RN- NCLEX exam GRADED A+ QUESTIONS AND CORRECT ANSWERS 100% VERIFIED
2025-2026
1. I can wait 3 to 4 days after intercourse to start taking these to prevent
pregnancy.
Plan B is a series of contraceptive pills similar in composition to birth control
pills that have been used for the past 30 years. Plan B is the brand name for
levonorgestrel 0.75 mg. Pills are most effective if taken immediately after
unprotected intercourse and then again 12 hours later. Males can purchase
this contraceptive as long as they are over 18 years of age. Common side
effects include nausea, breast tenderness, vertigo, and stomach pain.
A client has obtained Plan B (levonorgestrel 0.75 mg, 2 tablets) as emergency
contraception. After unprotected intercourse , the client calls the clinic to ask
questions about taking the contraceptives. The nurse realizes the client needs
further explanation when she makes which of the following responses?
3. Breast - or bottle-feeding plan.
Birth control plans are influenced primarily by whether the mother is breast- or
bottle-feeding her infant. The maternal milk supply must be well established
prior to the initiation of most hormonal birth control methods. Low-dose oral
contraceptives would be the exception. Use of estrogen-/progesterone-based
pills and progesterone-only pills are commonly initiated from 4 to 6 weeks
postpartum because the milk supply is well established by this time. Prior
experiences with birth control methods have an impact on the method chosen
as do to preferences of the client's partner; however, they are not the most
influential factors. Desire to have another child in two years would make some
methods, such as an IUD, less attractive but would still be secondary to the
choice to breast-feed.
,An antenatal G2, T1, P0, Ab0, L1 client is discussing her postpartum plans for birth
control with her health care provider. In analyzing the available choices, which of the
following factors has the greatest impact on her birth control options?
4. If there is discharge from my nipples, I should call my health care provider.
The nurse determines that the client has understood the instructions when the
client says that she will notify her primary health care provider if she notices
discharge or bleeding because this may be symptomatic of underlying
disease. Ideally, breast self-examination should be performed about 1 week
after the onset of menses because hormonal influences on breast tissue are at
a low ebb at this time. The client should perform breast self-examination on
the same day each month only if she has stopped menstruating (as with
menopause). The client's breasts should mirror each other. If one breast is
significantly larger than the other, or if there is "pitting" of breast tissue, a
tumor may be present.
After the nurse instructs a 20 year old nulligravid client on how to perform a breast
self-examination, which of the following client statements indicates that the teaching
has been successful?
3. Ovulation usually occurs on day 14, plus or minus 2 days, before the onset
of the next menstrual cycle.
For a client with a typical menstrual cycle of 28 days, ovulation usually occurs
on day 14, plus or minus 2 days, before the onset of the next menstrual cycle.
Stated another way, the menstrual period begins about 2 weeks after ovulation
has occurred. Ovulation does not usually occur during the menses component
of the cycle when the uterine lining is being shed. In most women, the ovum
survives for about 12 to 24 hours after ovulation, during which time
conception is possible. The basal body temperature rises 0.5 F to 1.0 F (0.28 C
to 0.56 C) when ovulation occurs. Although some women experience some
pelvic discomfort during ovulation (mittelschmerz), severe or unusual pain is
rare. After ovulation, the cervical mucus is thin and copious.
Which of the following would be important to include in the teaching plan for the
client who wants more information on ovulation and fertility management?
1. Take a mild analgesic if needed for menstrual pain.
The nurse should instruct the client to take a mild analgesic, such as
ibuprofen, if menstrual pain or "cramps" are present. The client should also
, eat foods rich in iron and should continue moderate exercise during
menstruation, which increases abdominal tone. Avoiding cold foods will not
decrease dysmenorrhea. Sexual intercourse is not prohibited during
menstruation, but the male partner should wear condom to prevent expose to
blood.
Which of the following instructions about activities during menstruation would the
nurse include when counseling an adolescent who has just begun to menstruate?
1. Under ideal conditions, sperm can reach the ovum in 15 to 30 minutes,
resulting in pregnancy.
Under ideal conditions, sperm can reach the ovum in 15 to 30 minutes. This is
an important point to make with adolescents who may be sexually active.
Many people believe that the time interval is much longer and that they can
wait until after intercourse to take steps to prevent conception. Without
protection, pregnancy and sexually transmitted diseases can occur. When
using the abstinence or calendar method, the couple should abstain from
intercourse on the days of menstrual cycle when the woman is most likely to
conceive. Using a 28-day cycle as an example, a couple should abstain from
coitus 3 to 4 days before ovulation (days 10 through 14) and 3 to 4 days after
after ovulation (days 15 through 18). Sperm from a healthy male can remain
viable for 24 to 72 hours in the female reproductive tract. If the female client
ovulates after coitus, there is a possibility that fertilization can occur. Before
fertilization, the ovum and sperm each contain 23 chromosomes. After
fertilization, the conceptus contains 46 chromosomes unless there is a
chromosomal abnormality.
After conducting a class for female adolescents about human reproduction, which of
the following statements indicates that the school nurse's teaching has been
effective?
3. Cervical mucus is carefully monitored for changes.
The symptothermal method is a natural method of fertility management that
depends on knowing when ovulation has occurred. Because regular menstrual
cycles can vary by 1 or 2 days in either direction, the symptothermal method
requires daily basal body temperature assessments plus close monitoring of
cervical mucus changes. The method relies on abstinence during the period of
ovulation, which occurs approximately 14 days before the beginning of the
2025-2026
1. I can wait 3 to 4 days after intercourse to start taking these to prevent
pregnancy.
