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Reproductive & Sexual Health – NCOI Exam 5 | 150+ Questions & Answers | Menopause, STI, Fertility, Breast Cancer, Prostate Care | Fall 2025 | NCOI

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This in-depth exam review document includes over 150 evidence-based multiple-choice questions and answers tailored for the NCOI Nursing curriculum, specifically targeting Exam 5 (covering Chapters 50–54). Designed for the Fall 2025 session, this resource provides a wide scope of learning for reproductive and sexual health, including gynecology, urology, oncology, and sexual function. Every answer includes context-specific rationale, making it a powerful tool for final exam prep, clinical application, or NCLEX-PN/RN study. Major topics include: Female Reproductive Health: menstrual cycle teaching, amenorrhea, prolactin tests, Pap smear guidelines, polycystic ovary syndrome (PCOS), breast cancer risk and management, fibrocystic breast changes, mastectomy recovery, lymphedema prevention Pregnancy & Maternal Care: ectopic pregnancy, prenatal nutrition, pelvic inflammatory disease (PID), hysterectomy care, fertility enhancement (e.g., Clomid), hormone replacement alternatives Male Reproductive Health: benign prostatic hyperplasia (BPH), erectile dysfunction, prostatitis, testicular cancer detection, TURP care, vasectomy and prostatectomy patient education Sexually Transmitted Infections (STIs): HPV, chlamydia, gonorrhea, herpes simplex virus, syphilis, patient education, abstinence guidelines, vaccination counseling Hormonal & Aging Considerations: menopause symptoms, testosterone decline, vaginal atrophy, age-related risk factors Psychosocial & Ethical Care: sexual health assessments, trauma-informed care for sexual assault, LGBTQ2S+ inclusive care, HEADSSS psychosocial screening Cancer & Oncology: breast cancer staging and interventions, tamoxifen and doxorubicin teaching, radiation safety, endometrial and ovarian cancer screenings Best suited for: Practical Nursing (PN) and Registered Nursing (RN) students preparing for end-of-module exams Students in Obstetrics, Gynecology, Urology, Mental Health, and Oncology Nursing courses Internationally trained nurses aiming for licensure in reproductive or community health NCLEX-PN and NCLEX-RN candidates requiring content-specific reinforcement in reproductive care Whether for deep review or high-speed exam prep, this guide provides clarity, accuracy, and real-world clinical relevance across reproductive and sexual health nursing. Keywords: reproductive health, STI management, menopause care, PCOS, endometriosis, fertility, breast cancer nursing, prostate cancer, erectile dysfunction, hysterectomy care, TURP, pregnancy emergencies, prenatal counseling, contraceptives, HPV, Clomid, Pap smear, sexual assault care, NCLEX prep

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Reproductive and Sexual NCOI Exam 5
(Ch. 50, 51, 52, 53, 54) Questions and
Answers

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 health problems? - 🧠

ANSWER ✔✔Erectile dysfunction


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

The nurse is performing an assessment on a female patient. What

assessment finding should be documented and reported to the primary

health care provider? - 🧠 ANSWER ✔✔Dimpling of breast

,Highly suspicious for carcinoma of the breast

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 the

patient's problem? - 🧠 ANSWER ✔✔"Did you have any muscle damage

when giving birth to your children?"

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


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

the nurse? - 🧠 ANSWER ✔✔"It is used to detect a cause of amenorrhea."


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 menopause

, Many 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

higher level of estrogen production by the ovaries

When teaching nursing students about the male sexual response, what

should the nurse call the phase that includes ejaculation? - 🧠 ANSWER

✔✔Orgasmic phase




When ejaculation occurs from contraction of the penile and urethral

musculature propelling the sperm outward through the meatus

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?"

The nurse is performing an admission assessment of an older adult male

patient prior to bladder resection surgery. What assessment finding of the



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