GNRS 591 FINAL EXAM NEWEST 2025 ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT
ANSWERS
A 27 year old female whose mother had breast cancer diagnosed at 36 years of age asks you if there are
any precautions besides self and clinical breast exams she can take to determine her risk for breast
cancer. You would appropriately respond:
A. The patient should have started annual screening mammograms at 21 years of age and you will send
her immediately.
B. You would recommend to the patient that she receive genetic testing for the BRCA 1/2 genes.
C. Self breast exams are sufficient until the patient is 30 years of age.
D. You will recommend a bilateral modified radical mastectomy to remove both of her breasts based on
her family history. - (answer) B
Which of the following women is the best candidate for the copper IUD (Paragard)?
A. A nulliparous woman with heavy menses
B. A 25 year old woman with 3 children who has a history of hypertension
C. A 32 year old woman who has a history of intracavity uterine fibroids
D. A 42 year old woman who is done having children and has a history of anemia - (answer) B
The three main structures involved in normal control of the menstrual cycle include:
A. Pituitary, ovaries and cerebellum
B. Pancreas, ovaries and uterus
,GNRS 591 FINAL EXAM NEWEST 2025 ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT
ANSWERS
C. Hypothalamus, pituitary and thyroid
D. Hypothalamus, pituitary and ovaries - (answer) D
Mastitis in a breastfeeding woman would best be treated outpatient with:
A. Vancomycin
B. Doxycycline
C. Dicloxacillin
D. Azithromycin - (answer) C
A non-breastfeeding postpartum woman should be instructed to do which of the following in order to
decrease milk production?
A. hand expression of milk from the breasts and tylenol
B. cold-packs alternating with pumping the breasts
C. warm showers and breast pumping
D. cold (ice) packs to the breasts and a supportive bra - (answer) D
Treatment options for condyloma acuminatum include:
,GNRS 591 FINAL EXAM NEWEST 2025 ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT
ANSWERS
A. Imiquimod (Aldara)
B. Metronidazole
C. Acyclovir
D. Azithromycin - (answer) A
A sexually active 19 year old patient comes to the clinic requesting her annual pap smear test and
physical exam. The NP appropriately advises the patient:
A. No testing is required until the patient is 25 years of age
B. All that is required in the patient's age group is a clinical breast exam
C. Pap smears are no longer part of the annual screening requirement for patients under 21 year of age,
but gonorrhea and chlamydia testing are recommended
D. The NP will comply with the patient's request as the patient is correct - (answer) C
Using Nagel's rule to determine the estimated date of birth (EDB) for a woman whose LMP is June 14th,
2014, the NP would arrive at which date?
A. March 21st, 2015
B. September 7th, 2015
C. March 14th, 2015
, GNRS 591 FINAL EXAM NEWEST 2025 ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT
ANSWERS
D. April 4th, 2015 - (answer) A
A mother brings her 17 year old daughter to the clinic to discuss birth control options for the adolescent
prior to the onset of sexual activity. In addition to discussing the various birth control options, the NP
appropriately recommends:
A. The patient should begin pap smear testing shortly after she becomes sexually active
B. The patient should use condoms only as condoms are the only recommended birth control method
for 17 year old individuals
C. The patient is a candidate for human papillomavirus (HPV) vaccination and condoms are
recommended in addition to other birth control methods to help protect against sexually transmitted
infections (STIs)
D. both mother and daughter should receive the HPV vaccination as it doesn't matter when the vaccine
is given - (answer) C
Postpartum depression differs from postpartum psychosis in which way?
A. Postpartum depression is accompanied by loss of interest in life activities, whereas psychosis may be
accompanied by hallucinations and/or hearing voices
B. Postpartum depression must always be treated with antidepressants, whereas psychosis is generally
treated with therapy
C. Postpartum depression occurs at 6 months after birth, whereas psychosis is generally rapid in onset
D. Postpartum psychosis usually presents with severe temperature elevations, whereas postpartum
depression is psychosomatic - (answer) A
ANSWERS
A 27 year old female whose mother had breast cancer diagnosed at 36 years of age asks you if there are
any precautions besides self and clinical breast exams she can take to determine her risk for breast
cancer. You would appropriately respond:
A. The patient should have started annual screening mammograms at 21 years of age and you will send
her immediately.
