STD NCLEX PRACTICE QUESTIONS

STD NCLEX PRACTICE QUESTIONS

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Chapter 74: PreClass Quiz #9 (NCLE...

20 terms mintonalexisPreview Contra 16 terms Chi A nurse is teaching a client with genital herpes. Education

for this client should include an explanation of:

• why the disease is transmittable only when visible

lesions are present.

• the need for the use of petroleum products.
• the option of disregarding safer-sex practices now that

he's already infected.

• the importance of informing his partners of the

disease.D Katrina Sterrett, a 26-year-old preschool teacher, is being seen by a physician who is part of the internist group where you practice nursing. She is undergoing her annual physical and is having many lab tests done as a condition of her employment and upcoming wedding. She is returning for her results and is devastated to learn that she has the sexually-transmitted infection, gonorrhea.What would contribute to her ignorance of her condition?

a) Being asymptomatic

b) All options are correct

c) Being sexually inactive

d) Knowing the signs and symptoms of STIs

A

Within the free clinic where you practice nursing, you hold weekly sexual education classes open to the public.Within the classroom, you communicate the CDC's numbers for the incidence of STIs and their impact upon public health. Which is the fastest-spreading bacterial STI in the United States?

a) Gonorrhea

b) Chlamydia

c) Herpes simplex 1

d) HPV

B A nurse is caring for a client diagnosed with a chlamydia infection. The nurse teaches the client about disease transmission and advises the client to inform his sexual partners of the infection. The client refuses, stating, "This is my business and I'm not telling anyone. Beside, chlamydia doesn't cause any harm like the other STDs." How should the nurse proceed?

a) Do nothing because the client's sexual habits place

him at risk for contracting other STDs.

b) Educate the client about why it's important to inform

sexual contacts so they can receive treatment.

c) Inform the health department that this client

contracted an STD.

d) Inform the client's sexual contacts of their possible

exposure to chlamydia.B A nurse is teaching a health class to a group of clients likely to be at highest risk for gonorrhea. What is the age range of the clients?

• 60 to 70 years
• 15 to 24 years
• 25 to 29 years
• 30 to 45 years

B A 16-year-old patient comes to the free clinic and is diagnosed with primary syphilis. The patient states that she contracted this disease by holding hands with someone who has syphilis. What is the most appropriate nursing diagnosis for this patient?

a) Alteration in comfort related to impaired skin integrity

b) Fear related to complications

c) Noncompliance with treatment regimen related to age

d) Knowledge deficit related to modes of transmission

D

A 22-year-old patient has presented to her primary care provider for her scheduled Pap smear. Abnormal results

of this diagnostic test may imply infection with:

• human papillomavirus (HPV).

b) Chlamydia trachomatis.

c) Candida albicans.

d) Trichomonas vaginalis.

A A female college student is distressed at the recent appearance of genital warts, an assessment finding that her care provider has confirmed as attributable to human papillomavirus (HPV) infection. Which of the following information should the nurse give the patient?

• "It's important to start treatment soon, so you will be

prescribed pills today."

• "I'd like to give you an HPV vaccination if that's okay

with you."

• "There is a chance that these will clear up on their own

without any treatment."

• "Unfortunately, this is going to greatly increase your

chance of developing pelvic inflammatory disease." C A client is being treated for gonorrhea. Which agent would the nurse expect the physician to prescribe?

a) Tetracycline

b) Ceftriaxone

c) Penicillin

d) Levofloxacin

B A client with a history of HSV-2 infection asks the nurse about future sexual activity. Which of the following responses would be most appropriate?

• "Inform all potential sexual partners about the

infection, even if it is inactive.".

• "Use a condom during sexual activity if the infection

becomes active again."

• "If the infection has healed, you probably don't have to

use a condom."

• "Refrain from all sexual activity until you don't have

another outbreak for a year." A A male client reports urethral pain and a creamy yellow, bloody discharge from the penis. The nurse associates these characteristics with which of the following sexually transmitted infections?

a) Gonorrhea

b) Candidiasis

c) Chancroid

d) Trichomoniasis

A

A client with primary syphilis is allergic to penicillin. The nurse would expect the physician to order which agent?

a) Podophyllum resin

b) Tetracycline

c) Ceftriaxone

d) Acyclovir

B After teaching a group of students about sexually transmitted infections (STIs), the instructor determines that additional teaching is necessary when the students identify which STI as curable with treatment?

a) Syphillis

b) Gonorrhea

c) Chlamydia

d) Genital herpes

D A student nurse is caring for a male patient diagnosed with gonorrhea. The patient is receiving ceftriaxone and doxycycline. The nursing instructor asks the student why the patient is receiving two antibiotics. What is the student nurse's best response?

• "This combination of medications will eradicate the

infection faster than a single antibiotic."

• "Many people infected with gonorrhea are infected

with chlamydia as well."

• "The combination of these two antibiotics reduces the

risk of reinfection."

• "There are many resistant strains of gonorrhea, so

more than one antibiotic may be required for successful treatment." B A client is diagnosed as being in the primary stage of syphilis? Which of the following would the nurse expect as a finding?

a) Palmar rash

b) Development of gummas

c) Development of central nervous system lesions

d) Genital chancres

D The nurse is preparing a presentation for a local community group about sexually transmitted infections (STIs). Which of the following would the nurse expect to include as the most common STI in the United States?

a) Chlamydia

b) Syphilis

c) Genital herpes

d) Gonorrhea

A