Question 1

When planning care for a patient with HSV, which concept should the nurse keep in mind?

Accepted Answer

A)  HSV can be cured. 
B)  Preventing transmission of HSV is key to treatment. 
C)  The goal of treatment is to eradicate the virus. 
D)  Antiviral therapy has been shown to prevent transmission of HSV. 
A)  HSV can be cured. 
B)  Preventing transmission of HSV is key to treatment. 
C)  The goal of treatment is to eradicate the virus. 
D)  Antiviral therapy has been shown to prevent transmission of HSV. B

Question 2

When assessing a male patient, which assessment findings suggest that the patient has HSV-2?

Accepted Answer

A)  Painful vesicles on the glans of shaft of the penis. 
B)  Purulent urethral discharge. 
C)  Dysuria and yellow urethral drainage. 
D)  Sores around the mouth. 
A)  Painful vesicles on the glans of shaft of the penis. 
B)  Purulent urethral discharge. 
C)  Dysuria and yellow urethral drainage. 
D)  Sores around the mouth. A

Question 3

Which instruction does the nurse give to a patient prescribed 0.5% podophyllotoxin solution for genital warts?

Accepted Answer

A)  Apply to warts twice a day for 3 days, repeat each week for up to 4 weeks 
B)  Take orally twice a day for 3 days, repeat each week for up to 4 weeks 
C)  Apply to warts twice a day for 4 weeks 
D)  Take orally twice a day for 4 weeks 
A)  Apply to warts twice a day for 3 days, repeat each week for up to 4 weeks 
B)  Take orally twice a day for 3 days, repeat each week for up to 4 weeks 
C)  Apply to warts twice a day for 4 weeks 
D)  Take orally twice a day for 4 weeks A

Question 4

Which concept should the nurse utilize when planning care for individuals with a sexually transmitted infection (STI)?

Accepted Answer

A)  Females experience more cases of gonorrhea than males. 
B)  Males have higher rates of human papilloma virus and syphilis than females. 
C)  STIs can only be transmitted through sexual contact. 
D)  Individuals with higher socioeconomic status are more at risk for STIs. 
A)  Females experience more cases of gonorrhea than males. 
B)  Males have higher rates of human papilloma virus and syphilis than females. 
C)  STIs can only be transmitted through sexual contact. 
D)  Individuals with higher socioeconomic status are more at risk for STIs.

Question 5

Which statement by a woman being treated for chlamydia indicates that more teaching is needed?

Accepted Answer

A)  "I will take doxycycline for 1 week." 
B)  "I will take a single dose of azithromycin." 
C)  "I don't need to tell my sex partner that I have this infection." 
D)  "I can resume sexual activity once I begin taking the antibiotics." 
A)  "I will take doxycycline for 1 week." 
B)  "I will take a single dose of azithromycin." 
C)  "I don't need to tell my sex partner that I have this infection." 
D)  "I can resume sexual activity once I begin taking the antibiotics."

Question 6

When assessing the newborn born to a woman with a chlamydial infection, the nurse should be alert for:

Accepted Answer

A)  genital discharge. 
B)  conjunctivitis. 
C)  foul-smelling urine. 
D)  pharyngitis. 
A)  genital discharge. 
B)  conjunctivitis. 
C)  foul-smelling urine. 
D)  pharyngitis.

Question 7

How should the university health center nurse respond when a 20-year-old sexually active female asks why she is being screened for chlamydia because she does not have symptoms?

Accepted Answer

A)  "Chlamydia may be asymptomatic and can lead to infertility if untreated." 
B)  "Chlamydia is easier to treat in the early stages of infection." 
C)  "Chlamydia infection increases the risk of getting all other STIs." 
D)  "Chlamydia only occurs in women." 
A)  "Chlamydia may be asymptomatic and can lead to infertility if untreated." 
B)  "Chlamydia is easier to treat in the early stages of infection." 
C)  "Chlamydia infection increases the risk of getting all other STIs." 
D)  "Chlamydia only occurs in women."

Question 8

When planning a community program on sexually transmitted infections, which concept should guide the nurse's teaching plan for syphilis?

Accepted Answer

A)  Syphilis progresses through three stages without treatment. 
B)  The incubation period for syphilis is two weeks. 
C)  Spirochetes can penetrate the central nervous system causing damage. 
D)  Syphilis is a self-limiting infection. 
A)  Syphilis progresses through three stages without treatment. 
B)  The incubation period for syphilis is two weeks. 
C)  Spirochetes can penetrate the central nervous system causing damage. 
D)  Syphilis is a self-limiting infection.

Question 9

Which test does the nurse anticipate a 40-year-old woman will undergo to screen for cervical dysplasia?

Accepted Answer

A)  Digene HPV Test 
B)  Hybrid Capture 2 
C)  Papanicolaou test 
D)  DNA testing 
A)  Digene HPV Test 
B)  Hybrid Capture 2 
C)  Papanicolaou test 
D)  DNA testing

Question 10

Which statement by a patient indicates to the nurse that more teaching is needed about pubic lice?

