Repo

A 25-year-old patient has been experiencing abnormal uterine bleeding and is concerned about maintaining fertility. About which therapy should the nurse instruct this patient? Select all that apply. 1. Oral contraceptives 2. Progestin therapy 3. Therapeutic D&C 4. Endometrial ablation 5. Iron replacement therapy

1,2,5

A male patient is diagnosed with stage 1 testicular cancer. What should the nurse consider as being the first step in this patient's treatment? 1. Surgical removal of the testicle 2. Aspiration of the enlarged testicle 3. Chemotherapy 4. Radiation

1

A male patient was born with only one testis. What might be an effect of this anatomical change? 1. May need testosterone replacement therapy 2. May be sterile 3. May need estrogen replacement therapy 4. Will have a normal level of sperm production

1

A middle-aged male patient has an abnormal digital rectal examination (DRE) with a PSA (prostate-specific antigen) level of 18 ng/mL. Which diagnostic test might be prescribed for this patient? 1. Transrectal ultrasonography (TRUS) 2. Bone scan 3. MRI 4. CT scan of the spine

1

A female patient is experiencing a recurrence of endometrial cancer. Which treatment should the nurse expect to be prescribed for this patient? Select all that apply. 1. Radiation therapy 2. Hormone therapy 3. Partial abdominal hysterectomy 4. Chemotherapy 5. Endometrial ablation

1,2,4

The nurse is scheduling a hysterosalpingogram test for a patient. When planning the test, which information from the patient's history will the nurse need? 1. Date of the patient's last menstrual period (LMP) 2. Number of past pregnancies the patient has had 3. Type of contraceptive being used by the patient and her partner 4. Patient's age at menarche

1

) An analysis of a patient's sperm shows the sperm are not developing motility. Which body structure should the nurse suspect is not functioning at the optimal level in this patient? 1. Prostate 2. Epididymis 3. Scrotum 4. Penis

2

A female patient reports experiencing severe menstrual cramps. Which uterine structure should the nurse recognize is responsible for the patient's symptom? 1. Perimetrium 2. Myometrium 3. Endometrium 4. Cervix

2

A male patient has an infection of the epididymis. What reduction might occur in the patient's body because of this infection? 1. Testosterone production 2. Mature sperm 3. Blood flow to the penis 4. Ability to sustain an erection

2

A male patient's PSA (prostate-specific antigen) level is elevated. Which diagnostic test for cancer might be indicated for this patient? 1. Abdominal x-ray 2. Biopsy 3. CT scan 4. Small bowel examination

2

A middle-aged female patient reports constant anxiety, inability to sleep, and headaches. Which health problem should the nurse suspect this patient is experiencing? 1. Amenorrhea 2. Perimenopause 3. Postmenopause 4. Dysmenorrhea

2

A patient is diagnosed with asymptomatic inflammatory prostatitis. In which way was this diagnosis made? 1. After examining tissue from the prostate 2. By testing the serum PSA (prostate-specific antigen) level 3. According to the patient's symptoms 4. After palpating the patient's prostate gland

2

A male patient who was recently diagnosed with hypertension reports not taking the prescribed antihypertensive medication because of how it made him feel. What should the nurse respond to this patient? 1. "Many male patients experience side effects of this drug, which include altered libido and impotence. This is common. Tell me how you felt when you took the drug." 2. "You shouldn't stop taking the drug without first talking to the doctor!" 3. Write a note in the patient's record but say nothing to the patient. 4. "I'm going to give you some information about this medication for you to take home and read. At your next visit, I'll have the doctor talk to you about it."

1

A male patient with type I diabetes mellitus and coronary artery disease is able to achieve an erection but cannot maintain it. What could be done to assist this patient? 1. Suggest an O ring. 2. Provide tadalafil (Cialis) teaching material. 3. Provide sildenafil (Viagra) teaching material. 4. Discuss penile implant surgery.

1

A 35-year-old male is concerned about his inability to sustain an erection. What topic should the nurse question the patient about when assessing this health problem? 1. Substance use or abuse 2. Marital status 3. Employment history 4. Education level

1

A 40-year-old male patient is unable to have an erection since being prescribed an antispasmodic for a muscular back injury and hydrocortisone cream to manage a chronic integumentary condition. What should the nurse suspect this patient is experiencing? 1. Side effect of the antispasmodic medication 2. Age-related erectile dysfunction 3. Side effect of the hydrocortisone cream 4. Result of the muscular back injury

1

A female patient asks the nurse for help because her spouse has not been able to attain an erection in several months. What can the nurse do to help this patient? 1. Assess for the most recent sexual practices. 2. Suggest that she seek psychiatric counseling. 3. Suggest that they both see a marriage counselor. 4. Provide a prescription for tadalafil (Cialis).

1

A female patient is recovering from breast cancer surgery that included axillary node dissection. For which potential complication should the nurse plan teaching for this patient? 1. Lymphedema 2. Metastasis 3. Anemia and bleeding 4. Altered shoulder movement

1

A female patient who is experiencing menopause is "tired of the night sweats." What should the nurse suggest to help this patient? 1. Ensure that the bedroom temperature is cool, and limit sleeping attire. 2. Reduce intake of milk and milk products. 3. Talk with the physician about a hysterectomy. 4. Exercise 1 hour before going to sleep.

1

A male patient is concerned about a recent increase in breast tissue. What should the nurse do to assist this patient? 1. Review the patient's health history. 2. Tell him that it is self-limiting and will go away in time. 3. Suggest that the patient have a mammogram to ensure he does not have breast cancer. 4. Recommend a breast biopsy to find out the reason for the increase in breast tissue.

1

A male patient is concerned about ongoing premature ejaculation. What should the nurse do to assist this patient? 1. Suggest that the patient wear a condom with sexual activity. 2. Suggest that the patient talk with the physician about changing prescribed medications. 3. Tell the patient that the condition is temporary and will disappear in time. 4. Review any newly prescribed medications, and check for side effects.

1

A male patient complains of frequently "not being able to hold urine," especially when the bladder is very full or when lifting objects. What should the nurse do to help this patient? Select all that apply. 1. Instruct the patient how to do Kegel exercises. 2. Suggest that the patient ask the physician for medications to control this incontinence. 3. Suggest that the patient restrict fluids. 4. Suggest the patient wear a Texas catheter. 5. Suggest the patient wear adult absorbent briefs.

