NRNP 6552 MIDTERM EXAM LATEST 2026/2027
NRNP6552 Week 6 Midterm | 100 Questions and Verified Answers | Grade A
Walden University | Advanced Nurse Practice in Reproductive Health Care
Section 1: Health Promotion, Feminist Perspectives, and Preventive Care
Q1: A nurse practitioner is counseling a 25-year-old female patient on health promotion strategies.
Which approach best reflects the feminist perspective in women's health care?
A. Performing all screening tests ordered by the physician without discussing them with the
patient
B. Working with the patient as an equal partner, recognizing her autonomy and minimizing power
imbalances in the clinical relationship [CORRECT]
C. Applying androcentric medical models as the standard of care for all patients regardless of
gender
D. Focusing solely on the pathologization of normal physiologic processes such as menstruation
and menopause
Correct Answer: B
Rationale: The feminist perspective in women's health emphasizes working with individuals as opposed to for
individuals, using heterogeneity as an assumption, and minimizing power imbalances in the provider-patient
relationship. It rejects androcentric models as normative (C) and challenges the medicalization of normal
physiologic processes (D). Option A represents a paternalistic approach contrary to feminist principles.
Q2: A 42-year-old woman presents for her annual well-woman visit. According to the latest USPSTF
guidelines, when should she begin breast cancer screening with mammography?
A. Immediately, since she is over age 40 and needs annual screening
B. At age 45, with screening every other year through age 74 (B grade recommendation)
C. Now, with screening every other year starting at age 40 through age 74 (B grade
recommendation) [CORRECT]
D. At age 50, with screening every other year through age 75
Correct Answer: C
Rationale: The USPSTF recommends screening all women for breast cancer every other year starting at age 40
through age 74, assigned a B grade. This represents the most current 2026 update to the guideline. Option B
reflects the previous (older) recommendation. Options A and D are incorrect regarding both the starting age and
frequency.
Q3: Which of the following is an example of primary prevention in women's health care?
A. Performing a routine mammogram on a 50-year-old asymptomatic woman
B. Conducting a Papanicolaou smear to detect cervical dysplasia early
C. Administering the HPV vaccine to an 11-year-old girl before sexual debut [CORRECT]
D. Ordering a bone density scan on a 67-year-old woman to detect osteoporosis
Correct Answer: C
Rationale: Primary prevention focuses on preventing disease before it occurs, such as immunization (HPV
vaccination), health education, and lifestyle modification. Options A, B, and D are all examples of secondary
prevention, which involves early detection and prompt treatment of existing disease through routine screenings
and diagnostic tests.
Q4: A nurse practitioner is providing brief behavioral counseling for alcohol misuse. Which framework
should guide this intervention?
A. The ABCDE model (Airway, Breathing, Circulation, Disability, Exposure)
, B. The 5A's framework (Ask, Advise, Assess, Assist, Arrange follow-up) [CORRECT]
C. The SBAR model (Situation, Background, Assessment, Recommendation)
D. The SOAP model (Subjective, Objective, Assessment, Plan)
Correct Answer: B
Rationale: The 5A's framework (Ask, Advise, Assess, Assist, Arrange follow-up) is the evidence-based approach for
brief behavioral counseling interventions for alcohol misuse. ABCDE (A) is for emergency assessment, SBAR (C) is
for clinical communication, and SOAP (D) is for documentation. The 5A's is specifically designed for behavioral
counseling in primary care settings.
Q5: According to the USPSTF, at what age should osteoporosis screening begin for women with no risk
factors?
A. 50 years
B. 55 years
C. 60 years
D. 65 years or older [CORRECT]
Correct Answer: D
Rationale: The USPSTF recommends osteoporosis screening for women aged 65 years or older. Screening at
younger ages (A, B, C) is reserved for women with risk factors such as low body weight, prior fracture, or family
history. This is a direct recall question testing knowledge of current screening guidelines.
Q6: Which of the following best describes secondary prevention?
A. Administration of the HPV vaccine to adolescents
B. Smoking cessation counseling for a patient with no history of lung disease
C. Routine laboratory screenings and mammograms for early detection and prompt treatment of
disease [CORRECT]
D. Rehabilitation following a stroke to prevent recurrence
Correct Answer: C
Rationale: Secondary prevention involves early detection and prompt treatment of disease through activities such
as routine laboratory screenings, mammograms, and Papanicolaou smears. Option A is primary prevention
(immunization). Option B is also primary prevention (lifestyle modification before disease onset). Option D is
tertiary prevention (rehabilitation after disease has occurred).
