FNP NUR671 WH_FINAL STUDY LATEST COMPLETE SOLUTION
CHAPTER 7
Syphilis is a complex disease that can lead to serious systemic illness and even death if left
untreated. Which manifestation differentiates primary syphilis from secondary syphilis?
a. Fever, headache, and malaise
b. Widespread rash
c. Identified by serologic testing
d. Appearance of a chancre 2 months after infection
The human papillomavirus (HPV), also known as genital warts, affects 79 million Americans,
with an estimated number of 14 million new infections each year. The highest rate of infection
occurs in young women, ages 20 to 24 years. Prophylactic vaccination to prevent the HPV is
now available. Which statement regarding this vaccine is inaccurate?
a. Only one vaccine for the HPV is available.
b. The vaccine is given in three doses over a 6-month period.
c. The vaccine is recommended for both boys and girls.
d. Ideally, the vaccine is administered before the first sexual contact.
Which sexually transmitted infection (STI) is the most commonly reported in American women?
a. Gonorrhea
b. Syphilis
c. Chlamydia
d. Candidiasis
The Centers for Disease Control and Prevention (CDC) recommends which therapy for the
treatment of the HPV?
a. Miconazole ointment
b. Topical podofilox 0.5% solution or gel
c. Two doses of penicillin administered intramuscularly (IM)
d. Metronidazole by mouth
A client exhibits a thick, white, lumpy, cottage cheese-like discharge, along with white patches
on her labia and in her vagina. She complains of intense pruritus. Which medication should the
nurse practitioner order to treat this condition?
a. Fluconazole
b. Tetracycline
c. Clindamycin
d. Acyclovir
Which laboratory testing is used to detect the human immunodeficiency virus (HIV)?
a. HIV screening
b. HIV antibody testing
c. Cluster of differentiation 4 (CD4) counts
d. Cluster of differentiation 8 (CD8) counts
, FNP NUR671 WH_FINAL STUDY LATEST COMPLETE SOLUTION
Which condition is the most life-threatening virus to the fetus and neonate?
a. Hepatitis A virus (HAV)
b. Herpes simplex virus (HSV)
c. Hepatitis B virus (HBV)
d. Cytomegalovirus (CMV)
Which treatment regime would be most appropriate for a client who has been recently
diagnosed with acute pelvic inflammatory disease (PID)?
a. Oral antiviral therapy
b. Bed rest in a semi-Fowler position
c. Antibiotic regimen continued until symptoms subside
d. Frequent pelvic examination to monitor the healing progress
On vaginal examination of a 30-year-old woman, the nurse documents the following findings:
profuse, thin, grayish-white vaginal discharge with a "fishy" odor and complaints of pruritus.
Based upon these findings, which condition would the nurse suspect?
a. Bacterial vaginosis
b. Candidiasis
c. Trichomoniasis
d. Gonorrhea
Which viral sexually transmitted infection is characterized by a primary infection followed by
recurrent episodes?
a. Herpes simplex virus 2 (HSV-2)
b. HPV
c. HIV
d. CMV
The nurse should understand the process by which the HIV infection occurs. Once the virus has
entered the body, what is the time frame for seroconversion to HIV positivity?
a.6 to 10 days
b.2 to 4 weeks
c.6 to 12 weeks
d.6 months
A 25-year-old single woman comes to the gynecologist's office for a follow-up visit related to
her abnormal Papanicolaou (Pap) smear. The test revealed that the client has the HPV. The
woman asks, "What is that? Can you get rid of it?" Which is the best response for the nurse to
provide?
a. "It's just a little lump on your cervix. We can just freeze it off."
b. "HPV stands for 'human papillomavirus.' It is a sexually transmitted infection that may
lead to cervical cancer."
c. "HPV is a type of early human immunodeficiency virus. You will die from this."
d. "You probably caught this from your current boyfriend. He should get tested for this."
CHAPTER 7
Syphilis is a complex disease that can lead to serious systemic illness and even death if left
untreated. Which manifestation differentiates primary syphilis from secondary syphilis?
a. Fever, headache, and malaise
b. Widespread rash
c. Identified by serologic testing
d. Appearance of a chancre 2 months after infection
The human papillomavirus (HPV), also known as genital warts, affects 79 million Americans,
with an estimated number of 14 million new infections each year. The highest rate of infection
occurs in young women, ages 20 to 24 years. Prophylactic vaccination to prevent the HPV is
now available. Which statement regarding this vaccine is inaccurate?
a. Only one vaccine for the HPV is available.
b. The vaccine is given in three doses over a 6-month period.
c. The vaccine is recommended for both boys and girls.
d. Ideally, the vaccine is administered before the first sexual contact.
Which sexually transmitted infection (STI) is the most commonly reported in American women?
a. Gonorrhea
b. Syphilis
c. Chlamydia
d. Candidiasis
The Centers for Disease Control and Prevention (CDC) recommends which therapy for the
treatment of the HPV?
a. Miconazole ointment
b. Topical podofilox 0.5% solution or gel
c. Two doses of penicillin administered intramuscularly (IM)
d. Metronidazole by mouth
A client exhibits a thick, white, lumpy, cottage cheese-like discharge, along with white patches
on her labia and in her vagina. She complains of intense pruritus. Which medication should the
nurse practitioner order to treat this condition?
a. Fluconazole
b. Tetracycline
c. Clindamycin
d. Acyclovir
Which laboratory testing is used to detect the human immunodeficiency virus (HIV)?
a. HIV screening
b. HIV antibody testing
c. Cluster of differentiation 4 (CD4) counts
d. Cluster of differentiation 8 (CD8) counts
, FNP NUR671 WH_FINAL STUDY LATEST COMPLETE SOLUTION
Which condition is the most life-threatening virus to the fetus and neonate?
a. Hepatitis A virus (HAV)
b. Herpes simplex virus (HSV)
c. Hepatitis B virus (HBV)
d. Cytomegalovirus (CMV)
Which treatment regime would be most appropriate for a client who has been recently
diagnosed with acute pelvic inflammatory disease (PID)?
a. Oral antiviral therapy
b. Bed rest in a semi-Fowler position
c. Antibiotic regimen continued until symptoms subside
d. Frequent pelvic examination to monitor the healing progress
On vaginal examination of a 30-year-old woman, the nurse documents the following findings:
profuse, thin, grayish-white vaginal discharge with a "fishy" odor and complaints of pruritus.
Based upon these findings, which condition would the nurse suspect?
a. Bacterial vaginosis
b. Candidiasis
c. Trichomoniasis
d. Gonorrhea
Which viral sexually transmitted infection is characterized by a primary infection followed by
recurrent episodes?
a. Herpes simplex virus 2 (HSV-2)
b. HPV
c. HIV
d. CMV
The nurse should understand the process by which the HIV infection occurs. Once the virus has
entered the body, what is the time frame for seroconversion to HIV positivity?
a.6 to 10 days
b.2 to 4 weeks
c.6 to 12 weeks
d.6 months
A 25-year-old single woman comes to the gynecologist's office for a follow-up visit related to
her abnormal Papanicolaou (Pap) smear. The test revealed that the client has the HPV. The
woman asks, "What is that? Can you get rid of it?" Which is the best response for the nurse to
provide?
a. "It's just a little lump on your cervix. We can just freeze it off."
b. "HPV stands for 'human papillomavirus.' It is a sexually transmitted infection that may
lead to cervical cancer."
c. "HPV is a type of early human immunodeficiency virus. You will die from this."
d. "You probably caught this from your current boyfriend. He should get tested for this."
