Galen College of Nursing NSG 3250 Adult
Health I Exam 4 Study Guide:
Reproductive & Sensory Health Review
and Rationales (2026/2027)
Question 1
A client is scheduled for a Pap smear. Which instruction should the nurse provide?
A) Douche the night before
B) Avoid intercourse for 24 hours before the test
C) Use tampons the day of the test
D) Take aspirin before the test
Answer
Answer: B
Rationale
Intercourse, douching, and tampons can alter cervical cells and obscure results.
Question 2
A client with a history of breast cancer asks about self-breast examination (SBE). Which
statement indicates correct understanding?
A) “I should do SBE once a year.”
B) “I should do SBE monthly, a few days after my period ends.”
C) “I should do SBE only if I feel a lump.”
D) “SBE replaces mammograms.”
Answer
Answer: B
,Rationale
Monthly SBE helps detect changes; mammography remains the gold standard for screening.
Question 3
A client is prescribed oral contraceptives. Which adverse effect requires immediate reporting?
A) Mild nausea
B) Severe headache with visual changes
C) Breast tenderness
D) Spotting between periods
Answer
Answer: B
Rationale
These may indicate thromboembolic events or hypertension, requiring immediate evaluation.
Question 4
A client with benign prostatic hyperplasia (BPH) is prescribed tamsulosin. Which instruction is
correct?
A) Take at bedtime to reduce orthostatic hypotension
B) Take at bedtime to reduce orthostatic hypotension
C) Take with a high-fat meal
D) Expect immediate symptom relief
Answer
Answer: B
Rationale
,Alpha-blockers can cause first-dose hypotension; bedtime dosing minimizes risk.
Question 5
A client is diagnosed with gonorrhea. Which medication is first-line?
A) Azithromycin
B) Ceftriaxone IM plus azithromycin
C) Penicillin G
D) Doxycycline
Answer
Answer: B
Rationale
Dual therapy is recommended due to resistance; treat partners as well.
Question 6
A client with endometriosis reports severe dysmenorrhea. Which medication is often first-line?
A) NSAIDs
B) Combined oral contraceptives
C) Opioids
D) Antibiotics
Answer
Answer: B
Rationale
Hormonal therapy suppresses endometrial growth and reduces pain.
, Question 7
A client is scheduled for a prostate-specific antigen (PSA) test. Which instruction is correct?
A) Avoid ejaculation for 24 hours before the test
B) Avoid ejaculation for 24 hours before the test
C) Fast for 12 hours before the test
D) Avoid caffeine before the test
Answer
Answer: B
Rationale
Ejaculation can transiently elevate PSA levels.
Question 8
A client with a new diagnosis of genital herpes asks about transmission. Which statement
indicates understanding?
A) “I can only spread the virus when I have sores.”
B) “I can spread the virus even when I have no symptoms.”
C) “Herpes is curable with antibiotics.”
D) “I don’t need to tell my partner.”
Answer
Answer: B
Rationale
Asymptomatic shedding can transmit HSV; antiviral therapy reduces risk.
Question 9
A client is scheduled for a mammogram. Which instruction is correct?
Health I Exam 4 Study Guide:
Reproductive & Sensory Health Review
and Rationales (2026/2027)
Question 1
A client is scheduled for a Pap smear. Which instruction should the nurse provide?
A) Douche the night before
B) Avoid intercourse for 24 hours before the test
C) Use tampons the day of the test
D) Take aspirin before the test
Answer
Answer: B
Rationale
Intercourse, douching, and tampons can alter cervical cells and obscure results.
Question 2
A client with a history of breast cancer asks about self-breast examination (SBE). Which
statement indicates correct understanding?
A) “I should do SBE once a year.”
B) “I should do SBE monthly, a few days after my period ends.”
C) “I should do SBE only if I feel a lump.”
D) “SBE replaces mammograms.”
Answer
Answer: B
,Rationale
Monthly SBE helps detect changes; mammography remains the gold standard for screening.
Question 3
A client is prescribed oral contraceptives. Which adverse effect requires immediate reporting?
A) Mild nausea
B) Severe headache with visual changes
C) Breast tenderness
D) Spotting between periods
Answer
Answer: B
Rationale
These may indicate thromboembolic events or hypertension, requiring immediate evaluation.
Question 4
A client with benign prostatic hyperplasia (BPH) is prescribed tamsulosin. Which instruction is
correct?
A) Take at bedtime to reduce orthostatic hypotension
B) Take at bedtime to reduce orthostatic hypotension
C) Take with a high-fat meal
D) Expect immediate symptom relief
Answer
Answer: B
Rationale
,Alpha-blockers can cause first-dose hypotension; bedtime dosing minimizes risk.
Question 5
A client is diagnosed with gonorrhea. Which medication is first-line?
A) Azithromycin
B) Ceftriaxone IM plus azithromycin
C) Penicillin G
D) Doxycycline
Answer
Answer: B
Rationale
Dual therapy is recommended due to resistance; treat partners as well.
Question 6
A client with endometriosis reports severe dysmenorrhea. Which medication is often first-line?
A) NSAIDs
B) Combined oral contraceptives
C) Opioids
D) Antibiotics
Answer
Answer: B
Rationale
Hormonal therapy suppresses endometrial growth and reduces pain.
, Question 7
A client is scheduled for a prostate-specific antigen (PSA) test. Which instruction is correct?
A) Avoid ejaculation for 24 hours before the test
B) Avoid ejaculation for 24 hours before the test
C) Fast for 12 hours before the test
D) Avoid caffeine before the test
Answer
Answer: B
Rationale
Ejaculation can transiently elevate PSA levels.
Question 8
A client with a new diagnosis of genital herpes asks about transmission. Which statement
indicates understanding?
A) “I can only spread the virus when I have sores.”
B) “I can spread the virus even when I have no symptoms.”
C) “Herpes is curable with antibiotics.”
D) “I don’t need to tell my partner.”
Answer
Answer: B
Rationale
Asymptomatic shedding can transmit HSV; antiviral therapy reduces risk.
Question 9
A client is scheduled for a mammogram. Which instruction is correct?
