APEA CEU FNP Exam Prep (2026/2027) –
200 Practice Questions & Answers for
Family Nurse Practitioner Certification
Exam Prep Review (PDF)
,
,SECTION 1: WOMEN'S HEALTH
1. Which statements are consistent with polycystic ovarian syndrome (PCOS)?
Select all that apply.
A) Patients with PCOS are at low risk for endometrial cancer
B) The diagnosis of PCOS requires ultrasound studies
C) The diagnostic workup for suspected PCOS should be individualized to the
patient
D) The risks and complications associated with PCOS are numerous and potentially
serious
Answer: C, D
Rationale: PCOS is associated with numerous and potentially serious complications
including metabolic syndrome, diabetes, and endometrial cancer risk (not low).
Diagnosis requires at least 2 of 3 Rotterdam criteria and should be individualized.
Ultrasound is one of several diagnostic tools, not required in all cases .
2. Which statements about contraception are correct? Select all that apply.
A) Long-acting reversible contraceptives (LARCs) may be safely used by nulliparous
women
B) For patients with PCOS, combination oral contraceptives are generally safe and
effective
C) LARCs should not be inserted by primary care providers
D) The management of heavy menses requires low-dose estrogen- and progestin-
containing combined hormonal contraceptives
Answer: A, B
Rationale: LARCs are safe for nulliparous women and are recommended as first-
line options. Combination OCs are effective for managing PCOS symptoms.
Primary care providers can and do insert LARCs. Heavy menses management
depends on underlying cause .
, 3. Which statements about cervical cancer screening are correct? Select all that
apply.
A) Women between ages 21 and 29 years should be screened every 5 years with
Pap testing only
B) The cervical cancer screening intervals recommended by ACS and ASCCP are
evidence-based
C) Immunization against HPV is most effective when administered before age 26
years
D) Two HPV vaccine doses are recommended for patients who are younger than
15 years and not sexually active
Answer: B, C, D
Rationale: Women 21-29 should be screened every 3 years with Pap testing alone,
not 5. ACS and ASCCP guidelines are evidence-based. HPV vaccine is most effective
before age 26. Two-dose series is recommended for those <15 years .
4. Which statements about folic acid are correct? Select all that apply.
A) All pregnant women should take 1 mcg folic acid daily
B) When planning to become pregnant, women should take 0.4 mg folic acid daily
C) Maternal folic acid use can prevent cleft palate in the developing fetus
D) Maternal folic acid use can prevent neural tube defects in the developing fetus
Answer: B, C, D
Rationale: The recommended dose for preconception is 0.4 mg (400 mcg) daily.
Folic acid prevents neural tube defects and may reduce cleft palate risk. 1 mcg is
an incorrect dosage .
5. Which of the following should the NP recognize as clues to domestic violence
in a pregnant patient? Select all that apply.
A) Missed prenatal visits without notification
B) A partner who refuses to allow the patient to be examined in private
200 Practice Questions & Answers for
Family Nurse Practitioner Certification
Exam Prep Review (PDF)
,
,SECTION 1: WOMEN'S HEALTH
1. Which statements are consistent with polycystic ovarian syndrome (PCOS)?
Select all that apply.
A) Patients with PCOS are at low risk for endometrial cancer
B) The diagnosis of PCOS requires ultrasound studies
C) The diagnostic workup for suspected PCOS should be individualized to the
patient
D) The risks and complications associated with PCOS are numerous and potentially
serious
Answer: C, D
Rationale: PCOS is associated with numerous and potentially serious complications
including metabolic syndrome, diabetes, and endometrial cancer risk (not low).
Diagnosis requires at least 2 of 3 Rotterdam criteria and should be individualized.
Ultrasound is one of several diagnostic tools, not required in all cases .
2. Which statements about contraception are correct? Select all that apply.
A) Long-acting reversible contraceptives (LARCs) may be safely used by nulliparous
women
B) For patients with PCOS, combination oral contraceptives are generally safe and
effective
C) LARCs should not be inserted by primary care providers
D) The management of heavy menses requires low-dose estrogen- and progestin-
containing combined hormonal contraceptives
Answer: A, B
Rationale: LARCs are safe for nulliparous women and are recommended as first-
line options. Combination OCs are effective for managing PCOS symptoms.
Primary care providers can and do insert LARCs. Heavy menses management
depends on underlying cause .
, 3. Which statements about cervical cancer screening are correct? Select all that
apply.
A) Women between ages 21 and 29 years should be screened every 5 years with
Pap testing only
B) The cervical cancer screening intervals recommended by ACS and ASCCP are
evidence-based
C) Immunization against HPV is most effective when administered before age 26
years
D) Two HPV vaccine doses are recommended for patients who are younger than
15 years and not sexually active
Answer: B, C, D
Rationale: Women 21-29 should be screened every 3 years with Pap testing alone,
not 5. ACS and ASCCP guidelines are evidence-based. HPV vaccine is most effective
before age 26. Two-dose series is recommended for those <15 years .
4. Which statements about folic acid are correct? Select all that apply.
A) All pregnant women should take 1 mcg folic acid daily
B) When planning to become pregnant, women should take 0.4 mg folic acid daily
C) Maternal folic acid use can prevent cleft palate in the developing fetus
D) Maternal folic acid use can prevent neural tube defects in the developing fetus
Answer: B, C, D
Rationale: The recommended dose for preconception is 0.4 mg (400 mcg) daily.
Folic acid prevents neural tube defects and may reduce cleft palate risk. 1 mcg is
an incorrect dosage .
5. Which of the following should the NP recognize as clues to domestic violence
in a pregnant patient? Select all that apply.
A) Missed prenatal visits without notification
B) A partner who refuses to allow the patient to be examined in private
