NCOI Actual Questions and Correct Answers
Q1
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
healthproblems?
Answer: Erectile dysfunction
Q2
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
Q3
The nurse is performing an assessment on a female patient. What assessment finding should be
documented and reported to the primaryhealth care provider?
Answer: Dimpling of breastHighly suspicious for carcinoma of the breast
Q4
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
thepatient's problem?
Answer: "Did you have any muscle damage when giving birth to your children?"
Q5
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
Q6
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 thenurse?
Answer: "It is used to detect a cause of amenorrhea."
,Q7
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 menopauseMany 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 higherlevel of estrogen production by the ovaries
Q8
When teaching nursing students about the male sexual response, what should the nurse call
the phase thatincludes ejaculation?
Answer: Orgasmic phaseWhen ejaculation occurs from contraction of the penile and
urethral musculature propelling the sperm outward through themeatus
Q9
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?"
Q10
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 systemwould
be unexpected?
Answer: Pubic hair is absent from the patient's genital region
Q11
A woman is scheduled for herfirst Pap test. The nurse should provide which instructions?
Answer: "Do not douche for at least 24 hours before the procedure."
Q12
The nurse is asked to teach an adolescent female patient about menstruation. What is
important for the nurse to include when teaching theadolescent?
Answer: Menstrual cycles are often irregular for the first 1 to 2 years
, Q13
An older adult male patient with hypertension is prescribed amlodipine. The nurse should
assess for which possibleadverse effect?
Answer: Erectile dysfunction
Q14
What should the nurse emphasize when teaching a woman diagnosed with pelvic inflammatory
disease?
Answer: Manifestations of further infection
Q15
A woman with endometriosis is seeking a cure. After identifying childbearing is no longer
desired, the nurse should introduce whichpotential treatment?
Answer: Surgical removal of endometrial implantsThe only cure for endometriosis is
the surgical removal of all endometrial implants, which may include the uterus,
fallopian tubes, and ovaries
Q16
A female patient is recovering from rectocele repair surgery. Which interventions should
beincluded in the plan of care?
Answer: Administer a stool softener. Apply ice to the perineal area. Urinary catheter
care twice a day.
Q17
Because of the risks, a 50-yr-old patient does not want hormone replacement therapy for
perimenopausal symptoms. She asks the nurse how to minimize hot flashes and night sweats.
What should the nurserecommend first?
Answer: Keep the bedroom cool and limit alcohol use
Q18
What action should be recommended to a woman recovering from surgical repair of a fistula?
Answer: Ensure that she does not place stress on the repaired area
Q1
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
healthproblems?
Answer: Erectile dysfunction
Q2
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
Q3
The nurse is performing an assessment on a female patient. What assessment finding should be
documented and reported to the primaryhealth care provider?
Answer: Dimpling of breastHighly suspicious for carcinoma of the breast
Q4
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
thepatient's problem?
Answer: "Did you have any muscle damage when giving birth to your children?"
Q5
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
Q6
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 thenurse?
Answer: "It is used to detect a cause of amenorrhea."
,Q7
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 menopauseMany 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 higherlevel of estrogen production by the ovaries
Q8
When teaching nursing students about the male sexual response, what should the nurse call
the phase thatincludes ejaculation?
Answer: Orgasmic phaseWhen ejaculation occurs from contraction of the penile and
urethral musculature propelling the sperm outward through themeatus
Q9
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?"
Q10
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 systemwould
be unexpected?
Answer: Pubic hair is absent from the patient's genital region
Q11
A woman is scheduled for herfirst Pap test. The nurse should provide which instructions?
Answer: "Do not douche for at least 24 hours before the procedure."
Q12
The nurse is asked to teach an adolescent female patient about menstruation. What is
important for the nurse to include when teaching theadolescent?
Answer: Menstrual cycles are often irregular for the first 1 to 2 years
, Q13
An older adult male patient with hypertension is prescribed amlodipine. The nurse should
assess for which possibleadverse effect?
Answer: Erectile dysfunction
Q14
What should the nurse emphasize when teaching a woman diagnosed with pelvic inflammatory
disease?
Answer: Manifestations of further infection
Q15
A woman with endometriosis is seeking a cure. After identifying childbearing is no longer
desired, the nurse should introduce whichpotential treatment?
Answer: Surgical removal of endometrial implantsThe only cure for endometriosis is
the surgical removal of all endometrial implants, which may include the uterus,
fallopian tubes, and ovaries
Q16
A female patient is recovering from rectocele repair surgery. Which interventions should
beincluded in the plan of care?
Answer: Administer a stool softener. Apply ice to the perineal area. Urinary catheter
care twice a day.
Q17
Because of the risks, a 50-yr-old patient does not want hormone replacement therapy for
perimenopausal symptoms. She asks the nurse how to minimize hot flashes and night sweats.
What should the nurserecommend first?
Answer: Keep the bedroom cool and limit alcohol use
Q18
What action should be recommended to a woman recovering from surgical repair of a fistula?
Answer: Ensure that she does not place stress on the repaired area
