FOCUSED PRACTICE TEST * 2026/2027
NR602
Contraception &
Family Planning
100-Question Focused Practice Test
Method selection, emergency contraception, LARC, hormonal and barrier methods, special populations, safety,
interactions, counseling, and reproductive planning.
100 A-D 100
Practice Questions Multiple Choice Immediate Explanations
Original study and revision material * Clean print-ready format * PassPointPro
, NR602 Contraception & Family Planning
100 original questions with the answer and explanation immediately after every question.
Instructions: Select the best answer for each question. The correct answer and explanation appear immediately after every item.
Questions are original and focus on contraception, family planning, counseling, safety, and clinical decision-making.
Focused Mixed Review
1 Which counseling approach best supports patient-centered contraceptive care?
A Recommend the clinician's preferred method before discussing alternatives.
B Require a long-acting method for every patient who wants reliable contraception.
C Avoid discussing side effects so the patient is not discouraged.
D Elicit the patient's reproductive goals and preferences, then discuss options without directing the choice.
Answer: D. Elicit the patient's reproductive goals and preferences, then discuss options without directing the
choice.
Explanation: Contraceptive counseling should be grounded in autonomy, informed choice, and the patient's own priorities. Shared
decision-making improves fit between the method and the patient's goals while reducing coercion.
2 Which strategy provides the best dual protection against both pregnancy and sexually
transmitted infections?
A Use condoms consistently together with another effective contraceptive method when appropriate.
B Use a hormonal contraceptive alone.
C Use a copper IUD alone.
D Use fertility awareness alone.
Answer: A. Use condoms consistently together with another effective contraceptive method when appropriate.
Explanation: Most contraceptive methods do not protect against sexually transmitted infections. Condoms add STI risk reduction
and can be paired with another method for stronger pregnancy prevention.
NR602 * Contraception & Family Planning * 100 Questions Page 2
, 3 Which group of contraceptive methods is classified as long-acting reversible contraception
(LARC)?
A Combined oral contraceptives and the patch.
B Male condoms and diaphragms.
C Intrauterine devices and the etonogestrel implant.
D Depot medroxyprogesterone and spermicides only.
Answer: C. Intrauterine devices and the etonogestrel implant.
Explanation: LARC methods include intrauterine devices and the contraceptive implant. They provide highly effective
contraception for years without requiring daily or pericoital action and are reversible.
4 What is a major contraceptive effect of the copper intrauterine device?
A It consistently suppresses ovulation in all users.
B Copper creates a local environment that impairs sperm function and prevents fertilization.
C It permanently blocks the fallopian tubes.
D It releases systemic estrogen.
Answer: B. Copper creates a local environment that impairs sperm function and prevents fertilization.
Explanation: The copper IUD is nonhormonal. Copper ions and the local inflammatory response are toxic to sperm and interfere
with fertilization.
5 Which effect is expected with a levonorgestrel-releasing intrauterine device?
A Permanent ovarian suppression.
B Increased endometrial proliferation.
C Systemic estrogen exposure comparable to combined pills.
D Thickening of cervical mucus and thinning of the endometrium.
Answer: D. Thickening of cervical mucus and thinning of the endometrium.
Explanation: Levonorgestrel IUDs mainly thicken cervical mucus and produce endometrial suppression. Ovulation may continue
in many users, especially after the first year.
NR602 * Contraception & Family Planning * 100 Questions Page 3
, 6 Which statement about the etonogestrel contraceptive implant is correct?
A It is a progestin-only, highly effective method that commonly causes changes in bleeding patterns.
B It contains both estrogen and progestin.
C It requires insertion into the uterine cavity.
D It reliably produces a monthly withdrawal bleed.
Answer: A. It is a progestin-only, highly effective method that commonly causes changes in bleeding patterns.
Explanation: The etonogestrel implant is inserted subdermally in the upper arm and releases progestin. Irregular or unpredictable
bleeding is one of the most common reasons users seek counseling.
7 Which statement about depot medroxyprogesterone acetate (DMPA) is most accurate?
A It is a nonhormonal injection.
B It must be taken every day.
It is a progestin-only injectable method given at regular intervals and may delay return to fertility after
C
discontinuation.
D Fertility always returns within 24 hours of the last injection.
Answer: C. It is a progestin-only injectable method given at regular intervals and may delay return to fertility after
discontinuation.
Explanation: DMPA suppresses ovulation and is administered approximately every 3 months. Fertility usually returns, but
ovulation may be delayed for months after the last injection.
8 A patient frequently forgets daily medications. Which option best reduces the need for
user-dependent adherence?
A A combined oral contraceptive.
B An IUD or contraceptive implant.
C A progestin-only pill taken daily.
D A spermicide used with each act of intercourse.
Answer: B. An IUD or contraceptive implant.
Explanation: LARC methods remove the need for daily or pericoital action after placement. This makes effectiveness less
dependent on adherence than pills or barrier methods.