1,4

The nurse is preparing to examine a male patient's reproductive organs. What should the nurse do in preparation for this examination? Select all that apply. 1. Secure a private examination room. 2. Use clean hands for the examination. 3. Ask the patient to lie down on the examination table. 4. Ask the patient to empty his bladder. 5. Make sure the room temperature is cool.

1,4

A patient is scheduled to have a vaginal examination and a Pap smear. Which patient statement indicates understanding of the nurse's instruction concerning the test and preparation? 1. "I cannot bathe for 36 hours prior to the examination." 2. "I should not douche the day before my examination." 3. "My period will not be a reason to defer my vaginal examination." 4. "My physician will use Vaseline to lubricate the speculum and prevent discomfort."

2

An adolescent patient is having a first vaginal examination. Which speculum should the nurse prepare for this examination? 1. Graves speculum 2. Pederson speculum 3. Killian speculum 4. Vienna speculum

2

A patient has been experiencing the clinical manifestations associated with menopause and expresses an interest in using alternative and complementary therapies to manage them. What is the best response by the nurse? 1. "Alternative and complementary therapies seldom work." 2. "Many women report success with those measures." 3. "What types of therapies are of interest to you?" 4. "Have you discussed this with the healthcare provider?"

3

A patient is scheduled for an endometrial ablation for extreme uterine bleeding. Which patient statement indicates understanding of the long-term effects of this treatment? 1. "My future menstrual cycles will be normal." 2. "My menstrual cycles will be irregular from now on." 3. "I will stop menstruating and I can't get pregnant now." 4. "I will need hormone replacement therapy to regulate my menstrual cycles."

3

A female patient is concerned about developing ovarian cancer because a great-grandmother had the disease. Which information from the patient's health history will help reduce the risk for this patient? 1. The patient began her menses at age 10. 2. The patient has never had long-term antibiotic therapy. 3. The patient had her first child at the age of 20. 4. The patient has asymptomatic menstrual cycles.

3

A female patient is diagnosed with "chocolate" cysts. Which should the nurse consider as the reason for these cysts? 1. Pelvic inflammatory disease 2. Use of oral contraceptives 3. Endometrial overgrowth 4. Hormone imbalance

3

A female patient reports the inability to conceive as being because of the spouse's choice of underwear. What should the nurse consider about this patient's statement regarding sperm production? 1. Tight male underwear inhibits sperm production. 2. Tight male underwear impedes blood flow to the penis. 3. Tight underwear may increase heat in the genital area. 4. The patient is repeating an "old wives' tale."

3

A 30-year-old patient reports increased irritability during the days preceding the onset of her menstrual cycle. What should the nurse suggest to assist in the management of her irritability? Select all that apply. 1. Increasing dietary sugar intake to promote energy 2. Increasing intake of simple carbohydrates 3. Reducing caffeine intake 4. Using guided imagery 5. Drinking two glasses of red wine each evening

3,4

The nurse provides aftercare teaching to a patient recovering from a colposcopy. Which patient statement indicates an understanding of the information? Select all that apply. 1. "I will need to avoid heavy lifting for the next 4 weeks." 2. "I should douche at the end of 1 week to remove vaginal discharge." 3. "I can take ibuprofen for pain if needed." 4. "I will have some light vaginal discharge." 5. "I will report a temperature elevation to the physician's office."

3,4

During an assessment, the patient asks why the "armpit" is being assessed. How should the nurse respond? Select all that apply. 1. "I'm counting the ribs." 2. "Don't you feel your own armpits?" 3. "Breast tissue extends into this area." 4. "I'm assessing hair distribution in this area." 5. "The armpits should be part of a breast self-examination."

3,5

The nurse is completing a health history with a male patient and decides to include an assessment of the patient's sexual history for potential erectile dysfunction. What information in the history caused the nurse to make this decision? Select all that apply. 1. Brother treated for testicular cancer 2. Hip replacement surgery 6 months ago 3. Aortic aneurysm repair 2 years ago 4. Acetaminophen (Tylenol) for arthritis pain 5. Coronary artery bypass surgery 10 years ago

3,5

A female patient is concerned that a personal relationship will end because of a loss of interest in sex. Which would be an appropriate response for the nurse to make to this patient? 1. "I'm sure it's nothing and will go away in time." 2. "There are other activities you and your partner can do together." 3. "Sex isn't that important in a relationship anyway." 4. "Let's talk more about how you are feeling right now."

4

A female patient is experiencing increasing premenstrual symptoms over the past few years and thinks "something must be wrong." What should the nurse suspect is occurring with this patient? 1. Early menopausal symptoms 2. Premenstrual dysphoric disorder 3. Interpersonal relationship difficulties 4. Normal pattern of premenstrual syndrome

4

A female patient is scheduled for an ultrasound to examine the uterus. How should the nurse instruct the patient to prepare for the test? 1. Take a laxative the night before the test to clear the colon of feces. 2. Restrict fluids prior to the day of the test. 3. Take no food or fluids after midnight the day before the test. 4. Increase fluid intake and do not void until after the test.

4

A female patient of childbearing age is diagnosed with large uterine fibroids. What should the nurse expect the treatment of choice would be for this patient? 1. Oral contraceptives 2. Estrogen replacement 3. Iron replacement therapy 4. Leuprolide acetate (Lupron)

4

A female patient reports using special vitamins to "increase the production of eggs" to aid in conception. How should the nurse interpret this patient's action? 1. Proactive in attempts to become pregnant 2. Will result in improved health 3. Is anxious about nothing 4. Misinformed

4

A mass is found on a mammogram of a 42-year-old female patient and a cyst is confirmed by an ultrasound of the breast. Which should the nurse expect the next course of action to be for this patient? 1. Adopt the "watch and wait" approach. 2. Reduce caffeine intake. 3. Apply warm soaks to the cyst. 4. Have a surgical biopsy.

4

A female patient is informed that she has the BRCA1 gene. On which health problems should the nurse focus when assessing this patient? Select all that apply. 1. Asthma 2. Fibromyalgia 3. Heart disease 4. Breast cancer 5. Ovarian cancer

4,5

The nurse is performing an assessment of a female patient's breasts. Which finding indicates the need for further assessment? Select all that apply. 1. The breasts are not the same size. 2. The breasts do not display prominent veins. 3. The nipples are flat. 4. The breasts are reddened. 5. There is an area of dimpled skin.