Q7: The American College of Nurse-Midwives (ACNM) scope of practice includes which of the
following?
A. Independent provision of care during pregnancy, childbirth, and postpartum; sexual and
reproductive health; gynecologic health; and family planning [CORRECT]
B. Only assisting physicians during deliveries in hospital settings
C. Exclusive provision of prenatal care without authority to manage gynecologic conditions
D. Only providing care to low-risk pregnant women under direct physician supervision
Correct Answer: A
Rationale: The ACNM scope of practice includes independent provision of care during pregnancy, childbirth, and
the postpartum period; sexual and reproductive health; gynecologic health; family planning; primary care from
adolescence through the lifespan; and care for healthy newborns during the first 28 days. It is inclusive of all
gender identities and sexual orientations, and is not limited to physician-supervised care.
Q8: A nurse practitioner is caring for a patient from a culturally diverse background. Which approach
best addresses health disparities in women's health?
A. Applying the same standardized treatment protocols to all patients regardless of cultural
background
B. Recognizing cultural perspectives, understanding health disparities, and individualizing care
based on the patient's unique social and cultural context [CORRECT]
, C. Referring all patients from minority backgrounds to culturally specific community health
centers
D. Focusing exclusively on biological factors and ignoring social determinants of health
Correct Answer: B
Rationale: Addressing health disparities in women's health requires recognizing cultural perspectives,
understanding how social determinants affect health outcomes, and individualizing care. Standardized protocols
alone (A) may not account for cultural differences. Referring patients elsewhere (C) does not address the provider's
responsibility, and ignoring social determinants (D) perpetuates disparities.
Q9: Which of the following is a key principle of the feminist perspective in advanced practice nursing?
A. Medicalization of normal physiologic processes to ensure comprehensive care
B. Rejecting androcentric models as normative and seeking social and political change to improve
women's health outcomes [CORRECT]
C. Prioritizing the healthcare provider's clinical judgment over the patient's expressed preferences
D. Using a one-size-fits-all approach to treatment regardless of individual patient differences
Correct Answer: B
Rationale: The feminist perspective rejects androcentric models as normative, challenges the medicalization and
pathologizing of normal physiologic processes, works to minimize power imbalances, and seeks social and political
change. Options A, C, and D directly contradict feminist principles by promoting medicalization, paternalism, and
ignoring patient heterogeneity.
Q10: A 30-year-old female patient asks about the Patient Protection and Affordable Care Act (ACA).
Which statement is correct?
A. The ACA mandated health insurance coverage for all Americans, expanding access to
preventive services including women's health screenings [CORRECT]
B. The ACA only applies to individuals over age 65 who are enrolled in Medicare
C. The ACA eliminated the need for private health insurance by establishing a single-payer system
D. The ACA does not cover preventive services such as mammograms or cervical cancer screening
Correct Answer: A
Rationale: The Patient Protection and Affordable Care Act (ACA) mandated health insurance coverage for all
Americans and expanded access to preventive services without cost-sharing, including women's health screenings
such as mammograms and cervical cancer screening. It did not create a single-payer system (C) and is not limited
to Medicare beneficiaries (B). Option D is factually incorrect.
Q11: A nurse practitioner is conducting well-woman care. According to evidence-based guidelines,
intimate partner violence (IPV) screening is supported by which interventions?
A. Mandatory reporting to law enforcement for all suspected cases regardless of patient
preference
B. Counseling, home visits, and mentoring support based on evidence from randomized trials
[CORRECT]
C. Prescribing antidepressant medication as first-line treatment for all patients screening positive
D. Referring all patients to inpatient psychiatric evaluation
Correct Answer: B
Rationale: Evidence from randomized trials supports counseling, home visits, and mentoring support as effective
interventions for intimate partner violence. Mandatory reporting (A) varies by state and is not universally required
for all IPV cases. Antidepressant medication (C) and inpatient psychiatric referral (D) are not first-line
interventions for IPV and do not address the underlying safety concerns.
Q12: A nurse practitioner wants to address health disparities in a community with high rates of
cervical cancer. Which initiative aligns with Healthy People 2020/2030 goals for women's health?
