NUR 2092 HEALTH ASSESSMENT – ACADEMIC
YEAR 2026/2027 – EXAMINATION 2
COMPREHENSIVE EXAMINATION | VERIFIED
QUESTIONS
1. Which statement best defines sexual health?
A. Absence of sexual activity
B. Absence of sexually transmitted infections only
C. Physical, emotional, mental, and social well-being related to sexuality
D. Ability to reproduce
Correct answer: C
Rationale: Sexual health is a broad state of well-being, not merely the
absence of disease or sexual activity.
2. Which model includes desire, excitement, and orgasm?
A. Masters and Johnson four-phase model
B. Kaplan triphasic model
C. PLISSIT model
D. BETTER model
Correct answer: B
Rationale: Kaplan’s triphasic model consists of desire, excitement, and
orgasm.
3. What is the nurse’s first action before taking a sexual history?
A. Ask detailed questions immediately
B. Obtain permission and ensure privacy
C. Document without asking
D. Refer to a specialist first
Correct answer: B
Rationale: Permission and privacy help establish trust and reduce
patient discomfort.
,4. In the PLISSIT model, what does the first level “P” stand for?
A. Permission
B. Physical exam
C. Plan
D. Procedure
Correct answer: A
Rationale: PLISSIT begins with Permission, followed by Limited
Information, Specific Suggestions, and Intensive Therapy.
5. In the BETTER model, what does the first “B” stand for?
A. Beliefs
B. Bring up
C. Behavior
D. Barriers
Correct answer: B
Rationale: BETTER stands for Bring up, Explain, Tell, Timing, Educate,
and Record.
6. Sexual orientation refers to:
A. A person’s biological sex
B. A person’s gender identity
C. A person’s pattern of emotional, romantic, and sexual attraction
D. A person’s preferred pronoun
Correct answer: C
Rationale: Sexual orientation describes attraction, while gender identity
is one’s internal sense of gender.
7. Gender identity is best described as:
A. Attraction to others
B. Internal sense of being male, female, or another gender
C. Anatomy at birth
D. Sexual behavior
Correct answer: B
, Rationale: Gender identity is an internal sense of self, not necessarily
tied to anatomy at birth.
8. A major health disparity among LGBTQ+ individuals is:
A. Lower rates of mental health needs
B. Higher rates of discrimination and barriers to care
C. No need for preventive care
D. Reduced risk of substance use
Correct answer: B
Rationale: LGBTQ+ individuals often face discrimination, stigma, and
barriers to culturally competent care.
9. When caring for an adolescent about sexual health, the nurse should:
A. Promise absolute confidentiality
B. Explain confidentiality limits and mandated reporting
C. Refuse to discuss contraception
D. Require parental presence for all questions
Correct answer: B
Rationale: Adolescents need confidential care, but nurses must explain
limits such as safety concerns.
10.Combined oral contraceptives primarily prevent pregnancy by:
A. Thickening cervical mucus only
B. Inhibiting ovulation
C. Blocking fallopian tubes
D. Destroying sperm
Correct answer: B
Rationale: Combined oral contraceptives suppress ovulation through
estrogen and progestin.
11.Progestin-only pills primarily work by:
A. Inhibiting ovulation and thickening cervical mucus
B. Blocking implantation only
C. Killing sperm
, D. Causing uterine contractions
Correct answer: A
Rationale: Progestin-only pills thicken cervical mucus and may inhibit
ovulation.
12.The copper intrauterine device (IUD) works mainly by:
A. Hormonal suppression of ovulation
B. Creating a spermicidal inflammatory response
C. Blocking the cervix
D. Preventing fertilization by pH change only
Correct answer: B
Rationale: Copper IUDs create an inflammatory environment toxic to
sperm.
13.The levonorgestrel IUD primarily:
A. Thickens cervical mucus and thins endometrium
B. Blocks fallopian tubes
C. Kills sperm instantly
D. Stops menstruation permanently
Correct answer: A
Rationale: Levonorgestrel IUDs thicken cervical mucus, thin the
endometrium, and may inhibit ovulation.
14.The etonogestrel implant is effective for approximately:
A. 6 months
B. 1 year
C. 3 years
D. 10 years
Correct answer: C
Rationale: The etonogestrel implant is approved for up to 3 years.
