1|Page
MSN 621 final exam 2026/2027, advanced health assessment
questions, MSN clinical decision making exam, nursing study
guide PDF, graded A+ MSN 621, nurse practitioner final
exam||just out!!!
A 25-year-old G0P0 female presents with intermittent
abdominal pain. She states that the pain starts before her
period, is "crampy" in nature, and lasts for a few days after, and
has been occurring intermittently since menarche. Her periods
have been regular, with no spotting or pain in between periods.
Her last period was a week ago. She has no other health issues
and takes no medications. She has had no previous surgeries in
the past. She is currently sexually active with her husband and
is interested in starting a family shortly. What is the first line of
treatment for this patient?
Well done!You answered successfully
A. Morphine
B. Selective serotonin reuptake inhibitor
C. Oral contraceptives
D. NSAIDs - ANSWER-D. NSAIDs
A 22-year-old woman presents to the clinic with a history of
lower abdominal pain for the past six months. There is no
,2|Page
history of dysuria and dyspareunia. There is no relevant family
history of cancer. The patient noticed that the pain increases
during the first two days of her period. The periods are regular
and slightly heavier than usual. She has to change 6 to 7 pads
per day. The patient's blood pressure is 120/80 mmHg, pulse
63/minute, and the temperature is 36.1 C. She denies any loss
of weight. The pelvic examination shows a globularly enlarged
and retroverted uterus. The pregnancy test is negative. She has
a recent pelvic ultrasound, which showed some evidence of
endometriosis. What is the most likely diagnosis for this
patient?
Well done!You answered successfully
A. Primary dysmenorrhea
B. Secondary dysmenorrhoea
C. Cervical stenosis
D. Endometrial polyp - ANSWER-B. Secondary dysmenorrhoea
A 31-year-old female attends the clinics with a complaint of
being unable to conceive. She has been having regular
unprotected intercourse for the last 18 months but still unable
to conceive. Her periods are regular every 28 days which last for
4-5 days. She has a history of lower abdominal pain starting a
day before her menstruation. She has been taking paracetamol
and mefenamic acid with minimal relief. She has no other
relevant history, and she is a teetotaler and denies smoking. On
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examination, her blood pressure is 123/76 mmHg, and her
pulse is 81 bpm, her body mass index is 29 kg/m2. On bimanual
pelvic examination, there is tenderness on the left side for her
abdomen. What the most appropriate next step in
management?
A. Pelvic MRI
B. Hysterosalpingogram
C. Pelvic ultrasound
D. Laparoscopy - ANSWER-C. Pelvic ultrasound
A 13-year-old female presents with her mother to the office
complaining of lower abdominal pain that has been increasing
for the past three days. The patient describes the pain as
crampy that improved with ibuprofen. However, now she has
pain during defecation and has a sense of incomplete
evacuation. She has not reached menarche. Blood pressure is
115/82 mmHg, the pulse is 79/min, the temperature is 37.3 C.
Pelvic examination shows a bluish bulge between the labia, but
otherwise normal external genitalia, pubic hair, and breast
Tanner stage 2 development. Which of the following is the most
likely diagnosis?
Well done!You answered successfully
A. Endometriosis
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B. Imperforate hymen
C. Uterine prolapse
D. Adenomyosis - ANSWER-B. Imperforate hymen
Which of the following is the best modality for diagnosing a 1x1
cm cystic breast mass in a 35-year-old female presenting with a
painful mobile lump of fewer than 6 months duration?
Well done!You answered successfully
A. MRI
B. Mammogram
C. Aspiration
D. Ultrasound - ANSWER-D. Ultrasound
A 65-year-old female presents with complaints of decreased
libido. She has been happily married for 30 years and has no
relationship issues. She is physically active and exercises 30
minutes daily. She complains of vaginal dryness and painful
intercourse. She also complains of frequent vaginal itching. She
has tried vaginal lubricants with mild symptomatic relief. On
examination, the vaginal mucosa is pale and dry. She has a past
medical history of diabetes mellitus that is well controlled with
metformin. Family history is significant for colon cancer in her
MSN 621 final exam 2026/2027, advanced health assessment
questions, MSN clinical decision making exam, nursing study
guide PDF, graded A+ MSN 621, nurse practitioner final
exam||just out!!!