A. Restricting access to HPV vaccination to reduce healthcare costs
B. Increasing access to cervical cancer screening and HPV vaccination in underserved populations
[CORRECT]
NRNP6552 Week 6 Midterm | 100 Questions and Verified Answers | Grade A
Walden University | Advanced Nurse Practice in Reproductive Health Care
Section 1: Health Promotion, Feminist Perspectives, and Preventive Care
Q1: A nurse practitioner is counseling a 25-year-old female patient on health promotion strategies.
Which approach best reflects the feminist perspective in women's health care?
A. Performing all screening tests ordered by the physician without discussing them with the
patient
B. Working with the patient as an equal partner, recognizing her autonomy and minimizing power
imbalances in the clinical relationship [CORRECT]
C. Applying androcentric medical models as the standard of care for all patients regardless of
gender
D. Focusing solely on the pathologization of normal physiologic processes such as menstruation
and menopause
Correct Answer: B
Rationale: The feminist perspective in women's health emphasizes working with individuals as opposed to for
individuals, using heterogeneity as an assumption, and minimizing power imbalances in the provider-patient
relationship. It rejects androcentric models as normative (C) and challenges the medicalization of normal
physiologic processes (D). Option A represents a paternalistic approach contrary to feminist principles.
Q2: A 42-year-old woman presents for her annual well-woman visit. According to the latest USPSTF
guidelines, when should she begin breast cancer screening with mammography?
A. Immediately, since she is over age 40 and needs annual screening
B. At age 45, with screening every other year through age 74 (B grade recommendation)
C. Now, with screening every other year starting at age 40 through age 74 (B grade
recommendation) [CORRECT]
D. At age 50, with screening every other year through age 75
Correct Answer: C
Rationale: The USPSTF recommends screening all women for breast cancer every other year starting at age 40
through age 74, assigned a B grade. This represents the most current 2026 update to the guideline. Option B
reflects the previous (older) recommendation. Options A and D are incorrect regarding both the starting age and
frequency.
Q3: Which of the following is an example of primary prevention in women's health care?
A. Performing a routine mammogram on a 50-year-old asymptomatic woman
B. Conducting a Papanicolaou smear to detect cervical dysplasia early
C. Administering the HPV vaccine to an 11-year-old girl before sexual debut [CORRECT]
D. Ordering a bone density scan on a 67-year-old woman to detect osteoporosis
Correct Answer: C
Rationale: Primary prevention focuses on preventing disease before it occurs, such as immunization (HPV
vaccination), health education, and lifestyle modification. Options A, B, and D are all examples of secondary
prevention, which involves early detection and prompt treatment of existing disease through routine screenings
and diagnostic tests.
Q4: A nurse practitioner is providing brief behavioral counseling for alcohol misuse. Which framework
should guide this intervention?
A. The ABCDE model (Airway, Breathing, Circulation, Disability, Exposure)
, B. The 5A's framework (Ask, Advise, Assess, Assist, Arrange follow-up) [CORRECT]
C. The SBAR model (Situation, Background, Assessment, Recommendation)
D. The SOAP model (Subjective, Objective, Assessment, Plan)
Correct Answer: B
Rationale: The 5A's framework (Ask, Advise, Assess, Assist, Arrange follow-up) is the evidence-based approach for
brief behavioral counseling interventions for alcohol misuse. ABCDE (A) is for emergency assessment, SBAR (C) is
for clinical communication, and SOAP (D) is for documentation. The 5A's is specifically designed for behavioral
counseling in primary care settings.
Q5: According to the USPSTF, at what age should osteoporosis screening begin for women with no risk
factors?
A. 50 years
B. 55 years
C. 60 years
D. 65 years or older [CORRECT]
Correct Answer: D
Rationale: The USPSTF recommends osteoporosis screening for women aged 65 years or older. Screening at
younger ages (A, B, C) is reserved for women with risk factors such as low body weight, prior fracture, or family
history. This is a direct recall question testing knowledge of current screening guidelines.
Q6: Which of the following best describes secondary prevention?
A. Administration of the HPV vaccine to adolescents
B. Smoking cessation counseling for a patient with no history of lung disease
C. Routine laboratory screenings and mammograms for early detection and prompt treatment of
disease [CORRECT]
D. Rehabilitation following a stroke to prevent recurrence
Correct Answer: C
Rationale: Secondary prevention involves early detection and prompt treatment of disease through activities such
as routine laboratory screenings, mammograms, and Papanicolaou smears. Option A is primary prevention
(immunization). Option B is also primary prevention (lifestyle modification before disease onset). Option D is
tertiary prevention (rehabilitation after disease has occurred).
