2025/2026 Exam All Answers and
Illustrations Given
A young male patient is seeking treatment for recurrence of genital tingling,
burning, and itching. The nurse will expect a prescription for which class of
medications?
- Antivirals
- Antibiotics
- Vaccination
- Contraceptives - 🧠ANSWER ✔✔- Antivirals
Rationale:
,This patient has a reoccurrence of genital herpes (HSV2). Although not a
cure, he will be treated with antiviral medications to decrease the duration
of viral shedding and the healing time of genital lesions and reduce
outbreaks. Antibiotics and contraceptives are not used to treat acute HSV2.
There are no vaccinations for HSV.
A 22-yr-old man is being treated at a college health care clinic for
gonorrhea. What should the nurse include in patient teaching?
- "While being treated for the infection, you will not be able to pass this
infection on to your sexual partner."
- "It is important to complete your full course of antibiotics in order to ensure
that you become resistant to reinfection."
- "While you're taking the antibiotics, you will need to abstain from
participating in sexual activity and drinking alcohol."
- "The symptoms will resolve on their own, but it is important for you to
abstain from sexual activity while this is occurring." - 🧠ANSWER ✔✔-
"While you're taking the antibiotics, you will need to abstain from
participating in sexual activity and drinking alcohol."
Rationale:
,Treatment for gonorrhea necessitates abstinence from sexual activity (to
prevent infection of partners) and alcohol (to avoid urethral irritation). The
disease is not self-limiting, nor does successful treatment confer future
resistance.
A 24-yr-old patient is at the clinic with symptoms of purulent vaginal
discharge, dysuria, and dyspareunia. She is sexually active and has
multiple partners. What should the nurse explain as the rationale for
Chlamydia screening?
- Chlamydia is frequently comorbid with HIV.
- Untreated chlamydia infections can lead to sepsis.
- Untreated chlamydia infections may cause infertility.
- Chlamydia infections are treatable only in the early stages. - 🧠ANSWER
✔✔- Untreated chlamydia infections may cause infertility.
Rationale:
Because of the potential for infertility, routine screening for Chlamydia is
recommended for women sexually active younger than age 25 years and
annually for those older than 25 years with one or more risk factors for the
infection. Chlamydia is not a primary risk for sepsis and is not noted to be
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, strongly correlated with HIV infection. The disease is treatable at all stages
of infection.
The nurse administers a Gardasil vaccine to an 18-yr-old female patient.
After the injection, which patient instruction is priority?
- Avoid sexual activity for 24 to 48 hours.
- Remain lying down for at least 15 minutes.
- Return to the clinic in 6 months for a second dose.
- Use two methods of birth control to avoid pregnancy. - 🧠ANSWER ✔✔-
Remain lying down for at least 15 minutes.
Rationale:
To prevent syncope (fainting) during and after the administration of
Gardasil, the patient should remain sitting or lying down for 15 minutes.
The vaccine is not recommended during pregnancy. Gardasil vaccine is
given in three IM doses over a 6-month period. There are no sexual activity
restrictions after administration of Gardasil.
A man with a primary infection of genital herpes was prescribed acyclovir
(Zovirax) orally for 10 days. The patient returns to the clinic for a follow-up
visit. Which finding indicates that treatment is effective?