NSG 3250 Exam 4 questions and answers. Final
2026
1. A nurse is educating a patient about sexually transmitted diseases (STDs). What is the most important
action the nurse should emphasize regarding STDs like Syphilis, Chlamydia, Gonorrhea, and HIV?
A. Take antibiotics as prescribed
B. Report to local health authorities
C. Avoid sexual contact for 6 months
D. Get retested every 3 months
Answer: B
Rationale:
A (Incorrect): While taking antibiotics is important for bacterial STDs, it is not the most important public
health action. Viral STDs like HIV and herpes do not respond to antibiotics.
B (Correct): STDs like Syphilis, Chlamydia, Gonorrhea, and HIV are reportable in all states. Healthcare
providers must report these to the local public health department to track disease patterns, prevent
spread, and ensure public health surveillance.
.
C (Incorrect): While avoiding sexual contact is important during treatment, the specific timeframe varies
by condition and is not the most critical public health requirement.
D (Incorrect): Retesting schedules vary by condition and risk factors but are not the primary legal
requirement for STDs.
2. Which two STDs are considered the most common bacterial sexually transmitted infections in the
United States?
A. Syphilis and HIV
B. Gonorrhea and Chlamydia
C. Herpes and HPV
D. Trichomoniasis and Syphilis
Answer: B
,Rationale:
A (Incorrect): While syphilis is common, HIV is viral, not bacterial. These are not the two most common
bacterial STDs.
B (Correct): Gonorrhea and Chlamydia are the two most common bacterial STDs in the United States.
Both are reportable diseases and require prompt treatment to prevent complications.
.
C (Incorrect): Herpes and HPV are viral infections, not bacterial infections.
D (Incorrect): While both are common, Trichomoniasis is a parasitic infection, and these are not the two
most common bacterial STDs.
3. A male patient presents with penile discharge. The nurse should assess for which additional symptom
commonly associated with Gonorrhea?
A. Painless genital ulcers
B. Painful swollen testicles
C. Genital warts
D. Vesicular lesions
Answer: B
Rationale:
A (Incorrect): Painless genital ulcers are characteristic of primary syphilis (chancre), not gonorrhea.
B (Correct): Gonorrhea may cause painful swollen testicles in men, along with penile discharge. In
women, symptoms may be absent or mild, which is why screening is important.
.
C (Incorrect): Genital warts are caused by HPV (Human Papilloma Virus), not gonorrhea.
D (Incorrect): Vesicular lesions are characteristic of genital herpes, not gonorrhea.
4. A patient diagnosed with Trichomoniasis is prescribed metronidazole. What critical patient education
should the nurse provide?
A. Take the medication with dairy products
B. Avoid alcohol for at least 72 hours after completing the medication
C. Discontinue if nausea occurs
D. Take on an empty stomach only
Answer: B
Rationale:
,A (Incorrect): Taking with dairy is not specifically required for metronidazole and does not address the
most critical safety concern.
B (Correct): Patients taking metronidazole must avoid alcohol for at least 72 hours (3 days) after
completing the medication, even with a single dose. Combining alcohol with metronidazole can cause a
severe disulfiram-like reaction with nausea, vomiting, flushing, and tachycardia.
.
C (Incorrect): Nausea is a common side effect but patients should not discontinue without consulting
their provider. The medication course should be completed.
D (Incorrect): Metronidazole can be taken with food to reduce GI upset; it does not need to be taken on
an empty stomach.
5. A patient with genital warts caused by HPV asks about proper hygiene. What instruction should the
nurse provide?
A. Soak the warts daily in antiseptic solution
B. Apply topical antibiotics twice daily
C. Do not soak the warts; keep the area clean and dry
D. Use hot compresses for 30 minutes three times daily
Answer: C
Rationale:
A (Incorrect): Warts should NOT be soaked in antiseptic solution because they are very contagious, and
soaking can spread the virus to surrounding healthy skin or to others through contaminated water.
B (Incorrect): Topical antibiotics are not effective against viral warts and are not indicated for HPV.
