Deck 32: Human Papillomavirus

Question 1

Which of the following is the most common sexually transmitted infection in the United States?

A) Genital herpes simplex virus
B) Human papillomavirus
C) Chlamydia
D) Gonorrhea

Answer 1

B

Question 2

What percentage of people in the Unites States who are sexually active will develop human papillomavirus (HPV)?

A) 30%
B) 50%
C) 70%
D) 90%

Answer 2

D

Question 3

The nurse is reviewing the health history of a client who is concerned about developing cervical cancer. Which of the following factors would increase the client's risk of human papillomavirus (HPV) infection? (Select all that apply.)

A) Having had three sexual partners in the past year
B) Drinking a glass of wine daily
C) Being HIV positive
D) Using oral contraceptives
E) Using a condom in about half of all sexual contacts

Answer 3

A, C, E

Question 4

Which types of human papillomavirus (HPV) are low-risk (nononcogenic) but cause 90% of genital warts?

A) 6 and 11
B) 16 and 18
C) 31 and 35
D) 40 and 42

Question 5

Which type of human papillomavirus (HPV) is most commonly associated with high-grade cervical intraepithelial neoplasia and invasive cancers?

A) 6
B) 11
C) 16
D) 31

Question 6

About what percentage of cases of cervical cancer occur in underserved populations?

A) 50%
B) 60%
C) 70%
D) 80%

Question 7

At what ages routine vaccination for human papillomavirus (HPV) is recommended for females?

A) 11 to 12 years
B) 13 to 14 years
C) 15 to 16 years
D) 17 to 18 years

Question 8

Merrill is a client who would like to have her genital warts removed in the outpatient setting with minimal risk for complications. Which modality would be the best to use with Merrill?

A) Cryotherapy
B) Laser vaporization
C) Loop electrosurgical excision procedure
D) Cold knife cone biopsy

Question 9

Mia is a client with genital warts who is at high risk for cervical cancer. On the basis of Mia's health history and observations made during a pelvic examination, the nurse believes Mia has a strong possibility of having an invasive cancer. Which treatment modality would be best for Mia?

A) Cryotherapy
B) Laser vaporization
C) Loop electrosurgical excision procedure
D) Cold knife cone biopsy

Question 10

Carol is a client who is being assessed for risk for anal human papillomavirus (HPV) infection. Which of the following are factors that would increase Carol's risk for having anal HPV? (Select all that apply.)

A) Presence of cervical HPV
B) CD4 count of 50
C) History of anal intercourse
D) Lesbian sexual orientation
E) Smoking

Question 11

A nurse works in a rural health clinic that lacks a referral source for abnormal results related to anal cancer screening. The nurse is working with a client, Danielle, who has several risk factors for anal cancer. After visually inspecting Danielle's perianal region with a simple anoscope, which service should the nurse provide next?

A) Anal cytology
B) Digital anal rectal examination
C) High-resolution anoscopy
D) A Pap smear

Question 12

The nurse is preparing to perform anal cytology on a client. What position should the nurse place the client in?

A) High Fowler's
B) Prone
C) Supine
D) Lithotomy

Question 13

After obtaining a specimen for anal cytology, the nurse should do which of the following?

A) Smear the specimen on a glass slide
B) Agitate the swab in a liquid medium for at least 30 seconds
C) Place the swab in a specimen container and label for transport
D) Place the swab in a plastic bag and then in an ice slurry for transport