B. You would recommend to the patient that she receive genetic testing for the BRCA 1/2 genes.
C. Self breast exams are sufficient until the patient is 30 years of age.
D. You will recommend a bilateral modified radical mastectomy to remove both of her breasts based on
her family history. - (answer) B
Which of the following women is the best candidate for the copper IUD (Paragard)?
A. A nulliparous woman with heavy menses
B. A 25 year old woman with 3 children who has a history of hypertension
C. A 32 year old woman who has a history of intracavity uterine fibroids
D. A 42 year old woman who is done having children and has a history of anemia - (answer) B
The three main structures involved in normal control of the menstrual cycle include:
A. Pituitary, ovaries and cerebellum
B. Pancreas, ovaries and uterus
,GNRS 591 FINAL EXAM NEWEST 2025 ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT
ANSWERS
C. Hypothalamus, pituitary and thyroid
D. Hypothalamus, pituitary and ovaries - (answer) D
Mastitis in a breastfeeding woman would best be treated outpatient with:
A. Vancomycin
B. Doxycycline
C. Dicloxacillin
D. Azithromycin - (answer) C
A non-breastfeeding postpartum woman should be instructed to do which of the following in order to
decrease milk production?
A. hand expression of milk from the breasts and tylenol
B. cold-packs alternating with pumping the breasts
C. warm showers and breast pumping
D. cold (ice) packs to the breasts and a supportive bra - (answer) D
Treatment options for condyloma acuminatum include:
,GNRS 591 FINAL EXAM NEWEST 2025 ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT
ANSWERS
A. Imiquimod (Aldara)
B. Metronidazole
C. Acyclovir
D. Azithromycin - (answer) A
A sexually active 19 year old patient comes to the clinic requesting her annual pap smear test and
physical exam. The NP appropriately advises the patient:
A. No testing is required until the patient is 25 years of age
B. All that is required in the patient's age group is a clinical breast exam
C. Pap smears are no longer part of the annual screening requirement for patients under 21 year of age,
but gonorrhea and chlamydia testing are recommended
D. The NP will comply with the patient's request as the patient is correct - (answer) C
Using Nagel's rule to determine the estimated date of birth (EDB) for a woman whose LMP is June 14th,
2014, the NP would arrive at which date?
A. March 21st, 2015
B. September 7th, 2015
C. March 14th, 2015
, GNRS 591 FINAL EXAM NEWEST 2025 ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT
ANSWERS
D. April 4th, 2015 - (answer) A
A mother brings her 17 year old daughter to the clinic to discuss birth control options for the adolescent
prior to the onset of sexual activity. In addition to discussing the various birth control options, the NP
appropriately recommends:
A. The patient should begin pap smear testing shortly after she becomes sexually active
B. The patient should use condoms only as condoms are the only recommended birth control method
for 17 year old individuals
C. The patient is a candidate for human papillomavirus (HPV) vaccination and condoms are
recommended in addition to other birth control methods to help protect against sexually transmitted
infections (STIs)
D. both mother and daughter should receive the HPV vaccination as it doesn't matter when the vaccine
is given - (answer) C
Postpartum depression differs from postpartum psychosis in which way?
A. Postpartum depression is accompanied by loss of interest in life activities, whereas psychosis may be
accompanied by hallucinations and/or hearing voices
B. Postpartum depression must always be treated with antidepressants, whereas psychosis is generally
treated with therapy
C. Postpartum depression occurs at 6 months after birth, whereas psychosis is generally rapid in onset
D. Postpartum psychosis usually presents with severe temperature elevations, whereas postpartum
depression is psychosomatic - (answer) A
