NCLEX RN Women Health Practice
Exam 100 Questions And Correct
Answers (Verified Answers) Plus
Rationales 2026
1. A nurse is teaching a client about breast self-awareness. Which instruction
is appropriate?
A. Perform a breast examination only during menstruation.
B. Examine the breasts at the same time every day.
C. Report a new breast lump or nipple discharge to the healthcare provider.
D. Avoid examining the breasts because mammography is sufficient.
Answer: Report a new breast lump or nipple discharge to the healthcare
provider.
Rationale: A new breast lump, skin change, or unusual nipple discharge
should be evaluated promptly. Breast self-awareness focuses on recognizing
normal breast appearance and changes.
2. A client reports severe lower abdominal pain, vaginal bleeding, and
dizziness at 8 weeks' gestation. Which condition should the nurse suspect?
A. Hyperemesis gravidarum
B. Ectopic pregnancy
C. Placenta previa
D. Gestational diabetes
Answer: Ectopic pregnancy.
Rationale: An ectopic pregnancy may present with unilateral or severe
abdominal pain, vaginal bleeding, dizziness, and possible hypovolemic shock
if rupture occurs.
,3. Which finding is most concerning in a client with suspected ectopic
pregnancy?
A. Mild nausea
B. Urinary frequency
C. Shoulder pain and hypotension
D. Breast tenderness
Answer: Shoulder pain and hypotension.
Rationale: Shoulder pain can result from diaphragmatic irritation caused by
intra-abdominal bleeding. Hypotension suggests significant blood loss and
possible rupture.
4. A client with premenstrual syndrome asks which intervention may reduce
symptoms. Which response is best?
A. Increase caffeine intake.
B. Increase sodium intake.
C. Engage in regular aerobic exercise.
D. Avoid all physical activity.
Answer: Engage in regular aerobic exercise.
Rationale: Regular exercise can decrease fatigue, mood changes, bloating,
and other PMS symptoms. Limiting caffeine and sodium may also help.
5. A woman reports severe menstrual pain that interferes with daily
activities. Which condition should the nurse consider?
A. Dysmenorrhea
B. Amenorrhea
C. Menopause
D. Mastitis
Answer: Dysmenorrhea.
,Rationale: Dysmenorrhea refers to painful menstruation and can range from
mild cramping to severe pain that interferes with normal activities.
6. Which symptom is commonly associated with menopause?
A. Increased estrogen production
B. Hot flashes
C. Increased fertility
D. Persistent ovulation
Answer: Hot flashes.
Rationale: Declining ovarian estrogen production during the menopausal
transition commonly causes vasomotor symptoms such as hot flashes and
night sweats.
7. A postmenopausal woman reports vaginal bleeding. What is the nurse's
priority response?
A. Explain that bleeding is expected after menopause.
B. Encourage increased fluid intake.
C. Recommend evaluation by a healthcare provider.
D. Suggest using an over-the-counter antifungal medication.
Answer: Recommend evaluation by a healthcare provider.
Rationale: Postmenopausal bleeding is not considered a normal finding and
requires evaluation to determine the cause, including ruling out endometrial
pathology.
8. Which finding is characteristic of bacterial vaginosis?
A. Thick, white, cottage-cheese discharge
B. Thin, grayish discharge with a fishy odor
C. Frothy green discharge
D. Bloody cervical discharge
, Answer: Thin, grayish discharge with a fishy odor.
Rationale: Bacterial vaginosis commonly produces thin gray or white
discharge with a characteristic fishy odor, particularly after intercourse.
9. Which finding is most consistent with vulvovaginal candidiasis?
A. Thick, white, clumpy discharge
B. Thin gray discharge
C. Frothy yellow-green discharge
D. Painless genital ulcer
Answer: Thick, white, clumpy discharge.
Rationale: Candida infection commonly causes intense vulvar itching,
erythema, and thick white “cottage-cheese-like” discharge.
10. Which finding is commonly associated with trichomoniasis?
A. Frothy yellow-green vaginal discharge
B. Thick white discharge without itching
C. Painless breast mass
D. Dry vaginal mucosa without discharge
Answer: Frothy yellow-green vaginal discharge.
Rationale: Trichomoniasis is a sexually transmitted infection that may cause
frothy yellow-green discharge, vulvar irritation, and a characteristic
unpleasant odor.
11. A client with pelvic inflammatory disease is receiving antibiotics. Which
teaching is most important?