Plan B is a series of contraceptive pills similar in composition to birth control
pills that have been used for the past 30 years. Plan B is the brand name for
levonorgestrel 0.75 mg. Pills are most effective if taken immediately after
unprotected intercourse and then again 12 hours later. Males can purchase
this contraceptive as long as they are over 18 years of age. Common side
effects include nausea, breast tenderness, vertigo, and stomach pain.
A client has obtained Plan B (levonorgestrel 0.75 mg, 2 tablets) as emergency
contraception. After unprotected intercourse , the client calls the clinic to ask
questions about taking the contraceptives. The nurse realizes the client needs
further explanation when she makes which of the following responses?
3. Breast - or bottle-feeding plan.
Birth control plans are influenced primarily by whether the mother is breast- or
bottle-feeding her infant. The maternal milk supply must be well established
prior to the initiation of most hormonal birth control methods. Low-dose oral
contraceptives would be the exception. Use of estrogen-/progesterone-based
pills and progesterone-only pills are commonly initiated from 4 to 6 weeks
postpartum because the milk supply is well established by this time. Prior
experiences with birth control methods have an impact on the method chosen
as do to preferences of the client's partner; however, they are not the most
influential factors. Desire to have another child in two years would make some
methods, such as an IUD, less attractive but would still be secondary to the
choice to breast-feed.
,An antenatal G2, T1, P0, Ab0, L1 client is discussing her postpartum plans for birth
control with her health care provider. In analyzing the available choices, which of the
following factors has the greatest impact on her birth control options?
4. If there is discharge from my nipples, I should call my health care provider.
The nurse determines that the client has understood the instructions when the
client says that she will notify her primary health care provider if she notices
discharge or bleeding because this may be symptomatic of underlying
disease. Ideally, breast self-examination should be performed about 1 week
after the onset of menses because hormonal influences on breast tissue are at
a low ebb at this time. The client should perform breast self-examination on
the same day each month only if she has stopped menstruating (as with
menopause). The client's breasts should mirror each other. If one breast is
significantly larger than the other, or if there is "pitting" of breast tissue, a
tumor may be present.
After the nurse instructs a 20 year old nulligravid client on how to perform a breast
self-examination, which of the following client statements indicates that the teaching
has been successful?
3. Ovulation usually occurs on day 14, plus or minus 2 days, before the onset
of the next menstrual cycle.
For a client with a typical menstrual cycle of 28 days, ovulation usually occurs
on day 14, plus or minus 2 days, before the onset of the next menstrual cycle.
Stated another way, the menstrual period begins about 2 weeks after ovulation
has occurred. Ovulation does not usually occur during the menses component
of the cycle when the uterine lining is being shed. In most women, the ovum
survives for about 12 to 24 hours after ovulation, during which time
conception is possible. The basal body temperature rises 0.5 F to 1.0 F (0.28 C
to 0.56 C) when ovulation occurs. Although some women experience some
pelvic discomfort during ovulation (mittelschmerz), severe or unusual pain is
rare. After ovulation, the cervical mucus is thin and copious.
Which of the following would be important to include in the teaching plan for the
client who wants more information on ovulation and fertility management?
1. Take a mild analgesic if needed for menstrual pain.
The nurse should instruct the client to take a mild analgesic, such as
ibuprofen, if menstrual pain or "cramps" are present. The client should also
, eat foods rich in iron and should continue moderate exercise during
menstruation, which increases abdominal tone. Avoiding cold foods will not
decrease dysmenorrhea. Sexual intercourse is not prohibited during
menstruation, but the male partner should wear condom to prevent expose to
blood.
Which of the following instructions about activities during menstruation would the
nurse include when counseling an adolescent who has just begun to menstruate?
1. Under ideal conditions, sperm can reach the ovum in 15 to 30 minutes,
resulting in pregnancy.
Under ideal conditions, sperm can reach the ovum in 15 to 30 minutes. This is
an important point to make with adolescents who may be sexually active.
Many people believe that the time interval is much longer and that they can
wait until after intercourse to take steps to prevent conception. Without
protection, pregnancy and sexually transmitted diseases can occur. When
using the abstinence or calendar method, the couple should abstain from
intercourse on the days of menstrual cycle when the woman is most likely to
conceive. Using a 28-day cycle as an example, a couple should abstain from
coitus 3 to 4 days before ovulation (days 10 through 14) and 3 to 4 days after
after ovulation (days 15 through 18). Sperm from a healthy male can remain
viable for 24 to 72 hours in the female reproductive tract. If the female client
ovulates after coitus, there is a possibility that fertilization can occur. Before
fertilization, the ovum and sperm each contain 23 chromosomes. After
fertilization, the conceptus contains 46 chromosomes unless there is a
chromosomal abnormality.
After conducting a class for female adolescents about human reproduction, which of
the following statements indicates that the school nurse's teaching has been
effective?
3. Cervical mucus is carefully monitored for changes.
The symptothermal method is a natural method of fertility management that
depends on knowing when ovulation has occurred. Because regular menstrual
cycles can vary by 1 or 2 days in either direction, the symptothermal method
requires daily basal body temperature assessments plus close monitoring of
cervical mucus changes. The method relies on abstinence during the period of
ovulation, which occurs approximately 14 days before the beginning of the
