NR-602 MIDTERM ACTUAL EXAMINATION
2026 90 QUESTIONS WITH ANSWERS
GRADED A+
⫸ A well woman visit for an adolescent should include which of the
following Answer: A general health history focusing on reproductive
and sexual health concerns (mentors, gynecologic, and pregnancy
related) and psychosocial (Family related, peer related, emotional, and
physical as well as related to abuse, drug use and alcohol use) concerns
Physical exam, screening test, and immunizations as indicated by the
health history and gynecologic considerations for an extern only
inspection of the genitalia
⫸ A Bethesda System Pap smear report that reads LSIL is most
consistent with which classification Answer: CIN 1
⫸ A single Pap smear reading of ASCUS in a patient negative for HPV
infection should have what as follow-up? Answer: Routine screening
⫸ A female patient is 35 years old. She has never had an abnormal Pap
smear and has had regular screening since age 18. If she has a normal
Pap smear with HPV testing today, when should she have the next
cervical cancer screening Answer: Five years
,⫸ A young sexually active client of the family planning clinic is
advised to have a Pap smear. She has never had a Pap smear before.
What should the nurse include in the explanation of this procedure
Answer: The Pap smear can detect cancer of the cervix
⫸ Lab results on your 26-year-old patient show a negative Pap smear
with a positive HPV screen. Which procedure will be required next
Answer: Repeat Pap and HPV screen
⫸ Which of the following is not part of the criteria for an older woman
to see if having any future Pap test performed Answer: Over 55 years of
age
⫸ You are evaluating a 17-year-old Emily who presented with
amenorrhea and normal secondary sex characteristics. The purpose of
the progesterone challenge is to a certain the presence of Answer:
Endogenous estrogen
⫸ A 17-year-old female patient presents with amenorrhea for four
months she did experience menarche at age 15 but had not had a
menstrual cycle since. On physical examination, it is noted that she has
normal secondary sexual characteristics. The nurse practitioner will
consider progesterone challenge to determine the presence of adequate
Answer: Endogenous estrogen
⫸ A teenage patient presents with amenorrhea and moral secondary sex
characteristics. The progesterone challenge is ordered. the purpose is to
determine the presence of Answer: Endogenous estrogen
, ⫸ 18-year-old female complaining of secondary amenorrhea. On exam,
there is a normal secondary sex characteristics and normal genitalia.
Pregnancy is ruled out what would necessitate further evaluation
Answer: Galactorrhea
⫸ Primary amenorrhea is best described as Answer: Failure to menstrate
by 13 years old
⫸ A nurse practitioner is participating in a woman's health fair. When
educating the woman about risk factors for breast cancer which of the
following statements is incorrect? Answer: Fibrocystic breast disease
⫸ When educating women about breast cancer risk factors which
statement is incorrect Answer: Fibrocystic breast disease
⫸ A woman with lobular carcinoma in situ has a relative risk of
developing invasive breast cancer of Answer: 8.0
⫸ Changes and hormonal regulation during menopause result in the
gradual cessation of menstruation. From which gland is
Androstenedione secreted Answer: Adrenals
⫸ A Pap smear results of atypical squamous cells of undetermined
significance rule out high-grade squamous intraepithelial lesion will
require which procedure Answer: Colposcopy
2026 90 QUESTIONS WITH ANSWERS
GRADED A+
⫸ A well woman visit for an adolescent should include which of the
following Answer: A general health history focusing on reproductive
and sexual health concerns (mentors, gynecologic, and pregnancy
related) and psychosocial (Family related, peer related, emotional, and
physical as well as related to abuse, drug use and alcohol use) concerns
Physical exam, screening test, and immunizations as indicated by the
health history and gynecologic considerations for an extern only
inspection of the genitalia
⫸ A Bethesda System Pap smear report that reads LSIL is most
consistent with which classification Answer: CIN 1
⫸ A single Pap smear reading of ASCUS in a patient negative for HPV
infection should have what as follow-up? Answer: Routine screening
⫸ A female patient is 35 years old. She has never had an abnormal Pap
smear and has had regular screening since age 18. If she has a normal
Pap smear with HPV testing today, when should she have the next
cervical cancer screening Answer: Five years
,⫸ A young sexually active client of the family planning clinic is
advised to have a Pap smear. She has never had a Pap smear before.
What should the nurse include in the explanation of this procedure
Answer: The Pap smear can detect cancer of the cervix
⫸ Lab results on your 26-year-old patient show a negative Pap smear
with a positive HPV screen. Which procedure will be required next
Answer: Repeat Pap and HPV screen
⫸ Which of the following is not part of the criteria for an older woman
to see if having any future Pap test performed Answer: Over 55 years of
age
⫸ You are evaluating a 17-year-old Emily who presented with
amenorrhea and normal secondary sex characteristics. The purpose of
the progesterone challenge is to a certain the presence of Answer:
Endogenous estrogen
⫸ A 17-year-old female patient presents with amenorrhea for four
months she did experience menarche at age 15 but had not had a
menstrual cycle since. On physical examination, it is noted that she has
normal secondary sexual characteristics. The nurse practitioner will
consider progesterone challenge to determine the presence of adequate
Answer: Endogenous estrogen
⫸ A teenage patient presents with amenorrhea and moral secondary sex
characteristics. The progesterone challenge is ordered. the purpose is to
determine the presence of Answer: Endogenous estrogen
, ⫸ 18-year-old female complaining of secondary amenorrhea. On exam,
there is a normal secondary sex characteristics and normal genitalia.
Pregnancy is ruled out what would necessitate further evaluation
Answer: Galactorrhea
⫸ Primary amenorrhea is best described as Answer: Failure to menstrate
by 13 years old
⫸ A nurse practitioner is participating in a woman's health fair. When
educating the woman about risk factors for breast cancer which of the
following statements is incorrect? Answer: Fibrocystic breast disease
⫸ When educating women about breast cancer risk factors which
statement is incorrect Answer: Fibrocystic breast disease
⫸ A woman with lobular carcinoma in situ has a relative risk of
developing invasive breast cancer of Answer: 8.0
⫸ Changes and hormonal regulation during menopause result in the
gradual cessation of menstruation. From which gland is
Androstenedione secreted Answer: Adrenals
⫸ A Pap smear results of atypical squamous cells of undetermined
significance rule out high-grade squamous intraepithelial lesion will
require which procedure Answer: Colposcopy
