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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Please identify which of the following statements refer to the Amsel criteria used to diagnose bacterial vaginosis?
Excessive white, homogeneous vaginal discharge
Excessive white, clumpy vaginal discharge
A vaginal pH above 4.5
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.
A patient is experiencing emotional lability four days into the postpartum period. This is an indication of...
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.
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?
Repeat pap and HPV cotesting at a later time
Question 3 Explanation:
In this case, the ASCCP guidelines recommend colposcopy.
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 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.
In children aged between 9 and 14, HPV vaccines are administered...
in two doses in six to twelve month intervals
in three doses in six to twelve month intervals
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.
Please indicate what is the main risk factor for postpartum depression.
A history of depression
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.
Please indicate which of the following contraception methods should not be recommended to a patient with acute deep vein thrombosis?
Copper IUD (intrauterine device or coil)
The combined oral contraceptive pill (COCP)
Question 7 Explanation:
The WHO Medical Eligibility Criteria for Contraceptive Use specify that patients with acute DVT should not use combined oral contraceptives.
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?
Calcium channel blockers
Alpha-2 Receptor Agonists
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.
Please indicate which of the following patients is at the highest risk for Gestational Diabetes Mellitus (GDM)?
The patient is 26 years old
The patient is obese
The patient has had high levels of stress prior to the pregnancy
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.
Screening for asymptomatic bacteria is mandatory during gestation in patients with...
Sickle cell trait (SCT)
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.
Please indicate which of the following statements is not correct of the treatment of menopausal symptoms with hormone therapy.
It is prescribed on the "minimum effective dose" principle
It should not last for more than 3 years
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.
Please indicate which of the following is a potential risk factor for pre-term delivery.
Frequent physical exercising during pregnancy
Poor dental hygiene
Question 12 Explanation:
Poor dental hygiene has been found to correlate with pre-term delivery.
Please indicate which of the following groups of patients are indicated for the Gardasil 9 HPV vaccine.
Females aged 9-26
Males aged 9-26
A and B
Question 13 Explanation:
At the age of 9 to 26, all children and young adults are indicated for the HPV vaccine.
Please identify which of the following anti-seizure medications, when used during pregnancy, has the risk of causing fetal craniofacial anomalies.
Question 14 Explanation:
Dilantin has an established risk of causing fetal craniofacial anomalies if used during gestation.
Please identify among which of the following ethnic groups Tay-Sach’s disease is more common.
A and B
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.
Please identify which of the following procedures is appropriate for a 39-year-old female patient with intermenstrual bleeding.
Laparoscopic uterine suspension
Question 16 Explanation:
Endometrial biopsy is indicated in patients with intermenstrual bleeding, who are older than 35.
Please identify the correct value of RDA for calcium for adolescent women.
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.
A well-demarcated, painless labial ulcer is a sign for which sexually transmitted infection?
Question 18 Explanation:
A well-defined, painless labial ulcer is usually a sign for primary syphilis.
According to ASCCP guidelines, a 65-year-old patient can stop having routine cervical cancer screenings in which of the following cases?
If she is no longer sexually active
If she has had negative cervical cancer screening results in the last 20 years
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+.
Please identify which of the following falls under routine preconception care and counseling practices?
Rubella immunity testing recommendation
Testing for allergies recommendation
Testing for diabetes recommendation
Question 20 Explanation:
Routine preconception care and counseling practices include recommendation for rubella immunity testing.
A patient, who is breastfeeding has postpartum depression. What would not be a drug recommended to use in this case?
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.
When should routine bone density testing start in women?
At the age of 65
At the age of 55
At the onset of menopause
Question 22 Explanation:
Routine bone density testing should be started by women at the age of 65.
Routine GBS screening is performed in pregnant women...
in the 12th week of pregnancy
in the 36th week of pregnancy
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.
Please indicate what could be a factor in early cessation of breastfeeding.
Having a commercial health insurance
Question 24 Explanation:
Cessation of breastfeeding earlier than desired is likely to happen among single-parent mothers.
The pregnancy complication of preeclampsia puts patients at an increased risk of...
thyroid gland diseases.
Question 25 Explanation:
The pregnancy complication of preeclampsia puts patients at an increased risk of heart diseases.
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?