Accepted Answer

A)  "Wearing a condom can protect me from pubic lice." 
B)  "I cannot contract pubic lice from a toilet seat." 
C)  "Lice need a warm human host to survive." 
D)  "Lice have difficulty moving along a flat, smooth surface." 
A)  "Wearing a condom can protect me from pubic lice." 
B)  "I cannot contract pubic lice from a toilet seat." 
C)  "Lice need a warm human host to survive." 
D)  "Lice have difficulty moving along a flat, smooth surface."

Question 11

Which of the following concepts should the nurse use to guide community health programming on herpes simplex virus (HSV)?

Accepted Answer

A)  HSV-1 and HSV-2 are only transmitted when symptoms are present. 
B)  Only HSV-2 is transmitted through contact with bodily fluids. 
C)  HSV-1 is most commonly associated with cold sores around the mouth. 
D)  One out of three individuals between 14 and 49 years of age have been exposed to HSV. 
A)  HSV-1 and HSV-2 are only transmitted when symptoms are present. 
B)  Only HSV-2 is transmitted through contact with bodily fluids. 
C)  HSV-1 is most commonly associated with cold sores around the mouth. 
D)  One out of three individuals between 14 and 49 years of age have been exposed to HSV.

Question 12

Which instruction should the nurse give to a patient with pediculosis pubis?

Accepted Answer

A)  "Use an over-the-counter lotion with permethrin." 
B)  "Apply a second treatment of permethrin 7 days after the first treatment." 
C)  "Wash all linens and towels in cold water." 
D)  "Place items that cannot be washed in a garbage bag for one week." 
A)  "Use an over-the-counter lotion with permethrin." 
B)  "Apply a second treatment of permethrin 7 days after the first treatment." 
C)  "Wash all linens and towels in cold water." 
D)  "Place items that cannot be washed in a garbage bag for one week."

Question 13

When providing care to a female patient with chlamydia, the nurse also anticipates treating the patient for which other disease?

Accepted Answer

A)  HSV-2 
B)  HPV 
C)  Syphilis 
D)  Gonorrhea 
A)  HSV-2 
B)  HPV 
C)  Syphilis 
D)  Gonorrhea

Question 14

Following Centers for Disease Control and Prevention guidelines, which recommendation does the school nurse make to parents of middle-school children?

Accepted Answer

A)  All males and females should begin the three-dose HPV vaccine between 12 and 14 years of age. 
B)  All females should begin the three-dose HPV vaccine between 12 and 14 years of age. 
C)  All males and females should begin the three-dose HPV vaccine between 10 and 12 years of age. 
D)  All males should begin the three-dose HPV vaccine at age 9. 
A)  All males and females should begin the three-dose HPV vaccine between 12 and 14 years of age. 
B)  All females should begin the three-dose HPV vaccine between 12 and 14 years of age. 
C)  All males and females should begin the three-dose HPV vaccine between 10 and 12 years of age. 
D)  All males should begin the three-dose HPV vaccine at age 9.

Question 15

When counseling a sexually active 22-year-old, which recommendation should the nurse give to prevent sexually transmitted infections?

Accepted Answer

A)  Abstain from sex. 
B)  Get vaccinated against hepatitis B and HPV. 
C)  Use birth control. 
D)  Ask sex partners if they have an STI. 
A)  Abstain from sex. 
B)  Get vaccinated against hepatitis B and HPV. 
C)  Use birth control. 
D)  Ask sex partners if they have an STI.

Question 16

The nurse on a medical mission trip to a developing part of the world should keep which facts about HPV in mind when assessing and treating women?

Accepted Answer

A)  Most women in developing parts of the world do not receive Papanicolaou testing. 
B)  About half the cases of cervical cancer occur in the developing world. 
C)  A vaccine is available against all types of HPV. 
D)  Worldwide, about 200,000 women are diagnosed with cervical cancer each year. 
A)  Most women in developing parts of the world do not receive Papanicolaou testing. 
B)  About half the cases of cervical cancer occur in the developing world. 
C)  A vaccine is available against all types of HPV. 
D)  Worldwide, about 200,000 women are diagnosed with cervical cancer each year.

Question 17

When preparing a program for college women on human papillomavirus (HPV), which concept should the nurse keep in mind?

Accepted Answer

A)  The time from HPV infection to diagnosis of cervical cancer is 5 years. 
B)  HPV prevalence peaks in women following menopause. 
C)  HPV incidence has been steadily increasing in women in their 30s and 40s. 
D)  HPV is most common in women in their early 20s 
A)  The time from HPV infection to diagnosis of cervical cancer is 5 years. 
B)  HPV prevalence peaks in women following menopause. 
C)  HPV incidence has been steadily increasing in women in their 30s and 40s. 
D)  HPV is most common in women in their early 20s

Question 18

Which manifestation would the nurse expect in a female patient with trichomoniasis?

