Women’s Health Nurse Practitioner Practice Test

The WHNP is administered by the National Certification Corporation (NCC).

The National Association of Nurse Practitioners in Women’s Health (NPWH) offers courses that prepare you for the certification.

This is an entry-level exam for licensed registered nurses in the US.

To be eligible for the exam, you must have successfully passed a nationally-accredited Nurse practitioner program specified for Women’s Health Care Nurse Practitioner.

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Check out these 50 free practice questions for the Women’s Health Nurse Practitioner Exam!

Women's Health Nurse Practitioner Practice Test

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Question 1
Please identify which of the following statements refer to the Amsel criteria used to diagnose bacterial vaginosis?
A
Excessive white, homogeneous vaginal discharge
B
Excessive white, clumpy vaginal discharge
C
A vaginal pH above 4.5
D
A and C
Question 1 Explanation: 
The Amsel criteria for diagnosing bacterial vaginosis (BV) include: the presence of excessive white, homogeneous vaginal discharge, a vaginal pH over 4.5, 10% KOH gives an amine odor to the vaginal discharge, and clue cells present on a wet mount. Three out of the four criteria must be met in order to make a BV diagnosis.
Question 2
A patient is experiencing emotional lability four days into the postpartum period. This is an indication of...
A
Postpartum depression
B
Postpartum thyroiditis
C
Postpartum blues
D
A and C
Question 2 Explanation: 
Emotional lability four days into the postpartum period is an indication of postpartum blues. Postpartum depression involves deeper feelings of despair and usually occurs one to twelve months after childbirth.
Question 3
According to the ASCCP Risk-Based Management Consensus Guidelines, what would be an appropriate action in a patient with an ASCUS pap result and a positive high risk HPV 16 cotest?
A
Repeat pap and HPV cotesting at a later time
B
Colposcopy
C
Surveillance
Question 3 Explanation: 
In this case, the ASCCP guidelines recommend colposcopy.
Question 4
A solid, round, soft lump that moves easily upon touch is identified in the right breast of a 31-year-old patient during a clinical examination. What is this lump most likely to be?
A
A fibroadenoma
B
A cancer
C
A breast cyst
Question 4 Explanation: 
A solid, round, soft lump that moves easily upon touch identified in a 31-year-old patient is most likely to be a fibroadenoma, because the patient is in reproductive age. Fibroadenomas are the most common benign breast pathology in this age group.
Question 5
In children aged between 9 and 14, HPV vaccines are administered...
A
in two doses in six to twelve month intervals
B
in three doses in six to twelve month intervals
C
Children aged 9-14 do not receive HPV vaccines
Question 5 Explanation: 
The CDC guidelines stipulate that children aged 9-14 should receive a two-dose series of 9-valent HPV vaccine with six to twelve months between vaccinations.
Question 6
Please indicate what is the main risk factor for postpartum depression.
A
A history of depression
B
Unplanned pregnancy
C
Difficult financial situation
Question 6 Explanation: 
According to research, a history of depression places women at an increased risk of postpartum depression and is the most significant risk factor.
Question 7
Please indicate which of the following contraception methods should not be recommended to a patient with acute deep vein thrombosis?
A
Copper IUD (intrauterine device or coil)
B
The combined oral contraceptive pill (COCP)
C
Contraceptive implant
Question 7 Explanation: 
The WHO Medical Eligibility Criteria for Contraceptive Use specify that patients with acute DVT should not use combined oral contraceptives.
Question 8
A 36-year-old female patient of African American decent needs to be prescribed medications for chronic hypertension. Which of the following types of drugs are the least likely to be effective?
A
Calcium channel blockers
B
Alpha-2 Receptor Agonists
C
Angiotensin-converting enzyme (ACE) inhibitors
Question 8 Explanation: 
ACE (Angiotensin-converting enzyme) inhibitors are found to be less effective in African American patients than in patients of other ethnicities.
Question 9
Please indicate which of the following patients is at the highest risk for Gestational Diabetes Mellitus (GDM)?
A
The patient is 26 years old
B
The patient is obese
C
The patient has had high levels of stress prior to the pregnancy
D
All of the above
Question 9 Explanation: 
