Reproductive and Sexual NCOI Exam 5 (Ch. 50, 51, 52, 53, 54)
Questions with Verified Answers (Correct Update)
Question 1: A male patient with a history of transient ischemic attacks (TIAs) is undergoing
rehabilitation following an ischemic stroke. The patient’s medical history is likely to be related
to what health problems?
Answer: Erectile dysfunction
Question 2: Which male patient does the nurse identify is most susceptible to experiencing
erectile dysfunction as a consequence of his drug regimen?
Answer: A patient who takes a β-adrenergic blocker for hypertension
Question 3: The nurse is performing an assessment on a female patient. What assessment
finding should be documented and reported to the primary health care provider?
Answer: Dimpling of breast Highly suspicious for carcinoma of the breast
Question 4: A woman has sought care because of urinary incontinence. She states that running
or jumping often precipitates leakage of urine, an event that has been occurring with increasing
regularity in recent months. Which assessment question is most relevant to try to determine the
cause of the patient’s problem?
Answer: "Did you have any muscle damage when giving birth to your children?"
Question 5: The nurse performs a breast examination on a female patient who has never been
pregnant, 1 week after her menstrual period. Which finding, if made by the nurse, would
indicate a normal breast examination?
Answer: Nipples are soft without retractions
Question 6: The patient who has been told she will have blood drawn for a prolactin assay asks
the nurse, “What is this test for?” What is the best response by the nurse?
Answer: "It is used to detect a cause of amenorrhea."
Page 1
, Question 7: An older adult female patient reports hair growing on her chin. How should the
nurse explain this occurrence to this patient?
Answer: The estrogen in your body is decreased since menopause Many of the reproductive changes
associated with aging for women occur related to the decrease in estrogen associated with menopause.
After menopause there may be increased androgens. Estrogen stimulation is related to negative
feedback, and GnRH would stimulate greater follicle-stimulating hormone (FSH) and luteinizing
hormone (LH), which results in a higher level of estrogen production by the ovaries
Question 8: When teaching nursing students about the male sexual response, what should the
nurse call the phase that includes ejaculation?
Answer: Orgasmic phase When ejaculation occurs from contraction of the penile and urethral
musculature propelling the sperm outward through the meatus
Question 9: The nurse is obtaining a sexual history from a woman who is a new patient in the
primary care clinic. It would be most appropriate for the nurse to ask which question first?
Answer: "Are you satisfied with your sexual relationship with your partner?"
Question 10: The nurse is performing an admission assessment of an older adult male patient
prior to bladder resection surgery. What assessment finding of the patient’s genitourinary
system would be unexpected?
Answer: Pubic hair is absent from the patient's genital region
Question 11: A woman is scheduled for her first Pap test. The nurse should provide which
instructions?
Answer: "Do not douche for at least 24 hours before the procedure."
Question 12: The nurse is asked to teach an adolescent female patient about menstruation. What
is important for the nurse to include when teaching the adolescent?
Answer: Menstrual cycles are often irregular for the first 1 to 2 years
Question 13: An older adult male patient with hypertension is prescribed amlodipine. The nurse
should assess for which possible adverse effect?
Answer: Erectile dysfunction
Question 14: What should the nurse emphasize when teaching a woman diagnosed with pelvic
inflammatory disease?
Answer: Manifestations of further infection
Page 2
Questions with Verified Answers (Correct Update)
Question 1: A male patient with a history of transient ischemic attacks (TIAs) is undergoing
rehabilitation following an ischemic stroke. The patient’s medical history is likely to be related
to what health problems?
Answer: Erectile dysfunction
Question 2: Which male patient does the nurse identify is most susceptible to experiencing
erectile dysfunction as a consequence of his drug regimen?
Answer: A patient who takes a β-adrenergic blocker for hypertension
Question 3: The nurse is performing an assessment on a female patient. What assessment
finding should be documented and reported to the primary health care provider?
Answer: Dimpling of breast Highly suspicious for carcinoma of the breast
Question 4: A woman has sought care because of urinary incontinence. She states that running
or jumping often precipitates leakage of urine, an event that has been occurring with increasing
regularity in recent months. Which assessment question is most relevant to try to determine the
cause of the patient’s problem?
Answer: "Did you have any muscle damage when giving birth to your children?"
Question 5: The nurse performs a breast examination on a female patient who has never been
pregnant, 1 week after her menstrual period. Which finding, if made by the nurse, would
indicate a normal breast examination?
Answer: Nipples are soft without retractions
Question 6: The patient who has been told she will have blood drawn for a prolactin assay asks
the nurse, “What is this test for?” What is the best response by the nurse?
Answer: "It is used to detect a cause of amenorrhea."
Page 1
, Question 7: An older adult female patient reports hair growing on her chin. How should the
nurse explain this occurrence to this patient?
Answer: The estrogen in your body is decreased since menopause Many of the reproductive changes
associated with aging for women occur related to the decrease in estrogen associated with menopause.
After menopause there may be increased androgens. Estrogen stimulation is related to negative
feedback, and GnRH would stimulate greater follicle-stimulating hormone (FSH) and luteinizing
hormone (LH), which results in a higher level of estrogen production by the ovaries
Question 8: When teaching nursing students about the male sexual response, what should the
nurse call the phase that includes ejaculation?
Answer: Orgasmic phase When ejaculation occurs from contraction of the penile and urethral
musculature propelling the sperm outward through the meatus
Question 9: The nurse is obtaining a sexual history from a woman who is a new patient in the
primary care clinic. It would be most appropriate for the nurse to ask which question first?
Answer: "Are you satisfied with your sexual relationship with your partner?"
Question 10: The nurse is performing an admission assessment of an older adult male patient
prior to bladder resection surgery. What assessment finding of the patient’s genitourinary
system would be unexpected?
Answer: Pubic hair is absent from the patient's genital region
Question 11: A woman is scheduled for her first Pap test. The nurse should provide which
instructions?
Answer: "Do not douche for at least 24 hours before the procedure."
Question 12: The nurse is asked to teach an adolescent female patient about menstruation. What
is important for the nurse to include when teaching the adolescent?
Answer: Menstrual cycles are often irregular for the first 1 to 2 years
Question 13: An older adult male patient with hypertension is prescribed amlodipine. The nurse
should assess for which possible adverse effect?
Answer: Erectile dysfunction
Question 14: What should the nurse emphasize when teaching a woman diagnosed with pelvic
inflammatory disease?
Answer: Manifestations of further infection
Page 2
