1. The nurse in a pediatric clinic is caring for a 9-year-old girl who has been diagnosed
with gonorrhea. Which of the following actions is appropriate for the nurse
to take?
1. Notify the physician so the child can be admitted to the hospital.
2. Discuss with the girl the need to stop future sexual encounters.
3. Question the mother about her daughter’s menstrual history.
4. Report the girl’s medical findings to child protective services.
2. A 19-year-old client with multiple sex partners is being counseled about the hepatitis
B vaccination. During the counseling sessions, which of the following should the
nurse advise the client to receive?
1. The hepatitis B immune globulin before receiving the vaccine.
2. A vaccine booster every 10 years.
3. The complete series of three intramuscular injections.
4. The vaccine as soon as she becomes 21.
3. A postpartum client has decided to use Depo-Provera (medroxyprogesterone
acetate) as her contraceptive method. What should the nurse advise the client
regarding this medication?
1. Take the pill at the same time each day.
2. Refrain from breastfeeding while using the method.
3. Expect to have no periods as long as she takes the medicine.
4. Consider switching to another birth control method in a year or so.
4. The nurse is administering Depo-Provera (medroxyprogesterone acetate) to a postpartum
client. Which of the following data must the nurse consider before administering
the medication?
1. The medicine must be administered subcutaneously in the upper arm.
2. The client must be taught to use sunscreen whenever in the sunlight.
3. The medicine is contraindicated if the woman has lung or esophageal cancer.
4. The client must use an alternate form of birth control for the first two months.
5. Which statement by the client indicates that she understands the teaching provided
about the intrauterine device (IUD)?
1. “The IUD can remain in place for a year or more.”
2. “I will not menstruate while the IUD is in.”
3. “Pain during intercourse is a common side effect.”
4. “The device will reduce my chances of getting infected.”
6. A client has been diagnosed with pubic lice. Which of the following signs/
symptoms would the nurse expect to see?
1. Macular rash on the labia.
2. Pruritus.
3. Hyperthermia.
4. Foul-smelling discharge.
7. The nurse is teaching a client regarding the treatment for pubic lice. Which of the
following should be included in the teaching session?
1. The antibiotics should be taken for a full 10 days.
2. All clothing should be pretreated with bleach before wearing.
3. Shampoo should be applied for at least 2 hours before rinsing.
4. The pubic hair should be combed after shampoo is removed
8. The parent of a newborn angrily asks the nurse, “Why would the doctor want to
give my baby the vaccination for hepatitis B. It’s a sexually transmitted disease, you
know!” Which of the following is the best response by the nurse?
1. “The hepatitis B vaccine is given to all babies. It is given because many babies
get infected from their mothers during pregnancy.”
2. “It is important for your baby to get the vaccine in the hospital because the shot
may not be available when your child gets older.”
3. “Hepatitis B can be a life-threatening infection that is contracted by contact
, with blood as well as sexually.”
4. “Most parents want to protect their children from as many serious diseases as
possible. Hepatitis B is one of those diseases.”
9. A nurse is reading the research article entitled “Efficacy of Informational Letters on
Hepatitis B Immunization Rates in University Students.” In the article, the researchers
analyzed the means by which the students learned about the hepatitis B
vaccine and compared that information with whether or not the students actually
received the vaccine. Table 3-1 describes the data.
Which of the following interpretations of the data from Table 3-1 is correct?
1. When one considers those who “read/heard” about the vaccine, there is no significant
difference between the percentage of students who received the immunization
and those who did not receive the immunization.
2. The likelihood of students who receive the vaccine when they learned about it
from the “Health History Form” was about 1.6 times that of the “Health
History Form” students who did not receive the vaccine.
3. 44.4% of those who were not vaccinated received their information from
“letters.”
4. The largest percentage of students who received the vaccine learned about it
from the “University Health Service (UHS) providers.”
10. A nurse is reading a research article on the incidence of sexually transmitted diseases
in one population as compared with a second population. The relative risk
(RR) is reported as 0.80 and the 95% confidence interval (CI) is reported as 0.62 to
1.4. How should the nurse interpret the results?
1. Because the CI of the RR includes the value of 1, the difference between the
groups is meaningless.
2. A 95% confidence interval is a statistically significant finding.
3. A relative risk of 0.80 is moderately powerful.
4. Because there is no P value reported for the CI, the nurse is unable to make any
conclusions about the data.
11. A gravid, married client, 24 weeks’ gestation, is found to have bacterial vaginosis.
Her health care practitioner has ordered metronidazole (Flagyl) to treat the problem.
Which of the following educational information is important for the nurse to
provide the woman at this time?
1. The woman must be careful to observe for signs of preterm labor.
2. The woman must advise her partner to seek therapy as soon as possible.
3. The main side effect of the medicine is a copious vaginal discharge.
4. A repeat culture should be taken two weeks after completing the therapy.
12. A nonpregnant young woman has been diagnosed with bacterial vaginosis (BV).
The nurse questions the woman regarding her sexual history, including her frequency
of intercourse, how many sexual partners she has, and her use of contraceptives.
