| Question | Answer |
| Which of the following phenomena is thought to underlie the decreased reported incidence of
some sexually transmitted infections (STIs)? | Decreased reporting of cases of certain STIs |
| A 22-year-old client has presented to her primary care provider for her scheduled Pap smear.
Abnormal results of this diagnostic test may imply infection with: | Human papillomavirus (HPV) |
| A female receives a PAP smear result indicating she has human papillomavirus (HPV) infection.
As part of her education, the nurse will emphasize the need for continued follow-up since HPV is
directly associated with: | Cervical dysplasia |
| A female distressed at appearance of genital warts, an assessment
finding that her care provider has confirmed as attributable to human papillomavirus (HPV)
infection. Which of the following information should the care provider give the client? | “There is a chance that these will clear up on their own without any treatment.” |
| A client w/herpes stating, “I can stop taking my
drugs because I'm cured. My lesions are gone.” The health care provider bases his or her
response knowing the pathophysiology behind the disappearance of HSV symptoms infection
relates to: | Periods of latency in the nervous system |
| While in its dormant state, herpes simplex virus resides and replicates in the: | Dorsal root ganglia |
| The primary reason genital herpes has reached epidemic proportions throughout the world relates
to the fact that: | A large percentage (70%) of those infected experience no symptoms of the disease. |
| Which of the following signs and symptoms is most clearly suggestive of primary genital herpes
in a male client? | Itching, pain, and the emergence of pustules on the penis |
| The physiological reasoning behind giving acyclovir, an antiviral medication, to a client
diagnosed with genital herpes would include the fact that these drugs: | Interfere with viral DNA replication, which can decrease the frequency of recurrences |
| When educating a teenager diagnosed with genital herpes (herpes simplex virus type 2, HSV-2),
the health care provider needs to inform her of the importance of careful follow-up since she may
be at greater risk for future development of: | HIV transmission |
| Of the following STIs, for which STI should the nurse anticipate a prescription for antibiotics
such as tetracycline or doxycycline since this infection will respond to antibiotic treatment? | Lymphogranuloma venereum (LGV) |
| Which of the following assessment questions is most likely to address the causation of a
woman's new case of candidiasis? | “Have you been on antibiotics recently?” |
| A woman who has developed vulvovaginal candidiasis will likely go to her health care provider
complaining of: Select all that apply. | Redness
B) Edema
D) Painful urination |
| The most prevalent vaginal infection to be spread through sexual contact is: | Trichomoniasis |
| A client presents to the GYN clinic complaining of large amounts of frothy yellow-green
discharge that smells very foul. Immediately, the health care provider is thinking this client most
likely has: | Trichomoniasis |
| Men whose sexual partners have been diagnosed with Trichomonas vaginalis will likely exhibit: | No symptoms of infection |
| A client presents to the out-client clinic complaining of gray discharge that has a fishy odor. The
health care provider sees “clue cells” on wet-mount microscopic exam. This would most likely
lead to the diagnosis of: | Bacterial vaginosis |
| A couple presents to an infertility clinic. The health care provider will focus testing on which of
the following sexually transmitted infections (STIs) that is very damaging to the reproductive
system but rarely exhibits symptoms of infection? | Chlamydial infection |
| During infertility workup, the client is diagnosed with chlamydial infection. The health care
provider will especially be looking for which complication of chlamydial infections that can
interfere with egg transportation? | Fallopian tube damage |
| A sexually transmitted infection that is caused by a microorganism with two morphologically
distinct forms is: | Chlamydia |
| A client presents to a STI clinic. Her primary complaint is related to purulent exudate and
bleeding after intercourse. The health care worker will primarily focus on the diagnosis of which
STI? | Gonorrhea |
| A male diagnosed with gonorrhea will likely complain of which of the following clinical
manifestations? Select all that apply. | Creamy, yellow discharge
B) Pain in the urethra with urination |
| A female client presents an STD clinic. She is in the first trimester of pregnancy and has tested
positive for gonorrhea. Because strains of N. gonorrhoeae have become resistant to penicillin,
the current treatment recommendation includes: | High-dose cefixime given in a single dose |
| Which of the following events is associated with the primary stage of syphilis? | Genital chancres |
| An elderly female has slowly developed dementia and loss of vision. She is being evaluated for
nursing home placement. Routine admission blood work reveals that the client tested positive for
which STI associated with her current symptoms? | Tertiary syphilis |
