Question 1

A nurse asks a patient to repeat the instructions to evaluate her knowledge about safe sex practices.Which statement indicates an understanding?

Accepted Answer

A)   "Body massage would be considered safe."
B)   "Mutual open-mouth kissing is safe."
C)   "Vaginal intercourse with a properly used condom is safe."
D)   "Anal sex with a condom made of latex is a safe sex practice." A

Question 2

A patient with syphilis is seen at the clinic and complains of body aches, pustules, fever, and sore throat.Which stage of syphilis should the nurse recognize these symptoms identify?

Accepted Answer

A)   Primary
B)   Secondary
C)   Latent
D)   Late B

Question 3

A pregnant patient with HSV type 2 has a Herp-Test performed in the physician's office 1 day before she is due to deliver by cesarean section.The test result is negative.What should the nurse know this means?

Accepted Answer

A)   The delivery must be by cesarean section.
B)   The patient must start on an antiviral protocol today.
C)   The baby will have to have antiviral medication 24 hours after birth.
D)   The delivery may be accomplished vaginally. D

Question 4

A nurse recognizes that a patient with an STI may not cooperate in reporting sexual contacts.What fears might prevent reporting? (Select all that apply.)

Accepted Answer

A)   Judgment by health care workers
B)   Identifying self as infected
C)   Rejection by contacts
D)   Infecting others
E)   Reprisal from identified contacts

Question 5

A patient at the outpatient clinic who has received an intramuscular dose of ceftriaxone sodium (Rocephin)calls and complains of pain and induration at the injection site.What should the nurse advise the patient to do?

Accepted Answer

A)   Undergo 30 minutes of active exercise to speed absorption of the drug.
B)   Make an appointment at the clinic for evaluation to initiate another drug.
C)   Immediately come to the clinic for treatment of the allergic reaction.
D)   Place a warm compress on the area.

Question 6

A couple comes to the emergency department for the treatment of an STI.The man's presenting symptoms include a creamy penile discharge and frequent urination.The woman has lower abdominal pain and a vaginal discharge.What should the nurse recognize these symptoms to characterize?

Accepted Answer

A)   Chlamydial infection
B)   Gonorrhea infection
C)   HSV type B
D)   Trichomoniasis

Question 7

A nurse is caring for a patient taking acyclovir (Zovirax).Which side effects of this drug should the nurse be alert for?

Accepted Answer

A)   Fever and bone marrow suppression
B)   Vaginal burning and skin irritation
C)   Dizziness, headache, and nausea
D)   Leukopenia and peripheral neuropathy

Question 8

What is characteristic of the primary stage syphilis?

Accepted Answer

A)   Chancre
B)   Alopecia
C)   Pruritus
D)   Dry skin

Question 9

What does chlamydial infection place a person at greater risk for?

Accepted Answer

A)   HIV if exposed to it
B)   Urinary infections
C)   Hepatitis B if exposed to it
D)   Opportunistic bacterial infections

Question 10

A patient has been diagnosed with herpes simplex virus, type 2 (HSV type 2).What instruction should the nurse provide?

Accepted Answer

A)   Avoid telling anyone about the condition.
B)   Wear close-fitting undergarments.
C)   Wash towels and personal items daily.
D)   Soak the sores with peroxide every day.

Question 11

A female patient, newly diagnosed with gonorrhea, screams, "I am going to kill my husband.I mean it." What is the nurse's best response?

Accepted Answer

A)   "Are you sure it is your husband who gave you gonorrhea?"
B)   "Yikes! Killing your spouse seems extreme."
C)   "Shall I report your spouse as a sexual contact?"
D)   "I can understand your anger.How best can you deal with it?"

Question 12

A patient with gonorrhea is taking a protocol of tetracycline antibiotics.Which statement by the nurse is most likely to help overcome patient noncompliance?

Accepted Answer

A)   "You should take all of this medicine."
B)   "Failing to take the entire medicine amount will make your disease resistant to it."
C)   "You will become sterile if you do not complete the supply of medicines."
D)   "The doctor wants you to take all of this medication."

Question 13

What does diagnosis with the human papilloma virus (HPV)increase a person's risk for?

Accepted Answer

A)   Uterine fibroids
B)   Chronic vaginitis
C)   Premature menopause
D)   Cervical cancer

Question 14

Doxycycline (Vibramycin)has been prescribed for a patient who has gonorrhea.What instruction should the nurse provide to the patient before beginning the medication?

Accepted Answer

A)   Take the medication with food or crackers.
B)   Refrain from sexual relations for 4 weeks.
C)   Follow-up to determine if the treatment was effective.
D)   Keep the medication in the refrigerator.

Question 15

A patient with a chlamydial infection is taking a 7-day course of doxycycline (Vibramycin).What information should the nurse provide?

Accepted Answer

A)   Return in 1 month for a follow-up culture.
B)   Take the drug on an empty stomach with a minimum of fluid.
C)   Delay sexual activity until cured.
D)   Expect genital or anal itching or burning.

Question 16

A patient who is using imiquimod (Aldara)for genital warts asks the outpatient clinic nurse how long she must use the medication.The nurse replies that she must apply the medication for ______ weeks.(Use numeric characters only.)

Accepted Answer

The answer of A patient who is using imiquimod (Aldara)for...

Question 17

A patient at the outpatient clinic is reluctant to identify her sexual contacts.Why is the reporting of contacts essential?

Accepted Answer

A)   Slows transmission and spread of infections.
B)   Increases public awareness.
C)   Increases state funding for treatment.
D)   Collects data for research.

Question 18

Which method is used to identify organisms of gonorrhea?

Accepted Answer

A)   Smears and cultures
B)   Serologic tests
C)   Antibody screening
D)   Sensitivity testing

Question 19

A nurse explains that STIs must be reported to the local public health department.Which are considered reportable diseases? (Select all that apply.)

Accepted Answer

A)   HIV
B)   Acquired immunodeficiency syndrome (AIDS) 
C)   Gonorrhea
D)   Chlamydia
E)   Viral hepatitisF)  None of above

Question 20

What should a nurse caution a patient taking Flagyl for Trichomonas to do?

Accepted Answer

A)   Double the dose if any doses are missed.
B)   Report dark urine.
C)   Take the drug on an empty stomach.
D)   Abstain from alcohol while taking the drug.

Exam 55: Sexually Transmitted Infections