4,5

) A female patient is complaining of a "watery" vaginal discharge with a "really strong fishy" odor. Which health problem should the nurse suspect this patient is experiencing? 1. Bacterial vaginosis 2. Yeast infection 3. Trichomoniasis infection 4. Genital warts

1

A female patient is experiencing intense vaginal itching with a cheesy discharge after using an over-the-counter vaginal cleanser daily for three weeks. Which disorder should the nurse suspect this patient is experiencing? 1. Candidiasis 2. Syphilis 3. Gonorrhea 4. Genital herpes

1

A male patient is "relieved" to learn that a sexually transmitted disease is not HIV. What would be an appropriate response for the nurse to make to this patient? 1. "Having a sexually transmitted infection does predispose the body to be infected with HIV if exposed to the virus." 2. "You are lucky. Not all patients have a disease that can be cured." 3. "I told you not to be concerned." 4. "You would know if you had HIV from the symptoms, which are not like those you have."

1

The nurse is preparing to review the sexual response cycle with an adolescent patient. In which order should the nurse review the phases of the cycle? Place in order the phases of the cycle. Choice 1. Plateau Choice 2. Resolution Choice 3. Excitement Choice 4. Orgasm

3,1,4,2

A male patient who has been diagnosed with gonorrhea twice over the last year states, "It's no big deal. I just come here and get antibiotics when it gets bad." What should the nurse identify as a priority problem for this patient? 1. Noncompliance related to disease treatment 2. Pain related to appearance of chancres 3. Impaired social interactions because of low self-esteem 4. Potential for harm to the patient and partners related to the disease process

1

A middle-aged patient who takes nitroglycerin for angina asks for a prescription to aid with erectile dysfunction. What should the nurse do in response to this patient's request? 1. Explain why the erectile dysfunction medication is not a good idea with the heart medication. 2. Provide education about the medication once the prescription is provided. 3. Remind the patient to stop taking the heart medication when planning to take the erectile dysfunction medication. 4. Suggest a behavioral health consult to analyze the reason for the erectile dysfunction.

1

A patient experiencing a "swollen" scrotum is found to have fluid within the scrotum. Which health problem should the nurse suspect this patient will need to have treated? 1. Hydrocele 2. Spermatocele 3. Varicocele 4. Scrotal cancer

1

A patient experiencing heaviness in the scrotum has a normal dehydrogenase level. What should this information indicate to the nurse? 1. More diagnostic tests for testicular cancer are needed. 2. The patient has testicular cancer. 3. The patient does not have testicular cancer. 4. The patient has a spermatocele.

1

A patient is diagnosed with benign prostatic hyperplasia. For which reason should this patient's blood pressure be closely monitored? 1. Whether the patient can tolerate doxazosin (Cardura) 2. Whether surgery is indicated 3. The volume of urine being retained in the bladder 4. The dose of finasteride (Proscar)

1

A patient is diagnosed with uterine prolapse into the vagina. Which factor should the nurse consider that likely contributed to this disorder? 1. Multiple pregnancies 2. Endometriosis 3. Pelvic inflammatory disease 4. Cervical tumor

1

A patient is planning to have surgery for the treatment of benign prostatic hyperplasia. Which procedure should the nurse explain has the fewest postoperative complications? 1. Transurethral needle ablation (TUNA) 2. Transurethral incision of the prostate (TURP) 3. Perineal prostatectomy 4. Suprapubic prostatectomy

1

A patient seeks medical attention for an erection that has lasted for more than four hours. What should the nurse include in the patient's assessment? 1. Prescribed medications 2. Substance abuse 3. Blood pressure 4. Number of sexual partners

1

A patient who had a laparoscopic surgical procedure calls the clinical facility with complaints of vaginal discharge. What action should the nurse take first? 1. Document the complaint. 2. Notify the healthcare provider. 3. Ask the patient to come to the clinic immediately. 4. Check if the patient has been prescribed an antibiotic

1

A patient who is being treated for epididymitis stops taking his antibiotics. Which health problem is this patient at risk for developing? 1. Orchitis 2. Priapism 3. Hydrocele 4. Spermatocele

1

A patient with genital herpes is experiencing increased pain with urination. What should the nurse suggest to the patient to manage this symptom? 1. Drink more water. 2. Drink more cranberry juice. 3. Drink more orange juice. 4. Restrict fluids.

1

A pregnant patient overhears the examiner referring to a positive Hegar sign and asks what this means. Which response by the nurse best explains this sign? 1. Hegar sign refers to the softening of the lower uterine segment during pregnancy. 2. Hegar sign refers to the skin changes noted in early pregnancy. 3. Hegar sign refers to the softening of the cervix during the early stages of pregnancy. 4. Hegar sign refers to the changes in color of the vaginal mucosa during pregnancy.

1

A young female patient reports having a "thin, runny discharge" from the vagina every month, about halfway through the menstrual cycle. What should the nurse realize this patient is describing? 1. Normal changes in cervical mucus 2. Evidence of a blocked vaginal gland 3. Sexual arousal response 4. Evidence of a sexually transmitted infection

1

An older male patient complains of problems emptying the bladder, especially at night. Which health problem should the nurse suspect the patient is experiencing? 1. Benign prostatic hyperplasia 2. Urinary tract infection 3. Bladder cancer 4. Testicular cancer

1

During a health history interview, the nurse learns that a patient is experiencing recent-onset impotence. Which question is most appropriate for the nurse to ask to identify a potential cause of the manifestation? 1. "For what disorders have you been treated in the past? 2. "Does this occur often?" 3. "How does your partner feel about this problem?" 4. "Are you on any medications?

1

During a routine patient admission history, a patient reports light bleeding between menstrual periods. What initial action by the nurse is most appropriate? 1. Determining the timing of the bleeding episodes 2. Determining the amount of bleeding 3. Assessing for the presence of sexually transmitted infections 4. Reviewing the length of the patient's normal menstrual cycles

1

The nurse is caring for a male patient with breast cancer. Which information should the nurse consider when planning care for this patient? 1. Caring for the man with breast cancer is essentially the same as for the woman with breast cancer. 2. Most issues are the same for men and women, but males do not die from the disease. 3. There are different types of breast cancers between men than women. 4. The treatments are different between men and women.

1

The nurse is completing the health history of a patient with documented androgen deficiency and erectile dysfunction (ED). Which patient response would be a contraindication for this patient's use of hormone replacement therapy to treat his ED? 1. "I am being treated for prostate cancer." 2. "I hate the idea of having an injection directly in my penis." 3. "I am currently taking antibiotics." 4. "Yes, I have a lot of hair on my chest and probably can't wear a patch."