Accepted Answer

A)  A discharge with a sweet odor 
B)  Discharge with pH great than 5 
C)  Small white dots on the pubic hair 
D)  Genital chancres 
A)  A discharge with a sweet odor 
B)  Discharge with pH great than 5 
C)  Small white dots on the pubic hair 
D)  Genital chancres

Question 19

A 27-year-old sexually active female patient is being seen in the clinic with a purulent vaginal discharge, dysuria, and a sore throat. These findings suggest to the nurse that the patient has:

Accepted Answer

A)  chlamydia. 
B)  HSV-2. 
C)  gonorrhea. 
D)  pediculosis pubis. 
A)  chlamydia. 
B)  HSV-2. 
C)  gonorrhea. 
D)  pediculosis pubis.

Question 20

Which findings would the nurse expect in a patient with secondary syphilis?

Accepted Answer

A)  Genital chancres 
B)  Lymphadenopathy, fever, and rash on the soles of the feet 
C)  Asymptomatic 
D)  Stroke meningitis, hearing loss 
A)  Genital chancres 
B)  Lymphadenopathy, fever, and rash on the soles of the feet 
C)  Asymptomatic 
D)  Stroke meningitis, hearing loss

Exam 49: Sexually Transmitted Infections

When planning care for a patient with HSV, which concept should the nurse keep in mind?

When assessing a male patient, which assessment findings suggest that the patient has HSV-2?

Which instruction does the nurse give to a patient prescribed 0.5% podophyllotoxin solution for genital warts?

Which concept should the nurse utilize when planning care for individuals with a sexually transmitted infection (STI)?

Which statement by a woman being treated for chlamydia indicates that more teaching is needed?

When assessing the newborn born to a woman with a chlamydial infection, the nurse should be alert for:

How should the university health center nurse respond when a 20-year-old sexually active female asks why she is being screened for chlamydia because she does not have symptoms?

When planning a community program on sexually transmitted infections, which concept should guide the nurse's teaching plan for syphilis?

Which test does the nurse anticipate a 40-year-old woman will undergo to screen for cervical dysplasia?

Which statement by a patient indicates to the nurse that more teaching is needed about pubic lice?

Which of the following concepts should the nurse use to guide community health programming on herpes simplex virus (HSV)?

Which instruction should the nurse give to a patient with pediculosis pubis?

When providing care to a female patient with chlamydia, the nurse also anticipates treating the patient for which other disease?

Following Centers for Disease Control and Prevention guidelines, which recommendation does the school nurse make to parents of middle-school children?

When counseling a sexually active 22-year-old, which recommendation should the nurse give to prevent sexually transmitted infections?

The nurse on a medical mission trip to a developing part of the world should keep which facts about HPV in mind when assessing and treating women?

When preparing a program for college women on human papillomavirus (HPV), which concept should the nurse keep in mind?

Which manifestation would the nurse expect in a female patient with trichomoniasis?

A 27-year-old sexually active female patient is being seen in the clinic with a purulent vaginal discharge, dysuria, and a sore throat. These findings suggest to the nurse that the patient has:

Which findings would the nurse expect in a patient with secondary syphilis?

Introduction to the Basics of Pathophysiology

Genetics, Genomics, and Epigenomics

Environmental Health Influences on Disease and Injury

Stress and Adaptation

Health Risks of Obesity and Physical Inactivity

Risks Related to Substance Use Disorders

Risks Related to Sleep Alterations

Fluid and Electrolyte Imbalances

Acid-Base Imbalances

Mechanisms of Cell Injury and Aging

Inflammation

Neoplasia

Mechanisms of Infection and Host Protection

Hypersensitivity and Autoimmune Disorders

Immunodeficiency Disorders

Disorders of White Blood Cells

Restrictive Lung Disorders

Obstructive Lung Disorders

Neoplastic, Infectious, and Pulmonary Vascular Respiratory Disorders

Respiratory Failure

Disorders of Oxygen Transport

Alterations of Hemostasis

Vascular Disorders

Coronary Circulation Disorders

Cardiac Structural Disorders

Heart Failure

Disorders of Circulation Within the Cns

Shock and Multiple Organ Dysfunction Syndrome

Emotional Regulation and Mood

Neurocognitive and Neurodevelopmental Disorders

Disorders of Hearing, Balance, and Vision

Pain, Neuropathy, and Headache

Disorders of Thermoregulation

Disorders Affecting Motor Function

Acute Musculoskeletal Disorders

Chronic Musculoskeletal Disorders

Diabetes Mellitus and Its Complications

Thyroid, Parathyroid, and Adrenal Disorders

Tissue and Wound Healing

Acute Skin Disorders

Chronic Skin Disorders

Disorders of Upper and Lower Gastrointestinal Systems

Disorders of the Exocrine Pancreatic and Hepatobiliary Systems

Liver Failure

Disorders of Kidney and Urinary Tract Function

Acute Kidney Injury and Chronic Kidney Disease

Disorders of the Female Reproductive System

Disorders of the Male Reproductive System

Mechanisms of Traumatic Injury

The Pathophysiology of Primary and Secondary Traumatic Injury

Biologic, Chemical, and Radiologic Agents of Disease

Pathophysiology at the End of Life

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