MS2 Quiz 2 | STI and Meds
57. A nurse asks a patient to repeat the instructions to evaluate her knowledge about safe sex practices. Which statement indicates an understanding? a. Body massage would be considered safe. b. Mutual open-mouth kissing is safe. c. Vaginal intercourse with a properly used condom is safe. d. Anal sex with a condom made of latex is a safe sex practice.
a. Body massage would be considered safe.
38. The nurse is completing a female reproductive history on a 16 year old. What important assessment(s) should be included? (Select all that apply.) a. Breast self-examination (BSE) routine b. Age of menarche and pattern of menses c. Smoking and blood pressure history when seeking a prescription for oral contraceptive pills (OCPs) d. Sexual orientation and number of partners e. Number of pregnancies, live births, miscarriages, and abortions f. Nutritional intake of carbohydrates
a. Breast self-examination (BSE) routine b. Age of menarche and pattern of menses c. Smoking and blood pressure history when seeking a prescription for oral contraceptive pills (OCPs) d. Sexual orientation and number of partners e. Number of pregnancies, live births, miscarriages, and abortions
9. The nurse instructs a patient taking a transdermal contraceptive to avoid placing the patch in which location? a. Breasts b. Buttock c. Abdomen d. Upper outer arm
a. Breasts
22. A patient comes to the outpatient clinic and is diagnosed with gonorrhea. What initial treatment would the nurse anticipate will be initiated? a. Ceftriaxone (Rocephin) and cefixime (Suprax) b. Ciprofloxacin (Cipro) and levofloxacin (Levaquin) c. Doxycycline (Vibramycin) and ceftriaxone (Rocephin) d. Doxycycline (Vibramycin) and tetracycline (Panmycin)
a. Ceftriaxone (Rocephin) and cefixime (Suprax)
59. What is characteristic of the primary stage syphilis? a. Chancre b. Alopecia c. Pruritus d. Dry skin
a. Chancre
26. A patient states that she has a difficult time remembering when to resume her triphasic contraceptive pills following her menses. Which alternative plan will the nurse suggest that she discuss with her health care provider? a. Changing to the 28-day packet b. Using the inert pills every other month c. Changing her prescription to the mini pill d. Calling the health care provider whenever she forgets to get appropriate instruction
a. Changing to the 28-day packet
69. A patient who is using imiquimod (Aldara) for genital warts asks the outpatient clinic nurse how long she must use the medication. The nurse replies that she must apply the medication for _____ weeks. (Fill in the blank)
16
52. A couple comes to the emergency department for the treatment of an STI. The mans presenting symptoms include a creamy penile discharge and frequent urination. The woman has lower abdominal pain and a vaginal discharge. What should the nurse recognize these symptoms to characterize? a. Chlamydial infection b. Gonorrhea infection c. HSV type B d. Trichomoniasis
a. Chlamydial infection
23. A patient is diagnosed with Chlamydia. What should the nurse recognize as the priority for optimizing the patient's health? a. Diagnostic testing for other STIs b. Obtaining a complete list of recent sexual partners c. Teaching the patient the correct application of a condom d. Role-playing with the patient how to discuss sexual history
a. Diagnostic testing for other STIs
66. A nurse explains that STIs must be reported to the local public health department. Which are considered reportable diseases? (Select all that apply.) a. HIV b. Acquired immunodeficiency syndrome (AIDS) c. Gonorrhea d. Chlamydia e. Viral hepatitis
a. HIV b. Acquired immunodeficiency syndrome (AIDS) c. Gonorrhea e. Viral hepatitis
62. What does chlamydial infection place a person at greater risk for? a. HIV, if exposed to it b. Urinary infections c. Hepatitis B if exposed to it d. Opportunistic bacterial infections
a. HIV, if exposed to it
67. What body areas might systemic (disseminated) gonorrhea involve? (Select all that apply.) a. Heart b. Eyes c. Meninges d. Skin e. Joints
a. Heart c. Meninges d. Skin e. Joints
46. A woman diagnosed with gonorrhea is astounded and states that she had no idea that she had an STI. What should the nurse explain about gonorrhea? a. It produces no symptoms in half of those in the early stages of the infection. b. It always produces a foul vaginal discharge. c. It causes a vaginal cancer that is not easily detected. d. It may appear to be an upper respiratory infection in the early stages of the infection.
a. It produces no symptoms in half of those in the early stages of the infection.
