Week 1 Test
The nurse is conducting a health history when the client states that her last menstrual period was 6 months ago. Upon further questioning, the client also states that symptoms of hot flashes and mood fluctuations. Which question should the nurse ask next?
"Are you taking any hormone replacement therapy?" ✓
The nurse is providing teaching to a client who is scheduled for a mammogram. Which of the following would the nurse include as a way to avoid artifacts on the x-ray film?
"Avoid using a deodorant with aluminum hydroxide." ✓
The nurse is discussing information regarding the human papilloma viral (HPV) infection. Which statement, made by the client, requires clarification?
"HPV is spread during sexual intercourse." ✓
When assessing high-risk behaviors, which question specifically identifies a blood-related risk for a sexually transmitted infection?
"Have you ever received donor semen, eggs, or transplanted tissue?" ✓
The nurse is instructing a client on proper procedures to protect herself from sexually transmitted infections (STIs). Which statement, made by the client, needs clarification?
"I consider myself protected because I am on birth control pills." ✓
7. When evaluating the therapeutic outcome of medication therapy for a client with herpes simples virus (HSV), which client statement best confirms medication use?
"I seem to have less breakouts with fewer symptoms."
Which of the following client statements indicates successful teaching of a client who is scheduled to have a Pap test?
"I will stop using any vaginal medications at least 48 hours before the test." ✓
A client with genital warts is receiving treatment with a local application of trichloroacetic acid. Which client statement indicates adequate understanding of the procedure?
"I'm temporarily not contagious once the warts are destroyed." ✓
A client with a history of HSV-2 infection asks the nurse about future sexual activity. Which of the following responses would be most appropriate?
"Inform all potential sexual partners about the infection, even if it is inactive." ✓
The nurse is completing community education when asked by a client without health insurance why a mammogram is needed if the women are completing breast self- examinations at home. The nurse is most correct to respond stating which of the following?
"Mammograms can detect cysts or tumors too small to palpate." ✓
A nurse is caring for a client who is being evaluated for a lump found on the lateral aspect of the right breast. The client is anxious and asks the nurse if the next step is to have a mastectomy. Which is the nurse's best response?
"Many times, an ultrasound is done to distinguish between a tumor and cyst." ✓
The nurse is obtaining a health history at the client's annual gynecologic exam. Which of the following statements regarding a Papanicolaou test (Pap test) for cancer screening would delay the exam?
"My menstrual period began yesterday." ✓
A 52-year-old client asks the nurse how she is to remember when to schedule her clinical breast examination. Which response by the nurse is most correct?
"The clinical breast evaluation will be completed with annual gynecologic examination." ✓
During a sexual history, the client states that she has had multiple sex partners. Which statement by the nurse is most correct?
"What do you do to prevent sexually transmitted infections?"
Which nursing question is essential when caring for a client prior to a pelvic examination?
"Would you like to void at this time?" ✓
6. The nurse is counseling a client who has been diagnosed with two sexually transmitted infections. The client is shocked and states not knowing how this has happened. Which of the following statements is most appropriate by the nurse?
"Your partner could have been asymptomatic at that time." ✓
The nurse is assisting a 30-year-old client in scheduling an appointment for a cervical biopsy. The nurse would recommend that the client schedule the testing at which time?
1 week after completion of the client's menstrual cycle ✓
The nurse is giving a presentation about chlamydia to a group of adult women. The nurse would emphasize the need for annual screening for this infection in all sexually active women younger than which age?
24 ✓
3. Which of the following should a nurse consider when assessing older clients with a sexually transmitted infection (STI)?
Abandon biases that older adults are sexually inactive. ✓
The nurse is caring for a client scheduled for a transrectal ultrasonography. Which instruction is essential in obtaining an accurate test?
Administer an enema prior to arrival. ✓
Which of the following would be most important for the nurse to include to ensure a thorough baseline history related to the reproductive system?