Obesity is a risk factors for Gestational Diabetes Mellitus (GDM). Additional risk factors are advanced age (over 35), obesity, and a history of diabetes or pre-diabetes, among others.
Question 10
Screening for asymptomatic bacteria is mandatory during gestation in patients with...
A
Chronic hypertension
B
Sickle cell trait (SCT)
C
Hemophilia
Question 10 Explanation: 
Sickle cell trait is a risk factor for asymptomatic bacteria. Therefore, pregnant patients with this condition must undergo screening for asymptomatic bacteria.
Question 11
Please indicate which of the following statements is not correct of the treatment of menopausal symptoms with hormone therapy.
A
It is prescribed on the "minimum effective dose" principle
B
It should not last for more than 3 years
C
The therapy requirements are individual and depend from patient to patient
Question 11 Explanation: 
It is not a rule that menopausal hormone therapy should not be prescribed for longer than 3 years. For some women it may be necessary to last more than 3 years, for others not.
Question 12
Please indicate which of the following is a potential risk factor for pre-term delivery.
A
Frequent physical exercising during pregnancy
B
Poor dental hygiene
C
Clinical depression
Question 12 Explanation: 
Poor dental hygiene has been found to correlate with pre-term delivery.
Question 13
Please indicate which of the following groups of patients are indicated for the Gardasil 9 HPV vaccine.
A
Females aged 9-26
B
Males aged 9-26
C
A and B
Question 13 Explanation: 
At the age of 9 to 26, all children and young adults are indicated for the HPV vaccine.
Question 14
Please identify which of the following anti-seizure medications, when used during pregnancy, has the risk of causing fetal craniofacial anomalies.
A
Dilantin
B
Valproate
C
Keppra
Question 14 Explanation: 
Dilantin has an established risk of causing fetal craniofacial anomalies if used during gestation.
Question 15
Please identify among which of the following ethnic groups Tay-Sach’s disease is more common.
A
French Canadian
B
Cajun
C
Sephardic Jewish
D
A and B
E
None of the above
Question 15 Explanation: 
People of French Canadian, Cajun or Ashkenazi Jewish decent are at an increased risk of Tay-Sach’s disease.
Question 16
Please identify which of the following procedures is appropriate for a 39-year-old female patient with intermenstrual bleeding.
A
Endometrial biopsy
B
Laparoscopic uterine suspension
C
Diagnostic laparoscopy
Question 16 Explanation: 
Endometrial biopsy is indicated in patients with intermenstrual bleeding, who are older than 35.
Question 17
Please identify the correct value of RDA for calcium for adolescent women.
A
1300 mg
B
1200 mg
C
500 mg
Question 17 Explanation: 
The recommended daily intake of calcium for adolescent women is 1300 mg, while 1200 mg is the recommended daily intake for postmenopausal women.
Question 18
A well-demarcated, painless labial ulcer is a sign for which sexually transmitted infection?
A
Syphilis
B
HSV
C
HIV
Question 18 Explanation: 
A well-defined, painless labial ulcer is usually a sign for primary syphilis.
Question 19
According to ASCCP guidelines, a 65-year-old patient can stop having routine cervical cancer screenings in which of the following cases?
A
If she is no longer sexually active
B
If she has had negative cervical cancer screening results in the last 20 years
C
Above the age of 65, a patient can discontinue routine cervical cancer screenings regardless of other factors
Question 19 Explanation: 
According to ASCCP guidelines, a 65-year-old patient can stop having routine cervical cancer screenings if she has had negative routine screening results in the last 20 years without CIN2+.
Question 20
Please identify which of the following falls under routine preconception care and counseling practices?
A
Rubella immunity testing recommendation
B
Testing for allergies recommendation
C
Testing for diabetes recommendation
Question 20 Explanation: 
Routine preconception care and counseling practices include recommendation for rubella immunity testing.
Question 21
A patient, who is breastfeeding has postpartum depression. What would not be a drug recommended to use in this case?
A
Clonazepam
B
Sertraline
C
None of the above
Question 21 Explanation: 
Clonazepam, marketed as Klonopin, is a benzodiazepine and as such, it is not safe, because it can cause CNS depression in the infant.
Question 22
When should routine bone density testing start in women?
A
At the age of 65
B
At the age of 55
C
At the onset of menopause
Question 22 Explanation: 
Routine bone density testing should be started by women at the age of 65.
Question 23
