,NSG3250/NSG 3250 Exam 4 | Adult Health
I | Galen College | 26/27 Updated (PDF)
1. A nurse is caring for a male patient newly diagnosed with primary syphilis. Which clinical
manifestation does the nurse expect to observe?
A) A generalized maculopapular rash on the trunk and palms
B) A painless, indurated chancre at the site of infection
C) Neurological symptoms such as dementia and ataxia
D) Purulent urethral discharge with dysuria
Correct Answer: A painless, indurated chancre at the site of infection
Rationale: Primary syphilis is characterized by the appearance of a painless, indurated (hard) chancre
at the site of inoculation, typically appearing 2-3 weeks after exposure. The rash on the trunk and
palms occurs in secondary syphilis, neurological symptoms occur in tertiary syphilis, and purulent
discharge is more characteristic of gonorrhea.
2. A female patient is diagnosed with trichomoniasis. Which medication should the nurse anticipate
being prescribed?
A) Acyclovir
B) Metronidazole
C) Doxycycline
D) Ceftriaxone
Correct Answer: Metronidazole
Rationale: Trichomoniasis is a sexually transmitted infection caused by the parasite *Trichomonas
vaginalis*. The recommended treatment is metronidazole or tinidazole. Acyclovir is used for herpes
simplex virus, doxycycline for chlamydia, and ceftriaxone for gonorrhea.
,3. A nurse is providing education to a young adult patient about the human papillomavirus (HPV)
vaccine. According to current recommendations, this vaccine is most beneficial for which age group?
A) 9 to 26 years
B) 27 to 40 years
C) 41 to 55 years
D) 56 to 65 years
Correct Answer: 9 to 26 years
Rationale: The HPV vaccine is recommended for routine vaccination starting at age 11 or 12, but can
be given as early as age 9. The vaccine is most beneficial when given before sexual activity begins, and
catch-up vaccination is recommended through age 26.
4. The nurse is caring for a patient newly diagnosed with syphilis. Which action should the nurse take
first?
A) Administer the prescribed antibiotic regimen
B) Report the case to the local public health department
C) Teach the patient about barrier protection methods
D) Assess the patient for a genital chancre
Correct Answer: Report the case to the local public health department
Rationale: Syphilis is a reportable sexually transmitted infection in all states. The nurse's priority is to
report the case to the local public health department to facilitate contact tracing and epidemiological
monitoring. While antibiotic administration, patient teaching, and physical assessment are essential
nursing actions, statutory reporting takes precedence upon diagnosis.
5. A female patient presents to the clinic with concerns about a sexually transmitted infection. Which
clinical manifestation is most consistent with gonorrhea in women?
A) Painless ulcerative lesions on the labia majora
B) Painful swollen vaginal area with purulent discharge
C) Flesh-colored papular growths around the vulva
, D) Profuse pruritic white discharge resembling cottage cheese
Correct Answer: Painful swollen vaginal area with purulent discharge
Rationale: In women, gonorrhea often presents with painful swollen vaginal area with purulent
discharge. Painless ulcers are characteristic of syphilis, flesh-colored papular growths suggest genital
warts (HPV), and profuse pruritic white discharge resembling cottage cheese is characteristic of a
yeast infection (candidiasis).
6. A nurse is caring for a male client diagnosed with Benign Prostatic Hyperplasia (BPH) who is
prescribed finasteride. Which finding indicates to the nurse that the prescribed treatment is effective?
A) Decreased penile tenderness and enlargement
B) Decreased and controlled sex drive
C) Increased ability to feel bladder fullness
D) Decreased prostate-specific antigen levels
Correct Answer: Decreased prostate-specific antigen levels
Rationale: Finasteride is a 5-alpha-reductase inhibitor that shrinks the prostate gland by reducing
dihydrotestosterone levels. A decrease in prostate-specific antigen (PSA) levels is an expected
therapeutic effect. The other options are not indicators of finasteride's effectiveness.
7. The nurse is caring for a female client who has a history of uterine leiomyomas. Which assessment
finding indicates that the client's condition is worsening?