Age of menarche ✓
A female patient comes to the clinic after missing one menstrual period. She lives in a house beneath electrical power lines which is located near an oil field. She drinks two caffeinated beverages a day, is a daily beer drinker, and has not stopped eating sweets. She takes a multivitamin and exercises daily. She denies drug use. Which finding in the history has the greatest implication for this patient's plan of care?
Alcohol exposure should be avoided during pregnancy due to teratogenicity. ✓
In order to fully assess the patient and plan appropriate care including health teaching regarding sexuality the nurse should realize that which patient is most at risk for sexual abuse?
An individual with intellectual or developmental disabilities ✓
The nurse is obtaining a history from a male client who states having difficulty achieving and sustaining an erection. When reviewing the medication history, which medication classification does the nurse anticipate?
Antihypertensives ✓
The nurse is reviewing the chart of a client newly diagnosed with syphilis. Which question is most important to ask next?
Are you allergic to penicillin? ✓
A client is diagnosed with prostatitis. Which of the following is the most important teaching point for the management of this disorder?
Avoid prolonged sitting. ✓
The nurse is instructing a health class on the proper use of a condom. Place the steps of applying a condom in the proper order. Use all options. Points: 0/1 A) Obtain an erection. B) Check the expiration date of the condom. C) Unroll the condom over the penis leaving a 1/2 -inch space at the top. D) Dispose of the used condom. E) Roll the condom up to the tip of the penis pinching the top.
B, A, C, E, D ✓
The nurse is caring for a group of clients at a public health clinic. Which sexually transmitted infection would the nurse focus the client education on curative goals?
Chlamydia
The nurse is providing education to the client newly diagnosed with three different types of sexually transmitted infections. Which of the following does the nurse identify to the client as the most common reportable sexually transmitted infection?
Chlamydia ✓
13. The experienced nurse is assisting the novice nurse in caring for a client with a newly acquired sexually transmitted infection. Which of the following infections does the experienced nurse stress to report to the Centers for Disease Control and Prevention (CDC)? Select all that apply.
Chlamydia ✓ Syphilis ✓ HIV ✓ Gonorrhea ✓
Which of the following would the nurse expect to be done to assess the size of the prostate?
Digital rectal examination ✓
Which of the following instructions would be appropriate to include when preparing a woman for an abdominal ultrasound?
Drink at least 1 quart of water an hour before the test. ✓
A female infertility patient is found to be hypoestrogenic at the preconceptual clinic visit. She asks the nurse why she has never been able to get pregnant. Which response is best?
Estrogen deficiency prevents the ovum from reaching the uterus and may be a factor in infertility. ✓
A 55-year-old male patient post-myocardial infarction (MI) asks the nurse whether he will be healthy enough for sexual activity after discharge from the hospital. The patient has been prescribed anti-hypertensives and beta-blockers. While health teaching, the nurse understands that the three phases of the four-stage model of the human sexual response cycle that are of concern for this patient include which phases?
Excitement, plateau, and orgasmic ✓
The nurse is working at a public health clinic. Which symptoms does the nurse anticipate prior to assessing a client with secondary syphilis?
Fever, sore throat, lymph node enlargement ✓
The client is asking the nurse to explain the typical treatment expected when a class 4 Papanicolaou test is reported. The nurse is most correct to state which of the following?
Further evaluation is needed for potential malignancy. ✓
The nurse is instructing an adolescent female on potential vaccinations available. Which vaccination would the nurse state that decreases the risk of cervical cancer?
HPV ✓
Which type of sexually transmitted infection is the nurse most accurate to highlight in the client's history as it remains dormant in the body and can reoccur at any time?
Herpes infection ✓
A group of students are reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which of the following as the cause of condylomata?
Human papilloma virus ✓
The nurse at the family planning clinic conducts a male history for infertility evaluation. Which finding has the greatest implication for this patient's care?
