Sexuality NCLEX Questions

A female client has recently had surgery for cervical cancer and asks the nurse about other ways she can have sex with her husband. Which of the following statements by the nurse is most accurate? a. "Stimulation of the genitals by the mouth and tongue may be used to reach orgasm." b. "Fellatio is stimulation of the female genitals." c. "Anal intercourse is not practiced by heterosexuals." d. "Complete abstinence would satisfy your sexual needs."

a. "Stimulation of the genitals by the mouth and tongue may be used to reach orgasm."

A school nurse is providing a class on sexually transmitted infections. Which statement is correct regarding STIs? a. STIs are most prevalent among teenagers and young adults b. the incidence of STIs is decreasing due to limited sex patterns c. the signs and symptoms of an STI are obvious d. STIs disproportionately affect people with a lower socioeconomic status and education

a. STIs are most prevalent among teenagers and young adults

which sexually transmitted infection has the following characteristics: thin, foamy, greenish vaginal discharge that causes itching of the vulva and vagina? a. nonspecific vaginitis b. herpes simplex 2 c. herpes simplex 1 d. trichomoniasis

d. trichomoniasis

A nurse is conducting a healthy-living workshop with a group of female college students. Which method of contraception should the nurse recommend as a means of preventing both pregnancy and sexually transmitted infections? a. condoms b. oral contraceptives c. coitus interruptus d. intrauterine devices (IUD)

a. condoms

a man 68 years of age comes to the clinic complaining that he is having difficulty obtaining an erection. When reviewing the client's history, what might the nurse note that contributes to impotence? a. history of hypertension b. lack of exercise c. increasing age d. past history of infection

a. history of hypertension

The nurse is providing education about sexuality to a group of college freshman. One of the terms he discusses is gender identity. Which of the following describes fender identity? a. inner sense of being male or female b. behavior conveyed about being male or female c. desire to wear the clothes of the opposite sex d. preferred gender of the partner of an individual

a. inner sense of being male or female

the school nurse is educating a group of 5th and 6th grade girls on menstruation. One girl asks if there is a name for having her first period. The nurse replies with which of the following terms? a. menarche b. menses c. menopause d. follicular phase

a. menarche

which of the following statements best describes the relationship between biologic sex and gender identity? a. sex is chromosomally determined, while gender is a psychosocial construct b. biologic sex and gender identity are both modifiable by surgery and medical interventions c. biologic sex and gender identity are considered synonyms in nursing practice d. biologic sex is genetically determined but gender identity is chosen during adolescence

a. sex is chromosomally determined, while gender is a psychosocial construct

The nurse is assessing the sexual health of a female client age 20 years. During the interview, the client says " I feel that my vaginal opening constricts whenever I am about to have intercourse. I seem to have no control over it." What would the nurse use when documenting the client's report? a. vaginismus b. dyspareunia c. celibacy d. orgasmic dysfunction

a. vaginismus

A nurse is caring for a 55-year old male on an orthopedic unit. When the nurse hands the client his morning medication, he grabs her breast and squeezes it. How should the nurse best respond to this situation? a. ask another nurse to switch assignments and care for this patient b. Assertively tell the client that his behavior is not acceptable c. seek legal advice to bring charges against the client d. withhold the client's pain medication

b. Assertively tell the client that his behavior is not acceptable

While teaching sex education to a group of high school students, the nurse talks about forms of birth control. Which of the following could the nurse say is 100% effective if practiced correctly and consistently? a. oral contraceptives b. abstinence c. withdrawal prior to ejaculation d. condoms

b. abstinence

After receiving information on various forms of birth control, a young couple decides to use a barrier method because they would like to try and conceive in a year or two. Which barrier method uses a rubber barrier to hold spermicides against the cervix? a. condom b. diaphragmic c. cervical cap d. vaginal sponge

b. diaphragmic

A man 50 years of age has a long history of diabetes, which is poorly controlled. What does diabetes greatly increase the man's risk of experiencing? a. sexually transmitted infections b. erectile dysfunction c. retarded ejaculation d. premature ejaculation