68. A nurse recognizes that a patient with an STI may not cooperate in reporting sexual contacts. What fears might prevent reporting? (Select all that apply.) a. Judgment by health care workers b. Identifying self as infected c. Rejection by contacts d. Infecting others e. Reprisal from identified contacts
a. Judgment by health care workers b. Identifying self as infected c. Rejection by contacts e. Reprisal from identified contacts
39. The nurse is giving instructions to a young female at an outpatient clinic regarding combination OCP therapy. What information will the nurse include? (Select all that apply.) a. Medication should be taken at approximately the same time daily. b. A back up birth control method should be used for the first 6 months. c. Medication should be discontinued 1 year before attempting pregnancy. d. Headaches, dizziness, and chest or abdominal pain should be reported immediately. e. If a pill is missed, take it immediately and remain on schedule for the next dosage.
a. Medication should be taken at approximately the same time daily. d. Headaches, dizziness, and chest or abdominal pain should be reported immediately. e. If a pill is missed, take it immediately and remain on schedule for the next dosage.
13. A patient is scheduled to be treated with penicillin G (Bicillin). What should be the HIGHEST priority post administration action by the licensed practical nurse (LPN)? a. Monitor the patient for 30 minutes for an allergic reaction. b. Plan to administer the medication by deep injection in a large muscle. c. Implement the scratch test as ordered to assess for an allergic reaction. d. Take care not to pause during the procedure to prevent needle clogging.
a. Monitor the patient for 30 minutes for an allergic reaction.
27. Which is more likely to be experienced by women taking the mini pill as an oral contraceptive? a. Ovulation, dysmenorrhea, and break-through bleeding b. Excessive weight gain and breast tenderness c. Increased estrogen related adverse effects d. Difficulty breastfeeding after pregnancy
a. Ovulation, dysmenorrhea, and break-through bleeding
30. Which type of drug is most effective in the treatment of erectile dysfunction (ED)? a. Phosphodiesterase inhibitors b. Antiandrogen agents c. Sympathomimetic agents d. Alpha 1 adrenergic blocking agents
a. Phosphodiesterase inhibitors
3. Which premedication assessment is essential before initiating finasteride (Proscar) therapy? a. Prostate specific antigen (PSA) level b. Complete blood count (CBC) c. Glucose tolerance d. Sperm count
a. Prostate specific antigen (PSA) level
21. The nurse will be administering tetracycline hydrochloride (Achromycin) to a patient who has syphilis. What should the nurse remember about this treatment? (Select all that apply.) a. Review the entire medication list. b. The nurse should report anal itching. c. The drug may cause photosensitivity. d. The medication should be given with milk. e. The drug may cause discoloration of developing teeth. f. The drug is contraindicated in pregnancy and lactation.
a. Review the entire medication list. e. The drug may cause discoloration of developing teeth. f. The drug is contraindicated in pregnancy and lactation.
48. A patient at the outpatient clinic is reluctant to identify her sexual contacts. Why is the reporting of contacts essential? a. Slows transmission and spread of infections b. Increases public awareness c. Increases state funding for treatment d. Collects data for research
a. Slows transmission and spread of infections
54. Which method is used to identify organisms of gonorrhea? a. Smears and cultures b. Serologic tests c. Antibody screening d. Sensitivity testing
a. Smears and cultures
37. A nurse working at the community health clinic receives a call from a teen patient who reports that she has missed one of her birth control pills. Which response by the nurse is accurate? (Select all that apply.) a. Take the missed pill now. b. Take the next pill at the regularly scheduled time. c. Come into the clinic for a pregnancy test. d. Start with the next month's pill packet on day 1.
a. Take the missed pill now. b. Take the next pill at the regularly scheduled time.
41. The nurse at an outpatient clinic is educating a group of young adults regarding prevention of the spread of sexually transmitted infections. Information will include: (Select all that apply.) a. The use of hormonal contraceptives. b. The use of latex condoms when infection is present. c. Abstinence. d. Frequent use of nonoxynol 9. e. The importance of partner services.
c. Abstinence e. The importance of partner services.