Routine GBS screening is performed in pregnant women...
A
in the 12th week of pregnancy
B
in the 36th week of pregnancy
C
None of the above
Question 23 Explanation: 
According to CDC recommendations, routine GBS screening is performed in pregnant women in the 36th week of pregnancy.
Question 24
Please indicate what could be a factor in early cessation of breastfeeding.
A
Single-parenting
B
African-American decent
C
Having a commercial health insurance
Question 24 Explanation: 
Cessation of breastfeeding earlier than desired is likely to happen among single-parent mothers.
Question 25
The pregnancy complication of preeclampsia puts patients at an increased risk of...
A
heart diseases.
B
thyroid gland diseases.
C
blood diseases.
Question 25 Explanation: 
The pregnancy complication of preeclampsia puts patients at an increased risk of heart diseases.
Question 26
A patient with a history of normal PAP smears and no HPV tests negative for high-risk HPV and gets an ASCUS pap. What should be the recommendation in this case?
A
The patient should repeat the tests the latest after 2 years
B
The patient should repeat the tests after 3 years
C
The patient should undergo colposcopy
Question 26 Explanation: 
A patient with an ASCUS pap, who is negative for high risk HPV and with a history of normal PAP smears and no HPV should repeat the tests after 3 years.
Question 27
Please identify the drug safe to use during pregnancy (Category A drug) that can be prescribed in the early gestation phase for alleviating the symptoms of nausea and vomiting.
A
Zofran
B
Diclegis
C
Reglan
Question 27 Explanation: 
Zofran and Reglan are both Category B drugs. Diclegis is a Category A drug that can be prescribed in the early gestation phase for alleviating the symptoms of nausea and vomiting.
Question 28
Please identify which of the following drugs cannot be used for treating genital warts.
A
Aldara
B
Zovirax
C
TCA
Question 28 Explanation: 
Zovirax is the only one of the above drugs that cannot be used for treating genital warts.
Question 29
The increasing incidence of the human papilloma virus can explain the also increasing prevalence of...
A
cervical cancer.
B
oropharyngeal cancer.
C
breast cancer.
Question 29 Explanation: 
The increasing incidence of the human papilloma virus can explain the also increasing prevalence of oropharyngeal cancer. HPV is considered to be the reason for about 70% of oropharyngeal cancer cases.
Question 30
Pregnant women or women trying to conceive are recommended to start taking a folic acid supplement the latest at...
A
3 months before pregnancy
B
the day of a positive pregnancy test result
C
the first prenatal visit
Question 30 Explanation: 
Pregnant women or women trying to conceive are recommended to start taking a folic acid supplement the latest at 3 months before pregnancy. Starting anytime later is too late for having an influence on the neural tube development.
Question 31
A 29 year old patient is undergoing breast examination. A smooth, mobile ball mass is identified lower inner quadrant of a patient's left breast. The most likely nature of this mass is...
A
fat necrosis.
B
breast cyst.
C
fibroadenoma.
Question 31 Explanation: 
A smooth, mobile ball mass identified lower inner quadrant of a 29 year old patient's left breast is most likely an fibroadenoma.
Question 32
What is the most reliable test for diabetes?
A
Oral glucose-tolerance test
B
The fasting blood glucose test
C
Hemoglobin A1C test
Question 32 Explanation: 
The fasting blood glucose test is the standard test for diabetes.
Question 33
What would a woman with active breast cancer be recommended to use as a contraceptive?
A
The copper IUD
B
The combined oral contraceptive pill (COCP)
C
Arm implant
Question 33 Explanation: 
A woman with active breast cancer would be recommended to use copper IUD as a contraceptive.
Question 34
Please identify which of the following refers to a risk factor for gastroesophageal reflux disease.
A
Obesity
B
Excessive alcohol use
C
A and B
Question 34 Explanation: 
Both obesity and excessive alcohol use are risk factors for GERD.
Question 35
Please identify which of the following statements would be likely told to a woman aged 58 with disruptive vasomotor symptoms regarding hormonal therapy...
A
It is too late for hormonal therapy at that age
B
There are both risks and gains in hormonal therapy and they should be carefully considered
C
None of the above
Question 35 Explanation: 
"There are both risks and gains in hormonal therapy and they should be carefully considered". This would be likely told to a 58-year-old woman with disruptive vasomotor symptoms regarding hormonal therapy.
