NSG 3250 Adult Health I Exam 4 | Reproductive
& Sensory Health Exam Review | Questions,
Multiple Choices, Correct Answers, and Expert
Rationales | Latest Update 2026/2027 | Galen
College Of Nursing
TABLE OF CONTENTS
# TOPIC
1 Reproductive Health
2 Geriatric Health
Page 1
,Q1
A client is prescribed combined oral contraceptives. Which instruction is most important?
A) Take at bedtime to reduce nausea
B) *Take at the same time every day CORRECT
C) Stop if breakthrough bleeding occurs
D) Double the dose if a pill is missed
Rationale
Consistent timing maintains hormone levels and contraceptive effectiveness.
Q2
A client with menopause reports hot flashes. Which intervention is most appropriate?
A) Increase caffeine intake
B) *Dress in layers and avoid triggers CORRECT
C) Take hot baths
D) Increase alcohol consumption
Rationale
Layering and avoiding triggers (spicy foods, caffeine, alcohol) reduce hot flashes.
Q3
A client is diagnosed with bacterial vaginosis. Which finding is expected?
A) Curdy white discharge
B) *Thin, grayish-white discharge with fishy odor CORRECT
C) Greenish frothy discharge
D) Thick yellow discharge
Rationale
Bacterial vaginosis presents with thin, gray discharge and a fishy odor.
Page 2
,Q4
A client with endometriosis reports severe dysmenorrhea. Which medication is first-line?
A) Antibiotics
B) *NSAIDs and hormonal contraceptives CORRECT
C) Antifungals
D) Opioids
Rationale
NSAIDs reduce pain; hormonal contraceptives suppress endometrial growth.
Q5
A client is scheduled for a mammogram. Which instruction is correct?
A) Apply deodorant before the test
B) *Avoid deodorant, powder, or lotion on the day of the test CORRECT
C) Drink plenty of fluids before the test
D) Wear a metal necklace
Rationale
These substances can interfere with imaging and create artifacts.
Q6
A client with prostate cancer is prescribed leuprolide. Which side effect is expected?
A) Weight loss
B) *Hot flashes and erectile dysfunction CORRECT
C) Hypertension
D) Bradycardia
Rationale
Leuprolide suppresses testosterone, causing hot flashes and sexual dysfunction.
Page 3
, Q7
A client with BPH is prescribed tamsulosin. Which instruction is most important?
A) Take in the morning
B) *Rise slowly from sitting or lying position CORRECT
C) Avoid all fluids
D) Double dose if symptoms persist
Rationale
Tamsulosin causes orthostatic hypotension; slow position changes prevent falls.
Q8
A client is diagnosed with chlamydia. Which treatment is appropriate?
A) Metronidazole
B) *Azithromycin or doxycycline CORRECT
C) Penicillin
D) Fluconazole
Rationale
Chlamydia is treated with azithromycin or doxycycline; partners must be treated.
Q9
A client with a new diagnosis of gonorrhea is being discharged. Which instruction is correct?
A) “You are immune after one infection.”
B) *“Complete the full course of antibiotics and notify partners.” CORRECT
C) “No follow-up needed.”
D) “You can resume sexual activity immediately.”
Rationale
Gonorrhea requires full antibiotic course; partners must be treated to prevent reinfection.
Page 4
& Sensory Health Exam Review | Questions,
Multiple Choices, Correct Answers, and Expert
Rationales | Latest Update 2026/2027 | Galen
College Of Nursing
TABLE OF CONTENTS
# TOPIC
1 Reproductive Health
2 Geriatric Health
Page 1
,Q1
A client is prescribed combined oral contraceptives. Which instruction is most important?
A) Take at bedtime to reduce nausea
B) *Take at the same time every day CORRECT
C) Stop if breakthrough bleeding occurs
D) Double the dose if a pill is missed
Rationale
Consistent timing maintains hormone levels and contraceptive effectiveness.
Q2
A client with menopause reports hot flashes. Which intervention is most appropriate?
A) Increase caffeine intake
B) *Dress in layers and avoid triggers CORRECT
C) Take hot baths
D) Increase alcohol consumption
Rationale
Layering and avoiding triggers (spicy foods, caffeine, alcohol) reduce hot flashes.
Q3
A client is diagnosed with bacterial vaginosis. Which finding is expected?
A) Curdy white discharge
B) *Thin, grayish-white discharge with fishy odor CORRECT
C) Greenish frothy discharge
D) Thick yellow discharge
Rationale
Bacterial vaginosis presents with thin, gray discharge and a fishy odor.
Page 2
,Q4
A client with endometriosis reports severe dysmenorrhea. Which medication is first-line?
A) Antibiotics
B) *NSAIDs and hormonal contraceptives CORRECT
C) Antifungals
D) Opioids
Rationale
NSAIDs reduce pain; hormonal contraceptives suppress endometrial growth.
Q5
A client is scheduled for a mammogram. Which instruction is correct?
A) Apply deodorant before the test
B) *Avoid deodorant, powder, or lotion on the day of the test CORRECT
C) Drink plenty of fluids before the test
D) Wear a metal necklace
Rationale
These substances can interfere with imaging and create artifacts.
Q6
A client with prostate cancer is prescribed leuprolide. Which side effect is expected?
A) Weight loss
B) *Hot flashes and erectile dysfunction CORRECT
C) Hypertension
D) Bradycardia
Rationale
Leuprolide suppresses testosterone, causing hot flashes and sexual dysfunction.
Page 3
, Q7
A client with BPH is prescribed tamsulosin. Which instruction is most important?
A) Take in the morning
B) *Rise slowly from sitting or lying position CORRECT
C) Avoid all fluids
D) Double dose if symptoms persist
Rationale
Tamsulosin causes orthostatic hypotension; slow position changes prevent falls.
Q8
A client is diagnosed with chlamydia. Which treatment is appropriate?
A) Metronidazole
B) *Azithromycin or doxycycline CORRECT
C) Penicillin
D) Fluconazole
Rationale
Chlamydia is treated with azithromycin or doxycycline; partners must be treated.
Q9
A client with a new diagnosis of gonorrhea is being discharged. Which instruction is correct?
A) “You are immune after one infection.”
B) *“Complete the full course of antibiotics and notify partners.” CORRECT
C) “No follow-up needed.”
D) “You can resume sexual activity immediately.”
Rationale
Gonorrhea requires full antibiotic course; partners must be treated to prevent reinfection.
Page 4