36. The health care provider has instructed a patient to use over the counter miconazole (Monistat) cream to treat her vaginal yeast infection. What information is important to include in patient education? (Select all that apply.) a. Wash the genital area thoroughly before inserting the vaginal cream. b. Wash the applicator before usage. c. Wear a mini pad to catch remaining discharge following vaginal administration. d. Wash hands before and after administration. e. The sexual partner may require treatment as well.
a. Wash the genital area thoroughly before inserting the vaginal cream. c. Wear a mini pad to catch remaining discharge following vaginal administration. d. Wash hands before and after administration. e. The sexual partner may require treatment as well.
16. A male patient is newly diagnosed with HIV and is informed that he needs to wear condoms. Which statement by the patient would suggest that further education is required? a. "I will use latex condoms during sexual intercourse." b. "I am not going to be able to use spermicidal agents." c. "I will use only water-based lubricants with the condoms." d. "I will always discard the condoms after they have been used."
b. "I am not going to be able to use spermicidal agents."
6. How does the nurse instruct a patient to use the NuvaRing for birth control when she has not used a hormonal contraceptive within the past month? a. "Insert the ring 7 days after the last menstrual cycle." b. "Insert the contraceptive ring on or prior to day 5 of the cycle." c. "Insert the ring during the menstrual cycle and remove it on the last day of bleeding." d. "Insert the ring on the last day of the menstrual cycle and remove it when bleeding begins again."
b. "Insert the contraceptive ring on or prior to day 5 of the cycle."
61. Which antiviral drug is commonly used to relieve symptoms of herpes simplex virus (HSV)? a. Tetracycline (Achromycin) b. Acyclovir (Zovirax) c. Erythromycin (E-Mycin) d. Metronidazole (Flagyl)
b. Acyclovir (Zovirax)
17. Which infections are classified as sexually transmitted infections? a. Chlamydia, giardiasis, cytomegalovirus, and hepatitis B b. Chlamydia, gonorrhea, cytomegalovirus, and hepatitis B c. Chlamydia, gonorrhea, cryptosporidiosis, and hepatitis B d. Campylobacteriosis, gonorrhea, cytomegalovirus, and hepatitis B
b. Chlamydia, gonorrhea, cytomegalovirus, and hepatitis B
11. A patient has been diagnosed with herpes simplex. What is the HIGHEST priority nursing action related to this diagnosis? a. Decrease the patient's anxiety by allowing him to verbalize feelings. b. Ensure that the patient notifies his sexual contacts of the diagnosis. c. Instruct the patient to avoid sexual contact when lesions are present. d. Inform the patient that the virus can survive on objects such as towels.
b. Ensure that the patient notifies his sexual contacts of the diagnosis.
49. A patient with gonorrhea is taking a protocol of tetracycline antibiotics. Which statement by the nurse is most likely to help overcome patient noncompliance? a. You should take all of this medicine. b. Failing to take the entire medicine amount will make your disease resistant to it. c. You will become sterile if you do not complete the supply of medicines. d. The doctor wants you to take all of this medication.
b. Failing to take the entire medicine amount will make your disease resistant to it.
43. A nurse is completing a history of illnesses for a young woman who suspects she may have a sexually transmitted infection (STI). What specific symptom(s) should the nurse ask this patient if she experienced it? a. Lethargy and fatigue b. Genital discharge c. Abdominal cramps d. Heavy menses
b. Genital discharge
2. Which instruction does the nurse give to a patient with angina who has just received a prescription for sildenafil (Viagra)? a. Avoid frozen and preserved foods when using the drug b. If an anginal attack occurs, lie down and rest; do not take nitroglycerin c. Use the drug no more frequently than every 3 days d. Start with an initial dose of 100 mg and increase to 150 mg if needed
b. If an anginal attack occurs, lie down and rest; do not take nitroglycerin
32. Why must caution be used when taking a phosphodiesterase inhibitor to enhance male sexual function? a. It can become habit forming. b. Life-threatening consequences can occur with cardiovascular disorders. c. It is an ineffective treatment. d. It is expensive and available only by special prescription.
b. Life-threatening consequences can occur with cardiovascular disorders.