1

A patient prefers to use the diaphragm as a method of birth control. Which sexually transmitted infection (STI) should the nurse review as being prevented by the use of this barrier? Select all that apply. 1. HIV 2. HPV 3. Gonorrhea 4. Chlamydia 5. Trichomoniasis

3,4,5

The nurse is instructing a patient with benign prostatic hyperplasia about techniques to reduce urinary retention. What should these instructions include? 1. Avoid alcoholic beverages. 2. Encourage ingesting large amounts of fluids at one time. 3. Urinate until all of the urine is drained from the bladder. 4. Over-the-counter cold remedies are permitted with other medications.

1

The nurse is placing an indwelling urinary catheter in an uncircumcised male patient. For which reason should the nurse replace the foreskin after insertion? 1. Paraphimosis may occur as a result of long-term retraction of the foreskin causing ischemia of the glans. 2. Phimosis may occur due to chronic infections and adhesions under the foreskin which results in constriction of the foreskin. 3. Priapism may occur as a result of impaired blood flow in the penis. 4. Replacement of the foreskin prevents malignant changes of the penis.

1

The nurse is planning to teach a group of adolescents about sexually transmitted infections. What information concerning genital warts should be included? 1. Hand washing will aid in reducing the spread of genital warts. 2. Genital warts will result in cervical cancer for the majority of women who get them. 3. Women who have certain types of genital warts should be vaccinated against other types. 4. The risk for the development of penile cancer is high in men diagnosed with genital warts.

1

The patient undergoing brachytherapy for prostate cancer is being given instructions for home care. Which patient statement indicates a need for clarification? 1. "It will be nice to sleep in the same bed as my partner." 2. "Guess I'll have to go buy a box of condoms." 3. "I'll be disappointed about not seeing my grandkids." 4. "I'll make an appointment for my next PSA examination."

1

The spouse of a patient scheduled for a radical prostatectomy asks if the surgery will affect "their sex life." What is the nurse's most appropriate response? 1. "The incidence of sexual dysfunction varies considerably among patients having this surgery." 2. "No, it shouldn't, but you need to talk to the surgeon." 3. "I can't answer any of your questions without first talking to the patient." 4. "Don't worry; the hospital staff will review everything with you the morning of the surgery."

1

The spouse of a patient with prostate cancer asks what a stage I tumor means. What is the most appropriate response by the nurse? 1. "Stage I means the cancer involves only the prostate, and surgery and radiation treatments are usually needed." 2. "Staging involves a definition of the type of tumor and the treatment plan." 3. "Did your spouse report having a stage I tumor?" 4. "Let's wait until the doctor comes, and you can talk with him."

1

A patient is recovering from a penile implant procedure. What should be included in the care of and teaching about the implant? Select all that apply. 1. Encourage the patient to practice inflating and deflating the device during the recovery period. 2. Suggest wearing snug-fitting underwear and loose-fitting trousers to conceal the semi-erection. 3. Encourage the patient to resume sexual activity within three weeks. 4. Remind the patient to not inflate or deflate the device for at least four weeks. 5. Suggest wearing loose-fitting underwear and trousers.

1,2

The nurse is caring for a patient recovering from prostate surgery. Which action should the nurse take if the patient's urine in the urinary irrigation drainage bag is very dark red? Select all that apply. 1. Check for catheter occlusion. 2. Increase the flow rate of irrigant solution. 3. Check vital signs. 4. Ask the patient to drink more oral fluids. 5. Assess the patient for hyponatremia.

1,2

A 40-year-old male is diagnosed with epididymitis. What should the nurse consider as being a potential cause of this disorder? Select all that apply. 1. Urinary tract infection 2. Prostatitis 3. Unprotected anal intercourse 4. Gonorrhea 5. Undiagnosed congenital disorder

1,2,3

A patient recovering from prostate surgery is being discharged. What should the nurse include in this patient's instructions? Select all that apply. 1. Do not drive for two weeks. 2. Sexual intercourse should not occur for six weeks. 3. Call the physician if the scrotum becomes swollen and tender. 4. Take aspirin or NSAIDs for discomfort. 5. You may return to work in two weeks.

1,2,3

The nurse is caring for a patient who had a prostatectomy and is now having bladder spasms. What action should the nurse take? Select all that apply. 1. Administer belladonna and opium (B&O) suppositories as prescribed. 2. Check to see if the urinary catheter is draining. 3. Ask the patient if he feels the need to have a bowel movement. 4. Increase the rate of flow of urinary catheter irrigation solution. 5. Assess the patient's temperature.

1,2,3

The nurse is planning instructions for a patient diagnosed with prostatitis. What should be included in these instructions? Select all that apply. 1. Increase fluid intake up to 3 L per day. 2. Adhere to a daily bowel movement regime. 3. Remind the patient that the condition is not contagious. 4. Only take antibiotics when symptoms are present. 5. Withhold voiding for as long as possible.

1,2,3

The nurse is reviewing instructions for a patient recovering from a D&C. What should the nurse emphasize when teaching this patient? Select all that apply. 1. Recognize signs of an infection. 2. Avoid using tampons for 2 weeks. 3. Understand what the vaginal discharge will look like. 4. Expect the next menstrual period to be early. 5. Expect vaginal bleeding to be bright red and very heavy.

1,2,3

While reviewing data collected during a health fair, the nurse determines that a male community member should be evaluated for testicular cancer. What risk factor did the patient identify that caused the nurse to make this recommendation? Select all that apply. 1. 30 years old 2. Testicular cancer in father 3. Cryptorchidism at birth 4. Hypertension treatment 5. Two beers daily

1,2,3

A patient is diagnosed with priapism. What should the nurse include in the plan of care for this patient? Select all that apply. 1. Assess the penis to include color changes and degree of erection. 2. Palpate the penis for firmness and rigidity. 3. Administer analgesics as prescribed for pain. 4. Administer iced saline enemas as prescribed. 5. Push oral fluids.

1,2,3,4

A patient with osteoarthritis is postmenopausal and is upset because intercourse is uncomfortable. What should the nurse suggest to this patient? Select all that apply. 1. Use a water-soluble vaginal lubricant. 2. Consider estrogen replacement therapy. 3. Engage in intercourse on a regular basis. 4. Adapt the position for intercourse to reduce pain. 5. Accept that sexual intercourse will need to reduced.

