Women in developing countries face many barriers that prevent them from receiving adequate, timely cervical cancer screening. In Egypt the prevalence of cervical cancer was 7.8/100,000 with 2713 newly annual reported cases. Objectives: to increase women's awareness of cervical cancer risk using counseling and to determine nursing's role in the screening tests. Methods: A cross sectional design, of non-pregnant, non-virginal women was recruited. Results: 450 non-pregnant women were counseled and consented for screening. The nurse was able to identify squamous columnar junction 100%. In comparing positive visual inspection with acetic acid (VIA) to pap smear screening results, findings were 17.1% (n=77) and 5.1% (n=68) , respectively. In comparing negative VIA to pap smear screening results, findings were 82.9 % (n=373) and 83.8% (n=377), respectively. Conclusion: Nurse's performing VIA is as effective screening tool for determining precancerous or cancerous cervical lesions