NCLEX-Style Questions: Women and Their Health
Health Promotion and Disease Prevention
1. A nurse is educating a group of women about breast self-exams (BSE). When should a
premenopausal woman be instructed to perform a BSE?
a) On the first day of menstruation
b) On the same day every month
c) One week after menstruation starts
d) Any time before ovulation
Answer: c) One week after menstruation starts
Rationale: Performing a BSE one week after menstruation ensures that breast tissue is
less swollen and tender, making it easier to detect abnormalities.
2. Which of the following is a primary prevention strategy for cervical cancer?
a) Chemotherapy
b) HPV vaccination
c) Pap smear screening
d) Hysterectomy
Answer: b) HPV vaccination
Rationale: Primary prevention focuses on preventing disease before it occurs. The HPV
vaccine reduces the risk of cervical cancer by preventing HPV infection.
3. A postmenopausal woman is asking about ways to prevent osteoporosis. The nurse
should recommend:
a) Weight-bearing exercises and calcium intake
b) Low-fat diet and increased water intake
c) Daily intake of caffeine and vitamin E
d) Smoking cessation and decreased fluid intake
Answer: a) Weight-bearing exercises and calcium intake
Rationale: Weight-bearing exercises help maintain bone density, and calcium is essential
for bone health.
Reproductive Health
4. A woman using oral contraceptives calls the clinic reporting severe leg pain and swelling.
The nurse should instruct her to:
a) Continue taking the pills but monitor symptoms
b) Take aspirin and elevate her legs
c) Stop taking the pills and seek medical attention
d) Apply a warm compress to the affected leg
Answer: c) Stop taking the pills and seek medical attention
Rationale: Severe leg pain and swelling may indicate deep vein thrombosis (DVT), a
serious side effect of oral contraceptives.
, 5. Which of the following statements indicates that a woman understands the use of an
intrauterine device (IUD)?
a) "I need to take a daily pill to prevent pregnancy."
b) "I need to check for the IUD string regularly."
c) "The IUD must be replaced every month."
d) "The IUD protects against sexually transmitted infections (STIs)."
Answer: b) "I need to check for the IUD string regularly."
Rationale: Women with an IUD should check the string regularly to ensure proper
placement and prevent complications.
Pregnancy and Maternal Health
6. Which of the following is a probable sign of pregnancy?
a) Fetal movement
b) Positive pregnancy test
c) Chloasma
d) Amenorrhea
Answer: b) Positive pregnancy test
Rationale: A positive pregnancy test is considered a probable sign, while fetal movement
is a positive sign.
7. A pregnant woman at 12 weeks gestation asks if she can continue her daily jogging
routine. The nurse should respond:
a) "You should stop all physical activity immediately."
b) "You may continue jogging if you feel comfortable."
c) "Avoid jogging, but walking is allowed."
d) "Exercising during pregnancy is harmful to the baby."
Answer: b) "You may continue jogging if you feel comfortable."
Rationale: Moderate exercise is encouraged in pregnancy unless contraindicated.
Common Women's Health Conditions
8. A woman with polycystic ovarian syndrome (PCOS) is at increased risk for:
a) Osteoporosis
b) Hypertension and diabetes
c) Liver disease
d) Peptic ulcers
Answer: b) Hypertension and diabetes
Rationale: PCOS is associated with insulin resistance, increasing the risk of diabetes and
hypertension.
9. The most significant risk factor for breast cancer is:
a) Diet high in fat
b) Family history of breast cancer
, c) Use of oral contraceptives
d) Late onset of menopause
Answer: b) Family history of breast cancer
Rationale: A strong family history is a major risk factor for breast cancer.
Sexually Transmitted Infections (STIs)
10. A woman diagnosed with chlamydia should be advised to:
a) Avoid sexual activity for one week after treatment
b) Use antibiotics for three months
c) Take antiviral medication
d) Use birth control pills to prevent recurrence
Answer: a) Avoid sexual activity for one week after treatment
Rationale: Chlamydia is treated with antibiotics, and patients should avoid sexual
activity until treatment is complete.
11. Which STI is characterized by a painless sore (chancre) in its primary stage?
a) Gonorrhea
b) Syphilis
c) Genital herpes
d) Trichomoniasis
Answer: b) Syphilis
Rationale: The primary stage of syphilis presents with a painless chancre, which
eventually heals on its own.
Menopause and Hormonal Changes
12. A woman experiencing hot flashes asks about natural ways to manage menopause
symptoms. The nurse should recommend:
a) Increasing caffeine intake
b) Wearing layered clothing
c) Avoiding all physical activity
d) Taking daily aspirin
Answer: b) Wearing layered clothing
Rationale: Layered clothing helps manage temperature fluctuations caused by hot
flashes.