50. A patient with syphilis is seen at the clinic and complains of body aches, pustules, fever, and sore throat. Which stage of syphilis should the nurse recognize these symptoms identify? a. Primary b. Secondary c. Latent d. Late
b. Secondary
5. What herbal supplement may reduce the effectiveness of oral contraceptives? a. Ginseng b. St. John's wort c. Evening primrose oil d. Garlic
b. St. John's wort
56. What instruction should be included by a health educator giving a presentation on how to use condoms correctly? a. Condoms are 100% effective when used correctly. b. The effectiveness of condoms deteriorates in heat. c. Any style and material of condom is safe to use. d. Use of petroleum jelly will ease application.
b. The effectiveness of condoms deteriorates in heat.
14. An LPN is teaching a patient about taking metronidazole (Flagyl). Which statement by the patient indicates a need for further teaching? a. "I can take my medication with food or milk." b. "It's okay if my urine becomes slightly darker." c. "I can still drink a beer every night." d. "If I miss a dose, I will not take a double dose."
c. "I can still drink a beer every night."
7. The nurse is teaching a patient about the use of tamsulosin (Flomax). Which statement by the patient indicates a need for further teaching? a. "I should not drink alcohol while taking this drug." b. "I will take this medication within 30 minutes after eating." c. "I will stop taking this medication if I develop a headache." d. "I will lie down if I become lightheaded."
c. "I will stop taking this medication if I develop a headache."
65. A patient with a chlamydial infection is taking a 7-day course of doxycycline (Vibramycin). What information should the nurse provide? a. Return in 1 month for a follow-up culture. b. Take the drug on an empty stomach with a minimum of fluid. c. Delay sexual activity until cured. d. Expect genital or anal itching or burning.
c. Delay sexual activity until cured.
10. A patient is prescribed dutasteride (Avodart) for the treatment of benign prostatic hypertrophy. The nurse questions the order after finding that the patient is also taking which medication? a. Tetracycline b. Nitroglycerin c. Diltiazem (Cardizem) d. Warfarin (Coumadin)
c. Diltiazem (Cardizem)
40. The nurse will teach the patient beginning therapy with alfuzosin, an alpha 1 adrenergic blocking agent, to expect which common (and usually self limiting) adverse effect(s)? (Select all that apply.) a. Nausea b. Insomnia c. Dizziness d. Anorexia e. Headache f. Lethargy
c. Dizziness e. Headache f. Lethargy
45. A nurse is caring for a patient taking acyclovir (Zovirax). Which side effects of this drug should the nurse be alert for? a. Fever and bone marrow suppression b. Vaginal burning and skin irritation c. Dizziness, headache, and nausea d. Leukopenia and peripheral neuropathy
c. Dizziness, headache, and nausea
18. A female patient develops a urinary tract infection and is started on trimethoprim-sulfamethoxazole (Bactrim). Which information regarding prevention of urinary crystals is important to include in the patient teaching? a. Monitor for signs and symptoms of dyspnea. b. Monitor for signs and symptoms of seizure activity. c. Encourage intake of at least 2000 mL of fluids per day. d. Encourage the use of condoms with sexual intercourse.
c. Encourage intake of at least 2000 mL of fluids per day.
51. Doxycycline (Vibramycin) has been prescribed for a patient who has gonorrhea. What instruction should the nurse provide to the patient before beginning the medication? a. Take the medication with food or crackers. b. Refrain from sexual relations for 4 weeks. c. Follow up to determine if the treatment was effective. d. Keep the medication in the refrigerator.
c. Follow up to determine if the treatment was effective.
8. In which situation does the nurse instruct a patient taking the oral contraceptive Tri Levlen to use an additional form of birth control? a. If the patient is drinking grapefruit juice b. If a Pap smear is scheduled c. If the patient is taking penicillin d. If the patient is chewing tobacco
c. If the patient is taking penicillin
20. A school nurse is scheduled to talk to a group of college students about sexually transmitted infections. The nurse would caution the students to avoid which unsafe practices? (Select all that apply.) a. Mutual masturbation b. Open-mouthed kissing c. Oral sex without a condom d. Ingestion of urine or semen e. Use of own sex devices or toys f. Insertion of hand into vagina or rectum
c. Oral sex without a condom d. Ingestion of urine or semen f. Insertion of hand into vagina or rectum
24. The nursing supervisor becomes concerned after overhearing a nurse state, "People who get sexually transmitted infections (STIs) deserve whatever happens to them. They shouldn't have been engaging in promiscuous behavior." Which statement best describes the reason the nursing supervisor is concerned? a. Nursing staff may refuse to care for patients with STIs. b. Caring for patients with STIs lowers the morale of the clinic staff. c. Patients may be reluctant to seek care when they fear being judged. d. The supervisor is concerned patients with STIs may offend the LPN.
c. Patients may be reluctant to seek care when they fear being judged.
