NCC WHNP-BC Certification Sample Questions

The NCC Board Certification - Women's Health Care Nurse Practitioner Certification Sample Question Set on this page is designed to familiarize you with the actual NCC WHNP-BC exam format and question types. These sample questions help you understand how questions are structured and what to expect on test day. While they provide a useful starting point, they represent only a limited preview of the real exam experience.

These sample questions are intended for evaluation and familiarization only. To understand exam style, pacing, and reasoning patterns more clearly, we recommend trying our online sample practice environment. If you are preparing for the NCC Women's Health Care Nurse Practitioner - Board Certified (WHNP-BC) and want to assess your readiness more rigorously, structured, timed, scenario-based practice is recommended. This approach aligns with the cognitive demands and professional expectations typically associated with women’s health nurse practitioners, advanced practice registered nurses, nurse practitioners and related roles working in settings such as outpatient women’s health settings, obstetric and gynecologic practices, inpatient and outpatient settings.

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The demo introduces core concepts, while full-length premium simulations provide deeper, scenario-based coverage that more closely reflects the actual cognitive demands of the NCC Board Certification - Women's Health Care Nurse Practitioner exam, particularly in areas such as gynecologic and reproductive health, obstetric management, women’s health assessment and primary care. You can use these sample questions as a starting point, then progress to the NCC WHNP-BC Certification Practice Exam for stronger readiness. Our premium simulations are designed to mirror real exam conditions, helping you refine reasoning, pacing, and decision-making before your official exam attempt.

NCC WHNP-BC Sample Questions:

01. A 24-year-old patient at 30 weeks of gestation with asthma comes to the clinic with worsening wheeze over 2 days. After two albuterol nebulizer treatments she still speaks in short phrases, with a respiratory rate of 28/min and oxygen saturation of 94% on room air. Arterial blood gas shows pH 7.35, PaCO2 40 mm Hg and PaO2 72 mm Hg.
The nurse practitioner should interpret the PaCO2 as
a) relative carbon dioxide retention that signals impending respiratory failure
b) a value expected from the higher PaCO2 set point of pregnancy
c) a normal value that shows her ventilation is adequate

02. A 30-year-old patient stopped smoking 2 weeks ago and still has strong cravings. She asks whether follow-up counseling is useful now that she has quit.
Which response is most appropriate?
a) Arrange follow-up counseling and offer pharmacotherapy, such as nicotine replacement, to prevent relapse
b) Schedule follow-up if she starts smoking again
c) Recommend switching to e-cigarettes to manage the cravings

03. A 45-year-old patient with primary hypothyroidism has taken levothyroxine for 2 years. Because her TSH was 9.8 mIU/L, the nurse practitioner increased her dose 10 days ago. She takes it correctly each morning on an empty stomach and feels slightly better. A repeat TSH ordered by an urgent care clinician this week is 8.9 mIU/L, and she asks whether the dose should go up again.
The nurse practitioner should
a) keep the current dose and recheck the TSH in about 6 weeks
b) add liothyronine and recheck the TSH in 2 weeks
c) increase the dose again and recheck the TSH in 2 weeks

04. A 74-year-old patient has used a ring pessary for uterine prolapse for 2 years and has it removed for cleaning only at office visits every few months. She reports 2 weeks of light vaginal bleeding and a new blood-tinged discharge, with no pelvic pain. After the pessary is removed, speculum examination shows a shallow 1-cm erosion of the posterior vaginal wall where the rim rests, with pale, thin surrounding epithelium and no mass.
The nurse practitioner should
a) refer her for surgical repair of the prolapse
b) reinsert the pessary and add an acidifying vaginal gel at bedtime twice weekly
c) leave the pessary out and start vaginal estrogen until the erosion heals

05. A hemodynamically stable patient at 6 weeks of gestation has a 2 cm unruptured left tubal ectopic pregnancy without cardiac activity and a serum hCG of 2,800 mIU/mL. Laboratory testing shows a serum creatinine of 2.1 mg/dL with otherwise normal results.
Which management is most appropriate?
a) Single-dose methotrexate regimen
b) Laparoscopic surgery
c) Expectant management with serial hCG levels

06. Three hours after a forceps-assisted vaginal birth with a repaired second-degree laceration, a patient reports severe, worsening rectal pressure and perineal pain despite oral analgesia. Her heart rate has risen from 84 to 108/min. The fundus is firm at the umbilicus and lochia is light. A tense, exquisitely tender bluish swelling is seen at the right labium.
The nurse practitioner should
a) apply ice packs and increase the analgesic dose, reassessing the perineum in 2 hours
b) remove the laceration repair sutures to drain a suspected early wound infection
c) examine vaginally and rectally for a hematoma and arrange urgent surgical evaluation for evacuation

07. A patient at 34 weeks of gestation has been leaking fluid since yesterday and now has a temperature of 38.6 °C (101.5 °F), uterine tenderness and foul-smelling fluid. She reports decreased fetal movement, and the fetal heart rate baseline is 170 beats/min.
Which diagnosis is most likely?
a) Placental abruption
b) Intra-amniotic infection
c) Acute pyelonephritis with preterm labor

08. A patient whose blood type is A Rh(D)-negative had a negative antibody screen and received routine anti-D immune globulin at 28 weeks of gestation. Six hours ago she gave birth at 38 weeks after a placental abruption. Cord blood shows that the newborn is Rh(D)-positive.
Which plan is most appropriate?
a) Standard dose of anti-D immune globulin within 72 hours, with no further testing
b) No anti-D immune globulin
c) Fetal-maternal hemorrhage screening, with anti-D immune globulin within 72 hours dosed to the result

09. In October, a 30-year-old patient at 10 weeks of gestation asks about influenza vaccination. She dislikes injections and asks for the nasal spray vaccine, and a friend told her to wait until the second trimester. She has no egg allergy or prior vaccine reaction.
The nurse practitioner should
a) give the inactivated vaccine by injection today
b) defer vaccination until the second trimester, then give the injection
c) give the intranasal vaccine

10. Seven days after cesarean birth, a patient has a tender, erythematous incision with a fluctuant area and purulent drainage. She is afebrile and otherwise well.
Which management is most appropriate?
a) Oral antibiotics with the incision left closed
b) Warm compresses and review in one week, adding antibiotics if fever develops
c) Open and drain the incision

Answers:

For full-length, timed, scenario-based practice aligned with the official exam framework - and to build pacing, consistency, and confidence - explore our Premium NCC WHNP-BC Certification Practice Exam.

Note: These sample questions are not official exam questions and are intended only for familiarization and study purposes. If you find any typos or data entry errors in these NCC Board Certification - Women's Health Care Nurse Practitioner (WHNP-BC) sample questions, please let us know by emailing us at feedback@medicoexam.com