Chapter 46 NCLEX practice questions

A teenage female client who is being seen in the family medicine clinic for an annual physical exam reports being sexually active. What should the nurse plan to teach the client? SATA

1) The importance of annual PAP smears for early detection of cervical cancer 2) Importance of being tested for chlamydia infection 3) The development of vaccines to protect against specific human papillomavirus (HPV) strains

Which clients would the nurse determine are at increased risk of infection with gonorrhea? SATA

1) clients younger than 25 2) clients who do not use condoms 3) client with multiple sex partners

What are the central nervous symptoms associated with tertiary stage syphilis? Select all that apply.

1) dementia 2)ataxia-loss of coordination 3)blindness

A older female client has developed some central nervous system symptoms not usually common in her family history. After months of no improvement, the provider ordered blood panels that returned as positive for syphilis. Having been married for decades, the provider suspects tertiary syphilis based on which finding(s)? SATA

1) gradual loss of sight 2)lack of voluntary coordination resulting in gait abnormality 3) slowly progressing dementia

A nurse is caring for a client in whom genital herpes is being ruled out. Which information helps to confirm the diagnosis? SATA

1) painful lesions 2)painful urination 3)itching 4)pustules

A client presents with signs and symptoms of candidiasis and is concerned about why this occurs after taking antibiotics. The most appropriate information for the nurse to provide would be:

Antibiotics suppress the normal protective vaginal flora allowing overgrowth of C. albicans.

A client has been diagnosed with a chlamydial infection. Select the pharmacologic treatment of choice.

Azithromycin

Laboratory analysis of vaginal discharge identifies hyphae on microscopic exam and pH of 4.2. The client most likely has:

C. albicans

The nurse should assess a client with a history of untreated chlamydia for which potential disease process?

Reiter syndrome

When is syphilis highly contagious?

during its primary stage

For a woman, what is the most serious long-term outcome of an infection resulting from exposure to the N. gonorrhoeae bacteria?

sterility