BANK WITH 650 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS/ NR 665 PSYCHIATRIC-MENTAL HEALTH
CAPSTONE PRACTICUM FINAL EXAM PREP CHAMBERLAIN
(NEW!)
The nurse is providing care for a patient with genital herpes who has vesicular lesions. What term
should the nurse use to describe these lesions to the patient? - answer-Blisters
Human papillomavirus (HPV) produces verrucous growths. What term should the nurse use to
describe these lesions to the patient? - answer-Warts
The nurse is collecting data on a patient with Chlamydia. Which assessment finding should be
reported immediately to the RN or physician? - answer-Sharp pain at the base of the ribs
Because Trichomonas is relatively large, unusually shaped, and diagnosed quickly, the nurse is asked
to assist the physician obtain which type of specimen? - answer-Wet mount
A patient diagnosed with Trichomonas asks the nurse how the diagnosis will affect her risk for
cervical cancer. Which response by the nurse is best? - answer-Papanicolaou smears should be
done more frequently because results may be altered by Trichomonas.
A patient asks why the physician has recommended systemic interferon treatment for genital warts.
Which explanation should the nurse provide to the patient? - answer-Interferon therapy can
attack warts all over the body at the same time.
A patient with hepatitis B virus (HBV) delivers a 6-pound 2-ounce baby boy. Which action should the
nurse anticipate will be needed for the infant? - answer-HBV-immune globulin less than 12 hours
after birth and then HBV vaccine series
,The nurse must bathe a patient with herpes. What is the nurses best protection against contracting
sexually transmitted infections (STIs) from patients while providing perineal hygiene? - answer-
Practicing standard precautions
The nurse is caring for a pregnant woman who is fearful that her unborn child will be born blind
because of having a sexually transmitted infection (STI). For which STI should the nurse plan care to
prevent ophthalmia neonatorum in the newborn? - answer-Gonorrhea
The nurse is caring for a young woman who is newly diagnosed with genital warts. She states, I heard
you can get cancer from STIs. Is that true? Which response by the nurse is correct? - answer-Yes,
some STIs have been linked to cancer, so adequate treatment is very important.
The nurse is identifying ways for a young adult to reduce the risk of contracting a sexually
transmitted infection (STI). What should the nurse teach about the relationship between
consumption of alcohol and immediate risk of contracting an STI? - answer-Alcohol may reduce
inhibitions
The nurse reviews the ways to prevent condom breakage with a patient. Which patient statement
indicates that more teaching is necessary? - answer-Before I use a condom, I should inflate it and
check it for holes and leaks.
The nurse is assisting with the admission of a known intravenous drug abuser to a medical unit. In
addition to drug abuse, which disorder in the patients history is most consistent with a diagnosis of
hepatitis? - answer-Jaundice
The nurse is teaching a patient the importance of completing treatment for gonorrhea. On which
information is the nurse basing this teaching? - answer-Men and women may be asymptomatic
and still transmit the infection.
The nurse is assisting in the preparation of a teaching seminar for adolescents to prevent the
development of a sexually transmitted infection (STI). Which nonsexual activity should the nurse
teach that may transmit a sexually transmitted infection (STI)? - answer-Sharing intravenous drug
equipment
,A patient asks for the best way to prevent contracting a sexually transmitted infection (STI). What
response should the nurse make to this patients question? - answer-Abstinence
A patient diagnosed with genital warts asks how they developed. Which pathogen should the nurse
explain as causing genital warts? - answer-Human papillomavirus
The nurse is caring for a 76-year-old retired man who is undergoing evaluation for dementia. What
would be an important part of the mans history to report to the physician? - answer-The patient
has a history of syphilis
A patient is undergoing treatment that involves the burning of lesions with heat or chemical agents.
The nurse recognizes that this patient most likely has which condition? - answer-Genital warts
The nurse is providing care for a newborn. Which intervention should the nurse make to prevent
development of ophthalmia neonatorum? - answer-Antibiotic eyedrops
The nurse is preparing a poster presentation identifying the frequency of sexually transmitted
infections (STIs) in the United States. Which STI should the nurse highlight as being the most
commonly diagnosed? - answer-Trichomoniasis
The nurse is preparing a poster presentation identifying the frequency of sexually transmitted
infections (STIs) in the United States. Which STI should the nurse highlight as being the most
commonly diagnosed? - answer-Chlamydia
While assisting a health care provider (HCP) conduct a pelvic examination, the patient complains of
severe pain during the bimanual examination. For which health problem should the nurse suspect
this patient is going to need care? - answer-Pelvic inflammatory disease
While assisting with care, the nurse counsels the patient diagnosed with a sexually transmitted
infection (STI) about notification of sexual partners. Which patient statement indicates the need for
further teaching? - answer-Reporting regulations are the same throughout the country.
, The nurse is assisting with teaching a patient who has been exposed to hepatitis B. Which symptoms
should the nurse explain may occur before jaundice appears? - answer-Rash, nausea, muscle or
joint pain
The nurse is reviewing prescribed laboratory tests for a patient demonstrating manifestations of
syphilis. What diagnostic tests should the nurse expect to be prescribed for this patient? -
answer-RPR, VDRL, ELISA, culture
A 24-year-old woman diagnosed with Chlamydia has been prescribed doxycycline. What should be
included in the nurses teaching about the drug treatment? - answer-Do not take with dairy
products, avoid unnecessary exposure to sunlight, use birth control methods to ensure you do not
become pregnant
The nurse is teaching a patient about the use of condoms to prevent sexually transmitted infections
(STIs). Which information should the nurse include in this teaching? - answer-Condoms can
decrease the risk of transmitting STDs, latex condoms are less likely to break than other types, use of
a water-soluble lubricant with a condom increases its effectiveness in preventing the spread of an
STD
The nurse is providing care for a patient recently diagnosed with Chlamydia. Which information
should the nurse recommend be included in patient teaching? - answer-Chlamydia can be
transmitted sexually and by blood and body fluid contact. The risk of ectopic pregnancy is increased
in women with a history of Chlamydia.
The nurse notes that a patient is diagnosed with vulvovaginitis. What should the nurse expect when
assessing this patient? - answer-Vaginal edema, vaginal discharge, complaints of vaginal itching
and burning
A patient in labor is diagnosed with mucopurulent cervicitis. For which health problems should the
nurse anticipate providing care to the newborn? - answer-Pneumonia and conjunctivitis
A patient diagnosed with syphilis reminds the HCP of having an allergy to penicillin. Which
medications should the nurse expect to be prescribed for this patient? - answer-Tetracycline and
doxycycline