13. Hormone replacement therapy (HRT) is contraindicated in women with:
a) History of osteoporosis
b) History of breast cancer
c) Severe menstrual cramps
d) High calcium levels
Answer: b) History of breast cancer
Health Promotion and Disease Prevention
1. A nurse is educating a group of women about breast self-exams (BSE). When should a
premenopausal woman be instructed to perform a BSE?
a) On the first day of menstruation
b) On the same day every month
c) One week after menstruation starts
d) Any time before ovulation
Answer: c) One week after menstruation starts
Rationale: Performing a BSE one week after menstruation ensures that breast tissue is
less swollen and tender, making it easier to detect abnormalities.
2. Which of the following is a primary prevention strategy for cervical cancer?
a) Chemotherapy
b) HPV vaccination
c) Pap smear screening
d) Hysterectomy
Answer: b) HPV vaccination
Rationale: Primary prevention focuses on preventing disease before it occurs. The HPV
vaccine reduces the risk of cervical cancer by preventing HPV infection.
3. A postmenopausal woman is asking about ways to prevent osteoporosis. The nurse
should recommend:
a) Weight-bearing exercises and calcium intake
b) Low-fat diet and increased water intake
c) Daily intake of caffeine and vitamin E
d) Smoking cessation and decreased fluid intake
Answer: a) Weight-bearing exercises and calcium intake
Rationale: Weight-bearing exercises help maintain bone density, and calcium is essential
for bone health.
Reproductive Health
4. A woman using oral contraceptives calls the clinic reporting severe leg pain and swelling.
The nurse should instruct her to:
a) Continue taking the pills but monitor symptoms
b) Take aspirin and elevate her legs
c) Stop taking the pills and seek medical attention
d) Apply a warm compress to the affected leg
Answer: c) Stop taking the pills and seek medical attention
Rationale: Severe leg pain and swelling may indicate deep vein thrombosis (DVT), a
serious side effect of oral contraceptives.
, 5. Which of the following statements indicates that a woman understands the use of an
intrauterine device (IUD)?
a) "I need to take a daily pill to prevent pregnancy."
b) "I need to check for the IUD string regularly."
c) "The IUD must be replaced every month."
d) "The IUD protects against sexually transmitted infections (STIs)."
Answer: b) "I need to check for the IUD string regularly."
Rationale: Women with an IUD should check the string regularly to ensure proper
placement and prevent complications.
Pregnancy and Maternal Health
6. Which of the following is a probable sign of pregnancy?
a) Fetal movement
b) Positive pregnancy test
c) Chloasma
d) Amenorrhea
Answer: b) Positive pregnancy test
Rationale: A positive pregnancy test is considered a probable sign, while fetal movement
is a positive sign.
7. A pregnant woman at 12 weeks gestation asks if she can continue her daily jogging
routine. The nurse should respond:
a) "You should stop all physical activity immediately."
b) "You may continue jogging if you feel comfortable."
c) "Avoid jogging, but walking is allowed."
d) "Exercising during pregnancy is harmful to the baby."
Answer: b) "You may continue jogging if you feel comfortable."
Rationale: Moderate exercise is encouraged in pregnancy unless contraindicated.
Common Women's Health Conditions
8. A woman with polycystic ovarian syndrome (PCOS) is at increased risk for:
a) Osteoporosis
b) Hypertension and diabetes
c) Liver disease
d) Peptic ulcers
Answer: b) Hypertension and diabetes
Rationale: PCOS is associated with insulin resistance, increasing the risk of diabetes and
hypertension.
9. The most significant risk factor for breast cancer is:
a) Diet high in fat
b) Family history of breast cancer
, c) Use of oral contraceptives
d) Late onset of menopause
Answer: b) Family history of breast cancer
Rationale: A strong family history is a major risk factor for breast cancer.
Sexually Transmitted Infections (STIs)
10. A woman diagnosed with chlamydia should be advised to:
a) Avoid sexual activity for one week after treatment
b) Use antibiotics for three months
c) Take antiviral medication
d) Use birth control pills to prevent recurrence
Answer: a) Avoid sexual activity for one week after treatment
Rationale: Chlamydia is treated with antibiotics, and patients should avoid sexual
activity until treatment is complete.
11. Which STI is characterized by a painless sore (chancre) in its primary stage?
a) Gonorrhea
b) Syphilis
c) Genital herpes
d) Trichomoniasis
Answer: b) Syphilis
Rationale: The primary stage of syphilis presents with a painless chancre, which
eventually heals on its own.
Menopause and Hormonal Changes
12. A woman experiencing hot flashes asks about natural ways to manage menopause
symptoms. The nurse should recommend:
a) Increasing caffeine intake
b) Wearing layered clothing
c) Avoiding all physical activity
d) Taking daily aspirin
Answer: b) Wearing layered clothing
Rationale: Layered clothing helps manage temperature fluctuations caused by hot
flashes.
13. Hormone replacement therapy (HRT) is contraindicated in women with:
a) History of osteoporosis
b) History of breast cancer
c) Severe menstrual cramps
d) High calcium levels
Answer: b) History of breast cancer
