AANP Nurse practitioner certification pretest Exam training
Questions with Rated A + solution Latest 2026/2027
What are some of advantages of using oral contraceptives? - correct answer less
menstrual flow, decreased cramps, may provide protection against ovarian and
endometrial cancer, ectopic pregnancy, pid, endometriosis, uterine fibroids, and
functional ovarian cysts
What are some disadvantages of using oral contraceptives? - correct answer does not
protect against hiv, mood changes, rare circulatory complications, rare liver tumors,
must be taken daily, may cause nausea, headaches, breakthrough bleeding
What are undesirable hormonal effects of estrogen deficiency - correct answer no
withdrawal bleeding, decreased duration of menstrual bleeding, continuous spotting,
breakthrough bleeding, atrophic vaginitis.
What are undesirable hormonal effects of excessive pro gestational effects - correct
answer breast tenderness, transient hypertension, depression, fatigue, decreased
libido, decreased duration of menstrual cycle, increased appetite
What are undesirable hormonal effects of progesterone deficiency - correct answer
breakthrough bleeding, delayed menses,
What are some excessive estrogenic effects? - correct answer dysmenorrhea (painful
periods), nausea, chloasma (mask like appearance) cva, dvt, pe, telangiectasias (spider
vein appearance in the face), hepatic adenoma, adenocarcinoma, cervical changes,
breast tenderness secondary to size1
Excessive androgenic effects of oral contraceptives - correct answer hirsutism, acne,
oily skin, edema, increased libido,
What are some excess estrogen/deficient progesterone combination effects? - correct
answer dysmenorrhea, menorrhagia (heavy bleeding), nausea, vomiting, headache,
irritability, bloating, syncope
,What are some absolute contradictions in prescribing oral contraceptives - correct
answer history of thromboembolic disorders, cva, cad, known or suspected breast ca,
or estrogen dependent neoplasia, pregnancy, benign or malignant liver tumor, impaired
liver function, previous cholelithiasis during pregnancy, undiagnosed abnormal uterine
bleeding,
What are some prescriptive guideline for oral contraceptives - correct answer 1 begin
low lose combo or multi phasic pill (35mcg or less), progestin only pills may be used in
women with history of migraines, who are breast feeding or who have contraindication
with combo pill
What pregnancy category for oral contraceptives/ - correct answer x, stop immediately
Nuvaring - correct answer flexible, ring , 2 inches in diameter to prevent pregnancy;
failure rate <1-2%
What is mechanism of action of nuvaring - correct answer releases synthetic estrogen
and progestin (etonogestrel) , 1 month protection, release of hormone activated by
vaginal contact, prevents ovulation, thickens cervical mucus, inhibits sperm penetration
What are some of advantages of nuva ring - correct answer discreet, can not be felt by
partner, once a month insertion, shorter and lighter periods, improves acne, depression
and cramps
What are some disadvantages of nuva ring - correct answer similar to o.c.; also
diaphragms, cervical caps or shields can not be used as back up methods while using
rings, may worsen depression if previously diagnosed, no protection stds, can't be used
in pt >35 or uncontrolled htn, or smoke >15 cigarettes daily
How long is a novaring left in place for - correct answer 21 days, if ring slips out, must
be re-inserted within three hours or must use back up
, The patch - correct answer a transdermal contraceptive patch that releases synthetic
estrogen and progesterone ; failure rate <1-2%; prevents ovulation
What are advantages of the patch - correct answer administered once a week, can be
worn for three weeks, easily reversible, sexual activity not interrupted
What are disadvantages of the patch - correct answer site reactions, similar to oc's,
reduced effectiveness in woman >90kg or 198 lbs, reduce effectiveness with concurrent
use of antibiotics, antifungals, anticonvulsants, st john's wart, seriously increased
cardiovascular risks b/c it releases 60% more estrogen then o.c's, do not use
woman>35
How should you use patch - correct answer patch applied on first day of cycle or on
first sunday after, patch removed seven days later and then add new patch, after the
third week, you wait 7 days (patch free) before re-applying patch, if patch stays off for
more than 24 horus, you must restart a 4 week cycle along with using back up
What is repo-provera (dmpa)? - correct answer long-acting progestin by im injection,
failure rate <1%,
How does dmpa work (depo) - correct answer supresses follicle stimulating hormone
(fsh) and luteining hormone (lh), thus blocking lh surge which inhibits ovulation, thickens
mucus and thins endometrium lining
What are advantages of depo - correct answer highly effective, prolonged amenorrhea,
reduces pain associated with endometriosis, no estrogen side effects, reduction risk of
pid, endometrial and ovarian cancers
What are disadvantages of depo? - correct answer amenorrhea, delayed return of
fertility of (up to one year) and must have injection every three months
What are some undesirable effects of depo - correct answer lipid changes, decreases
hdl , reduction in bone density with long term use, anaphylactic reactions may occur
Questions with Rated A + solution Latest 2026/2027
What are some of advantages of using oral contraceptives? - correct answer less
menstrual flow, decreased cramps, may provide protection against ovarian and
endometrial cancer, ectopic pregnancy, pid, endometriosis, uterine fibroids, and
functional ovarian cysts
What are some disadvantages of using oral contraceptives? - correct answer does not
protect against hiv, mood changes, rare circulatory complications, rare liver tumors,
must be taken daily, may cause nausea, headaches, breakthrough bleeding
What are undesirable hormonal effects of estrogen deficiency - correct answer no
withdrawal bleeding, decreased duration of menstrual bleeding, continuous spotting,
breakthrough bleeding, atrophic vaginitis.