1,2,3,4

A patient with repeated bouts of epididymitis is adamant that prescribed medication is always taken. What additional question should the nurse ask to determine possible causes of epididymitis? Select all that apply. 1. "Are you sexually active?" 2. "Do you use condoms?" 3. "Do you practice unprotected anal intercourse?" 4. "Do you do any heavy lifting?" 5. "Do you use any drugs or alcohol?"

1,2,3,4

After prostate surgery, a patient is being discharged with an indwelling urinary catheter in place. What teaching should the nurse provide to this patient? Select all that apply. 1. Use the larger urinary drainage bag at night. 2. Keep the larger urinary drainage bag at a level that permits gravity drainage. 3. Do not strap the leg bag too tightly. 4. Place a soft cloth between the leg bag and the skin. 5. Empty the leg bag at least twice a day.

1,2,3,4

The nurse is concerned that a patient is at risk for developing cancer of the penis. What did the nurse assess to make this clinical determination? Select all that apply. 1. Phimosis 2. Human papilloma virus (HPV) 3. HIV infection 4. Excessive ultraviolet light exposure 5. Being Jewish or Muslim

1,2,3,4

) Long-term hormone replacement therapy (HRT) is being discussed with a patient who is scheduled for a total hysterectomy. For which health problem will this patient be at risk for developing? Select all that apply. 1. Breast cancer 2. Stroke 3. Venous thrombosis 4. Colon cancer 5. Heart attack

1,2,3,5

A male patient is concerned about the inability to ejaculate during sexual intercourse. What information in the patient's medical record should the nurse use to help determine the cause for the patient's health problem? Select all that apply. 1. Medication for hypertension 2. Medication for anxiety 3. Treatment for bipolar disorder 4. Topical steroid for psoriasis 5. Narcotic for chronic back pain

1,2,3,5

A patient asks about alternative and complementary therapies that might be used in place of hormone replacement therapy after menopause. Which herbal supplement should the nurse review with the patient? Select all that apply. 1. Black cohosh 2. Ginseng 3. Ginger 4. Flaxseed 5. St. John's wort

1,2,4

A patient is prescribed pain medication to assist in the treatment of bacterial prostatitis. What additional nonpharmacological intervention should the nurse suggest to the patient to help control the pain of this health problem? Select all that apply. 1. Warm bath 2. Avoiding sitting 3. Taking a walk 4. Stress-reduction activities 5. Applying ice to the rectal area

1,2,4

During a physical examination, a young patient asks for information about birth control. What information in the patient's history should the nurse use to guide teaching? Select all that apply. 1. Multiple sex partners 2. No use of condoms 3. Lives with grandmother 4. Aged 15 5. Allergic to penicillin

1,2,4

A female patient is seen for a recurrence of a vaginal infection. What teaching should the nurse realize this patient needs? Select all that apply. 1. Implementing personal hygiene 2. Avoiding tight underwear 3. Saving some of the prescribed medication for use when symptoms return 4. Avoiding sexual contact until the infection heals 5. Avoiding feminine hygiene products

1,2,4,5

The nurse suspects that patient who received intramuscular penicillin for treatment of secondary syphilis is developing the Jarisch-Herxheimer reaction. What information did the nurse use to make this clinical determination? Select all that apply. 1. New onset of fever 2. Heart rate 112 beats per minute 3. Sudden severe abdominal cramping 4. Complaints of musculoskeletal pain 5. Administration of medication 16 hours ago

1,2,4,5

During a health interview, a male patient expresses the desire to avoid developing prostate cancer with aging. What should the nurse recommend to reduce this patient's risk factors for the health problem? Select all that apply. 1. Avoiding vasectomy 2. Reducing the intake of animal fat 3. Increasing the intake of vitamin C 4. Restricting exposure to spermicides 5. Taking vitamin A supplements

1,2,5

A female patient has just been diagnosed with a trichomonas infection. What symptom should the nurse expect to assess in this patient? Select all that apply. 1. Frothy yellow drainage 2. Smooth lesions on labia majora 3. Itching and irritation of the genitalia 4. Dysuria 5. Fever

1,3,4

A patient diagnosed with gonorrhea has not been adhering to the prescribed medication regime. What finding indicates the patient is experiencing complications of the disease? Select all that apply. 1. WBC 22,000 2. Ambulating slowly with legs apart 3. Abdominal pain 4. Vaginal bleeding unrelated to menstruation 5. Serum potassium of 3.8 mEq/L

1,3,4

A patient is concerned about developing cervical cancer. For which risk factor should the nurse assess this patient? Select all that apply. 1. History of HPV infections 2. First intercourse before the age of 20 3. Multiple sex partners 4. Long-term use of birth control pills 5. Alcohol abuse

1,3,4

A patient who contracted syphilis from a sexual partner infected the spouse. What intervention should the nurse plan for this couple? Select all that apply. 1. Explain the need for follow-up testing in three months and six months. 2. Refer to a marriage counselor. 3. Administer intramuscular injection of penicillin G as prescribed. 4. Discuss abstaining from sexual activity until cured. 5. Review handwashing techniques

1,3,4

The nurse instructs a patient diagnosed with pelvic inflammatory disease regarding the use of tampons. Which patient statements indicate that teaching has been effective? Select all that apply. 1. "I will be able to wear tampons." 2. "The use of tampons is forever prohibited." 3. "Tampons must be changed at least every four hours." 4. "I should not wear tampons at night, but pads instead." 5. "I should immediately report any malodorous discharge, fever, or pelvic pain."

1,3,4,5

A patient with abnormal uterine bleeding (AUB) has been informed that this problem requires surgical intervention. Which procedure should the nurse review with this patient? Select all that apply. 1. Hysterectomy 2. Laparoscopy 3. Endometrial ablation 4. Hormonal agents 5. Therapeutic dilatation and curettage (D&C)

1,3,5

The nurse is preparing to assess a female adolescent diagnosed with Turner syndrome. What finding should the nurse expect because of this genetic disorder? Select all that apply. 1. Webbed neck 2. Muscle atrophy 3. Short stature 4. Facial hair growth 5. Lack of sexual development

1,3,5

The nurse is providing community education to a large group of high school students about the characteristics of sexually transmitted infections (STIs). Which characteristic would be beneficial for the students to understand? Select all that apply. 1. Most STIs can be prevented by the use of latex condoms. 2. STIs cannot occur from the first sexual experience. 3. For treatment to be effective, both partners must be treated for STIs. 4. There are few complications resulting from delayed treatment of STIs. 5. A person with multiple sexual partners is at a greater risk for STIs

1,3,5

A 40-year-old male seeks medical attention for impotence. Which patient statement should the nurse further investigate? Select all that apply. 1. "I take medications to help me sleep several times per week." 2. "I had the mumps when I was a boy." 3. "I had a vasectomy 4 years ago." 4. "I have had diabetes for several years." 5. "My wife has a history of cervical cancer."