A. Stop antibiotics when symptoms improve.
B. Avoid sexual intercourse until treatment is completed as instructed.
C. Use tampons during treatment.
D. Take only one dose of the prescribed medication.
Exam 100 Questions And Correct
Answers (Verified Answers) Plus
Rationales 2026
1. A nurse is teaching a client about breast self-awareness. Which instruction
is appropriate?
A. Perform a breast examination only during menstruation.
B. Examine the breasts at the same time every day.
C. Report a new breast lump or nipple discharge to the healthcare provider.
D. Avoid examining the breasts because mammography is sufficient.
Answer: Report a new breast lump or nipple discharge to the healthcare
provider.
Rationale: A new breast lump, skin change, or unusual nipple discharge
should be evaluated promptly. Breast self-awareness focuses on recognizing
normal breast appearance and changes.
2. A client reports severe lower abdominal pain, vaginal bleeding, and
dizziness at 8 weeks' gestation. Which condition should the nurse suspect?
A. Hyperemesis gravidarum
B. Ectopic pregnancy
C. Placenta previa
D. Gestational diabetes
Answer: Ectopic pregnancy.
Rationale: An ectopic pregnancy may present with unilateral or severe
abdominal pain, vaginal bleeding, dizziness, and possible hypovolemic shock
if rupture occurs.
,3. Which finding is most concerning in a client with suspected ectopic
pregnancy?
A. Mild nausea
B. Urinary frequency
C. Shoulder pain and hypotension
D. Breast tenderness
Answer: Shoulder pain and hypotension.
Rationale: Shoulder pain can result from diaphragmatic irritation caused by
intra-abdominal bleeding. Hypotension suggests significant blood loss and
possible rupture.
4. A client with premenstrual syndrome asks which intervention may reduce
symptoms. Which response is best?
A. Increase caffeine intake.
B. Increase sodium intake.
C. Engage in regular aerobic exercise.
D. Avoid all physical activity.
Answer: Engage in regular aerobic exercise.
Rationale: Regular exercise can decrease fatigue, mood changes, bloating,
and other PMS symptoms. Limiting caffeine and sodium may also help.
5. A woman reports severe menstrual pain that interferes with daily
activities. Which condition should the nurse consider?
A. Dysmenorrhea
B. Amenorrhea
C. Menopause
D. Mastitis
Answer: Dysmenorrhea.
,Rationale: Dysmenorrhea refers to painful menstruation and can range from
mild cramping to severe pain that interferes with normal activities.
6. Which symptom is commonly associated with menopause?
A. Increased estrogen production
B. Hot flashes
C. Increased fertility
D. Persistent ovulation
Answer: Hot flashes.
Rationale: Declining ovarian estrogen production during the menopausal
transition commonly causes vasomotor symptoms such as hot flashes and
night sweats.
7. A postmenopausal woman reports vaginal bleeding. What is the nurse's
priority response?
A. Explain that bleeding is expected after menopause.
B. Encourage increased fluid intake.
C. Recommend evaluation by a healthcare provider.
D. Suggest using an over-the-counter antifungal medication.
Answer: Recommend evaluation by a healthcare provider.
Rationale: Postmenopausal bleeding is not considered a normal finding and
requires evaluation to determine the cause, including ruling out endometrial
pathology.
8. Which finding is characteristic of bacterial vaginosis?
A. Thick, white, cottage-cheese discharge
B. Thin, grayish discharge with a fishy odor
C. Frothy green discharge
D. Bloody cervical discharge
, Answer: Thin, grayish discharge with a fishy odor.
Rationale: Bacterial vaginosis commonly produces thin gray or white
discharge with a characteristic fishy odor, particularly after intercourse.
9. Which finding is most consistent with vulvovaginal candidiasis?
A. Thick, white, clumpy discharge
B. Thin gray discharge
C. Frothy yellow-green discharge
D. Painless genital ulcer
Answer: Thick, white, clumpy discharge.
Rationale: Candida infection commonly causes intense vulvar itching,
erythema, and thick white “cottage-cheese-like” discharge.
10. Which finding is commonly associated with trichomoniasis?
A. Frothy yellow-green vaginal discharge
B. Thick white discharge without itching
C. Painless breast mass
D. Dry vaginal mucosa without discharge
Answer: Frothy yellow-green vaginal discharge.
Rationale: Trichomoniasis is a sexually transmitted infection that may cause
frothy yellow-green discharge, vulvar irritation, and a characteristic
unpleasant odor.
11. A client with pelvic inflammatory disease is receiving antibiotics. Which
teaching is most important?
A. Stop antibiotics when symptoms improve.
B. Avoid sexual intercourse until treatment is completed as instructed.
C. Use tampons during treatment.
D. Take only one dose of the prescribed medication.
