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Which of the following provides the best explanation as to why people do not immediately seek
medical treatment when they first become ill with HIV?
a. They are afraid to get tested for fear that the results will be positive.
b. They avoid the problem (maybe it will go away).
c. They don't recognize their symptoms as possibly being due to HIV.
d. It is too expensive to get an HIV test.
c. They don't recognize their symptoms as possibly being due to HIV.
A client was clearly very relieved when an HIV test came back negative. "Thank goodness. I've
had sex several times without a condom, and when one of my friends said he was sick, I think I
panicked." Which of the following would be most important to emphasize to the client
immediately?
a. Abstinence is the only way to be certain you are HIV free.
b. Sex should be restricted to one partner.
c. The test could be wrong and the client might still have an HIV infection.
d. The test would not cover any recent infection, so if the client has had recent
unprotected sex, the test should be repeated in 3 months.
d. The test would not cover any recent infection, so if the client has had recent
unprotected sex, the test should be repeated in 3 months.
A student asks the nurse at the student health clinic how AIDS is diagnosed. Which of the
following statements would be the best response by the nurse?
a. "A diagnosis of AIDS is made when a screening test called an enzyme-linked
immunosorbent assay (ELISA) is confirmed by the Western blot test."
b. "A diagnosis of AIDS is made when antibodies to HIV are detected about 6
weeks to 3 months following possible exposure."
c. "A diagnosis of AIDS is made when antibodies to HIV reach peak levels of
1000/ml of blood."
d. "A diagnosis of AIDS is made when CD4 T-lymphocytes drop to less than 22 cells/mm."
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,d. "A diagnosis of AIDS is made when CD4 T-lymphocytes drop to less than 22 cells/mm."
The correctional health nurse is doing a quick assessment on a newly admitted inmate who is
HIV positive. Which of the following diseases should the inmate receive screening for
immediately?
a. Herpes zoster
b. Hepatitis B
c. Hepatitis C
d. Tuberculosis
d. Tuberculosis
A school nurse asks a class about the ways HIV can be transmitted. Which of the following
comments by a student indicates a need for additional teaching?
a. "I wouldn't sit next to someone with HIV."
b. "Having unprotected sex with someone who is infected spreads HIV."
c. "Sharing needles when shooting up drugs spreads HIV."
d. "Transfusions of blood products that are contaminated can spread HIV."
a. "I wouldn't sit next to someone with HIV."
In the United States, which group is most affected by a new HIV diagnosis?
a. Women having heterosexual relationships
b. White IV drug abusers
c. Young Black gay and bisexual men
d. Men who have sex with other men
c. Young Black gay and bisexual men
Which of the following best explains why some health clinics allow clients to be tested for HIV
anonymously with no record of the client's name, address, or contact information?
a. Client doesn't actually ever have to be told the results of the test.
b. Client may be engaged in illegal activities (drug use).
c. Client plans on not paying for the test, and collection agencies will not be able to harass
them.
d. Client wants to be sure care providers don't share results with their family.
b. Client may be engaged in illegal activities (drug use).
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,A nurse is providing education to a client about the use of PrEP. Which of the following
statements would the nurse include as part of this teaching?
a. "Side effects of PrEP include extreme lethargy and joint pain."
b. "PrEP has been shown to be effective in preventing transmission of the disease
from sharing needles."
c. "The effectiveness of PrEP will depend on your adherence to the medication regimen."
d. "PrEP will prevent you from contracting HIV and hepatitis B."
c. "The effectiveness of PrEP will depend on your adherence to the medication regimen."
A male client visits the clinic office reporting a yellow-green discharge from his penis. Which of
the following STIs has the client most likely contracted?
a. Gonorrhea
b. Syphilis
c. Herpes simplex virus 2
d. Human papillomavirus
a. Gonorrhea
A client is being treated for secondary syphilis. Which of the following signs and symptoms
would the nurse anticipate the client would exhibit?
a. Chancre at the site of entry
b. Jaundice
c. Difficulty coordinating muscle movements
d. Skin rash without itching
d. Skin rash without itching
Which of the following best explains why chlamydia is a major focus of public health efforts?
a. It has more serious long-term outcomes than other STDs.
b. It can cause problems in infants born to infected mothers.
c. It is not frequently seen in the United States.
d. It is so difficult and expensive to treat.
b. It can cause problems in infants born to infected mothers.
Which of the following statements best explains why HSV-2 infection is more challenging for a
client than gonorrhea infection?
a. HSV-2 is a viral infection that is both chronic and incurable.
b. HSV-2 is extremely expensive to treat.
c. HSV-2, like HIV, is almost impossible to diagnosis in the early stages.
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, d. Once a person has been treated for HSV-2, the person is immune to further outbreaks.
a. HSV-2 is a viral infection that is both chronic and incurable.
When a nurse discovers that a woman has been treated for cervical cancer, the nurse asks the
woman whether she has ever been tested for HIV or other STDs. The woman is offended and
asks why the nurse would ask her such a thing. Which of the following statements would be the
best response from the nurse?
a. "Cervical cancer treatments may decrease immunity, so that it is easier to acquire
STDs."
b. "Cervical cancer usually is caused by HPV, and often the presence of one STD is
accompanied by other STDs."
c. "The presence of an STD in women with cervical cancer may lead to congenital
defects in offspring."
d. "The presence of an STD in a woman with a history of cervical cancer has been
associated with a relapse of the cancer after treatment."
b. "Cervical cancer usually is caused by HPV, and often the presence of one STD is
accompanied by other STDs."
Which of the following best describes the characteristic appearance of lesions of human
papillomavirus (HPV)?
a. Solitary growth with elevated borders and a central depression
b. Elevated growths with a "cauliflower" appearance
c. Thin-walled pustules that rupture to form honey-colored crusts
d. Vesicles that ulcerate and crust within 1 to 4 days
b. Elevated growths with a "cauliflower" appearance
A client who is very upset says to the nurse, "But we always used a condom! How could I have
genital warts?" Which of the following would be the best response by the nurse?
a. "Are you positive you always used a condom?"
b. "Condoms don't always work."
c. "The condom might have had a tear in the latex."
d. "Contact may have occurred outside the area that the condom covers."
d. "Contact may have occurred outside the area that the condom covers."
Which of the following statements best explains why many health care providers are more
afraid of getting hepatitis B (HBV) than HIV?
a. Everyone would assume the person infected with hepatitis B is a drug user.
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