1,4

A patient is preparing to be discharged to home after a hysterectomy. Which patient statement indicates that discharge teaching has been successful? Select all that apply. 1. "I will need to report a temperature greater than 101 degrees." 2. "I might experience vaginal bleeding for about 1 week." 3. "I will need to report any hot flashes and night sweats." 4. "I will still need to see my physician for gynecological examinations." 5. "I should not drive my car for the next few weeks."

1,4

The nurse is caring for a patient who will be receiving radiation therapy for cervical cancer. Which teaching should the nurse provide? Select all that apply. 1. Wound and skin care 2. Applying oil-based lotions to the skin 3. How to remove the markings from the skin 4. Monitoring for evidence of fistula formation 5. Applying heat to the abdomen with a heating pad

1,4

The nurse is caring for a patient with syphilis. In which order should the nurse explain the disease process to the patient? Place in order the steps of the process. Choice 1. Appearance of a chancre and regional enlargement of lymph nodes Choice 2. Localized development of gummas Choice 3. Asymptomatic period Choice 4. Skin rash on palms and feet

1,4,3,2

The nurse is developing a teaching plan for a postmenopausal woman who has stress incontinence secondary to a prolapsed uterus. Which intervention should be included in the teaching plan? Select all that apply. 1. Kegel exercises 2. Increased caffeine intake 3. Use of progesterone supplements 4. Proper perineal care 5. Use of perineal pads

1,4,5

The nurse is reviewing the manifestations of premenstrual syndrome (PMS) with a group of community members. Which dietary change should the nurse recommend? Select all that apply. 1. Eating a diet high in complex carbohydrates 2. Eating a diet high in protein 3. Increasing caffeine intake 4. Increasing fat intake 5. Reducing sodium and alcohol consumption

1,5

A female patient is experiencing a painless, ulcerated area on the labia. What should the nurse suspect is occurring with this patient? 1. Herpes simplex II 2. Syphilis 3. Condylomata acuminata 4. Gonorrhea

2

A female patient is seen for a new onset of blisters on the labia majora. Which health problem should the nurse suspect the patient is experiencing? 1. A drug reaction 2. First episode of a herpes virus infection 3. Prodromal symptoms of the herpes virus 4. Latency period of the herpes virus infection

2

A female patient reports using "the medication for a yeast infection" but it is not "getting any better." What should the nurse consider is occurring with this patient? 1. Has not used the medication long enough 2. Might be using a treatment that is not appropriate for the cause 3. Is not using the medication correctly 4. Is not washing her hands before applying the medication

2

A male patient experiencing a small, painless lesion on the side of the penis is sexually active with multiple partners and does not use a condom. Which STI should the nurse suspect this patient is experiencing? 1. Condyloma acuminatum 2. Syphilis 3. Gonorrhea 4. Chlamydia

2

A patient asks which method of contraception will provide the greatest protection against sexually transmitted infections. What method should the nurse recommend? 1. Oral contraceptives 2. Male condoms 3. Sponges 4. Spermicides

2

A patient is to receive hormone therapy as adjunct treatment for advanced breast cancer. Which oral medication should the nurse anticipate being prescribed for this patient? 1. Trastuzumab (Herceptin) 2. Bevacizumab (Avastin) 3. Goserelin (Zoladex) 4. Fulvestrant (Faslodex)

2

A patient recently treated for pelvic inflammatory disease asks how to prevent a recurrence of the disease. What information should the nurse provide for the patient? 1. The physician will prescribe prophylactic antibiotic therapy. 2. The use of condoms will be beneficial. 3. Annual gynecological examinations should be scheduled. 4. Douching after intercourse will assist in removing potential pathogens from the genital area.

2

During the bimanual examination of a patient's uterus, the nurse notes that the uterus is tilted toward the back. What should the nurse explain to the patient about this finding? 1. The uterus of a patient who has carried a child to term is frequently in a tilted-back position. 2. The uterus may be tilted backward (retroverted) or angled backward (retroflexed). 3. The uterus of a patient with fibroid tumors frequently tilts back under the weight of the tumors. 4. The backward tilt of the uterus is consistent with pregnancy in the second or third trimester.

2

While collecting data from a couple experiencing infertility, the male partner, age 52, asks why information about his mother's pregnancy is important. How should the nurse respond? 1. "Collecting information about a patient's immediate family is required." 2. "Medication exposure during pregnancy may impact the long-range fertility of the woman's male children." 3. "If your mother experienced infertility, you are at a higher risk for infertility." 4. "Although the greater concerns relate to the female's mother, we collect information on both of you to create a more balanced picture."

2

A patient is suspected of having endometrial cancer. For which diagnostic procedure should the nurse prepare this patient? Select all that apply. 1. Abdominal x-ray 2. Transvaginal ultrasound 3. Dilatation and curettage (D&C) 4. Intravenous pyelogram 5. CT scan of abdomen

2,3

The nurse is planning care for a woman with premenstrual syndrome (PMS). On which problem should the nurse focus when planning this patient's care? Select all that apply. 1. Issues with self-esteem 2. Problems managing acute pain 3. Difficulty coping 4. Potential problems with body image 5. Sexual dysfunction

2,3

The nurse is reviewing a list of patients seen in the community clinic. Which patient should the nurse identify as having a reportable sexually transmitted disease? Select all that apply. 1. Aged 26 with bacterial vaginosis 2. Aged 32 with syphilis 3. Aged 16 with gonorrhea 4. Aged 17 with trichomonas 5. Aged 22 with vaginal candidiasis

2,3

A patient is preparing to return home after repair of a vaginal fistula. What teaching should the nurse provide before this patient is discharged? Select all that apply. 1. Maintain bed rest for a week. 2. Use perineal pads as directed. 3. Perform perineal irrigation as prescribed. 4. Cleanse the perineal area daily with a sitz bath. 5. Apply topical antibacterial ointment to the area.

