfeeding develops signs of mastitis and is
treated with antibiotics. At a follow up visit, the provider notes marked breast edema and
erythema of the affected breast. What will the provider do next?
Refer the patient for an immediate biopsy
A postmenopausal woman reports unilateral breast pain that she describes as sharp and
burning and localized to one area. A breast examination reveals no dimpling, discharge, or
masses. Which diagnostic test will the provider order?
Bilateral mammography
1|Page
,A female patient is identified as having the BRCA mutation and she asks which intervention will
reduce her risk of breast cancer the most? What will the provider tell her?
Prophylactic mastectomy and oophorectomy
A woman with chronic pelvic pain most likely has a gynecological cause for her symptoms.
Which treatment will the provider recommend initially?
Oral contraceptives
Which underlying causes are related to chronic pelvic pain in women?
Faulty posture
Interstitial cystitis
Physical abuse
A patient with primary dysmenorrhea has taken NSAIDs and COX-2 inhibitors without getting
relief from symptoms. What will the provider suggest?
A combined oral contraceptive
A 35-year-old woman without a previous history of dysmenorrhea reports lower pelvic pain and
irregular bleeding between periods. What is the initial action in managing this patient?
Performing an abdominal, pelvic, and rectovaginal examination
An adolescent female reports crampy pelvic pain radiating to the back, sacrum, and inner thighs
during the first 2 days of each menstrual period, associated with nausea and loose tools. She
asks about what causes these symptoms. What will the provider tell her?
Excess prostaglandins, vasopressin will cause these symptoms
A previously healthy 22-year-old female reports pain in the rectovaginal area that occurs with
sexual intercourse. What is the most likely cause of this patient's discomfort?
Endometriosis
2|Page
,A perimenopausal woman reports a recent onset of moderate to severe pain with sexual
intercourse. Which treatment will the provider prescribe initially to treat this pain?
Topical estrogen
A woman asks about her risk of ovarian cancer. To best assess risk in this patient, what will the
provider do first?
Obtain a 3-generation family history
A postmenopausal woman who is overweight and who has hyperlipidemia and a history of
infertility develops vaginal bleeding and reports a feeling of pelvic pressure. The provider
suspects a genital tract cancer and refers the patient for diagnostic evaluation. What is the likely
cause of this woman's symptoms?
Endometrial cancer
A woman who has had routine Pap tests all of her adult life has an abnormal Pap. What will the
provider tell her about this result?
Colposcopy with biopsy is necessary
Which are risk factors for pelvic inflammatory disease?
Select all that apply.
Age under 25 years
Cigarette smoking
Vaginal douching
A sexually active female has symptoms of PID with fever. Cultures are pending. For outpatient
treatment, what will the provider order?
Rocephin, doxycycline, and metronidazole
A female patient reports cramping, dysuria, low back pain, and nausea. A dipstick urinalysis is
normal and a pregnancy test is negative. What will the provider do next?
Obtain vaginal secretions for testing
3|Page
, A female patient reports vulvar pruritus and dyspareunia. The provider notes white papules on
the vulva with thinning of the epithelium. What condition does the provider suspect?
Lichen sclerosis
A sexually active young female reports vaginal discharge and moderate vulvovaginal irritation.
The examination reveals a white, non-inflammatory discharge adhering to the vaginal walls, clue
cells on microscopic examination and a positive KOH whiff test. What will the provider do next?
Prescribe metronidazole 500 mg for 7 days
A postmenopausal woman is diagnosed with lichen planus. After several weeks of treatment
with a potent corticosteroid ointment, the woman reports improvement in itching, but states
that she has extreme vaginal dryness. What will the provider recommend?
Using a topical estrogen cream along with the steroid
What is the benefit of using a liquid-based medium when performing a Pap test?
It allows HPV, gonorrhea, and chlamydia testing with the same specimen.
A young female has a Pap test which reveals atypical squamous cells of undetermined
significance. What will the next step be in managing this patient?
Repeat cytology in 12 months
What is true about HPV infection in women?
Most HPV lesions will resolve spontaneously without causing cancer.
Which is the most important factor limiting access to health care for sexual and gender
minorities?
Laws prohibiting full marriage equality
What is the medical diagnostic term used to identify transgender patients?
Gender dysphoria
4|Page
