1. A 16-year-old female patient presents with irregular periods and excessive hair
growth. The nurse suspects polycystic ovary syndrome (PCOS). Which of the
following is most likely to be present in this condition?
A. Increased prolactin levels
B. Low thyroid-stimulating hormone (TSH) levels
C. Elevated androgen levels
D. Increased human chorionic gonadotropin (hCG) levels
Answer: C. Elevated androgen levels
Rationale: PCOS is commonly characterized by elevated androgen levels, which contribute to
symptoms such as excessive hair growth (hirsutism), acne, and alopecia.
2. Which of the following is the most important nursing intervention for a 17-
year-old female who has just been diagnosed with chlamydia?
A. Teach the patient about the importance of completing the full course of antibiotics
B. Recommend pelvic exercises to help with pain relief
C. Encourage the patient to avoid sexual activity for at least two weeks
D. Advise the patient to report any abnormal discharge to their healthcare provider
Answer: A. Teach the patient about the importance of completing the full course of
antibiotics
Rationale: Ensuring the patient completes the entire course of antibiotics is crucial for
eradicating the infection and preventing complications such as infertility.
3. A 19-year-old patient reports missed periods, nausea, and breast tenderness. A
urine pregnancy test is positive. The nurse should assess for which of the
following to confirm the pregnancy?
A. Serum progesterone levels
B. Pelvic ultrasound
C. Blood glucose levels
D. Liver function tests
Answer: B. Pelvic ultrasound
Rationale: A pelvic ultrasound is the most reliable method for confirming pregnancy and
determining gestational age, especially when clinical symptoms are present.
,4. A young woman presents with pain during menstruation. She is diagnosed
with dysmenorrhea. Which of the following interventions should the nurse
suggest first?
A. Use of hormonal contraception
B. Application of heat to the lower abdomen
C. Starting a pain management regimen of opioids
D. Increase intake of caffeine and sugar
Answer: B. Application of heat to the lower abdomen
Rationale: The first-line treatment for dysmenorrhea includes non-pharmacologic methods like
heat application to relieve cramping.
5. A 20-year-old woman presents with a history of frequent urinary tract
infections (UTIs). Which of the following teaching points should the nurse
include to prevent future UTIs?
A. Drink plenty of fluids, especially caffeinated beverages
B. Wipe from back to front after using the toilet
C. Avoid wearing tight-fitting clothing
D. Perform pelvic exercises daily
Answer: C. Avoid wearing tight-fitting clothing
Rationale: Tight clothing can promote moisture accumulation and bacterial growth, increasing
the risk of UTIs. Wearing loose, breathable clothing is recommended.
6. A 21-year-old woman is diagnosed with a yeast infection. Which of the
following statements by the patient indicates a need for further teaching?
A. “I’ll avoid using scented soaps and douches.”
B. “I will complete the full course of antifungal medication.”
C. “I will wear cotton underwear to keep the area dry.”
D. “I will stop using antibiotics if I feel better.”
Answer: D. “I will stop using antibiotics if I feel better.”
, Rationale: It’s important for patients to complete the full course of antibiotics, even if symptoms
improve, to prevent recurrence or resistance.
7. Which of the following is a common emotional response to pregnancy for a
young woman in her early twenties?
A. Overwhelming excitement
B. Denial of pregnancy
C. Increased anxiety and concern about the future
D. Complete acceptance of motherhood
Answer: C. Increased anxiety and concern about the future
Rationale: Many young women experience increased anxiety about their ability to care for a
child, as they may not feel fully prepared for the responsibilities of motherhood.
8. A 16-year-old female who has just started menstruating complains of excessive
bleeding and clotting. Which of the following should the nurse recommend for
initial management?
A. Use of a menstrual cup to absorb blood
B. Administration of oral contraceptives to regulate cycles
C. Resting and limiting physical activity
D. Taking high doses of vitamin C to stop bleeding
Answer: B. Administration of oral contraceptives to regulate cycles
Rationale: Hormonal contraceptives are commonly used to regulate menstrual cycles and reduce
excessive bleeding, especially in young women experiencing menorrhagia.
9. A 22-year-old patient is concerned about sexually transmitted infections
(STIs). Which of the following is the most effective method for preventing STIs?
A. Using oral contraceptives consistently
B. Using condoms consistently and correctly
C. Avoiding sexual activity after alcohol consumption
D. Limiting sexual partners to one
Answer: B. Using condoms consistently and correctly
growth. The nurse suspects polycystic ovary syndrome (PCOS). Which of the
following is most likely to be present in this condition?