2,3,4

During a health history of a patient with uterine dysfunction, the nurse determines that oral contraceptives would be contraindicated for this patient. What did the nurse assess to make this clinical determination? Select all that apply. 1. The patient takes vitamin C every day. 2. The patient smokes one ppd of cigarettes. 3. The patient takes antihypertensive medication. 4. The patient was treated for thrombophlebitis after her last pregnancy. 5. The patient's father has had several joints replaced because of arthritis.

2,3,4

During a health history, the nurse becomes concerned that a male patient is at risk for cancer of the reproductive organs. What genetic information about this patient caused the nurse's concern? Select all that apply. 1. The patient's mother has arthritis. 2. The patient's father had prostate cancer. 3. The patient's brother was treated for testicular cancer. 4. The patient was treated for cryptorchidism as a young child. 5. The patient's uncle has been diagnosed with type 2 diabetes mellitus.

2,3,4

A patient believes that she is beginning menopause. For which manifestation should the nurse assess this patient? Select all that apply. 1. Increased body hair 2. Vaginal dryness 3. Hot flashes 4. Night sweats 5. Vaginitis

2,3,4,5

A patient reports having pain during intercourse. For which health problem should the nurse assess this patient? Select all that apply. 1. Perforated hymen 2. Vaginal scarring 3. Fear of sexual abuse 4. Vaginismus 5. Climacteric

2,3,4,5

A patient with pelvic inflammatory disease (PID) wants to avoid long-term effects. Which intervention should the nurse select to help achieve this patient's goal? Select all that apply. 1. Instruct on perineal care. 2. Ensure thorough hand hygiene. 3. Disinfect bedpan and toilet seat. 4. Administer antibiotic therapy as prescribed. 5. Monitor for adverse effects of antibiotic therapy.

2,3,4,5

After genetic testing, it is determined that a male patient is missing the sex-determining region Y gene (SRY). What manifestations should the nurse expect to assess in this patient? Select all that apply. 1. Balanitis 2. Minimal libido 3. Negative sperm production 4. No secondary sex characteristics 5. Changes in bone and muscle structure

2,3,4,5

The nurse is preparing a teaching tool on testicular self-examination. Which information should the nurse include? Select all that apply. 1. Examine the testicles once a week. 2. Examine while taking a warm shower. 3. Identify the epididymis as soft and tender. 4. Identify the spermatic cord as firm and smooth. 5. Gently roll each testicle between the thumb and fingers.

2,3,4,5

A 25-year-old female is diagnosed with endometriosis. What should the nurse include when teaching the patient about this disorder? Select all that apply. 1. Endometriosis can be treated without any long-term effects. 2. If the woman desires children, she should be encouraged to become pregnant before the disease progresses. 3. Laser ablation and birth control pills are the treatments for this condition. 4. Leaving the condition untreated will not result in any long-term health issues. 5. Dyspareunia can occur.

2,3,5

A female patient continues to develop vaginal infections. What teaching should the nurse provide to assist this patient? Select all that apply. 1. "Wear only nylon underwear." 2. "Be sure to wash the perineal region daily and as necessary throughout the day." 3. "Avoid wearing tight jeans or pants." 4. "Douche daily." 5. "Use condoms when engaging in sexual activity."

2,3,5

The nurse is assisting a patient with ways to reduce the severity of the monthly discomfort associated with premenstrual syndrome. What information should the nurse review with this patient? Select all that apply. 1. Apply ice packs to the lower abdominal region. 2. Practice abdominal breathing. 3. Balance exercise with rest. 4. Increase sodium intake. 5. Restrict caffeine intake.

2,3,5

The nurse is planning a teaching session about STIs for a group of college students. What should the nurse keep in mind when teaching? Select all that apply. 1. One in two sexually active persons will contract an STI by age 25. 2. Many STIs are more easily transmitted from a man to a woman than from a woman to a man. 3. Oral contraceptives do not protect against STIs. 4. Research supports that there is a relationship between domestic violence and STI infections. 5. Sexual activity with multiple partners is associated with increased incidence of STIs.

2,3,5

The nurse is preparing to counsel a 46-year-old woman who has been postmenopausal for 1 year about the common health risks associated with menopause. What should the nurse include in this teaching? Select all that apply. 1. Hypertension 2. Heart disease 3. Diabetes 4. Macular degeneration 5. Osteoporosis

2,4,5

The nurse is concerned that a male patient may have breast cancer. What did the nurse assess to make this clinical decision? Select all that apply. 1. A painless nodule in the testis 2. Enlarged supraventricular nodes 3. Femoral bulge that increases with coughing 4. Tender disk of breast tissue behind the areola 5. Hard, irregular, fixed nodule in the nipple area

2,5

The nurse is reviewing medication prescribed for a patient with uncomplicated gonorrhea. Which medication should the nurse expect to be prescribed for this patient? Select all that apply. 1. Cefoxitin 2. Ceftriaxone 3. Doxycycline 4. Clindamycin 5. Azithromycin

2,5

A female patient diagnosed with a chlamydial infection denies any symptoms of the disease and asks when the disease was contracted. What information should the nurse provide to the patient? 1. The patient has most likely had the infection for about 1-3 weeks. 2. The infection has been in her body for less than one month, since no symptoms are present. 3. The infection might have been in her body for an indefinite period of time. 4. Symptoms typically begin a few months after the infection enters the body.

3

A male patient is concerned about a "smooth growth" that appeared on the penis. Which type of genital wart should the nurse suspect this patient is experiencing? 1. Condyloma acuminatum 2. Keratotic wart 3. Papular wart 4. Flat wart

3

A patient diagnosed with herpes simplex II is concerned about sexual relations. What information should be provided to the patient? 1. The infection can be transmitted only when lesions are present. 2. The infection can be prevented with condom use. 3. Sexual relations must be avoided during the prodromal period and for at least 10 days after the lesions are healed. 4. Sexual activity is permissible once the lesions have dried out.

3

A patient who had an exploratory laparoscopic surgical procedure 36 hours ago reports feeling shoulder pain. How should the nurse respond? 1. "The surgical table is famous for causing patients shoulder pain after procedures." 2. "You are likely not sleeping well, which can lead to shoulder discomfort." 3. "This pain is caused by the gases used during the surgical procedure." 4. "This pain should go away soon."