C (Correct): Patients with HPV warts should NOT soak the warts. The warts are very contagious, and
touching them or soaking can spread the virus to healthy areas of skin. The area should be kept clean
and dry to prevent spread.
.
D (Incorrect): Hot compresses are not recommended and could potentially increase viral spread or cause
tissue damage.
6. According to current 2026 CDC recommendations, what is the recommended age range for routine
HPV vaccination?
A. 9-15 years
B. 11-26 years
C. 18-30 years
D. 21-35 years
, Answer: B
Rationale:
A (Incorrect): While vaccination can start at age 9, the recommendation extends beyond age 15.
B (Correct): The CDC recommends HPV vaccination for all individuals ages 11-26 years. Vaccination can
be started as early as age 9 and is routinely recommended through age 26.
.
.
C (Incorrect): This age range is too narrow and does not include adolescents who should receive the
vaccine.
D (Incorrect): This age range is incorrect. While some adults ages 27-45 may receive the vaccine after
discussion with their provider, routine vaccination is recommended through age 26.
7. A patient with genital herpes asks about comfort measures during an outbreak. Which intervention
should the nurse recommend?
A. Apply topical antibiotics to the lesions
B. Use pure warm water while urinating
C. Soak in bubble baths three times daily
D. Apply ice packs directly to lesions for 2 hours
Answer: B
Rationale:
A (Incorrect): Topical antibiotics are not effective for viral infections like herpes and are not
recommended.
B (Correct): Using pure warm water while urinating can help reduce discomfort and burning during
urination. This is a recommended comfort measure for patients with genital herpes. Sitz baths may also
help, along with wearing loose, comfortable underwear and clothing.
.
C (Incorrect): Bubble baths and harsh soaps can irritate the lesions and should be avoided.
D (Incorrect): While cool compresses may provide comfort, applying ice directly for 2 hours is excessive
and could cause tissue damage. Short applications of cool compresses are acceptable.
8. A patient diagnosed with genital herpes states, "I'm cured now that my lesions have healed." What is
the nurse's best response?
A. "Yes, you are cured and no longer contagious."
2026
1. A nurse is educating a patient about sexually transmitted diseases (STDs). What is the most important
action the nurse should emphasize regarding STDs like Syphilis, Chlamydia, Gonorrhea, and HIV?
A. Take antibiotics as prescribed
B. Report to local health authorities
C. Avoid sexual contact for 6 months
D. Get retested every 3 months
Answer: B
Rationale:
A (Incorrect): While taking antibiotics is important for bacterial STDs, it is not the most important public
health action. Viral STDs like HIV and herpes do not respond to antibiotics.
B (Correct): STDs like Syphilis, Chlamydia, Gonorrhea, and HIV are reportable in all states. Healthcare
providers must report these to the local public health department to track disease patterns, prevent
spread, and ensure public health surveillance.
.
C (Incorrect): While avoiding sexual contact is important during treatment, the specific timeframe varies
by condition and is not the most critical public health requirement.
D (Incorrect): Retesting schedules vary by condition and risk factors but are not the primary legal
requirement for STDs.
2. Which two STDs are considered the most common bacterial sexually transmitted infections in the
United States?
A. Syphilis and HIV
B. Gonorrhea and Chlamydia
C. Herpes and HPV
D. Trichomoniasis and Syphilis
Answer: B
,Rationale:
A (Incorrect): While syphilis is common, HIV is viral, not bacterial. These are not the two most common
bacterial STDs.
B (Correct): Gonorrhea and Chlamydia are the two most common bacterial STDs in the United States.
Both are reportable diseases and require prompt treatment to prevent complications.
.
C (Incorrect): Herpes and HPV are viral infections, not bacterial infections.
D (Incorrect): While both are common, Trichomoniasis is a parasitic infection, and these are not the two
most common bacterial STDs.
3. A male patient presents with penile discharge. The nurse should assess for which additional symptom
commonly associated with Gonorrhea?
A. Painless genital ulcers
B. Painful swollen testicles
C. Genital warts
D. Vesicular lesions
Answer: B
Rationale:
A (Incorrect): Painless genital ulcers are characteristic of primary syphilis (chancre), not gonorrhea.
