NSG 4525 SELF CONCEPT AND SEXUALITY EXAM QUESTIONS WITH CORRECT ANSWERS LATEST
UPDATE 2026
A nurse in the ambulatory surgery center is providing discharge teaching to a client who had dilation
and curettage (D&C) following a spontaneous miscarriage. Which of the following should be included
in the teaching?
-Vaginal intercourse can be resumed after 2 weeks
-Products of conception will be present in vaginal bleeding
-Increased intake of zinc-rich foods is recommended
-Aspirin may be taken for cramps - Answers -Vaginal intercourse can be resumed after 2 weeks
The client should avoid vaginal intercourse and the use of tampons for 2 weeks following discharge.
A nurse in a college health clinic is speaking to a group of adolescents about toxic shock syndrome
(TSS). Which of the following should the nurse include in the teaching as increasing the risk for
contracting TSS?
-High-absorbency tampons
-Mosquito bites
-Travel to foreign countries
-Multiple sexual partners - Answers -High-absorbency tampons
Toxic shock syndrome, a severe disease caused by a toxin made by Staphylococcus aureus, is
characterized by shock and multiple organ dysfunction. Approximately 50% of all cases involve
menstruating women using highly absorbent tampons.
A nurse is instructing a female client about how to check basal temperature in order to determine if
the client is ovulation. The nurse would instruct the client to check her temperature at which of the
following times?
-Every morning before arising
-On days 13 to 17 of her menstrual cycle
-1 hour following intercourse
-Before going to bed every night - Answers -Every morning before arising
To measure basal temperature, the client must take her temperature every morning at the same
exact time before getting out of bed. The client must try not to move too much, as any activity can
raise the body temperature slightly.
A nurse is providing teaching to a client who has had a total abdominal hysterectomy and bilateral
salpingo-oophorectomy for uterine cancer. Which of the following instructions should the nurse
include in the teaching?
-A Papanicolaou (Pap) test should be performed every 6 months.
-Artificial lubrication can be used to treat vaginal itching and dryness.
-Increased vaginal drainage typically occurs 5 days following surgery.
-Resume sexual intercourse in 2 to 3 weeks. - Answers -Artificial lubrication can be used to treat
vaginal itching and dryness.
The nurse should instruct the client that atrophic vaginal changes occur due to the loss of estrogen
postoperatively and can also cause pain and dryness during sexual intercourse. Artificial lubricants can
reduce the manifestations associated with diminished mucous production.
A nurse is caring for a client who is considering several methods of contraception. Which of the
following methods of contraception should the nurse identify as being most reliable?
-A male condom
-An intrauterine device (IUD)
-An oral contraceptive
-A diaphragm with spermicide. - Answers -An intrauterine device (IUD)
An IUD is found to have a failure rate of less than 1 in 100 users, which makes it one of the most
reliable methods of contraception.
A nurse is caring for a client whose Papanicolaou (Pap) test results are abnormal. Which of the
following procedures should the nurse anticipate for this client?
-Rectovaginal palpation by the provider
-Dilation and curettage
-Human chorionic gonadotropin (hCG) test
-Colposcopy - Answers -Colposcopy
, The nurse should anticipate follow-up visit for a client who has an abnormal Pap test to include a
colposcopy and directed biopsy. The specimen obtained from endocervical testing is examined for
abnormal cells.
A nurse is caring for a postpartum client who tells the nurse that she does not want any more
children. The client asks which birth control method the nurse would recommend. Which of the
following responses should the nurse make?
-"It's your choice, of course, but birth control pills are the most reliable."
-"Your provider usually recommends a diaphragm and spermicidal cream."
-"I'd consider an intrauterine device. You won't have to worry about pregnancy."
-"Let's talk about the available options and go from there." - Answers -"Let's talk about the available
options and go from there."
This response illustrates the therapeutic communication technique of formulating a plan of action. It
demonstrates the nurse's willingness to provide information so that the client can make an informed
choice that will meet her needs at this time.
A community health nurse is developing a pamphlet about breast self-examination (BSE) for a local
health fair. Which of the following instructions should the nurse indicate?
-Expect some breast dimpling or discharge with age.
