NSG 3180 Exam 4 Review Questions & Answers
1. Which action is appropriate when a nurse identifies a patient with a
reportable sexually transmitted infection (STI)?
A. Notify the patient’s insurance provider
B. Report the case to the local public health department
C. Refer the patient to private counseling without documentation
D. Report to the Centers for Disease Control directly
Correct answer: B
Rationale: STIs such as syphilis, chlamydia, gonorrhea, and HIV are legally
reportable in all states, and the correct procedure is to report the case to the local
public health department. This ensures contact tracing and outbreak prevention.
Reporting to the CDC is not the nurse’s responsibility, and involving insurance or
skipping documentation violates protocols.
2. Which of the following symptoms is most likely in a male client diagnosed
with gonorrhea?
A. Vaginal itching
B. Penile discharge and painful swollen testicles
C. Chronic pelvic pain
D. Vaginal bleeding after intercourse
Correct answer: B
Rationale: In male clients, gonorrhea often presents with penile discharge and
painful, swollen testicles. Vaginal symptoms like itching or bleeding are more
common in women. Chronic pelvic pain is more associated with longterm
untreated infections or PID.
,3. A client being treated for Chlamydia is prescribed metronidazole. What
patient teaching should the nurse include?
A. Take with orange juice to improve taste
B. Alcohol is safe in moderation
C. Avoid alcohol for at least 3 days after completing the medication
D. Take the medication only if symptoms persist
Correct answer: C
Rationale: Metronidazole causes a severe disulfiram-like reaction with alcohol,
leading to nausea, vomiting, and hypotension. Patients must avoid alcohol during
treatment and for 3 days after. It should be taken as prescribed, not symptom-
based, and not mixed with acidic beverages unless directed.
4. A nurse is providing discharge instructions to a patient with genital warts
caused by HPV. Which statement indicates a need for further teaching?
A. "I should avoid touching other areas of my skin after contact with the warts."
B. "I can soak the warts in antiseptic to help dry them out."
C. "HPV is contagious through skin-to-skin contact."
D. "I’ll avoid sex while the warts are visible."
Correct answer: B
Rationale: Soaking HPV warts in antiseptic is contraindicated as this can increase
irritation and the risk of spreading the virus. Touching them can spread the virus
to other body areas. Avoiding sex and observing strict hygiene are appropriate
actions.
5. What is the recommended age range for the HPV vaccine to prevent cervical
cancer?
A. 5–15 years
B. 9–30 years
C. 11–26 years
, D. 13–22 years
Correct answer: C
Rationale: The CDC recommends HPV vaccination for individuals aged 11– 26 to
protect against high-risk HPV strains that can lead to cervical cancer. Earlier or
later vaccinations may be offered, but 11–26 is the routine window. Starting
before sexual activity is ideal.
6. Which of the following is true regarding genital herpes?
A. It can be cured with antibiotics
B. Symptoms always appear after infection
C. It is a viral infection that cannot be cured
D. The disease is not contagious even during flare-ups
Correct answer: C
Rationale: Genital herpes is a chronic viral infection that cannot be cured, only
managed. Symptoms may not always be present, but the virus is still contagious.
Antibiotics are ineffective against viruses and should not be used.
7. What are the symptoms of the three stages of syphilis?
A. Primary: rash; Secondary: fever; Tertiary: lung failure
B. Primary: chancre; Secondary: rash, sores, malaise; Tertiary: neurological
involvement
C. Primary: fever and vomiting; Secondary: vision loss; Tertiary: infertility
D. Primary: rash; Secondary: cancer; Tertiary: renal failure
Correct answer: B
Rationale: Primary syphilis presents with a painless chancre, secondary with a
widespread rash, oral sores, malaise, and muscle aches, and tertiary syphilis can
involve the central nervous system, leading to neurosyphilis. The other answer
choices confuse the systemic progression.
1. Which action is appropriate when a nurse identifies a patient with a
reportable sexually transmitted infection (STI)?
A. Notify the patient’s insurance provider
B. Report the case to the local public health department
C. Refer the patient to private counseling without documentation
D. Report to the Centers for Disease Control directly
Correct answer: B
Rationale: STIs such as syphilis, chlamydia, gonorrhea, and HIV are legally
reportable in all states, and the correct procedure is to report the case to the local
public health department. This ensures contact tracing and outbreak prevention.
Reporting to the CDC is not the nurse’s responsibility, and involving insurance or
skipping documentation violates protocols.
2. Which of the following symptoms is most likely in a male client diagnosed
with gonorrhea?
A. Vaginal itching
B. Penile discharge and painful swollen testicles
C. Chronic pelvic pain
D. Vaginal bleeding after intercourse
Correct answer: B
Rationale: In male clients, gonorrhea often presents with penile discharge and
painful, swollen testicles. Vaginal symptoms like itching or bleeding are more
common in women. Chronic pelvic pain is more associated with longterm
untreated infections or PID.
,3. A client being treated for Chlamydia is prescribed metronidazole. What
patient teaching should the nurse include?
A. Take with orange juice to improve taste
B. Alcohol is safe in moderation
C. Avoid alcohol for at least 3 days after completing the medication
D. Take the medication only if symptoms persist
Correct answer: C
Rationale: Metronidazole causes a severe disulfiram-like reaction with alcohol,
leading to nausea, vomiting, and hypotension. Patients must avoid alcohol during
treatment and for 3 days after. It should be taken as prescribed, not symptom-
based, and not mixed with acidic beverages unless directed.
4. A nurse is providing discharge instructions to a patient with genital warts
caused by HPV. Which statement indicates a need for further teaching?
A. "I should avoid touching other areas of my skin after contact with the warts."
B. "I can soak the warts in antiseptic to help dry them out."
C. "HPV is contagious through skin-to-skin contact."
D. "I’ll avoid sex while the warts are visible."
Correct answer: B
Rationale: Soaking HPV warts in antiseptic is contraindicated as this can increase
irritation and the risk of spreading the virus. Touching them can spread the virus
to other body areas. Avoiding sex and observing strict hygiene are appropriate
actions.
5. What is the recommended age range for the HPV vaccine to prevent cervical
cancer?
A. 5–15 years
B. 9–30 years
C. 11–26 years
, D. 13–22 years
Correct answer: C
Rationale: The CDC recommends HPV vaccination for individuals aged 11– 26 to
protect against high-risk HPV strains that can lead to cervical cancer. Earlier or
later vaccinations may be offered, but 11–26 is the routine window. Starting
before sexual activity is ideal.
6. Which of the following is true regarding genital herpes?
A. It can be cured with antibiotics
B. Symptoms always appear after infection
C. It is a viral infection that cannot be cured
D. The disease is not contagious even during flare-ups
Correct answer: C
Rationale: Genital herpes is a chronic viral infection that cannot be cured, only
managed. Symptoms may not always be present, but the virus is still contagious.
Antibiotics are ineffective against viruses and should not be used.
7. What are the symptoms of the three stages of syphilis?
A. Primary: rash; Secondary: fever; Tertiary: lung failure
B. Primary: chancre; Secondary: rash, sores, malaise; Tertiary: neurological
involvement
C. Primary: fever and vomiting; Secondary: vision loss; Tertiary: infertility
D. Primary: rash; Secondary: cancer; Tertiary: renal failure
Correct answer: B
Rationale: Primary syphilis presents with a painless chancre, secondary with a
widespread rash, oral sores, malaise, and muscle aches, and tertiary syphilis can
involve the central nervous system, leading to neurosyphilis. The other answer
choices confuse the systemic progression.