A. Increased prolactin levels
B. Low thyroid-stimulating hormone (TSH) levels
C. Elevated androgen levels
D. Increased human chorionic gonadotropin (hCG) levels
Answer: C. Elevated androgen levels
Rationale: PCOS is commonly characterized by elevated androgen levels, which contribute to
symptoms such as excessive hair growth (hirsutism), acne, and alopecia.
2. Which of the following is the most important nursing intervention for a 17-
year-old female who has just been diagnosed with chlamydia?
A. Teach the patient about the importance of completing the full course of antibiotics
B. Recommend pelvic exercises to help with pain relief
C. Encourage the patient to avoid sexual activity for at least two weeks
D. Advise the patient to report any abnormal discharge to their healthcare provider
Answer: A. Teach the patient about the importance of completing the full course of
antibiotics
Rationale: Ensuring the patient completes the entire course of antibiotics is crucial for
eradicating the infection and preventing complications such as infertility.
3. A 19-year-old patient reports missed periods, nausea, and breast tenderness. A
urine pregnancy test is positive. The nurse should assess for which of the
following to confirm the pregnancy?
A. Serum progesterone levels
B. Pelvic ultrasound
C. Blood glucose levels
D. Liver function tests
Answer: B. Pelvic ultrasound
Rationale: A pelvic ultrasound is the most reliable method for confirming pregnancy and
determining gestational age, especially when clinical symptoms are present.
,4. A young woman presents with pain during menstruation. She is diagnosed
with dysmenorrhea. Which of the following interventions should the nurse
suggest first?
A. Use of hormonal contraception
B. Application of heat to the lower abdomen
C. Starting a pain management regimen of opioids
D. Increase intake of caffeine and sugar
Answer: B. Application of heat to the lower abdomen
Rationale: The first-line treatment for dysmenorrhea includes non-pharmacologic methods like
heat application to relieve cramping.
5. A 20-year-old woman presents with a history of frequent urinary tract
infections (UTIs). Which of the following teaching points should the nurse
include to prevent future UTIs?
A. Drink plenty of fluids, especially caffeinated beverages
B. Wipe from back to front after using the toilet
C. Avoid wearing tight-fitting clothing
D. Perform pelvic exercises daily
Answer: C. Avoid wearing tight-fitting clothing
Rationale: Tight clothing can promote moisture accumulation and bacterial growth, increasing
the risk of UTIs. Wearing loose, breathable clothing is recommended.
6. A 21-year-old woman is diagnosed with a yeast infection. Which of the
following statements by the patient indicates a need for further teaching?
A. “I’ll avoid using scented soaps and douches.”
B. “I will complete the full course of antifungal medication.”
C. “I will wear cotton underwear to keep the area dry.”
D. “I will stop using antibiotics if I feel better.”
Answer: D. “I will stop using antibiotics if I feel better.”
, Rationale: It’s important for patients to complete the full course of antibiotics, even if symptoms
improve, to prevent recurrence or resistance.
7. Which of the following is a common emotional response to pregnancy for a
young woman in her early twenties?
A. Overwhelming excitement
B. Denial of pregnancy
C. Increased anxiety and concern about the future
D. Complete acceptance of motherhood
Answer: C. Increased anxiety and concern about the future
Rationale: Many young women experience increased anxiety about their ability to care for a
child, as they may not feel fully prepared for the responsibilities of motherhood.
8. A 16-year-old female who has just started menstruating complains of excessive
bleeding and clotting. Which of the following should the nurse recommend for
initial management?
A. Use of a menstrual cup to absorb blood
B. Administration of oral contraceptives to regulate cycles
C. Resting and limiting physical activity
D. Taking high doses of vitamin C to stop bleeding
Answer: B. Administration of oral contraceptives to regulate cycles
Rationale: Hormonal contraceptives are commonly used to regulate menstrual cycles and reduce
excessive bleeding, especially in young women experiencing menorrhagia.
9. A 22-year-old patient is concerned about sexually transmitted infections
(STIs). Which of the following is the most effective method for preventing STIs?
A. Using oral contraceptives consistently
B. Using condoms consistently and correctly
C. Avoiding sexual activity after alcohol consumption
D. Limiting sexual partners to one
Answer: B. Using condoms consistently and correctly