42. A nurse in the outpatient clinic notes that a patient has been treated for syphilis three separate times in the past 2 years. What should the antibiotic treatment for this patient consist of this time? a. Penicillin G b. Penicillin G today and a follow-up with another injection in 1 month c. Penicillin G today and 3 months of oral tetracycline antibiotic medications d. Penicillin G today and a 2-month protocol of oral antiviral agents
c. Penicillin G today and 3 months of oral tetracycline antibiotic medications
35. A woman using the NuvaRing vaginal ring informs the nurse that the ring was accidentally expelled a day ago. The nurse will instruct this patient to: a. Rinse the ring in cool water and reinsert as soon as possible. b. Rinse the ring in hot water and reinsert as soon as possible. c. Rinse the ring in lukewarm water, reinsert, and use a non-hormonal back up contraceptive. d. Insert a new ring.
c. Rinse the ring in lukewarm water, reinsert, and use a non-hormonal back up contraceptive.
44. A patient has been diagnosed with herpes simplex virus, type 2 (HSV type 2). What instruction should the nurse provide? a. Avoid telling anyone about the condition. b. Wear close-fitting undergarments. c. Wash towels and personal items daily. d. Soak the sores with peroxide every day.
c. Wash towels and personal items daily.
58. A female patient, newly diagnosed with gonorrhea, screams, "I am going to kill my husband. I mean it." What is the nurse's best response? a. "Are you sure it is your husband who gave you gonorrhea?" b. "Yikes! Killing your spouse seems extreme." c. "Shall I report your spouse as a sexual contact?" d. "I can understand your anger. How best can you deal with it?"
d. "I can understand your anger. How best can you deal with it?"
1. The nurse is teaching a patient about the use of the transdermal contraceptive patch. Which statement by the patient indicates a correct understanding about the use of this medication? a."I should apply the patch on the first Sunday after my next menses stops." b. "I will reinforce the patch with tape if it becomes loose." c. "The patch can be applied to any area of skin that is free of hair." d. "I need to use a back up contraceptive for the first 7 days of the first cycle I use the patch."
d. "I need to use a back up contraceptive for the first 7 days of the first cycle I use the patch."
31. The nurse is teaching a patient beginning therapy with dutasteride (Avodart). How long will it take before the patient can expect results? a. 24 hours b. 2 weeks c. 1 month d. 6 months
d. 6 months
64. What should a nurse caution a patient taking Flagyl for Trichomonas to do? a. Double the dose if any doses are missed. b. Report dark urine. c. Take the drug on an empty stomach. d. Abstain from alcohol while taking the drug.
d. Abstain from alcohol while taking the drug.
55. A gynecologist caring for a pregnant patient who has gonorrhea prescribed cefixime (Suprax) instead of the more common tetracycline hydrochloride (Achromycin). What is the rationale for this decision? a. Gonorrhea is less likely to be resistant to Suprax. b. Achromycin requires a longer treatment protocol than Suprax. c. Suprax is a more potent drug than Achromycin. d. Achromycin is contraindicated in a patient who is pregnant.
d. Achromycin is contraindicated in a patient who is pregnant.