Impotence due to alcohol ingestion ✓
The nurse is relating health education to male students when asked where sperm is actually made. Which location is most correct?
In the testes within the scrotum ✓
When describing sexually transmitted infections and testing, the nurse explains that a client is typically tested for chlamydia, gonorrhea, and syphilis at the same time for which reason?
It is not unusual for clients to have concurrent infections with more than one sexually transmitted infection (STI). ✓
The expert nurse is assisting a novice nurse insert a Foley catheter. The novice nurse has tried unsuccessfully to insert the catheter, and the expert nurse is providing verbal guidance while spreading which area to reveal the urethral opening?
Labia majora and minora ✓
The nurse is preparing the female client for a pelvic examination. In which position will the nurse assist the client?
Lithotomy position ✓
The nurse is completing a community education via a pamphlet on sexually transmitted infections. Which key point would the nurse place in bold letters?
Many people are asymptomatic and show no symptoms contributing to the spread of the infection. ✓
The nurse is addressing a multidisciplinary panel stating the need for continued education on sexually transmitted infections (STI). One of the points is the fact that the statistics of infection are underreported. Which of the following is the main cause that statistics are underreported?
Only certain STIs are reported to the Centers for Disease Control and Prevention. ✓
female college student is planning to become sexually active. She is considering birth control options and desires a method in which ovulation will be prevented. To prevent ovulation while reaching 99% effectiveness in preventing pregnancy, which option should be given the strongest consideration?
Oral contraceptive pills ✓
A female client with an anal gonorrheal infection experiences painful bowel elimination and a purulent rectal discharge. The nurse would expect to find which of the following once the microorganism disseminates throughout the body?
Painful joints ✓
The physician and nurse are completing a physical examination of the male genitalia. Which assessment findings are documented? Select all that apply.
Palpation of the testes ✓ Transillumination ✓ Inspection for urethral drainage ✓ Digital rectal examination ✓
Which nursing instruction is most helpful to prevent autoinoculation of a sexually transmitted infection?
Perform thorough handwashing. ✓
The emergency department nursing assessment of a pregnant female at 35 weeks gestation reveals back pain, blood pressure 150/92, and leaking of clear fluid from the vagina. Which complication of pregnancy does the nurse suspect?
Premature rupture of membranes ✓
The nurse is working in the labor and delivery suite when a client with active herpes simplex virus type 2 (HSV-2) appears in active labor. Which adjustment in the plan of care will the nurse prepare for?
Prepare for a cesarean section. ✓
A nurse is employed by a fertility clinic. Diagnostic testing is being completed to determine the source of the male not producing viable sperm to enable ovum fertilization. Which male structures does the nurse consider if the problem is narrowed to sperm survivability?
Prostate gland ✓
A 37-year-old heterosexual African-American man has come for his annual health screening. Which test must the nurse ensure is ordered for this patient?
Prostate-specific antigen (PSA) ✓
The nurse is caring for a client who states having an irregular menstrual period. Which diagnostic test provides information of the body's ability to ovulate?
Serum follicle-stimulating hormone ✓
During a physical examination, the nurse inspects the eternal genitalia of a male client. Which of the following would the nurse identify as an abnormality?
Skin lesions ✓
A nurse is caring for a client following a culdoscopy. Which assessment data would the licensed practical nurse report to the registered nurse?
Skin, cold; pulse, 110 beat/minute; blood pressure, 104/64 mm Hg ✓
The nurse is admitting a prenatal patient for diagnostic testing. While eliciting the psychosocial history, the nurse learns the patient smokes a pack of cigarettes daily, drinks a cup of cappuccino with breakfast, has smoked marijuana in the remote past, and is a social drinker. Which action should the nurse first take?
Strongly advise immediate tobacco cessation ✓
The nurse is caring for a 44-year-old married woman who is complaining of painful intercourse and incontinence due to prolapse of reproductive organs. Clinical evaluation reveals that the patient has a cystocele. Which treatment option is most appropriate for this patient?