The patient should repeat the tests the latest after 2 years
The patient should repeat the tests after 3 years
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.
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.
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.
Please identify which of the following drugs cannot be used for treating genital warts.
Question 28 Explanation:
Zovirax is the only one of the above drugs that cannot be used for treating genital warts.
The increasing incidence of the human papilloma virus can explain the also increasing prevalence of...
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.
Pregnant women or women trying to conceive are recommended to start taking a folic acid supplement the latest at...
3 months before pregnancy
the day of a positive pregnancy test result
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.
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...
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.
What is the most reliable test for diabetes?
Oral glucose-tolerance test
The fasting blood glucose test
Hemoglobin A1C test
Question 32 Explanation:
The fasting blood glucose test is the standard test for diabetes.
What would a woman with active breast cancer be recommended to use as a contraceptive?
The copper IUD
The combined oral contraceptive pill (COCP)
Question 33 Explanation:
A woman with active breast cancer would be recommended to use copper IUD as a contraceptive.
Please identify which of the following refers to a risk factor for gastroesophageal reflux disease.
Excessive alcohol use
A and B
Question 34 Explanation:
Both obesity and excessive alcohol use are risk factors for GERD.
Please identify which of the following statements would be likely told to a woman aged 58 with disruptive vasomotor symptoms regarding hormonal therapy...
It is too late for hormonal therapy at that age
There are both risks and gains in hormonal therapy and they should be carefully considered
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.
During gestation, nausea as a symptom usually disappears in which period?
after the 20th week
Question 36 Explanation:
Nausea as a symptom usually disappears at 12-14 weeks’ gestation.
Vaginal yeast infection is more likely to occur in women with...
Multiple heterosexual partners
Question 37 Explanation:
Diabetes is a risk factor for vaginal yeast infection.
Which of the following is correlated with female infertility?
A history of hormonal contraception use
Pelvic inflammatory disease (PID)
A and B
Question 38 Explanation:
Pelvic inflammatory disease (PID) is associated with female infertility.
A mother who is breastfeeding gains which of the following as a benefit?
Reduced risk of breast cancer
Reduced risk of thyroid gland dysfunction
Lower risk of heart diseases
Question 39 Explanation:
Lower risk of heart diseases is associated with breastfeeding.
Irregular periods is a common sign of...
Polycystic ovarian syndrome
Question 40 Explanation:
Irregular periods is a common sign of polycystic ovarian syndrome.
According to CDC guidelines, which of the following statements describes a patient who needs HIV screening?
A sexually active patient in the age range of 13-64
A patient at an increased risk for HIV
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.
According to CDC guidelines, which of the following statements describes a patient who needs Hepatitis C screening?
A patient born between 1945-1965.
A pregnant patient.
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.
Please identify which of the following statements about intimate partner violence is correct.
Intimate partner violence is more prevalent in heterosexual relationships than in lesbian relationships.
Intimate partner violence is equally prevalent in heterosexual and in lesbian relationships.
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.
Please identify which of the following is a condition that can cause false values of elevated Hgb A1C blood levels?
High blood pressure
Question 44 Explanation:
Iron-deficiency anemia can cause false values of elevated Hgb A1C blood levels.
Please identify which of the following patients would need to undergo lead testing according to ACOG guidelines.
Pregnant women with iron deficiency anemia
Pregnant women with the pica disorder
All pregnant women are indicated for lead testing.
Question 45 Explanation:
Pregnant women with the pica disorder should have lead testing.
Which of the following causes the highest incidence of death in 65-year-old women and older?
Question 46 Explanation:
Cardiovascular disease causes the highest incidence of death in 65-year-old women and older.
Please identify which of the following is safe for a woman to receive during pregnancy.
The HPV vaccine
The Tdap vaccine
Varicella (chicken pox) vaccine
Question 47 Explanation:
The Tdap vaccine is safe for a woman to receive during pregnancy.
A finding of an elevated TSH level and a low FT4 is primarily an indication of...
Question 48 Explanation:
A finding of an elevated TSH level and a low FT4 is primarily an indication of hypothyroidism.
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?
Question 49 Explanation:
Endometritis is a possible cause for the above symptoms.
Primary dysmenorrhea is likely to be treated with...
Acetylsalicylic acid (ASA)
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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