-For those who have a menstrual cycle, perform a BSE every month, 2 or 3 days before menstruation.
-Using the palm of the hand, feel for lumps using a circular motion.
-Breasts can be examined in the shower with soapy hands. - Answers -Breasts can be examined in the
shower with soapy hands.
The nurse should encourage clients to perform a BSE or do an extra examination while showering.
This allows clients to concentrate more easily on feeling for tissue changes.
A nurse is teaching a group of teenage clients about the use of condoms for the prevention of sexually
transmitted infections (STIs). Which of the following statements should the nurse include in the
teaching?
-"Use a natural membrane condom rather than a polyurethane condom."
-"You may use a condom more than once."
-"Use an oil-based lubricant when you use a condom."
-"Female condoms can help prevent transmission of sexually transmitted viruses." - Answers -"Female
condoms can help prevent transmission of sexually transmitted viruses."
The client who uses a female condom can prevent sexually transmitted viruses when the
polyurethane or nitrile sheath is placed in the vagina.
A nurse is teaching a group of male adolescents about testicular self examination. Which of the
following information should the nurse include?
-Perform testicular self-examination twice per year.
-Pinch the testicles to feel for abnormalities.
-Examine the testicles after a bath or shower.
-Expect a moderate amount of swelling. - Answers -Examine the testicles after a bath or shower.
The nurse should inform the adolescents to perform testicular self-examinations when the scrotal skin
is relaxed.
A nurse is presenting educational materials for a group of middle aged clients about menopausal
hormone therapy following total hysterectomy. Which of the following information should the nurse
include in the information?
-Take at different times of the day.
-Take an extra dose if missed a day.
-Prevents from having a cerebral hemorrhage.
-Prevents osteoporotic fractures. - Answers -Prevents osteoporotic fractures.
Menopausal hormone therapy may decrease and protect the client from osteoporotic fracture due to
the preservation of bone mineral density.
A nurse is reviewing the health history of a client who has a new prescription for a combined oral
contraceptive (COC). The nurse recognizes that which of the following client medications can interfere
with the effectiveness of the COC?
-Antihypertensives
-Anticonvulsants
-Antioxidants
-Antiemetics - Answers -Anticonvulsants
UPDATE 2026
A nurse in the ambulatory surgery center is providing discharge teaching to a client who had dilation
and curettage (D&C) following a spontaneous miscarriage. Which of the following should be included
in the teaching?
-Vaginal intercourse can be resumed after 2 weeks
-Products of conception will be present in vaginal bleeding
-Increased intake of zinc-rich foods is recommended
-Aspirin may be taken for cramps - Answers -Vaginal intercourse can be resumed after 2 weeks
The client should avoid vaginal intercourse and the use of tampons for 2 weeks following discharge.
A nurse in a college health clinic is speaking to a group of adolescents about toxic shock syndrome
(TSS). Which of the following should the nurse include in the teaching as increasing the risk for
contracting TSS?
-High-absorbency tampons
-Mosquito bites
-Travel to foreign countries
-Multiple sexual partners - Answers -High-absorbency tampons
Toxic shock syndrome, a severe disease caused by a toxin made by Staphylococcus aureus, is
characterized by shock and multiple organ dysfunction. Approximately 50% of all cases involve
menstruating women using highly absorbent tampons.
A nurse is instructing a female client about how to check basal temperature in order to determine if
the client is ovulation. The nurse would instruct the client to check her temperature at which of the
following times?
-Every morning before arising
-On days 13 to 17 of her menstrual cycle
-1 hour following intercourse
-Before going to bed every night - Answers -Every morning before arising
To measure basal temperature, the client must take her temperature every morning at the same
exact time before getting out of bed. The client must try not to move too much, as any activity can
raise the body temperature slightly.
A nurse is providing teaching to a client who has had a total abdominal hysterectomy and bilateral
salpingo-oophorectomy for uterine cancer. Which of the following instructions should the nurse
include in the teaching?
-A Papanicolaou (Pap) test should be performed every 6 months.
-Artificial lubrication can be used to treat vaginal itching and dryness.
-Increased vaginal drainage typically occurs 5 days following surgery.
-Resume sexual intercourse in 2 to 3 weeks. - Answers -Artificial lubrication can be used to treat
vaginal itching and dryness.