33. What is the mechanism whereby estrogen functions as a contraceptive? a. Inhibiting luteinizing hormone (LH), blocking release of ovum from a follicle b. Thinning cervical mucus, which inhibits sperm migration c. Trapping the ovum in the endometrial wall, preventing its growth d. Blocking follicle-stimulating hormone (FSH), thereby preventing release of ovum
d. Blocking follicle-stimulating hormone (FSH), thereby preventing release of ovum
25. A female patient has developed leukorrhea since being on oral broad spectrum antibiotics for the past week for a lower respiratory infection. Which organism causes leukorrhea? a. Herpes simplex b. Mycoplasma hominis c. Human papillomavirus (HPV) d. Candida albicans
d. Candida albicans
60. What does diagnosis with the human papilloma virus (HPV) increase a person's risk for? a. Uterine fibroids b. Chronic vaginitis c. Premature menopause d. Cervical cancer
d. Cervical cancer
4. A student taking combination oral contraceptives reports to the nurse that she has not missed a pill but missed a period. Which instruction does the nurse give to the student? a. Discuss a dose adjustment with her prescriber b. Take two pills per day for the first week of the next cycle c. Get a pregnancy test d. Continue taking the pills as prescriber
d. Continue taking the pills as prescriber
29. A patient diagnosed with benign prostatic hypertrophy asks why tamsulosin (Flomax), an alpha1 adrenergic blocking agent, has been prescribed. Which explanation by the nurse is most accurate? a. It inhibits the action of testosterone. b. It improves sexual function. c. It reduces the size of the prostate. d. It increases urinary flow.
d. It increases urinary flow.
47. A nurse giving instructions to a patient with an STI says,"I am supposed to tell you about STIs, but you probably know more about them than I do." What is this nurse doing? a. Admitting her own ignorance about STIs b. Trying to get the patients attention c. Referencing current statistics d. Making a judgmental statement
d. Making a judgmental statement
15. A patient has been diagnosed with primary syphilis. What should be the HIGHEST priority nursing action related to the administration of the medication used to treat this disease? a. Ensure that ordered blood studies are performed. b. Wear gloves to assess skin and mucous membranes. c. Assess for fever, influenza-like symptoms, and malaise. d. Observe the patient for 30 minutes for allergic reactions.
d. Observe the patient for 30 minutes for allergic reactions.
63. A patient at the outpatient clinic who has received an intramuscular dose of ceftriaxone sodium (Rocephin) calls and complains of pain and induration at the injection site. What should the nurse advise the patient to do? a. Undergo 30 minutes of active exercise to speed absorption of the drug. b. Make an appointment at the clinic for evaluation to initiate another drug. c. Immediately come to the clinic for treatment of the allergic reaction. d. Place a warm compress on the area.
d. Place a warm compress on the area.
12. A patient has been diagnosed with gonorrhea. He tells the nurse that he has been taking his medication and is no longer symptomatic. What should be the HIGHEST priority instruction that the LPN provides to the patient? a. Consider using condoms with sexual activity. b. Ensure that all sexual partners are treated for the disease. c. Consider practicing abstinence while undergoing treatment. d. Take all prescribed medication even if symptoms are gone.
d. Take all prescribed medication even if symptoms are gone.
53. A pregnant patient with HSV type 2 has a Herp-Test performed in the physician's office 1 day before she is due to be delivered by cesarean section. The test result is negative. What should the nurse know this means? a. The delivery must be by cesarean section. b. The patient must start on an antiviral protocol today. c. The baby will have to have antiviral medication 24 hours after birth. d. The delivery may be accomplished vaginally.
d. The delivery may be accomplished vaginally.
19. A patient with bacterial vaginosis is being treated with metronidazole (Flagyl). A few days after beginning the treatment, the patient begins to experience vomiting and has a blood pressure of 90/60 mm Hg and a pulse of 110 beats/min. What would the nurse suspect? a. The patient is experiencing normal side effects of the medication. b. The patient is experiencing an adverse reaction from the medication. c. The patient is experiencing an anaphylactic reaction from the medication. d. The patient has consumed alcohol and is experiencing a disulfiram-like reaction.
d. The patient has consumed alcohol and is experiencing a disulfiram-like reaction.
28. The nurse is obtaining a history on a patient who is seeking oral contraceptives. Which condition would contraindicate the use of oral contraceptives? a. Sexually transmitted diseases (STDs) b. Hypothyroidism c. Varicose veins d. Thromboembolic disease
d. Thromboembolic disease
34. The nurse is instructing a patient on use of a transdermal contraceptive. When evaluating the patient's understanding of the information provided, the nurse identifies a need for further education when the patient states: a. Apply the first patch during the first 24 hours of the menstrual period. b. Use a backup contraceptive concurrently for the first 7 days of the first cycle. c. Fold the used patch over on itself before discarding. d. Trim the patch carefully prior to application.
d. Trim the patch carefully prior to application.