Geri Chp 12 NCLEX Questions and
Answers 100% Correct
1. The nurse is aware that sexuality:
a. becomes absent with age.
b. remains part of life until death.
c. as expressed through intercourse is not possible after the age of 65 years.
d. must be expressed in sexual intercourse. - ANSWER - b
Sexuality is an integral part of the makeup of each person. Although sexual expression may
change, the need for sexual affection does not diminish. Intercourse is only one method of
sexual expression.
2. The nurse counsels the 70-year-old female who has remained on hormone replacement
therapy (HRT) that she needs to have a:
a. semiweekly douche to wash out cervical debris.
b. liver function assessment annually.
c. mammogram biannually.
d. Pap smear annually. - ANSWER - ANS: D
Persons on HRT should have an annual Pap smear and mammogram.
3. The nurse evaluates a need for further instruction to reduce the symptoms of vaginal dryness
when the 70-year-old patient says:
a. "Vaseline was good enough for my mother. It's good enough for me."
b. "I use a water-soluble lubricant to aid intercourse."
c. "I'm trying an estrogen cream to see if it works."
d. "I'll let you know how wild yams work for vaginal dryness." - ANSWER - ANS: A
Vaseline and petroleum products should be avoided because they do nothing for long-term
dryness.
, 12. When the cognitively impaired man is openly masturbating in the dayroom of a long-term
care facility, the nurse's best response would be to say:
a. "This is inappropriate behavior in public areas."
b. "Oh my God! Don't you know that will make you go blind?"
c. "I think you may need some privacy" and take him to his room.
d. "Here's a blanket for your legs" and cover his lap with it. - ANSWER - ANS: C
A person who is masturbating in public should be conducted to the privacy of his or her room.
13. When a married couple is admitted to the long-term care facility, the admitting nurse should
show willingness to discuss sexual matters by asking:
a. "How often do you have intercourse?"
b. "Do you have any sexual concerns related to your admission here?"
c. "What can we do to keep your sex life active?"
d. "Any sexual activity should be done in private." - ANSWER - ANS: B
Asking about sexuality in broad terms communicates a willingness to discuss the issue.
4. The nurse identifies the person most likely to experience erectile dysfunction as the 65-year-
old who has _____ sexually active in earlier years.
a. diabetes and was very
b. irritable bowel syndrome and was minimally
c. chronic pancreatitis and was very
d. osteoarthritis and was moderately - ANSWER - ANS: A
Diabetic men are at risk for erectile dysfunction even at young ages.
5. The 65-year-old male who, although he is having painful symptoms related to a benign
enlargement of the prostate, refuses to consider a prostatectomy because he fears that the
surgery will make him impotent. The nurse reassures him that:
Answers 100% Correct
1. The nurse is aware that sexuality:
a. becomes absent with age.
b. remains part of life until death.
c. as expressed through intercourse is not possible after the age of 65 years.
d. must be expressed in sexual intercourse. - ANSWER - b
Sexuality is an integral part of the makeup of each person. Although sexual expression may
change, the need for sexual affection does not diminish. Intercourse is only one method of
sexual expression.
2. The nurse counsels the 70-year-old female who has remained on hormone replacement
therapy (HRT) that she needs to have a:
a. semiweekly douche to wash out cervical debris.
b. liver function assessment annually.
c. mammogram biannually.
d. Pap smear annually. - ANSWER - ANS: D
Persons on HRT should have an annual Pap smear and mammogram.
3. The nurse evaluates a need for further instruction to reduce the symptoms of vaginal dryness
when the 70-year-old patient says:
a. "Vaseline was good enough for my mother. It's good enough for me."
b. "I use a water-soluble lubricant to aid intercourse."
c. "I'm trying an estrogen cream to see if it works."
d. "I'll let you know how wild yams work for vaginal dryness." - ANSWER - ANS: A
Vaseline and petroleum products should be avoided because they do nothing for long-term
dryness.
, 12. When the cognitively impaired man is openly masturbating in the dayroom of a long-term
care facility, the nurse's best response would be to say:
a. "This is inappropriate behavior in public areas."
b. "Oh my God! Don't you know that will make you go blind?"
c. "I think you may need some privacy" and take him to his room.
d. "Here's a blanket for your legs" and cover his lap with it. - ANSWER - ANS: C
A person who is masturbating in public should be conducted to the privacy of his or her room.
13. When a married couple is admitted to the long-term care facility, the admitting nurse should
show willingness to discuss sexual matters by asking:
a. "How often do you have intercourse?"
b. "Do you have any sexual concerns related to your admission here?"
c. "What can we do to keep your sex life active?"
d. "Any sexual activity should be done in private." - ANSWER - ANS: B
Asking about sexuality in broad terms communicates a willingness to discuss the issue.
4. The nurse identifies the person most likely to experience erectile dysfunction as the 65-year-
old who has _____ sexually active in earlier years.
a. diabetes and was very
b. irritable bowel syndrome and was minimally
c. chronic pancreatitis and was very
d. osteoarthritis and was moderately - ANSWER - ANS: A
Diabetic men are at risk for erectile dysfunction even at young ages.
5. The 65-year-old male who, although he is having painful symptoms related to a benign
enlargement of the prostate, refuses to consider a prostatectomy because he fears that the
surgery will make him impotent. The nurse reassures him that:
