NUR 114 (Ch.74 IGGY), chapter 73 Medsurg Transgender,
Chapter 72: Care of Patients with Male Reproductive Problems,
Adult Health Module 4 Exam 4 Questions and Answers
Question 1.
1. A nurse instructor is teaching a student nurse about the factors that have increased the
number of people with sexually transmitted diseases (STDs) seen in practice. Which
statement by the student indicates a lack of understanding? a. There are improved
techniques to diagnose an STD used in practice. b. There is increased incidence of sexual
abuse and sexual trafficking. c. Females feel safe using oral agents rather than a condom
as contraception. d. The organisms causing STDs are all becoming more virulent.
Correct Answer: D There is no evidence that the organisms that cause STDs are
becoming more virulent, but a client may need to use another anti-infective if
allergic or the protocol was not effective. Extensive histories are taken in the
clinic of clients of all ages, as well as assessment of laboratory data such as
cervical, urethral, oral, or rectal specimens and lesion samples for microbiology
and virology. There are changes in sexual attitudes and practices, cultural
factors, migration, and international travel. Women often think that the oral
contraceptives protect them from an STD.
Question 2.
A nurse is assessing a client who presents with a scaly rash over the palms and soles of
the feet and the feeling of muscle aches and malaise. The nurse suspects syphilis. Which
action by the nurse is appropriate? a. Reassure the client that this stage is not infectious
unless she is pregnant. b. Assess the client for hearing loss and generalized weakness. c.
Don gloves and further assess the clients lesions. d. Take a history regarding any
cardiovascular symptoms.
Correct Answer: C The client is displaying symptoms similar to secondary
syphilis, with flu-like symptoms and rash due to the spirochetes circulating
throughout the bloodstream. Therefore, the nurse needs to further assess the
clients lesions with gloves since the client is highly contagious at this stage.
Late latent syphilis is not infectious except to a fetus. Tertiary syphilis may
display in the form of cardiovascular or central nervous system symptoms.
Question 3.
A male client is diagnosed with primary syphilis. Which question by the nurse is a priority
at this time? a. Have you been using latex condoms? b. Are you allergic to penicillin? c.
When was your last sexual encounter? d. Do you have a history of sexually transmitted
disease?
Correct Answer: B Benzathine penicillin G is the evidence-based treatment for
primary syphilis. The client needs to be assessed for allergies before treatment.
The other questions would be helpful in the clients history of sexually
transmitted diseases but not as important as knowing whether the client is
allergic to penicillin.
,Question 4.
An African-American female with blisters on the vagina is being treated with acyclovir
(Zovirax) for genital herpes. She is angry at her partner for transmitting the infection.
Which action by the nurse is best? a. Encourage the client to engage in sexual activity
since she is on medication. b. Be sensitive to the clients feelings and refer her to a support
group. c. Reinforce that the disease can no longer be spread to other partners. d. Reassure
the client that sexual ac- tivity will not be painful while on acyclovir.
Correct Answer: B The nurse needs to be sensitive and supportive of the client
since infected clients may feel angry, lonely, and isolated. Allow the client to
verbalize her feelings and refer her to a local support group, such as the
National Herpes Resource Center. Sexual activity should not occur while the
lesions are present because of discomfort and viral transmission. Genital herpes
is an incurable viral disease, and the antiviral drugs minimize the infection but
do not cure it. Condoms should be used to avoid the spread of the disease.
Question 5.
A 19-year-old female is asking the nurse about the vaccine for human papilloma virus
(HPV). Which statement by the nurse is accurate? a. Gardasil protects against all HPV
strains. b. You are too young to receive the vaccine. c. Only females can receive the
vaccine. d. This will lower your risk for cervical cancer.
Correct Answer: D Gardasil is used to provide immunity for HPV types 6, 11, 16,
and 18 that are high risk for cervical cancer and warts. The vaccine is
recommended for people ages 10 to 26 years.
Question 6.
A 26-year-old client with multiple sexual partners is being assessed for symptoms of
dysuria and vaginal discharge. Because the results from the culture of the cervical cells
are not available, the client will be treated for both Chlamydia and gonorrhea. Which
explanation by the nurse is best? a. This early treatment will prevent obstruction to the
fallopian tubes. b. Only azithromycin (Zithromax) is prescribed for both sexually
transmitted diseases. c. The treatment will prevent aortic valve disease and aneurysms. d.
Oral antibiotic treatment will prevent frequent occurrences of meningitis.
Correct Answer: A Both gonorrhea and Chlamydia can cause pelvic inflammatory
disease and scarring of the fallopian tubes, resulting in infertility problems.
Azithromycin is the treatment of choice for both sexually transmitted diseases,
but ceftriaxone (Rocephin) is also recommended for treatment of gonorrhea.
Aortic valve disease and aneurysms usually occur with tertiary syphilis.
Meningitis occurs rarely with a gonorrhea infection and is usually treated with
intravenous antibiotic therapy in the hospital setting.
Question 7.
While evaluating a male client for treatment of gonorrhea, which question is the most
important for the nurse to ask? a. Do you have a history of sexually transmitted disease?
b. When was your last sexual encounter? c. When did your symptoms begin? d. What are
the names of your recent sexual partners?
, Correct Answer: D Sexual partners, as well as the client, should be tested and
treated for gonorrhea. Asking about sexually transmitted disease history, last
sexual encounter, and onset of symptoms would be helpful with the history
taking, but the priority is treating the clients sexual partners to limit the spread
of the disease.
Question 8.
Before marriage, a female client has a blood test drawn for syphilis. The test reveals a
positive Venereal Disease Research Laboratory (VDRL) serum test. What is the advice that
the nurse should give the client? a. Check with your future husband about his sexual
activity. b. You must determine if you are pregnant at this time. c. Submit to a more
specific treponemal test to confirm the infection. d. Agree to a benzathine penicillin G
injection in multiple doses.
Correct Answer: C False-positive reactions can occur with viral infections,
hepatitis, and systemic lupus erythematosus. A health care provider can request
more specific treponemal tests such a fluorescent treponemal antibody
absorption or microhemagglutination assay for Treponema palladium performed
by the laboratory. While it would be good to confirm sexual activity with her
future husband, this inquiry could wait until after further testing is performed.
Penicillin is the treatment of choice, but as a single 2.4-million-unit dose. A
different regimen would be recommended if the client were pregnant.
Question 9.
A 23-year-old female has been diagnosed with genital warts. Which action by the nurse is
best? a. Encourage the client to have an annual Papanicolaou (Pap) test. b. Recommend
an over-the-counter wart treatment for genital tissue. c. Report the case to the Centers for
Disease Control and Prevention (CDC). d. Discuss popular options for contraception.
Correct Answer: AAn annual Pap test is recommended (due the strong
relationship between genital warts and the development of dysplasia of the
cervix) until three normal Pap smears are obtained. The Pap smear can detect
any malignancies of the cervix. Prescribed cream or gel such as podofilox
(Condylox) is the recommended treatment, but not over-the-counter
treatments. Genital warts, or condylomata acuminata, do not have to be
reported to the CDC in all states. Pregnancy is not contraindicated with genital
warts.
Question 10.
A female client returned to the clinic with a yellow vaginal discharge after being treated for
Chlamydia infection 3 weeks ago. Which statement by the client alerts the nurse that
there may be a recurrence of the infection? a. I did practice abstinence while taking the
medication. b. I took doxycycline two times a day for a week. c. I never told my boyfriend
about the infection. d. I did drink wine when taking the medication for Chlamydia.
Correct Answer: C There is a good possibility that the boyfriend re-infected the
client after the medication regimen was finished. Both the client and the
boyfriend need to be treated. The other statements were in compliance with the
Chapter 72: Care of Patients with Male Reproductive Problems,
Adult Health Module 4 Exam 4 Questions and Answers
Question 1.
1. A nurse instructor is teaching a student nurse about the factors that have increased the
number of people with sexually transmitted diseases (STDs) seen in practice. Which
statement by the student indicates a lack of understanding? a. There are improved
techniques to diagnose an STD used in practice. b. There is increased incidence of sexual
abuse and sexual trafficking. c. Females feel safe using oral agents rather than a condom
as contraception. d. The organisms causing STDs are all becoming more virulent.
Correct Answer: D There is no evidence that the organisms that cause STDs are
becoming more virulent, but a client may need to use another anti-infective if
allergic or the protocol was not effective. Extensive histories are taken in the
clinic of clients of all ages, as well as assessment of laboratory data such as
cervical, urethral, oral, or rectal specimens and lesion samples for microbiology
and virology. There are changes in sexual attitudes and practices, cultural
factors, migration, and international travel. Women often think that the oral
contraceptives protect them from an STD.
Question 2.
A nurse is assessing a client who presents with a scaly rash over the palms and soles of
the feet and the feeling of muscle aches and malaise. The nurse suspects syphilis. Which
action by the nurse is appropriate? a. Reassure the client that this stage is not infectious
unless she is pregnant. b. Assess the client for hearing loss and generalized weakness. c.
Don gloves and further assess the clients lesions. d. Take a history regarding any
cardiovascular symptoms.
Correct Answer: C The client is displaying symptoms similar to secondary
syphilis, with flu-like symptoms and rash due to the spirochetes circulating
throughout the bloodstream. Therefore, the nurse needs to further assess the
clients lesions with gloves since the client is highly contagious at this stage.
Late latent syphilis is not infectious except to a fetus. Tertiary syphilis may
display in the form of cardiovascular or central nervous system symptoms.
Question 3.
A male client is diagnosed with primary syphilis. Which question by the nurse is a priority
at this time? a. Have you been using latex condoms? b. Are you allergic to penicillin? c.
When was your last sexual encounter? d. Do you have a history of sexually transmitted
disease?
Correct Answer: B Benzathine penicillin G is the evidence-based treatment for
primary syphilis. The client needs to be assessed for allergies before treatment.
The other questions would be helpful in the clients history of sexually
transmitted diseases but not as important as knowing whether the client is
allergic to penicillin.
,Question 4.
An African-American female with blisters on the vagina is being treated with acyclovir
(Zovirax) for genital herpes. She is angry at her partner for transmitting the infection.
Which action by the nurse is best? a. Encourage the client to engage in sexual activity
since she is on medication. b. Be sensitive to the clients feelings and refer her to a support
group. c. Reinforce that the disease can no longer be spread to other partners. d. Reassure
the client that sexual ac- tivity will not be painful while on acyclovir.
Correct Answer: B The nurse needs to be sensitive and supportive of the client
since infected clients may feel angry, lonely, and isolated. Allow the client to
verbalize her feelings and refer her to a local support group, such as the
National Herpes Resource Center. Sexual activity should not occur while the
lesions are present because of discomfort and viral transmission. Genital herpes
is an incurable viral disease, and the antiviral drugs minimize the infection but
do not cure it. Condoms should be used to avoid the spread of the disease.
Question 5.
A 19-year-old female is asking the nurse about the vaccine for human papilloma virus
(HPV). Which statement by the nurse is accurate? a. Gardasil protects against all HPV
strains. b. You are too young to receive the vaccine. c. Only females can receive the
vaccine. d. This will lower your risk for cervical cancer.
Correct Answer: D Gardasil is used to provide immunity for HPV types 6, 11, 16,
and 18 that are high risk for cervical cancer and warts. The vaccine is
recommended for people ages 10 to 26 years.
Question 6.