3

A patient who was recently diagnosed with ovarian cancer wants to have children. Which type of treatment should the nurse expect to be prescribed first for this patient? 1. Chemotherapy 2. Radiation therapy 3. Surgery to remove one ovary 4. Hormone replacement therapy

3

An 18-year-old female patient who reports feeling two nonpainful ulcerations on the labia asks if they might be herpes simplex. What response should the nurse make? 1. "Those spots do sound consistent with herpes simplex." 2. "Have you been having sex with new partners?" 3. "Herpes lesions are usually painful." 4. "The lesions you describe are most consistent with genital warts."

3

An older female patient is experiencing growth of hair on the chin. Which age-related change should the nurse associate with this finding? 1. Increased estrogen production 2. Increased production of luteinizing hormone 3. Decreased estrogen production 4. Decreased production of follicle-stimulating hormone

3

During an assessment of a female patient's internal genitalia, the nurse feels a bulge along the posterior vaginal wall. What should the nurse suspect is occurring with this patient? 1. Prolapsed uterus 2. Cystocele 3. Rectocele 4. Blocked gland

3

During the vaginal examination of a 33-year-old patient, a nontender mass at the posterolateral portion of the labia majora is noted. What should the nurse suspect is occurring with the patient? 1. Rectocele 2. Fistula 3. Bartholin cyst 4. Cyst of Skene's gland

3

The nurse is conducting a presentation to a group of women concerning menopause. Which statement by a participant indicates an understanding about the process? Select all that apply. 1. "Lubrication for intercourse will not be as necessary after menopause." 2. "My risk for vaginal infections declines as my estrogen levels decrease during menopause." 3. "My uterus will shrink in size after menopause." 4. "My skin will thicken after menopause." 5. "I should start practicing Kegel exercises."

3,5

A female patient develops small painful blisters on the labia that occurred after having sex with a new partner about six days ago. Which STI should the nurse suspect this patient is experiencing? 1. Syphilis 2. Gonorrhea 3. Chlamydia 4. Genital herpes

4

A female patient is having difficulty accepting the diagnosis of a sexually transmitted disease because of being "on the pill" for years. Which information should the nurse provide to aid this patient? 1. Skipping doses could have caused the disease. 2. Type of birth control pill being used needs to be changed. 3. Some diseases are virulent, and the pill will not provide protection. 4. Oral contraceptives do not protect against sexually transmitted diseases.

4

A female patient who was just diagnosed with a sexually transmitted infection is beginning treatment. What should the nurse remind the patient to do? 1. Avoid all sexual activity in the future. 2. Begin birth control pills to prevent future disease transmission. 3. Be pleased that she was not diagnosed with HIV. 4. Inform all sexual partners about the diagnosis so they can also be treated

4

A patient diagnosed with latent syphilis asks about transmitting the disease to others. What information should be provided to the patient? 1. "You will need to abstain from sexual relations until treatment is completed." 2. "You will need to wear a condom." 3. "At this late stage, the disease is contained to only you." 4. "At this stage of the disease, transmission is by contact with blood."

4

A patient is scheduled for a laparoscopic procedure. Which patient statement indicates a need for further education about the procedure? 1. "I can expect to go home a few hours after the procedure." 2. "I might experience some abdominal pain after the procedure." 3. "There might be some vaginal bleeding after the procedure." 4. "Shoulder pain should be reported, as it might signal a complication."

4

A patient is scheduled to have an endometrial biopsy. After the nurse provides education concerning the test, which patient statement indicates an understanding of the procedure? 1. "I may need a strong pain medication for the first several days after the test." 2. "I may not have a regular menstrual cycle for 3 to 6 months after the test." 3. "If I have bleeding after the procedure, I can use junior-size tampons." 4. "I should avoid sexual intercourse in the days following the procedure."

4

A patient recently diagnosed with herpes simplex II asks how to best manage the lesions. What information should the nurse provide for this patient? 1. The use of soap should be restricted. 2. It is safe to use a solution of 50% rubbing alcohol and 50% water to clean the lesions. 3. Wearing nylon panties will reduce discomfort. 4. Gentle soap and water can be used to clean the lesions.

4

A patient recovering from a complete hysterectomy for endometrial cancer is concerned about having sexual encounters because of activity intolerance. What should the nurse suggest to assist this patient? 1. The patient should engage in other activities. 2. The patient should discuss fears with a counselor. 3. The patient should be thankful for surviving cancer surgery. 4. The patient can coordinate sexual activity with rest periods and pain-free periods

4

A patient who has been experiencing premenstrual syndrome (PMS) reports to the clinic with a diet diary she has kept over the past several weeks. For which entry should the nurse recommend making a dietary change? 1. Daily intake of caffeine-free soda 2. Daily intake of low-fat yogurt 3. Daily intake of foods rich in magnesium 4. Daily intake of white bread

4

A postmenopausal patient is diagnosed with cervical dysplasia caused by the human papillomavirus. For which procedure that would both diagnose and treat the dysplasia should the nurse prepare this patient? 1. Pap smear 2. Colposcopy 3. Cervical biopsy 4. Loop diathermy

4

After the removal of genital warts, the male patient says, "Now I can have sex again." What information should the nurse provide to this patient? 1. Preventing reinfection now that he is cured of the warts 2. Using a chemical barrier to avoid impregnating his partner 3. Asking every partner if she has a diagnosed sexually transmitted disease 4. Using a condom with all sexual activity

4

An adolescent female patient reports being sexually active for two months. For which sexually transmitted infection should this patient be assessed? 1. Genital herpes 2. Human papillomavirus 3. Condyloma acuminatum 4. Chlamydia

4

The analysis of a patient's semen indicates the patient could have difficulty impregnating his spouse. Which volume of sperm per milliliter does this patient most likely have? 1. 150 million 2. 100 million 3. 50 million 4. 5 million

4

The nipples of a 22-year-old female patient's breasts are pointing in different directions. What action should the nurse take? 1. The findings should be documented as normal. 2. The nurse will need to question the patient to determine if she is breastfeeding. 3. The finding will need to be reported for follow-up hormone level assessments. 4. The finding will need to be reported for further testing to rule out a malignancy.

4

The nurse is preparing to teach a patient newly diagnosed with chlamydia trachomatis on the pathophysiology of the disease process. In which order should the nurse explain this process to the patient? Place in order the steps of the process. Choice 1. Organism enters a cell and changes into a reticulate body. Choice 2. Reticulate body divides within the cell. Choice 3. The cell bursts. Choice 4. Organism enters the body as an elementary body. Choice 5. The reticulate body infects the adjoining cells.

4,1,2,3,5