NR602 * Contraception & Family Planning * 100 Questions Page 4
NR602
Contraception &
Family Planning
100-Question Focused Practice Test
Method selection, emergency contraception, LARC, hormonal and barrier methods, special populations, safety,
interactions, counseling, and reproductive planning.
100 A-D 100
Practice Questions Multiple Choice Immediate Explanations
Original study and revision material * Clean print-ready format * PassPointPro
, NR602 Contraception & Family Planning
100 original questions with the answer and explanation immediately after every question.
Instructions: Select the best answer for each question. The correct answer and explanation appear immediately after every item.
Questions are original and focus on contraception, family planning, counseling, safety, and clinical decision-making.
Focused Mixed Review
1 Which counseling approach best supports patient-centered contraceptive care?
A Recommend the clinician's preferred method before discussing alternatives.
B Require a long-acting method for every patient who wants reliable contraception.
C Avoid discussing side effects so the patient is not discouraged.
D Elicit the patient's reproductive goals and preferences, then discuss options without directing the choice.
Answer: D. Elicit the patient's reproductive goals and preferences, then discuss options without directing the
choice.
Explanation: Contraceptive counseling should be grounded in autonomy, informed choice, and the patient's own priorities. Shared
decision-making improves fit between the method and the patient's goals while reducing coercion.
2 Which strategy provides the best dual protection against both pregnancy and sexually
transmitted infections?
A Use condoms consistently together with another effective contraceptive method when appropriate.
B Use a hormonal contraceptive alone.
C Use a copper IUD alone.
D Use fertility awareness alone.
Answer: A. Use condoms consistently together with another effective contraceptive method when appropriate.
Explanation: Most contraceptive methods do not protect against sexually transmitted infections. Condoms add STI risk reduction
and can be paired with another method for stronger pregnancy prevention.
NR602 * Contraception & Family Planning * 100 Questions Page 2
, 3 Which group of contraceptive methods is classified as long-acting reversible contraception
(LARC)?
A Combined oral contraceptives and the patch.
B Male condoms and diaphragms.
C Intrauterine devices and the etonogestrel implant.
D Depot medroxyprogesterone and spermicides only.
Answer: C. Intrauterine devices and the etonogestrel implant.
Explanation: LARC methods include intrauterine devices and the contraceptive implant. They provide highly effective
contraception for years without requiring daily or pericoital action and are reversible.
4 What is a major contraceptive effect of the copper intrauterine device?
A It consistently suppresses ovulation in all users.
B Copper creates a local environment that impairs sperm function and prevents fertilization.
C It permanently blocks the fallopian tubes.
D It releases systemic estrogen.
Answer: B. Copper creates a local environment that impairs sperm function and prevents fertilization.
Explanation: The copper IUD is nonhormonal. Copper ions and the local inflammatory response are toxic to sperm and interfere
with fertilization.
5 Which effect is expected with a levonorgestrel-releasing intrauterine device?
A Permanent ovarian suppression.
B Increased endometrial proliferation.
C Systemic estrogen exposure comparable to combined pills.
D Thickening of cervical mucus and thinning of the endometrium.
Answer: D. Thickening of cervical mucus and thinning of the endometrium.
Explanation: Levonorgestrel IUDs mainly thicken cervical mucus and produce endometrial suppression. Ovulation may continue
in many users, especially after the first year.
NR602 * Contraception & Family Planning * 100 Questions Page 3
, 6 Which statement about the etonogestrel contraceptive implant is correct?
A It is a progestin-only, highly effective method that commonly causes changes in bleeding patterns.
B It contains both estrogen and progestin.
C It requires insertion into the uterine cavity.
D It reliably produces a monthly withdrawal bleed.
Answer: A. It is a progestin-only, highly effective method that commonly causes changes in bleeding patterns.
Explanation: The etonogestrel implant is inserted subdermally in the upper arm and releases progestin. Irregular or unpredictable
bleeding is one of the most common reasons users seek counseling.
7 Which statement about depot medroxyprogesterone acetate (DMPA) is most accurate?
A It is a nonhormonal injection.
B It must be taken every day.
It is a progestin-only injectable method given at regular intervals and may delay return to fertility after
C
discontinuation.
D Fertility always returns within 24 hours of the last injection.
Answer: C. It is a progestin-only injectable method given at regular intervals and may delay return to fertility after
discontinuation.
Explanation: DMPA suppresses ovulation and is administered approximately every 3 months. Fertility usually returns, but
ovulation may be delayed for months after the last injection.
8 A patient frequently forgets daily medications. Which option best reduces the need for
user-dependent adherence?
A A combined oral contraceptive.
B An IUD or contraceptive implant.
C A progestin-only pill taken daily.
D A spermicide used with each act of intercourse.
Answer: B. An IUD or contraceptive implant.
Explanation: LARC methods remove the need for daily or pericoital action after placement. This makes effectiveness less
dependent on adherence than pills or barrier methods.
NR602 * Contraception & Family Planning * 100 Questions Page 4