A 26-year-old client with multiple sexual partners is being assessed for symptoms of
dysuria and vaginal discharge. Because the results from the culture of the cervical cells
are not available, the client will be treated for both Chlamydia and gonorrhea. Which
explanation by the nurse is best? a. This early treatment will prevent obstruction to the
fallopian tubes. b. Only azithromycin (Zithromax) is prescribed for both sexually
transmitted diseases. c. The treatment will prevent aortic valve disease and aneurysms. d.
Oral antibiotic treatment will prevent frequent occurrences of meningitis.
Correct Answer: A Both gonorrhea and Chlamydia can cause pelvic inflammatory
disease and scarring of the fallopian tubes, resulting in infertility problems.
Azithromycin is the treatment of choice for both sexually transmitted diseases,
but ceftriaxone (Rocephin) is also recommended for treatment of gonorrhea.
Aortic valve disease and aneurysms usually occur with tertiary syphilis.
Meningitis occurs rarely with a gonorrhea infection and is usually treated with
intravenous antibiotic therapy in the hospital setting.
Question 7.
While evaluating a male client for treatment of gonorrhea, which question is the most
important for the nurse to ask? a. Do you have a history of sexually transmitted disease?
b. When was your last sexual encounter? c. When did your symptoms begin? d. What are
the names of your recent sexual partners?
, Correct Answer: D Sexual partners, as well as the client, should be tested and
treated for gonorrhea. Asking about sexually transmitted disease history, last
sexual encounter, and onset of symptoms would be helpful with the history
taking, but the priority is treating the clients sexual partners to limit the spread
of the disease.
Question 8.
Before marriage, a female client has a blood test drawn for syphilis. The test reveals a
positive Venereal Disease Research Laboratory (VDRL) serum test. What is the advice that
the nurse should give the client? a. Check with your future husband about his sexual
activity. b. You must determine if you are pregnant at this time. c. Submit to a more
specific treponemal test to confirm the infection. d. Agree to a benzathine penicillin G
injection in multiple doses.
Correct Answer: C False-positive reactions can occur with viral infections,
hepatitis, and systemic lupus erythematosus. A health care provider can request
more specific treponemal tests such a fluorescent treponemal antibody
absorption or microhemagglutination assay for Treponema palladium performed
by the laboratory. While it would be good to confirm sexual activity with her
future husband, this inquiry could wait until after further testing is performed.
Penicillin is the treatment of choice, but as a single 2.4-million-unit dose. A
different regimen would be recommended if the client were pregnant.
Question 9.
A 23-year-old female has been diagnosed with genital warts. Which action by the nurse is
best? a. Encourage the client to have an annual Papanicolaou (Pap) test. b. Recommend
an over-the-counter wart treatment for genital tissue. c. Report the case to the Centers for
Disease Control and Prevention (CDC). d. Discuss popular options for contraception.
Correct Answer: AAn annual Pap test is recommended (due the strong
relationship between genital warts and the development of dysplasia of the
cervix) until three normal Pap smears are obtained. The Pap smear can detect
any malignancies of the cervix. Prescribed cream or gel such as podofilox
(Condylox) is the recommended treatment, but not over-the-counter
treatments. Genital warts, or condylomata acuminata, do not have to be
reported to the CDC in all states. Pregnancy is not contraindicated with genital
warts.
Question 10.
A female client returned to the clinic with a yellow vaginal discharge after being treated for
Chlamydia infection 3 weeks ago. Which statement by the client alerts the nurse that
there may be a recurrence of the infection? a. I did practice abstinence while taking the
medication. b. I took doxycycline two times a day for a week. c. I never told my boyfriend
about the infection. d. I did drink wine when taking the medication for Chlamydia.
Correct Answer: C There is a good possibility that the boyfriend re-infected the
client after the medication regimen was finished. Both the client and the
boyfriend need to be treated. The other statements were in compliance with the