Question 36
During gestation, nausea as a symptom usually disappears in which period?
A
10-12th week
B
12-14th week
C
after the 20th week
Question 36 Explanation: 
Nausea as a symptom usually disappears at 12-14 weeks’ gestation.
Question 37
Vaginal yeast infection is more likely to occur in women with...
A
Diabetes
B
Anxiety
C
Multiple heterosexual partners
Question 37 Explanation: 
Diabetes is a risk factor for vaginal yeast infection.
Question 38
Which of the following is correlated with female infertility?
A
A history of hormonal contraception use
B
Pelvic inflammatory disease (PID)
C
A and B
Question 38 Explanation: 
Pelvic inflammatory disease (PID) is associated with female infertility.
Question 39
A mother who is breastfeeding gains which of the following as a benefit?
A
Reduced risk of breast cancer
B
Reduced risk of thyroid gland dysfunction
C
Lower risk of heart diseases
Question 39 Explanation: 
Lower risk of heart diseases is associated with breastfeeding.
Question 40
Irregular periods is a common sign of...
A
Cervical cancer
B
Polycystic ovarian syndrome
C
Turner syndrome
Question 40 Explanation: 
Irregular periods is a common sign of polycystic ovarian syndrome.
Question 41
According to CDC guidelines, which of the following statements describes a patient who needs HIV screening?
A
A sexually active patient in the age range of 13-64
B
A patient at an increased risk for HIV
C
Any person in the age range of 13-64
Question 41 Explanation: 
According to CDC guidelines, any person in the age range of 13-64 is indicated for HIV screening.
Question 42
According to CDC guidelines, which of the following statements describes a patient who needs Hepatitis C screening?
A
A patient born between 1945-1965.
B
A pregnant patient.
C
A patient with a history of genital infections.
Question 42 Explanation: 
The CDC guidelines recommend Hepatitis C screening for all women born between 1945-1965.
Question 43
Please identify which of the following statements about intimate partner violence is correct.
A
Intimate partner violence is more prevalent in heterosexual relationships than in lesbian relationships.
B
Intimate partner violence is equally prevalent in heterosexual and in lesbian relationships.
C
Intimate partner violence is the same as domestic violence.
Question 43 Explanation: 
It is correct that intimate partner violence is equally prevalent in heterosexual and in lesbian relationships.
Question 44
Please identify which of the following is a condition that can cause false values of elevated Hgb A1C blood levels?
A
Hemophilia
B
Iron-deficiency anemia
C
High blood pressure
Question 44 Explanation: 
Iron-deficiency anemia can cause false values of elevated Hgb A1C blood levels.
Question 45
Please identify which of the following patients would need to undergo lead testing according to ACOG guidelines.
A
Pregnant women with iron deficiency anemia
B
Pregnant women with the pica disorder
C
All pregnant women are indicated for lead testing.
Question 45 Explanation: 
Pregnant women with the pica disorder should have lead testing.
Question 46
Which of the following causes the highest incidence of death in 65-year-old women and older?
A
Cardiovascular disease
B
Breast cancer
C
Infectious diseases
Question 46 Explanation: 
Cardiovascular disease causes the highest incidence of death in 65-year-old women and older.
Question 47
Please identify which of the following is safe for a woman to receive during pregnancy.
A
The HPV vaccine
B
The Tdap vaccine
C
Varicella (chicken pox) vaccine
Question 47 Explanation: 
The Tdap vaccine is safe for a woman to receive during pregnancy.
Question 48
A finding of an elevated TSH level and a low FT4 is primarily an indication of...
A
Cushing syndrome
B
Anorexia
C
Hypothyroidism
Question 48 Explanation: 
A finding of an elevated TSH level and a low FT4 is primarily an indication of hypothyroidism.
Question 49
A postpartum patient is exhibiting flu symptoms, as well as vaginal discharge with foul odor and subinvolution. The patient also complains of pelvic pain. Which of the following is a possible cause?
A
Postpartum infection
B
Endometritis
C
Hemorrhage
Question 49 Explanation: 
Endometritis is a possible cause for the above symptoms.
Question 50
Primary dysmenorrhea is likely to be treated with...
A
Acetylsalicylic acid (ASA)
B
Letrozole
C
Non-steroidal anti-inflammatory drugs
Question 50 Explanation: 
Primary dysmenorrhea is likely to be treated with non-steroidal anti-inflammatory drugs or NSAIDS.
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