Q7: The American College of Nurse-Midwives (ACNM) scope of practice includes which of the
following?
A. Independent provision of care during pregnancy, childbirth, and postpartum; sexual and
reproductive health; gynecologic health; and family planning [CORRECT]
B. Only assisting physicians during deliveries in hospital settings
C. Exclusive provision of prenatal care without authority to manage gynecologic conditions
D. Only providing care to low-risk pregnant women under direct physician supervision
Correct Answer: A
Rationale: The ACNM scope of practice includes independent provision of care during pregnancy, childbirth, and
the postpartum period; sexual and reproductive health; gynecologic health; family planning; primary care from
adolescence through the lifespan; and care for healthy newborns during the first 28 days. It is inclusive of all
gender identities and sexual orientations, and is not limited to physician-supervised care.
Q8: A nurse practitioner is caring for a patient from a culturally diverse background. Which approach
best addresses health disparities in women's health?
A. Applying the same standardized treatment protocols to all patients regardless of cultural
background
B. Recognizing cultural perspectives, understanding health disparities, and individualizing care
based on the patient's unique social and cultural context [CORRECT]
, C. Referring all patients from minority backgrounds to culturally specific community health
centers
D. Focusing exclusively on biological factors and ignoring social determinants of health
Correct Answer: B
Rationale: Addressing health disparities in women's health requires recognizing cultural perspectives,
understanding how social determinants affect health outcomes, and individualizing care. Standardized protocols
alone (A) may not account for cultural differences. Referring patients elsewhere (C) does not address the provider's
responsibility, and ignoring social determinants (D) perpetuates disparities.
Q9: Which of the following is a key principle of the feminist perspective in advanced practice nursing?
A. Medicalization of normal physiologic processes to ensure comprehensive care
B. Rejecting androcentric models as normative and seeking social and political change to improve
women's health outcomes [CORRECT]
C. Prioritizing the healthcare provider's clinical judgment over the patient's expressed preferences
D. Using a one-size-fits-all approach to treatment regardless of individual patient differences
Correct Answer: B
Rationale: The feminist perspective rejects androcentric models as normative, challenges the medicalization and
pathologizing of normal physiologic processes, works to minimize power imbalances, and seeks social and political
change. Options A, C, and D directly contradict feminist principles by promoting medicalization, paternalism, and
ignoring patient heterogeneity.
Q10: A 30-year-old female patient asks about the Patient Protection and Affordable Care Act (ACA).
Which statement is correct?
A. The ACA mandated health insurance coverage for all Americans, expanding access to
preventive services including women's health screenings [CORRECT]
B. The ACA only applies to individuals over age 65 who are enrolled in Medicare
C. The ACA eliminated the need for private health insurance by establishing a single-payer system
D. The ACA does not cover preventive services such as mammograms or cervical cancer screening
Correct Answer: A
Rationale: The Patient Protection and Affordable Care Act (ACA) mandated health insurance coverage for all
Americans and expanded access to preventive services without cost-sharing, including women's health screenings
such as mammograms and cervical cancer screening. It did not create a single-payer system (C) and is not limited
to Medicare beneficiaries (B). Option D is factually incorrect.
Q11: A nurse practitioner is conducting well-woman care. According to evidence-based guidelines,
intimate partner violence (IPV) screening is supported by which interventions?
A. Mandatory reporting to law enforcement for all suspected cases regardless of patient
preference
B. Counseling, home visits, and mentoring support based on evidence from randomized trials
[CORRECT]
C. Prescribing antidepressant medication as first-line treatment for all patients screening positive
D. Referring all patients to inpatient psychiatric evaluation
Correct Answer: B
Rationale: Evidence from randomized trials supports counseling, home visits, and mentoring support as effective
interventions for intimate partner violence. Mandatory reporting (A) varies by state and is not universally required
for all IPV cases. Antidepressant medication (C) and inpatient psychiatric referral (D) are not first-line
interventions for IPV and do not address the underlying safety concerns.
Q12: A nurse practitioner wants to address health disparities in a community with high rates of
cervical cancer. Which initiative aligns with Healthy People 2020/2030 goals for women's health?
A. Restricting access to HPV vaccination to reduce healthcare costs
B. Increasing access to cervical cancer screening and HPV vaccination in underserved populations
[CORRECT]