Surgical correction ✓
An instructor is teaching a group of students about the incidence of sexually transmitted infections (STIs) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported?
Syphilis ✓
A client with syphilis did not receive treatment and has now progressed into the tertiary stage of the disorder. Which of the following would the nurse expect the client to exhibit?
Tabes dorsalis, blindness, and Charcot's joints ✓
An obstetric multipara with triplets is placed on bed rest at 24 weeks' gestation. Her perinatologist is managing intrauterine growth restriction with serial ultrasounds. This prescribed treatment is an example of which type of care?
Tertiary prevention ✓
A client with primary syphilis is allergic to penicillin. The nurse would expect the physician to order which agent?
Tetracycline ✓
Which statements related to sexual dysfunction are correct? (Select all that apply.)
The best predictor of sexual health is emotional well-being. ✓ The patient with sexual dysfunction is at risk for anxiety and depression. ✓
The nurse is caring for a client in the tertiary stage of a syphilis infection. Which assessment finding is anticipated?
The client has dementia and cannot care for himself or herself. ✓
A mother of an adolescent female is asking the nurse for guidelines of when her daughter should have her first Papanicolaou test (Pap test) and then the subsequent frequency. The nurse is most correct to state which?
The first Pap test should be no later than age 21 years and then every 3 to 5 years afterward. ✓
The school nurse is developing a curriculum for a junior human sexuality class. In order to provide the most up-to-date information, the nurse should be aware that which is the single most effective primary prevention strategy for preventing sexually transmitted diseases?
The male condom ✓
The nurse is outlining the female internal reproductive structures on a diagram. Where on the diagram would the nurse highlight the typical site of ovum fertilization?
The nurse would highlight the fallopian tube. ✓
The nurse is caring for a female diagnosed with a sexually transmitted infection (STI). The client states that her sister also has an STI. Which instruction, by the nurse, provides the rationale for females obtaining infections more frequently than males?
The vagina is more conducive to microbial growth. ✓
The client states to the nurse that he is very anxious about having prostate cancer ever since his prostate-specific antigen (PSA) test came back elevated. The client asks, "Which diagnostic test produces definitive results if cancer is present?" The nurse is most correct to state which of the following?
Tissue biopsy ✓
The nurse is instructing an adolescent on ways to prevent sexually transmitted infections (STIs). When evaluating the options, which is best when the client states being sexually active?
Use a latex condom with a spermicide. ✓
The nurse is instructing a couple in the early stages of infertility testing who has just found that the male has a slightly low sperm count. Which easy change can a nurse suggest to a male client?
Wear loose fitting underwear instead of tight ones. ✓
Which of the following nursing instructions is most important for the nurse to emphasize to the client with a new HSV-2 diagnosis?
You must inform all sexual partners. ✓
An instructor is preparing a teaching plan for a group of students about reproductive structures and sexual arousal. Which female reproductive structure would the instructor include?
clitoris ✓
The nurse is describing various terms related to the male reproductive system. Which term would the nurse use to describe the discharge of semen from the penis?
ejaculation ✓
The nurse is caring for a client with genital herpes experiencing a reoccurrence. Which nursing diagnosis would be the priority?
impaired skin integrity ✓
4. Which of the following types of condoms is appropriate only if the client is in a long- standing monogamous relationship?
natural membrane condom ✓
When instructing clients at a prenatal class, the nurse is most correct to state which medical name as being removed during circumcision?
prepuce ✓
A client presents with symptoms of menstrual difficulties and infertility. Which hormone is essential in the maintenance of the endometrium?
progesterone ✓
What information would the nurse give the client when the client inquires what makes breast milk production?
prolactin ✓
A group of students are reviewing information related to the male reproductive system structures. The students demonstrate understanding of the information when they identify which structure as an accessory organ?
seminal vesicles ✓
