NU664 REAL EXAM 1 STUDY GUIDE |
ACTUAL QUESTIONS AND ANSWERS |
LATEST UPDATES 2026 | A GRADE
1. When does someone using the contraceptive patch need emergency
contraception?
A. If the patch is left off for more than 12 hours
B. If the patch is left off for more than 24 hours
C. If the patch is left off for more than 48 hours
D. If the patch is left off for more than 72 hours
Correct Answer: B
Rationale: If the contraceptive patch is left off for more than 24 hours, emergency
contraception should be considered. The patch delivers continuous hormones, and
extended time without it increases the risk of ovulation and pregnancy.
2. Who is NOT a good candidate for the contraceptive patch?
A. Someone over 150 lbs
B. Someone over 200 lbs
C. Someone under 150 lbs
D. Someone under 200 lbs
Correct Answer: B
Rationale: The contraceptive patch (Ortho Evra) is less effective in women
weighing more than 198 lbs (approximately 90 kg). These individuals may have
higher failure rates and should consider alternative contraceptive methods.
3. The contraceptive patch should be applied:
A. Anywhere on the body, regardless of location
B. On the upper outer arm, abdomen, buttocks, or back (but not on breasts)
,C. Only on the abdomen
D. Only on the buttocks
Correct Answer: B
Rationale: The patch should be applied to clean, dry, intact skin on the upper outer
arm, abdomen, buttocks, or back. It should not be applied to the breasts or areas
with skin irritation. The application site should be rotated weekly.
4. The contraceptive patch is changed:
A. Daily
B. Weekly
C. Bi-weekly
D. Monthly
Correct Answer: B
Rationale: The contraceptive patch is applied once a week for 3 weeks, followed by
one patch-free week (to allow withdrawal bleeding). It should be changed on the
same day each week.
5. The patch-free week in the contraceptive patch cycle allows for:
A. Ovulation to occur
B. Withdrawal bleeding
C. Hormone accumulation
D. Patch rotation
Correct Answer: B
Rationale: The patch-free week (4th week) allows for withdrawal bleeding similar
to a menstrual period. This mimics the natural menstrual cycle and reassures the
user that the method is working effectively.
6. What should a patient do if the contraceptive patch becomes partially
detached?
,A. Remove it and wait for the next scheduled change
B. Reapply it immediately or apply a new patch
C. Continue using it as is
D. Remove it and use emergency contraception
Correct Answer: B
Rationale: If the patch becomes partially detached, it should be reattached
immediately. If it does not stick completely, a new patch should be applied. Backup
contraception may be needed depending on how long it was detached.
7. The contraceptive patch delivers hormones through:
A. Oral absorption
B. Transdermal absorption
C. Subcutaneous injection
D. Intravaginal absorption
Correct Answer: B
Rationale: The contraceptive patch delivers hormones (ethinyl estradiol and
norelgestromin) through transdermal absorption—the hormones are absorbed
through the skin into the bloodstream. This bypasses first-pass metabolism and
provides consistent hormone levels.
8. Which of the following is a contraindication for the contraceptive patch?
A. Age under 18
B. Smoking in women over 35
C. BMI less than 25
D. History of migraines without aura
Correct Answer: B
Rationale: Smoking in women over 35 is a contraindication for combined
hormonal contraceptives (including the patch) due to the significantly increased
risk of cardiovascular events, including stroke and myocardial infarction.
, 9. The primary hormones in the contraceptive patch are:
A. Estrogen and progesterone
B. Estrogen and testosterone
C. Progesterone only
D. Estrogen only
Correct Answer: A
Rationale: The contraceptive patch is a combined hormonal contraceptive
containing both estrogen (ethinyl estradiol) and a progestin (norelgestromin). It
works similarly to combination oral contraceptives but is delivered transdermally.
10. A patient on the contraceptive patch who experiences severe abdominal
pain should:
A. Continue the patch and monitor symptoms
B. Go to the emergency room
C. Change the patch to a new site
D. Take ibuprofen and rest
Correct Answer: B
Rationale: Severe abdominal pain may indicate a serious complication such as
deep vein thrombosis, pulmonary embolism, hepatic adenoma, or gallbladder
disease. It could also be a symptom of an ectopic pregnancy. The patient should
seek emergency medical evaluation immediately.
SECTION 2: NUVARING (Questions 11–20)
11. What hormones are in the NuvaRing?
A. Etonogestrel 120 mcg and Ethinyl estradiol 15 mcg
B. Etonogestrel 150 mcg and Ethinyl estradiol 30 mcg
C. Levonorgestrel 120 mcg and Ethinyl estradiol 20 mcg
D. Norelgestromin 150 mcg and Ethinyl estradiol 35 mcg
Correct Answer: A
Rationale: NuvaRing contains etonogestrel 120 mcg and ethinyl estradiol 15 mcg.
The ring releases a continuous low dose of these hormones directly into the
bloodstream through the vaginal mucosa.