15.Depot medroxyprogesterone acetate (DMPA) is administered:
A. Daily
B. Weekly
YEAR 2026/2027 – EXAMINATION 2
COMPREHENSIVE EXAMINATION | VERIFIED
QUESTIONS
1. Which statement best defines sexual health?
A. Absence of sexual activity
B. Absence of sexually transmitted infections only
C. Physical, emotional, mental, and social well-being related to sexuality
D. Ability to reproduce
Correct answer: C
Rationale: Sexual health is a broad state of well-being, not merely the
absence of disease or sexual activity.
2. Which model includes desire, excitement, and orgasm?
A. Masters and Johnson four-phase model
B. Kaplan triphasic model
C. PLISSIT model
D. BETTER model
Correct answer: B
Rationale: Kaplan’s triphasic model consists of desire, excitement, and
orgasm.
3. What is the nurse’s first action before taking a sexual history?
A. Ask detailed questions immediately
B. Obtain permission and ensure privacy
C. Document without asking
D. Refer to a specialist first
Correct answer: B
Rationale: Permission and privacy help establish trust and reduce
patient discomfort.
,4. In the PLISSIT model, what does the first level “P” stand for?
A. Permission
B. Physical exam
C. Plan
D. Procedure
Correct answer: A
Rationale: PLISSIT begins with Permission, followed by Limited
Information, Specific Suggestions, and Intensive Therapy.
5. In the BETTER model, what does the first “B” stand for?
A. Beliefs
B. Bring up
C. Behavior
D. Barriers
Correct answer: B
Rationale: BETTER stands for Bring up, Explain, Tell, Timing, Educate,
and Record.
6. Sexual orientation refers to:
A. A person’s biological sex
B. A person’s gender identity
C. A person’s pattern of emotional, romantic, and sexual attraction
D. A person’s preferred pronoun
Correct answer: C
Rationale: Sexual orientation describes attraction, while gender identity
is one’s internal sense of gender.
7. Gender identity is best described as:
A. Attraction to others
B. Internal sense of being male, female, or another gender
C. Anatomy at birth
D. Sexual behavior
Correct answer: B
, Rationale: Gender identity is an internal sense of self, not necessarily
tied to anatomy at birth.
8. A major health disparity among LGBTQ+ individuals is:
A. Lower rates of mental health needs
B. Higher rates of discrimination and barriers to care
C. No need for preventive care
D. Reduced risk of substance use
Correct answer: B
Rationale: LGBTQ+ individuals often face discrimination, stigma, and
barriers to culturally competent care.
9. When caring for an adolescent about sexual health, the nurse should:
A. Promise absolute confidentiality
B. Explain confidentiality limits and mandated reporting
C. Refuse to discuss contraception
D. Require parental presence for all questions
Correct answer: B
Rationale: Adolescents need confidential care, but nurses must explain
limits such as safety concerns.
10.Combined oral contraceptives primarily prevent pregnancy by:
A. Thickening cervical mucus only
B. Inhibiting ovulation
C. Blocking fallopian tubes
D. Destroying sperm
Correct answer: B
Rationale: Combined oral contraceptives suppress ovulation through
estrogen and progestin.
11.Progestin-only pills primarily work by:
A. Inhibiting ovulation and thickening cervical mucus
B. Blocking implantation only
C. Killing sperm
, D. Causing uterine contractions
Correct answer: A
Rationale: Progestin-only pills thicken cervical mucus and may inhibit
ovulation.
12.The copper intrauterine device (IUD) works mainly by:
A. Hormonal suppression of ovulation
B. Creating a spermicidal inflammatory response
C. Blocking the cervix
D. Preventing fertilization by pH change only
Correct answer: B
Rationale: Copper IUDs create an inflammatory environment toxic to
sperm.
13.The levonorgestrel IUD primarily:
A. Thickens cervical mucus and thins endometrium
B. Blocks fallopian tubes
C. Kills sperm instantly
D. Stops menstruation permanently
Correct answer: A
Rationale: Levonorgestrel IUDs thicken cervical mucus, thin the
endometrium, and may inhibit ovulation.
14.The etonogestrel implant is effective for approximately:
A. 6 months
B. 1 year
C. 3 years
D. 10 years
Correct answer: C
Rationale: The etonogestrel implant is approved for up to 3 years.
15.Depot medroxyprogesterone acetate (DMPA) is administered:
A. Daily
B. Weekly