The nurse should instruct the client that atrophic vaginal changes occur due to the loss of estrogen
postoperatively and can also cause pain and dryness during sexual intercourse. Artificial lubricants can
reduce the manifestations associated with diminished mucous production.
A nurse is caring for a client who is considering several methods of contraception. Which of the
following methods of contraception should the nurse identify as being most reliable?
-A male condom
-An intrauterine device (IUD)
-An oral contraceptive
-A diaphragm with spermicide. - Answers -An intrauterine device (IUD)
An IUD is found to have a failure rate of less than 1 in 100 users, which makes it one of the most
reliable methods of contraception.
A nurse is caring for a client whose Papanicolaou (Pap) test results are abnormal. Which of the
following procedures should the nurse anticipate for this client?
-Rectovaginal palpation by the provider
-Dilation and curettage
-Human chorionic gonadotropin (hCG) test
-Colposcopy - Answers -Colposcopy
, The nurse should anticipate follow-up visit for a client who has an abnormal Pap test to include a
colposcopy and directed biopsy. The specimen obtained from endocervical testing is examined for
abnormal cells.
A nurse is caring for a postpartum client who tells the nurse that she does not want any more
children. The client asks which birth control method the nurse would recommend. Which of the
following responses should the nurse make?
-"It's your choice, of course, but birth control pills are the most reliable."
-"Your provider usually recommends a diaphragm and spermicidal cream."
-"I'd consider an intrauterine device. You won't have to worry about pregnancy."
-"Let's talk about the available options and go from there." - Answers -"Let's talk about the available
options and go from there."
This response illustrates the therapeutic communication technique of formulating a plan of action. It
demonstrates the nurse's willingness to provide information so that the client can make an informed
choice that will meet her needs at this time.
A community health nurse is developing a pamphlet about breast self-examination (BSE) for a local
health fair. Which of the following instructions should the nurse indicate?
-Expect some breast dimpling or discharge with age.
-For those who have a menstrual cycle, perform a BSE every month, 2 or 3 days before menstruation.
-Using the palm of the hand, feel for lumps using a circular motion.
-Breasts can be examined in the shower with soapy hands. - Answers -Breasts can be examined in the
shower with soapy hands.
The nurse should encourage clients to perform a BSE or do an extra examination while showering.
This allows clients to concentrate more easily on feeling for tissue changes.
A nurse is teaching a group of teenage clients about the use of condoms for the prevention of sexually
transmitted infections (STIs). Which of the following statements should the nurse include in the
teaching?
-"Use a natural membrane condom rather than a polyurethane condom."
-"You may use a condom more than once."
-"Use an oil-based lubricant when you use a condom."
-"Female condoms can help prevent transmission of sexually transmitted viruses." - Answers -"Female
condoms can help prevent transmission of sexually transmitted viruses."
The client who uses a female condom can prevent sexually transmitted viruses when the
polyurethane or nitrile sheath is placed in the vagina.
A nurse is teaching a group of male adolescents about testicular self examination. Which of the
following information should the nurse include?
-Perform testicular self-examination twice per year.
-Pinch the testicles to feel for abnormalities.
-Examine the testicles after a bath or shower.
-Expect a moderate amount of swelling. - Answers -Examine the testicles after a bath or shower.
The nurse should inform the adolescents to perform testicular self-examinations when the scrotal skin
is relaxed.
A nurse is presenting educational materials for a group of middle aged clients about menopausal
hormone therapy following total hysterectomy. Which of the following information should the nurse
include in the information?
-Take at different times of the day.
-Take an extra dose if missed a day.
-Prevents from having a cerebral hemorrhage.
-Prevents osteoporotic fractures. - Answers -Prevents osteoporotic fractures.
Menopausal hormone therapy may decrease and protect the client from osteoporotic fracture due to
the preservation of bone mineral density.
A nurse is reviewing the health history of a client who has a new prescription for a combined oral
contraceptive (COC). The nurse recognizes that which of the following client medications can interfere
with the effectiveness of the COC?
-Antihypertensives
-Anticonvulsants
-Antioxidants
-Antiemetics - Answers -Anticonvulsants
