Health Promotion & Preventive Care
1. A nurse is educating a 45-year-old woman about lifestyle modifications to reduce
cardiovascular disease risk. Which recommendation is most appropriate?
A. Consume a diet high in saturated fats
B. Engage in at least 150 minutes of moderate exercise per week
C. Increase sodium intake for bone health
D. Avoid strength training to reduce injury risk
Answer: B
Rationale: The American Heart Association recommends at least 150 minutes of moderate-
intensity exercise per week to reduce cardiovascular disease risk. Saturated fats should be
limited, sodium intake should be controlled, and strength training is beneficial for bone and
muscle health.
2. A 55-year-old postmenopausal woman asks the nurse about osteoporosis prevention.
Which response is most appropriate?
A. “Calcium and vitamin D intake, along with weight-bearing exercise, can help maintain bone
density.”
B. “Only women with a family history need to worry about osteoporosis.”
C. “Osteoporosis screening is only recommended after the age of 70.”
D. “Hormone replacement therapy is the only effective way to prevent osteoporosis.”
Answer: A
Rationale: Calcium and vitamin D intake, along with weight-bearing exercises like walking,
help maintain bone density and reduce osteoporosis risk. Screening is recommended at age 65 or
earlier for at-risk individuals.
3. The nurse is discussing cancer screening with a 30-year-old woman with no risk factors.
How often should she have a Pap smear?
A. Every year
B. Every 3 years
C. Every 5 years regardless of HPV testing
D. Only after age 40
Answer: B
Rationale: Women aged 21-29 should have a Pap smear every 3 years. Women aged 30-65 can
have a Pap smear every 3 years or co-testing with HPV every 5 years.
Reproductive Health & Family Planning
,4. A 25-year-old woman is considering oral contraceptives. Which of the following
conditions would be a contraindication to combined oral contraceptives?
A. Iron-deficiency anemia
B. History of migraines with aura
C. Polycystic ovary syndrome (PCOS)
D. Irregular menstrual cycles
Answer: B
Rationale: Women with migraines with aura have an increased risk of stroke with estrogen-
containing contraceptives. Other conditions listed are not absolute contraindications.
5. A 38-year-old woman who smokes one pack per day asks about oral contraceptives.
What is the best response?
A. “Smoking does not impact birth control effectiveness.”
B. “You should use a combined oral contraceptive pill.”
C. “Progestin-only methods may be a safer alternative for you.”
D. “As long as you exercise, smoking will not increase your risk of complications.”
Answer: C
Rationale: Estrogen-containing contraceptives increase the risk of blood clots, especially in
smokers over 35. Progestin-only options (e.g., mini-pill, IUD) are safer alternatives.
Common Gynecologic Concerns
6. A patient with polycystic ovary syndrome (PCOS) is concerned about her symptoms.
Which intervention should the nurse recommend?
A. High-carbohydrate diet
B. Regular aerobic exercise and weight management
C. Avoidance of all hormonal medications
D. Increased dairy intake to regulate hormones
Answer: B
Rationale: Lifestyle modifications, including regular exercise and weight management, help
manage insulin resistance and other symptoms of PCOS.
7. A 35-year-old woman reports painful menstruation and pelvic pain throughout her cycle.
Which condition should the nurse suspect?
A. Primary dysmenorrhea
B. Endometriosis
, C. Polycystic ovary syndrome (PCOS)
D. Fibroadenoma
Answer: B
Rationale: Endometriosis often causes chronic pelvic pain and painful menstruation. Primary
dysmenorrhea typically occurs only during menstruation.
Menstrual Health & Menopause
8. A woman experiencing perimenopausal symptoms asks about symptom management.
Which recommendation is most appropriate?
A. “Soy-based foods may help reduce hot flashes.”
B. “Hormone replacement therapy is necessary for all women.”
C. “You should avoid exercise to prevent night sweats.”
D. “All menopausal symptoms resolve within a few months.”
Answer: A
Rationale: Soy-based foods contain phytoestrogens, which may help reduce menopausal
symptoms. HRT is not necessary for all women, and exercise helps overall well-being.
9. A 50-year-old woman is concerned about vaginal dryness. What is the best initial
recommendation?
A. Avoid all lubricants
B. Increase dairy intake
C. Use water-based lubricants or vaginal moisturizers
D. Drink more coffee to increase estrogen levels
Answer: C
Rationale: Water-based lubricants and vaginal moisturizers can help manage vaginal dryness, a
common symptom of menopause.
Mental Health & Preventive Care
10. The nurse is screening a woman for intimate partner violence (IPV). Which statement
would require further assessment?
A. “My partner is very protective and doesn’t like me going out alone.”
B. “I feel safe at home and in my relationship.”
C. “My partner and I have occasional disagreements but work through them.”
D. “I have never felt threatened or unsafe in my relationship.”
1. A nurse is educating a 45-year-old woman about lifestyle modifications to reduce
cardiovascular disease risk. Which recommendation is most appropriate?