A) Excessive uterine bleeding
B) Dyspareunia
C) Recurrent bacterial vaginosis
D) Frequent urinary tract infections
Correct Answer: Excessive uterine bleeding
I | Galen College | 26/27 Updated (PDF)
1. A nurse is caring for a male patient newly diagnosed with primary syphilis. Which clinical
manifestation does the nurse expect to observe?
A) A generalized maculopapular rash on the trunk and palms
B) A painless, indurated chancre at the site of infection
C) Neurological symptoms such as dementia and ataxia
D) Purulent urethral discharge with dysuria
Correct Answer: A painless, indurated chancre at the site of infection
Rationale: Primary syphilis is characterized by the appearance of a painless, indurated (hard) chancre
at the site of inoculation, typically appearing 2-3 weeks after exposure. The rash on the trunk and
palms occurs in secondary syphilis, neurological symptoms occur in tertiary syphilis, and purulent
discharge is more characteristic of gonorrhea.
2. A female patient is diagnosed with trichomoniasis. Which medication should the nurse anticipate
being prescribed?
A) Acyclovir
B) Metronidazole
C) Doxycycline
D) Ceftriaxone
Correct Answer: Metronidazole
Rationale: Trichomoniasis is a sexually transmitted infection caused by the parasite *Trichomonas
vaginalis*. The recommended treatment is metronidazole or tinidazole. Acyclovir is used for herpes
simplex virus, doxycycline for chlamydia, and ceftriaxone for gonorrhea.
,3. A nurse is providing education to a young adult patient about the human papillomavirus (HPV)
vaccine. According to current recommendations, this vaccine is most beneficial for which age group?
A) 9 to 26 years
B) 27 to 40 years
C) 41 to 55 years
D) 56 to 65 years
Correct Answer: 9 to 26 years
Rationale: The HPV vaccine is recommended for routine vaccination starting at age 11 or 12, but can
be given as early as age 9. The vaccine is most beneficial when given before sexual activity begins, and
catch-up vaccination is recommended through age 26.
4. The nurse is caring for a patient newly diagnosed with syphilis. Which action should the nurse take
first?
A) Administer the prescribed antibiotic regimen
B) Report the case to the local public health department
C) Teach the patient about barrier protection methods
D) Assess the patient for a genital chancre
Correct Answer: Report the case to the local public health department
Rationale: Syphilis is a reportable sexually transmitted infection in all states. The nurse's priority is to
report the case to the local public health department to facilitate contact tracing and epidemiological
monitoring. While antibiotic administration, patient teaching, and physical assessment are essential
nursing actions, statutory reporting takes precedence upon diagnosis.
5. A female patient presents to the clinic with concerns about a sexually transmitted infection. Which
clinical manifestation is most consistent with gonorrhea in women?
A) Painless ulcerative lesions on the labia majora
B) Painful swollen vaginal area with purulent discharge
C) Flesh-colored papular growths around the vulva
, D) Profuse pruritic white discharge resembling cottage cheese
Correct Answer: Painful swollen vaginal area with purulent discharge
Rationale: In women, gonorrhea often presents with painful swollen vaginal area with purulent
discharge. Painless ulcers are characteristic of syphilis, flesh-colored papular growths suggest genital
warts (HPV), and profuse pruritic white discharge resembling cottage cheese is characteristic of a
yeast infection (candidiasis).
6. A nurse is caring for a male client diagnosed with Benign Prostatic Hyperplasia (BPH) who is
prescribed finasteride. Which finding indicates to the nurse that the prescribed treatment is effective?
A) Decreased penile tenderness and enlargement
B) Decreased and controlled sex drive
C) Increased ability to feel bladder fullness
D) Decreased prostate-specific antigen levels
Correct Answer: Decreased prostate-specific antigen levels
Rationale: Finasteride is a 5-alpha-reductase inhibitor that shrinks the prostate gland by reducing
dihydrotestosterone levels. A decrease in prostate-specific antigen (PSA) levels is an expected
therapeutic effect. The other options are not indicators of finasteride's effectiveness.
7. The nurse is caring for a female client who has a history of uterine leiomyomas. Which assessment
finding indicates that the client's condition is worsening?
A) Excessive uterine bleeding
B) Dyspareunia
C) Recurrent bacterial vaginosis
D) Frequent urinary tract infections
Correct Answer: Excessive uterine bleeding