B (Correct): Gonorrhea may cause painful swollen testicles in men, along with penile discharge. In
women, symptoms may be absent or mild, which is why screening is important.
.
C (Incorrect): Genital warts are caused by HPV (Human Papilloma Virus), not gonorrhea.
D (Incorrect): Vesicular lesions are characteristic of genital herpes, not gonorrhea.
4. A patient diagnosed with Trichomoniasis is prescribed metronidazole. What critical patient education
should the nurse provide?
A. Take the medication with dairy products
B. Avoid alcohol for at least 72 hours after completing the medication
C. Discontinue if nausea occurs
D. Take on an empty stomach only
Answer: B
Rationale:
,A (Incorrect): Taking with dairy is not specifically required for metronidazole and does not address the
most critical safety concern.
B (Correct): Patients taking metronidazole must avoid alcohol for at least 72 hours (3 days) after
completing the medication, even with a single dose. Combining alcohol with metronidazole can cause a
severe disulfiram-like reaction with nausea, vomiting, flushing, and tachycardia.
.
C (Incorrect): Nausea is a common side effect but patients should not discontinue without consulting
their provider. The medication course should be completed.
D (Incorrect): Metronidazole can be taken with food to reduce GI upset; it does not need to be taken on
an empty stomach.
5. A patient with genital warts caused by HPV asks about proper hygiene. What instruction should the
nurse provide?
A. Soak the warts daily in antiseptic solution
B. Apply topical antibiotics twice daily
C. Do not soak the warts; keep the area clean and dry
D. Use hot compresses for 30 minutes three times daily
Answer: C
Rationale:
A (Incorrect): Warts should NOT be soaked in antiseptic solution because they are very contagious, and
soaking can spread the virus to surrounding healthy skin or to others through contaminated water.
B (Incorrect): Topical antibiotics are not effective against viral warts and are not indicated for HPV.
C (Correct): Patients with HPV warts should NOT soak the warts. The warts are very contagious, and
touching them or soaking can spread the virus to healthy areas of skin. The area should be kept clean
and dry to prevent spread.
.
D (Incorrect): Hot compresses are not recommended and could potentially increase viral spread or cause
tissue damage.
6. According to current 2026 CDC recommendations, what is the recommended age range for routine
HPV vaccination?
A. 9-15 years
B. 11-26 years
C. 18-30 years
D. 21-35 years
, Answer: B
Rationale:
A (Incorrect): While vaccination can start at age 9, the recommendation extends beyond age 15.
B (Correct): The CDC recommends HPV vaccination for all individuals ages 11-26 years. Vaccination can
be started as early as age 9 and is routinely recommended through age 26.
.
.
C (Incorrect): This age range is too narrow and does not include adolescents who should receive the
vaccine.
D (Incorrect): This age range is incorrect. While some adults ages 27-45 may receive the vaccine after
discussion with their provider, routine vaccination is recommended through age 26.
7. A patient with genital herpes asks about comfort measures during an outbreak. Which intervention
should the nurse recommend?
A. Apply topical antibiotics to the lesions
B. Use pure warm water while urinating
C. Soak in bubble baths three times daily
D. Apply ice packs directly to lesions for 2 hours
Answer: B
Rationale:
A (Incorrect): Topical antibiotics are not effective for viral infections like herpes and are not
recommended.
B (Correct): Using pure warm water while urinating can help reduce discomfort and burning during
urination. This is a recommended comfort measure for patients with genital herpes. Sitz baths may also
help, along with wearing loose, comfortable underwear and clothing.
.
C (Incorrect): Bubble baths and harsh soaps can irritate the lesions and should be avoided.
D (Incorrect): While cool compresses may provide comfort, applying ice directly for 2 hours is excessive
and could cause tissue damage. Short applications of cool compresses are acceptable.
8. A patient diagnosed with genital herpes states, "I'm cured now that my lesions have healed." What is
the nurse's best response?
A. "Yes, you are cured and no longer contagious."