b. erectile dysfunction

When a man cannot achieve an erection, the phase of the sexual response in which the man is experiencing difficulty is: a. refractory phase b. excitement phase c. obligatory phase d. orgasmic phase

b. excitement phase

The school nurse is visited by the parents of a girl age 9 years who express concern about the child's preference for same-sex friendships. The parents reveal that they are worried this may be an early manifestation of homosexuality. The best response by the nurse is which of the following? a. ask if menarche has occurred yet b. same-sex friendships are normal for this age c. this is cause for concern d. ask if the child is masturbating

b. same-sex friendships are normal for this age

a 17 year old girl tells the nurse she uses tampons and asks how she can cut down on odor during her period. What is the nurse's best response? a. "Tampons are dangerous, and you should not be using them." b. "Use talcom powder on the tampon prior to insertion." c. "The tampon should be changed frequently." d. "The tampon should be changed hourly."

c. "The tampon should be changed frequently."

The nurse is justified is assessing for sexual dysfunction among male clients who are receiving which of the following? a. antibiotics b. bronchodilators c. antihypertensive medication d. non-steroidal anti-inflammatory drugs

c. antihypertensive medication

The nurse is teaching a class about sexuality at a public health clinic. After class the nurse is approached by John, a 22-year old male, who eventually discloses to the nurse that, while he enjoys having sec with his girlfriend, he also has experienced pleasurable sex with males. The term for this behavior is which of the following? a. biologic sex b. sexual orientation c. bisexual d. gender role behavior

c. bisexual

The nurse should inform a young female client that the barrier method providing the best protection against sexually transmitted infections (STIs) is? a. spermicides b. a cervical cap c. condoms d. a diaphragm

c. condoms

During a routine physical exam, a male client informs the nurse that he frequently participates in anal intercourse with his new girlfriend. The nurse discusses this practice with the client informing him that: a. anal intercourse should be avoided b. the rectal mucosa is thick and can withstand vigorous activity c. condoms are recommended for anal intercourse d. lubricants should be avoided during anal intercourse

c. condoms are recommended for anal intercourse

What is associated with the resolution phase of the male sexual response cycle? a. intense physical pleasure b. the ability to begin the excitement phase again c. feelings of relaxation and fulfillment d. increased blood flow to the penis

c. feelings of relaxation and fulfillment

During the menstrual cycle, when does ovulation typically take place? a. when sperm is present b. from days 15 to 28 c. on day 14 d. on day 1 of a new cycle

c. on day 14

which assessment question is most likely to yield clinically meaningful data about a female client's sexual identity? a. "Do you find that your health allows you to enjoy a meaningful sex life?" b. "Have you ever had any sexually transmitted infections in the past?" c. "Are you satisfied with the quality of your relationships right now?" d. "How do you feel about yourself as a women?"

d. "How do you feel about yourself as a women?"

A women age 49 years has sought care from her primary care provider because of "intimacy problems." Upon questioning, the women reveals that she is experiencing sexual desire, but that intercourse causes her significant other pain. In the absence of sexual activity, the woman states that she does not have any significant vaginal discomfort. What would the clinician recognize that this client is most likely experiencing? a. a sexually transmitted STI b. vulvodynia c. vaginismus d. dyspareunia

d. dyspareunia

A female client informs the nurse that her husband is concerned about her sexual response. The client reports that during stimulation her husband has noticed her clitoris disappears, and he wonders if she is enjoying the experience despite her positive responses to his stimulation. The nurse explains that building excitement and the reaction of the clitoris are normal characteristics of which stage of the sexual response cycle? a. resolution phase b. orgasm c. excitement phase d. plateau phase

d. plateau phase

A male client informs the urology nurse that he is embarrassed because his wife rarely has time to reach sexual satisfaction, since he experiences an orgasm as soon as he enters the vagina. What is this condition best known as? a. retarded ejaculation b. impotence c. erectile failure d. premature ejaculation

d. premature ejaculation