What are undesirable hormonal effects of excessive pro gestational effects - correct
answer breast tenderness, transient hypertension, depression, fatigue, decreased
libido, decreased duration of menstrual cycle, increased appetite
What are undesirable hormonal effects of progesterone deficiency - correct answer
breakthrough bleeding, delayed menses,
What are some excessive estrogenic effects? - correct answer dysmenorrhea (painful
periods), nausea, chloasma (mask like appearance) cva, dvt, pe, telangiectasias (spider
vein appearance in the face), hepatic adenoma, adenocarcinoma, cervical changes,
breast tenderness secondary to size1
Excessive androgenic effects of oral contraceptives - correct answer hirsutism, acne,
oily skin, edema, increased libido,
What are some excess estrogen/deficient progesterone combination effects? - correct
answer dysmenorrhea, menorrhagia (heavy bleeding), nausea, vomiting, headache,
irritability, bloating, syncope
,What are some absolute contradictions in prescribing oral contraceptives - correct
answer history of thromboembolic disorders, cva, cad, known or suspected breast ca,
or estrogen dependent neoplasia, pregnancy, benign or malignant liver tumor, impaired
liver function, previous cholelithiasis during pregnancy, undiagnosed abnormal uterine
bleeding,
What are some prescriptive guideline for oral contraceptives - correct answer 1 begin
low lose combo or multi phasic pill (35mcg or less), progestin only pills may be used in
women with history of migraines, who are breast feeding or who have contraindication
with combo pill
What pregnancy category for oral contraceptives/ - correct answer x, stop immediately
Nuvaring - correct answer flexible, ring , 2 inches in diameter to prevent pregnancy;
failure rate <1-2%
What is mechanism of action of nuvaring - correct answer releases synthetic estrogen
and progestin (etonogestrel) , 1 month protection, release of hormone activated by
vaginal contact, prevents ovulation, thickens cervical mucus, inhibits sperm penetration
What are some of advantages of nuva ring - correct answer discreet, can not be felt by
partner, once a month insertion, shorter and lighter periods, improves acne, depression
and cramps
What are some disadvantages of nuva ring - correct answer similar to o.c.; also
diaphragms, cervical caps or shields can not be used as back up methods while using
rings, may worsen depression if previously diagnosed, no protection stds, can't be used
in pt >35 or uncontrolled htn, or smoke >15 cigarettes daily
How long is a novaring left in place for - correct answer 21 days, if ring slips out, must
be re-inserted within three hours or must use back up
, The patch - correct answer a transdermal contraceptive patch that releases synthetic
estrogen and progesterone ; failure rate <1-2%; prevents ovulation
What are advantages of the patch - correct answer administered once a week, can be
worn for three weeks, easily reversible, sexual activity not interrupted
What are disadvantages of the patch - correct answer site reactions, similar to oc's,
reduced effectiveness in woman >90kg or 198 lbs, reduce effectiveness with concurrent
use of antibiotics, antifungals, anticonvulsants, st john's wart, seriously increased
cardiovascular risks b/c it releases 60% more estrogen then o.c's, do not use
woman>35
How should you use patch - correct answer patch applied on first day of cycle or on
first sunday after, patch removed seven days later and then add new patch, after the
third week, you wait 7 days (patch free) before re-applying patch, if patch stays off for
more than 24 horus, you must restart a 4 week cycle along with using back up
What is repo-provera (dmpa)? - correct answer long-acting progestin by im injection,
failure rate <1%,
How does dmpa work (depo) - correct answer supresses follicle stimulating hormone
(fsh) and luteining hormone (lh), thus blocking lh surge which inhibits ovulation, thickens
mucus and thins endometrium lining
What are advantages of depo - correct answer highly effective, prolonged amenorrhea,
reduces pain associated with endometriosis, no estrogen side effects, reduction risk of
pid, endometrial and ovarian cancers
What are disadvantages of depo? - correct answer amenorrhea, delayed return of
fertility of (up to one year) and must have injection every three months
What are some undesirable effects of depo - correct answer lipid changes, decreases
hdl , reduction in bone density with long term use, anaphylactic reactions may occur
