MULTIDIMENSIONAL CARE 3 EXAM 1 ACTUAL
EXAM ELITE REVIEW WITH COMPLETE
QUESTIONS AND VERIFIED ANSWERS
GRADED A PLUS 2026
‣ C. Syphilis . Answer: A 20-year-old sexually active male reports
symptoms of a low-grade fever, headache, malaise, muscular aches, sore
throat, and a rash on his hands and feet. What condition does the nurse
anticipate?
A. HIV
B. HPV
C. Syphilis
D. Gonorrhea
‣ Primary syphilis . Answer: Which stage of syphilis is this?
▪ Ulcer called chancre develop at the site of entry and can occur
anywhere.
▪ Highly infectious stage, begins as a small papule, then breaks down to
a painless, indurated, smooth weeping lesion
‣ Secondary syphilis . Answer: Which stage of syphilis is this?
,▪ Develops 6 weeks to 6 months, becomes systemic circulating in the
blood.
▪ Commonly mistaken for the flu. Rash appears on the palmar surfaces
of hands and feet. Patchy alopecia
‣ ▪ Penicillin G
▪ What do you ask before giving? "Do you have any allergies?" .
Answer: Treatment: *Syphilis*
‣ Azithromycin single dose 1 g IM . Answer: Treatment: *Chlamydia*
‣ ▪ *Abstinence* (7 days) until treatment is completed
▪ *Expedited Partner Therapy (EPT)* - Educate the patient on the
importance of contacting their sexual partners to enable them to seek
testing and possible treatment. . Answer: Patient Education:
*Chlamydia*
‣ • Wear cotton underwear.
• Always wipe front to back after having a bowel movement or
urinating.
• Do not douche or use feminine hygiene sprays.
• Do not use scented products.
• Use ice packs to help inflammation . Answer: Prevention:
*Vulvovaginitis*
, ‣ ▪ iron levels
▪ CBC (H&H)
▪ hormone levels
▪ low blood pressure
S/S:
▪ dizziness
▪ weakness
▪ fatigue
▪ SOB . Answer: Patient has heavy vaginal bleeding - What are you
checking and what manifestations do you expect?
‣ ▪ Kegel exercises
▪ Bladder training
▪ No drinking after 5pm or 6pm
▪ Avoid foods or drinks with caffeine
▪ Skin care
▪ Proper hygiene . Answer: Patient Education: *Urinary Incontinence*
‣ ▪ distended bladder
▪ visible mass above the symphysis pubis
▪ **difficulty initiating urination**
▪ decreased urine stream
EXAM ELITE REVIEW WITH COMPLETE
QUESTIONS AND VERIFIED ANSWERS
GRADED A PLUS 2026
‣ C. Syphilis . Answer: A 20-year-old sexually active male reports
symptoms of a low-grade fever, headache, malaise, muscular aches, sore
throat, and a rash on his hands and feet. What condition does the nurse
anticipate?
A. HIV
B. HPV
C. Syphilis
D. Gonorrhea
‣ Primary syphilis . Answer: Which stage of syphilis is this?
▪ Ulcer called chancre develop at the site of entry and can occur
anywhere.
▪ Highly infectious stage, begins as a small papule, then breaks down to
a painless, indurated, smooth weeping lesion
‣ Secondary syphilis . Answer: Which stage of syphilis is this?
,▪ Develops 6 weeks to 6 months, becomes systemic circulating in the
blood.
▪ Commonly mistaken for the flu. Rash appears on the palmar surfaces
of hands and feet. Patchy alopecia
‣ ▪ Penicillin G
▪ What do you ask before giving? "Do you have any allergies?" .
Answer: Treatment: *Syphilis*
‣ Azithromycin single dose 1 g IM . Answer: Treatment: *Chlamydia*
‣ ▪ *Abstinence* (7 days) until treatment is completed
▪ *Expedited Partner Therapy (EPT)* - Educate the patient on the
importance of contacting their sexual partners to enable them to seek
testing and possible treatment. . Answer: Patient Education:
*Chlamydia*
‣ • Wear cotton underwear.
• Always wipe front to back after having a bowel movement or
urinating.
• Do not douche or use feminine hygiene sprays.
• Do not use scented products.
• Use ice packs to help inflammation . Answer: Prevention:
*Vulvovaginitis*
, ‣ ▪ iron levels
▪ CBC (H&H)
▪ hormone levels
▪ low blood pressure
S/S:
▪ dizziness
▪ weakness
▪ fatigue
▪ SOB . Answer: Patient has heavy vaginal bleeding - What are you
checking and what manifestations do you expect?
‣ ▪ Kegel exercises
▪ Bladder training
▪ No drinking after 5pm or 6pm
▪ Avoid foods or drinks with caffeine
▪ Skin care
▪ Proper hygiene . Answer: Patient Education: *Urinary Incontinence*
‣ ▪ distended bladder
▪ visible mass above the symphysis pubis
▪ **difficulty initiating urination**
▪ decreased urine stream
