FNP Contraception Practice Exam – 40 Questions
Question 1
A 36-year-old woman, who smokes 20 cigarettes per day, requests contraception.
She has no other medical conditions. Which is the most appropriate
recommendation?
A. Combined oral contraceptive pill (COC)
B. Progestin-only pill
C. Nexplanon implant
D. Copper IUD
Question 2
A 28-year-old woman with migraine with aura requests contraception. She has no
other medical problems. Which is the safest option?
A. COC pill
B. Transdermal patch
C. Progestin-only pill
D. Vaginal ring
Question 3
A 22-year-old woman presents for emergency contraception 4 days after
unprotected intercourse. She is not breastfeeding and has a BMI of 32. Which
method is most effective?
A. Levonorgestrel 1.5 mg (Plan B)
B. Ulipristal acetate 30 mg (Ella)
C. Copper IUD (ParaGard)
D. Estradiol/levonorgestrel “Yuzpe regimen”
Question 4
A patient on chronic antibiotics for acne (minocycline) asks if she can continue her
COC. What should you advise?
A. No change, antibiotics do not affect COCs
B. Use a backup method while taking antibiotics and for 7 days afterward
C. Stop COCs until antibiotics course is finished
D. Switch to progestin-only pill
Question 5
A 30-year-old woman wants contraception and is breastfeeding at 3 weeks
postpartum. Which option is safest?
A. COC pill
B. Progestin-only pill
C. Nexplanon implant
D. Vaginal ring
, Question 6
A 40-year-old woman has well-controlled hypertension (150/92 mm Hg). She
requests COC pills. How would you counsel her?
A. Absolute contraindication
B. Relative contraindication – may consider progestin-only method
C. Safe to start COC
D. Only copper IUD is contraindicated
Question 7
Which contraceptive method has the lowest failure rate with typical use?
A. COC pill
B. Nexplanon implant
C. Depo-Provera
D. Copper IUD
Question 8
A 25-year-old nulliparous woman requests an IUD. Which of the following
levonorgestrel IUDs has the smallest insertion tube and may be easiest to
place?
A. Mirena
B. Liletta
C. Kyleena
D. Skyla
Question 9
A patient using Depo-Provera for 3 years is concerned about bone health. What is
the most appropriate counseling?
A. No monitoring needed, BMD not affected
B. BMD may decrease; calcium and vitamin D supplementation recommended
C. Switch to COC to improve BMD
D. BMD loss is permanent
Question 10
Which contraceptive is associated with heavier bleeding and cramping?
A. Mirena IUD
B. Skyla IUD
C. ParaGard (copper) IUD
D. Nexplanon implant
Question 11
A 19-year-old woman reports breakthrough bleeding during her first 2 months on
COCs. What is the recommended management?
Question 1
A 36-year-old woman, who smokes 20 cigarettes per day, requests contraception.
She has no other medical conditions. Which is the most appropriate
recommendation?
A. Combined oral contraceptive pill (COC)
B. Progestin-only pill
C. Nexplanon implant
D. Copper IUD
Question 2
A 28-year-old woman with migraine with aura requests contraception. She has no
other medical problems. Which is the safest option?
A. COC pill
B. Transdermal patch
C. Progestin-only pill
D. Vaginal ring
Question 3
A 22-year-old woman presents for emergency contraception 4 days after
unprotected intercourse. She is not breastfeeding and has a BMI of 32. Which
method is most effective?
A. Levonorgestrel 1.5 mg (Plan B)
B. Ulipristal acetate 30 mg (Ella)
C. Copper IUD (ParaGard)
D. Estradiol/levonorgestrel “Yuzpe regimen”
Question 4
A patient on chronic antibiotics for acne (minocycline) asks if she can continue her
COC. What should you advise?
A. No change, antibiotics do not affect COCs
B. Use a backup method while taking antibiotics and for 7 days afterward
C. Stop COCs until antibiotics course is finished
D. Switch to progestin-only pill
Question 5
A 30-year-old woman wants contraception and is breastfeeding at 3 weeks
postpartum. Which option is safest?
A. COC pill
B. Progestin-only pill
C. Nexplanon implant
D. Vaginal ring
, Question 6
A 40-year-old woman has well-controlled hypertension (150/92 mm Hg). She
requests COC pills. How would you counsel her?
A. Absolute contraindication
B. Relative contraindication – may consider progestin-only method
C. Safe to start COC
D. Only copper IUD is contraindicated
Question 7
Which contraceptive method has the lowest failure rate with typical use?
A. COC pill
B. Nexplanon implant
C. Depo-Provera
D. Copper IUD
Question 8
A 25-year-old nulliparous woman requests an IUD. Which of the following
levonorgestrel IUDs has the smallest insertion tube and may be easiest to
place?
A. Mirena
B. Liletta
C. Kyleena
D. Skyla
Question 9
A patient using Depo-Provera for 3 years is concerned about bone health. What is
the most appropriate counseling?
A. No monitoring needed, BMD not affected
B. BMD may decrease; calcium and vitamin D supplementation recommended
C. Switch to COC to improve BMD
D. BMD loss is permanent
Question 10
Which contraceptive is associated with heavier bleeding and cramping?
A. Mirena IUD
B. Skyla IUD
C. ParaGard (copper) IUD
D. Nexplanon implant
Question 11
A 19-year-old woman reports breakthrough bleeding during her first 2 months on
COCs. What is the recommended management?
