Deck 49: Sexually Transmitted Infections

Question 1

Which concept should the nurse utilize when planning care for individuals with a sexually transmitted infection (STI)?

A) Females experience more cases of gonorrhea than males.
B) Males have higher rates of human papilloma virus and syphilis than females.
C) STIs can only be transmitted through sexual contact.
D) Individuals with higher socioeconomic status are more at risk for STIs.

Answer 1

Females experience more cases of gonorrhea than males.

Question 2

When counseling a sexually active 22-year-old, which recommendation should the nurse give to prevent sexually transmitted infections?

A) Abstain from sex.
B) Get vaccinated against hepatitis B and HPV.
C) Use birth control.
D) Ask sex partners if they have an STI.

Answer 2

Get vaccinated against hepatitis B and HPV.

Question 3

When preparing a program for college women on human papillomavirus (HPV), which concept should the nurse keep in mind?

A) The time from HPV infection to diagnosis of cervical cancer is 5 years.
B) HPV prevalence peaks in women following menopause.
C) HPV incidence has been steadily increasing in women in their 30s and 40s.
D) HPV is most common in women in their early 20s

Answer 3

HPV is most common in women in their early 20s

Question 4

Which test does the nurse anticipate a 40-year-old woman will undergo to screen for cervical dysplasia?

A) Digene HPV Test
B) Hybrid Capture 2
C) Papanicolaou test
D) DNA testing

Question 5

Which instruction does the nurse give to a patient prescribed 0.5% podophyllotoxin solution for genital warts?

A) Apply to warts twice a day for 3 days, repeat each week for up to 4 weeks
B) Take orally twice a day for 3 days, repeat each week for up to 4 weeks
C) Apply to warts twice a day for 4 weeks
D) Take orally twice a day for 4 weeks

Question 6

Following Centers for Disease Control and Prevention guidelines, which recommendation does the school nurse make to parents of middle-school children?

A) All males and females should begin the three-dose HPV vaccine between 12 and 14 years of age.
B) All females should begin the three-dose HPV vaccine between 12 and 14 years of age.
C) All males and females should begin the three-dose HPV vaccine between 10 and 12 years of age.
D) All males should begin the three-dose HPV vaccine at age 9.

Question 7

Which of the following concepts should the nurse use to guide community health programming on herpes simplex virus (HSV)?

A) HSV-1 and HSV-2 are only transmitted when symptoms are present.
B) Only HSV-2 is transmitted through contact with bodily fluids.
C) HSV-1 is most commonly associated with cold sores around the mouth.
D) One out of three individuals between 14 and 49 years of age have been exposed to HSV.

Question 8

When assessing a male patient, which assessment findings suggest that the patient has HSV-2?

A) Painful vesicles on the glans of shaft of the penis.
B) Purulent urethral discharge.
C) Dysuria and yellow urethral drainage.
D) Sores around the mouth.

Question 9

When providing care to a female patient with chlamydia, the nurse also anticipates treating the patient for which other disease?

A) HSV-2
B) HPV
C) Syphilis
D) Gonorrhea

Question 10

How should the university health center nurse respond when a 20-year-old sexually active female asks why she is being screened for chlamydia because she does not have symptoms?

A) "Chlamydia may be asymptomatic and can lead to infertility if untreated."
B) "Chlamydia is easier to treat in the early stages of infection."
C) "Chlamydia infection increases the risk of getting all other STIs."
D) "Chlamydia only occurs in women."

Question 11

Which statement by a woman being treated for chlamydia indicates that more teaching is needed?

A) "I will take doxycycline for 1 week."
B) "I will take a single dose of azithromycin."
C) "I don't need to tell my sex partner that I have this infection."
D) "I can resume sexual activity once I begin taking the antibiotics."

Question 12

A 27-year-old sexually active female patient is being seen in the clinic with a purulent vaginal discharge, dysuria, and a sore throat. These findings suggest to the nurse that the patient has:

A) chlamydia.
B) HSV-2.
C) gonorrhea.
D) pediculosis pubis.

Question 13

Which findings would the nurse expect in a patient with secondary syphilis?

A) Genital chancres
B) Lymphadenopathy, fever, and rash on the soles of the feet
C) Asymptomatic
D) Stroke meningitis, hearing loss

Question 14

Which manifestation would the nurse expect in a female patient with trichomoniasis?

A) A discharge with a sweet odor
B) Discharge with pH great than 5
C) Small white dots on the pubic hair
D) Genital chancres

Question 15

Which statement by a patient indicates to the nurse that more teaching is needed about pubic lice?

A) "Wearing a condom can protect me from pubic lice."
B) "I cannot contract pubic lice from a toilet seat."
C) "Lice need a warm human host to survive."
D) "Lice have difficulty moving along a flat, smooth surface."

Question 16

Which instruction should the nurse give to a patient with pediculosis pubis?

A) "Use an over-the-counter lotion with permethrin."
B) "Apply a second treatment of permethrin 7 days after the first treatment."
C) "Wash all linens and towels in cold water."
D) "Place items that cannot be washed in a garbage bag for one week."

Question 17

The nurse on a medical mission trip to a developing part of the world should keep which facts about HPV in mind when assessing and treating women?

A) Most women in developing parts of the world do not receive Papanicolaou testing.
B) About half the cases of cervical cancer occur in the developing world.
C) A vaccine is available against all types of HPV.
D) Worldwide, about 200,000 women are diagnosed with cervical cancer each year.

Question 18

When planning care for a patient with HSV, which concept should the nurse keep in mind?

A) HSV can be cured.
B) Preventing transmission of HSV is key to treatment.
C) The goal of treatment is to eradicate the virus.
D) Antiviral therapy has been shown to prevent transmission of HSV.

Question 19

When assessing the newborn born to a woman with a chlamydial infection, the nurse should be alert for:

A) genital discharge.
B) conjunctivitis.
C) foul-smelling urine.
D) pharyngitis.

Question 20

When planning a community program on sexually transmitted infections, which concept should guide the nurse's teaching plan for syphilis?

A) Syphilis progresses through three stages without treatment.
B) The incubation period for syphilis is two weeks.
C) Spirochetes can penetrate the central nervous system causing damage.
D) Syphilis is a self-limiting infection.