ACTUAL QUESTIONS AND ANSWERS |
LATEST UPDATES 2026 | A GRADE
1. When does someone using the contraceptive patch need emergency
contraception?
A. If the patch is left off for more than 12 hours
B. If the patch is left off for more than 24 hours
C. If the patch is left off for more than 48 hours
D. If the patch is left off for more than 72 hours
Correct Answer: B
Rationale: If the contraceptive patch is left off for more than 24 hours, emergency
contraception should be considered. The patch delivers continuous hormones, and
extended time without it increases the risk of ovulation and pregnancy.
2. Who is NOT a good candidate for the contraceptive patch?
A. Someone over 150 lbs
B. Someone over 200 lbs
C. Someone under 150 lbs
D. Someone under 200 lbs
Correct Answer: B
Rationale: The contraceptive patch (Ortho Evra) is less effective in women
weighing more than 198 lbs (approximately 90 kg). These individuals may have
higher failure rates and should consider alternative contraceptive methods.
3. The contraceptive patch should be applied:
A. Anywhere on the body, regardless of location
B. On the upper outer arm, abdomen, buttocks, or back (but not on breasts)
,C. Only on the abdomen
D. Only on the buttocks
Correct Answer: B
Rationale: The patch should be applied to clean, dry, intact skin on the upper outer
arm, abdomen, buttocks, or back. It should not be applied to the breasts or areas
with skin irritation. The application site should be rotated weekly.
4. The contraceptive patch is changed:
A. Daily
B. Weekly
C. Bi-weekly
D. Monthly
Correct Answer: B
Rationale: The contraceptive patch is applied once a week for 3 weeks, followed by
one patch-free week (to allow withdrawal bleeding). It should be changed on the
same day each week.
5. The patch-free week in the contraceptive patch cycle allows for:
A. Ovulation to occur
B. Withdrawal bleeding
C. Hormone accumulation
D. Patch rotation
Correct Answer: B
Rationale: The patch-free week (4th week) allows for withdrawal bleeding similar
to a menstrual period. This mimics the natural menstrual cycle and reassures the
user that the method is working effectively.
6. What should a patient do if the contraceptive patch becomes partially
detached?
,A. Remove it and wait for the next scheduled change
B. Reapply it immediately or apply a new patch
C. Continue using it as is
D. Remove it and use emergency contraception
Correct Answer: B
Rationale: If the patch becomes partially detached, it should be reattached
immediately. If it does not stick completely, a new patch should be applied. Backup
contraception may be needed depending on how long it was detached.
7. The contraceptive patch delivers hormones through:
A. Oral absorption
B. Transdermal absorption
C. Subcutaneous injection
D. Intravaginal absorption
Correct Answer: B
Rationale: The contraceptive patch delivers hormones (ethinyl estradiol and
norelgestromin) through transdermal absorption—the hormones are absorbed
through the skin into the bloodstream. This bypasses first-pass metabolism and
provides consistent hormone levels.
8. Which of the following is a contraindication for the contraceptive patch?
A. Age under 18
B. Smoking in women over 35
C. BMI less than 25
D. History of migraines without aura
Correct Answer: B
Rationale: Smoking in women over 35 is a contraindication for combined
hormonal contraceptives (including the patch) due to the significantly increased
risk of cardiovascular events, including stroke and myocardial infarction.
, 9. The primary hormones in the contraceptive patch are:
A. Estrogen and progesterone
B. Estrogen and testosterone
C. Progesterone only
D. Estrogen only
Correct Answer: A
Rationale: The contraceptive patch is a combined hormonal contraceptive
containing both estrogen (ethinyl estradiol) and a progestin (norelgestromin). It
works similarly to combination oral contraceptives but is delivered transdermally.
10. A patient on the contraceptive patch who experiences severe abdominal
pain should:
A. Continue the patch and monitor symptoms
B. Go to the emergency room
C. Change the patch to a new site
D. Take ibuprofen and rest
Correct Answer: B
Rationale: Severe abdominal pain may indicate a serious complication such as
deep vein thrombosis, pulmonary embolism, hepatic adenoma, or gallbladder
disease. It could also be a symptom of an ectopic pregnancy. The patient should
seek emergency medical evaluation immediately.
SECTION 2: NUVARING (Questions 11–20)
11. What hormones are in the NuvaRing?
A. Etonogestrel 120 mcg and Ethinyl estradiol 15 mcg
B. Etonogestrel 150 mcg and Ethinyl estradiol 30 mcg
C. Levonorgestrel 120 mcg and Ethinyl estradiol 20 mcg
D. Norelgestromin 150 mcg and Ethinyl estradiol 35 mcg
Correct Answer: A
Rationale: NuvaRing contains etonogestrel 120 mcg and ethinyl estradiol 15 mcg.
The ring releases a continuous low dose of these hormones directly into the
bloodstream through the vaginal mucosa.
