NR 665 FINAL EXAM – ADVANCED NURSING ROLE
IMMERSION III 100 QUESTIONS & ANSWERS
LATEST STUDY GUIDE (2026) CHAMBERLAIN
1. Which term should the nurse use to describe the vesicular lesions of
genital herpes?
A) Blisters
B) Warts
C) Plaques
D) Nodules
Correct Answer: A) Blisters
Rationale: Genital herpes presents with vesicular lesions, which are fluid-
filled and commonly called blisters. Warts are verrucous lesions caused by
HPV. Plaques and nodules are different skin findings. Using patient-friendly
terms improves understanding.
2. Human papillomavirus produces verrucous growths. Which term should
the nurse use?
A) Blisters
B) Warts
C) Ulcers
D) Pustules
Correct Answer: B) Warts
,Rationale: HPV produces verrucous growths, which are warts. Blisters are
vesicular lesions of herpes. Ulcers are open sores, and pustules contain
pus. The term warts is accurate and patient-friendly.
3. Which finding in a client with chlamydia should be reported immediately?
A) Mild vaginal discharge
B) Pelvic discomfort
C) Sharp pain at the base of the ribs
D) Urinary frequency
Correct Answer: C) Sharp pain at the base of the ribs
Rationale: Sharp pain at the base of the ribs may indicate Fitz-Hugh-Curtis
syndrome, a complication of chlamydia. This requires immediate reporting.
Mild discharge, pelvic discomfort, and urinary frequency are less urgent.
4. Which specimen is used for rapid diagnosis of trichomoniasis?
A) Blood culture
B) Urine culture
C) Pap smear
D) Wet mount
Correct Answer: D) Wet mount
,Rationale: Trichomoniasis is diagnosed quickly using a wet mount because
the organism is large, motile, and unusually shaped. Blood, urine, and Pap
smears are not primary diagnostic methods. Wet mount allows immediate
visualization.
5. Which intervention is needed for an infant born to a hepatitis B-
positive mother?
A) Hepatitis B immune globulin within 12 hours and vaccine series
B) Hepatitis B vaccine only
C) Hepatitis B immune globulin only
D) No intervention
Correct Answer: A) Hepatitis B immune globulin within 12 hours and
vaccine series
Rationale: Infants born to hepatitis B-positive mothers should receive
hepatitis B immune globulin within 12 hours of birth and begin the vaccine
series. This combination reduces perinatal transmission. Vaccine or
globulin alone is insufficient.
6. Which ethical principle means kindness and action to benefit others?
A) Autonomy
B) Beneficence
C) Nonmaleficence
D) Justice
Correct Answer: B) Beneficence
, Rationale: Beneficence is the ethical principle of kindness, charity, and
action to benefit others. Autonomy is self-determination, nonmaleficence is
avoiding harm, and justice is fairness. Beneficence supports positive
nursing actions.
7. Which ethical principle means to avoid intentional harm?
A) Beneficence
B) Justice
C) Nonmaleficence
D) Veracity
Correct Answer: C) Nonmaleficence
Rationale: Nonmaleficence is the duty to avoid intentionally causing harm.
Beneficence is doing good, justice is fairness, and veracity is truthfulness.
Nonmaleficence underlies safe practice.
8. Which element is not required to prove negligence?
A) Duty
B) Breach
C) Causation
D) Intent to harm
Correct Answer: D) Intent to harm
IMMERSION III 100 QUESTIONS & ANSWERS
LATEST STUDY GUIDE (2026) CHAMBERLAIN
1. Which term should the nurse use to describe the vesicular lesions of
genital herpes?
A) Blisters
B) Warts
C) Plaques
D) Nodules
Correct Answer: A) Blisters
Rationale: Genital herpes presents with vesicular lesions, which are fluid-
filled and commonly called blisters. Warts are verrucous lesions caused by
HPV. Plaques and nodules are different skin findings. Using patient-friendly
terms improves understanding.
2. Human papillomavirus produces verrucous growths. Which term should
the nurse use?
A) Blisters
B) Warts
C) Ulcers
D) Pustules
Correct Answer: B) Warts
,Rationale: HPV produces verrucous growths, which are warts. Blisters are
vesicular lesions of herpes. Ulcers are open sores, and pustules contain
pus. The term warts is accurate and patient-friendly.
3. Which finding in a client with chlamydia should be reported immediately?
A) Mild vaginal discharge
B) Pelvic discomfort
C) Sharp pain at the base of the ribs
D) Urinary frequency
Correct Answer: C) Sharp pain at the base of the ribs
Rationale: Sharp pain at the base of the ribs may indicate Fitz-Hugh-Curtis
syndrome, a complication of chlamydia. This requires immediate reporting.
Mild discharge, pelvic discomfort, and urinary frequency are less urgent.
4. Which specimen is used for rapid diagnosis of trichomoniasis?
A) Blood culture
B) Urine culture
C) Pap smear
D) Wet mount
Correct Answer: D) Wet mount
,Rationale: Trichomoniasis is diagnosed quickly using a wet mount because
the organism is large, motile, and unusually shaped. Blood, urine, and Pap
smears are not primary diagnostic methods. Wet mount allows immediate
visualization.
5. Which intervention is needed for an infant born to a hepatitis B-
positive mother?
A) Hepatitis B immune globulin within 12 hours and vaccine series
B) Hepatitis B vaccine only
C) Hepatitis B immune globulin only
D) No intervention
Correct Answer: A) Hepatitis B immune globulin within 12 hours and
vaccine series
Rationale: Infants born to hepatitis B-positive mothers should receive
hepatitis B immune globulin within 12 hours of birth and begin the vaccine
series. This combination reduces perinatal transmission. Vaccine or
globulin alone is insufficient.
6. Which ethical principle means kindness and action to benefit others?
A) Autonomy
B) Beneficence
C) Nonmaleficence
D) Justice
Correct Answer: B) Beneficence
, Rationale: Beneficence is the ethical principle of kindness, charity, and
action to benefit others. Autonomy is self-determination, nonmaleficence is
avoiding harm, and justice is fairness. Beneficence supports positive
nursing actions.
7. Which ethical principle means to avoid intentional harm?
A) Beneficence
B) Justice
C) Nonmaleficence
D) Veracity
Correct Answer: C) Nonmaleficence
Rationale: Nonmaleficence is the duty to avoid intentionally causing harm.
Beneficence is doing good, justice is fairness, and veracity is truthfulness.
Nonmaleficence underlies safe practice.
8. Which element is not required to prove negligence?
A) Duty
B) Breach
C) Causation
D) Intent to harm
Correct Answer: D) Intent to harm