A. Consume a diet high in saturated fats
B. Engage in at least 150 minutes of moderate exercise per week
C. Increase sodium intake for bone health
D. Avoid strength training to reduce injury risk
Answer: B
Rationale: The American Heart Association recommends at least 150 minutes of moderate-
intensity exercise per week to reduce cardiovascular disease risk. Saturated fats should be
limited, sodium intake should be controlled, and strength training is beneficial for bone and
muscle health.
2. A 55-year-old postmenopausal woman asks the nurse about osteoporosis prevention.
Which response is most appropriate?
A. “Calcium and vitamin D intake, along with weight-bearing exercise, can help maintain bone
density.”
B. “Only women with a family history need to worry about osteoporosis.”
C. “Osteoporosis screening is only recommended after the age of 70.”
D. “Hormone replacement therapy is the only effective way to prevent osteoporosis.”
Answer: A
Rationale: Calcium and vitamin D intake, along with weight-bearing exercises like walking,
help maintain bone density and reduce osteoporosis risk. Screening is recommended at age 65 or
earlier for at-risk individuals.
3. The nurse is discussing cancer screening with a 30-year-old woman with no risk factors.
How often should she have a Pap smear?
A. Every year
B. Every 3 years
C. Every 5 years regardless of HPV testing
D. Only after age 40
Answer: B
Rationale: Women aged 21-29 should have a Pap smear every 3 years. Women aged 30-65 can
have a Pap smear every 3 years or co-testing with HPV every 5 years.
Reproductive Health & Family Planning
,4. A 25-year-old woman is considering oral contraceptives. Which of the following
conditions would be a contraindication to combined oral contraceptives?
A. Iron-deficiency anemia
B. History of migraines with aura
C. Polycystic ovary syndrome (PCOS)
D. Irregular menstrual cycles
Answer: B
Rationale: Women with migraines with aura have an increased risk of stroke with estrogen-
containing contraceptives. Other conditions listed are not absolute contraindications.
5. A 38-year-old woman who smokes one pack per day asks about oral contraceptives.
What is the best response?
A. “Smoking does not impact birth control effectiveness.”
B. “You should use a combined oral contraceptive pill.”
C. “Progestin-only methods may be a safer alternative for you.”
D. “As long as you exercise, smoking will not increase your risk of complications.”
Answer: C
Rationale: Estrogen-containing contraceptives increase the risk of blood clots, especially in
smokers over 35. Progestin-only options (e.g., mini-pill, IUD) are safer alternatives.
Common Gynecologic Concerns
6. A patient with polycystic ovary syndrome (PCOS) is concerned about her symptoms.
Which intervention should the nurse recommend?
A. High-carbohydrate diet
B. Regular aerobic exercise and weight management
C. Avoidance of all hormonal medications
D. Increased dairy intake to regulate hormones
Answer: B
Rationale: Lifestyle modifications, including regular exercise and weight management, help
manage insulin resistance and other symptoms of PCOS.
7. A 35-year-old woman reports painful menstruation and pelvic pain throughout her cycle.
Which condition should the nurse suspect?
A. Primary dysmenorrhea
B. Endometriosis
, C. Polycystic ovary syndrome (PCOS)
D. Fibroadenoma
Answer: B
Rationale: Endometriosis often causes chronic pelvic pain and painful menstruation. Primary
dysmenorrhea typically occurs only during menstruation.
Menstrual Health & Menopause
8. A woman experiencing perimenopausal symptoms asks about symptom management.
Which recommendation is most appropriate?
A. “Soy-based foods may help reduce hot flashes.”
B. “Hormone replacement therapy is necessary for all women.”
C. “You should avoid exercise to prevent night sweats.”
D. “All menopausal symptoms resolve within a few months.”
Answer: A
Rationale: Soy-based foods contain phytoestrogens, which may help reduce menopausal
symptoms. HRT is not necessary for all women, and exercise helps overall well-being.
9. A 50-year-old woman is concerned about vaginal dryness. What is the best initial
recommendation?
A. Avoid all lubricants
B. Increase dairy intake
C. Use water-based lubricants or vaginal moisturizers
D. Drink more coffee to increase estrogen levels
Answer: C
Rationale: Water-based lubricants and vaginal moisturizers can help manage vaginal dryness, a
common symptom of menopause.
Mental Health & Preventive Care
10. The nurse is screening a woman for intimate partner violence (IPV). Which statement
would require further assessment?
A. “My partner is very protective and doesn’t like me going out alone.”
B. “I feel safe at home and in my relationship.”
C. “My partner and I have occasional disagreements but work through them.”
D. “I have never felt threatened or unsafe in my relationship.”