A 25-year-old G0P0 female presents with intermittent
abdominal pain. She states that the pain starts before her
period, is "crampy" in nature, and lasts for a few days after, and
has been occurring intermittently since menarche. Her periods
have been regular, with no spotting or pain in between periods.
Her last period was a week ago. She has no other health issues
and takes no medications. She has had no previous surgeries in
the past. She is currently sexually active with her husband and
is interested in starting a family shortly. What is the first line of
treatment for this patient?
Well done!You answered successfully
A. Morphine
B. Selective serotonin reuptake inhibitor
C. Oral contraceptives
D. NSAIDs - ANSWER-D. NSAIDs
A 22-year-old woman presents to the clinic with a history of
lower abdominal pain for the past six months. There is no
,2|Page
history of dysuria and dyspareunia. There is no relevant family
history of cancer. The patient noticed that the pain increases
during the first two days of her period. The periods are regular
and slightly heavier than usual. She has to change 6 to 7 pads
per day. The patient's blood pressure is 120/80 mmHg, pulse
63/minute, and the temperature is 36.1 C. She denies any loss
of weight. The pelvic examination shows a globularly enlarged
and retroverted uterus. The pregnancy test is negative. She has
a recent pelvic ultrasound, which showed some evidence of
endometriosis. What is the most likely diagnosis for this
patient?
Well done!You answered successfully
A. Primary dysmenorrhea
B. Secondary dysmenorrhoea
C. Cervical stenosis
D. Endometrial polyp - ANSWER-B. Secondary dysmenorrhoea
A 31-year-old female attends the clinics with a complaint of
being unable to conceive. She has been having regular
unprotected intercourse for the last 18 months but still unable
to conceive. Her periods are regular every 28 days which last for
4-5 days. She has a history of lower abdominal pain starting a
day before her menstruation. She has been taking paracetamol
and mefenamic acid with minimal relief. She has no other
relevant history, and she is a teetotaler and denies smoking. On
,3|Page
examination, her blood pressure is 123/76 mmHg, and her
pulse is 81 bpm, her body mass index is 29 kg/m2. On bimanual
pelvic examination, there is tenderness on the left side for her
abdomen. What the most appropriate next step in
management?
A. Pelvic MRI
B. Hysterosalpingogram
C. Pelvic ultrasound
D. Laparoscopy - ANSWER-C. Pelvic ultrasound
A 13-year-old female presents with her mother to the office
complaining of lower abdominal pain that has been increasing
for the past three days. The patient describes the pain as
crampy that improved with ibuprofen. However, now she has
pain during defecation and has a sense of incomplete
evacuation. She has not reached menarche. Blood pressure is
115/82 mmHg, the pulse is 79/min, the temperature is 37.3 C.
Pelvic examination shows a bluish bulge between the labia, but
otherwise normal external genitalia, pubic hair, and breast
Tanner stage 2 development. Which of the following is the most
likely diagnosis?
Well done!You answered successfully
A. Endometriosis
, 4|Page
B. Imperforate hymen
C. Uterine prolapse
D. Adenomyosis - ANSWER-B. Imperforate hymen
Which of the following is the best modality for diagnosing a 1x1
cm cystic breast mass in a 35-year-old female presenting with a
painful mobile lump of fewer than 6 months duration?
Well done!You answered successfully
A. MRI
B. Mammogram
C. Aspiration
D. Ultrasound - ANSWER-D. Ultrasound
A 65-year-old female presents with complaints of decreased
libido. She has been happily married for 30 years and has no
relationship issues. She is physically active and exercises 30
minutes daily. She complains of vaginal dryness and painful
intercourse. She also complains of frequent vaginal itching. She
has tried vaginal lubricants with mild symptomatic relief. On
examination, the vaginal mucosa is pale and dry. She has a past
medical history of diabetes mellitus that is well controlled with
metformin. Family history is significant for colon cancer in her