What is the rationale for the nurse’s questions?
1. Clients with BV can infect their sexual partners.
2. The nurse is required by law to ask the questions.
3. Clients with BV can become infected with HIV and other sexually transmitted
infections more easily than uninfected women.
4. The laboratory needs a full client history in order to know for which organisms
and antibiotic sensitivities it should test.
13. A woman is noted to have multiple soft warts on her perineum and rectal areas.
The nurse suspects that this client is infected with which of the following sexually
transmitted infections?
1. Human papillomavirus (HPV).
2. Human immunodeficiency virus (HIV).
3. Syphilis.
4. Trichomoniasis.
14. A woman is to receive 2.4 million units of penicillin G benzathine IM to treat
with gonorrhea. Which of the following actions is appropriate for the nurse
to take?
1. Notify the physician so the child can be admitted to the hospital.
2. Discuss with the girl the need to stop future sexual encounters.
3. Question the mother about her daughter’s menstrual history.
4. Report the girl’s medical findings to child protective services.
2. A 19-year-old client with multiple sex partners is being counseled about the hepatitis
B vaccination. During the counseling sessions, which of the following should the
nurse advise the client to receive?
1. The hepatitis B immune globulin before receiving the vaccine.
2. A vaccine booster every 10 years.
3. The complete series of three intramuscular injections.
4. The vaccine as soon as she becomes 21.
3. A postpartum client has decided to use Depo-Provera (medroxyprogesterone
acetate) as her contraceptive method. What should the nurse advise the client
regarding this medication?
1. Take the pill at the same time each day.
2. Refrain from breastfeeding while using the method.
3. Expect to have no periods as long as she takes the medicine.
4. Consider switching to another birth control method in a year or so.
4. The nurse is administering Depo-Provera (medroxyprogesterone acetate) to a postpartum
client. Which of the following data must the nurse consider before administering
the medication?
1. The medicine must be administered subcutaneously in the upper arm.
2. The client must be taught to use sunscreen whenever in the sunlight.
3. The medicine is contraindicated if the woman has lung or esophageal cancer.
4. The client must use an alternate form of birth control for the first two months.
5. Which statement by the client indicates that she understands the teaching provided
about the intrauterine device (IUD)?
1. “The IUD can remain in place for a year or more.”
2. “I will not menstruate while the IUD is in.”
3. “Pain during intercourse is a common side effect.”
4. “The device will reduce my chances of getting infected.”
6. A client has been diagnosed with pubic lice. Which of the following signs/
symptoms would the nurse expect to see?
1. Macular rash on the labia.
2. Pruritus.
3. Hyperthermia.
4. Foul-smelling discharge.
7. The nurse is teaching a client regarding the treatment for pubic lice. Which of the
following should be included in the teaching session?
1. The antibiotics should be taken for a full 10 days.
2. All clothing should be pretreated with bleach before wearing.
3. Shampoo should be applied for at least 2 hours before rinsing.
4. The pubic hair should be combed after shampoo is removed
8. The parent of a newborn angrily asks the nurse, “Why would the doctor want to
give my baby the vaccination for hepatitis B. It’s a sexually transmitted disease, you
know!” Which of the following is the best response by the nurse?
1. “The hepatitis B vaccine is given to all babies. It is given because many babies
get infected from their mothers during pregnancy.”
2. “It is important for your baby to get the vaccine in the hospital because the shot
may not be available when your child gets older.”
3. “Hepatitis B can be a life-threatening infection that is contracted by contact
, with blood as well as sexually.”
4. “Most parents want to protect their children from as many serious diseases as
possible. Hepatitis B is one of those diseases.”
9. A nurse is reading the research article entitled “Efficacy of Informational Letters on
Hepatitis B Immunization Rates in University Students.” In the article, the researchers
analyzed the means by which the students learned about the hepatitis B
vaccine and compared that information with whether or not the students actually
received the vaccine. Table 3-1 describes the data.
Which of the following interpretations of the data from Table 3-1 is correct?
1. When one considers those who “read/heard” about the vaccine, there is no significant
difference between the percentage of students who received the immunization
and those who did not receive the immunization.
2. The likelihood of students who receive the vaccine when they learned about it
from the “Health History Form” was about 1.6 times that of the “Health
History Form” students who did not receive the vaccine.
3. 44.4% of those who were not vaccinated received their information from
“letters.”
4. The largest percentage of students who received the vaccine learned about it
from the “University Health Service (UHS) providers.”
10. A nurse is reading a research article on the incidence of sexually transmitted diseases
in one population as compared with a second population. The relative risk
(RR) is reported as 0.80 and the 95% confidence interval (CI) is reported as 0.62 to
1.4. How should the nurse interpret the results?
1. Because the CI of the RR includes the value of 1, the difference between the
groups is meaningless.
2. A 95% confidence interval is a statistically significant finding.
3. A relative risk of 0.80 is moderately powerful.
4. Because there is no P value reported for the CI, the nurse is unable to make any
conclusions about the data.
11. A gravid, married client, 24 weeks’ gestation, is found to have bacterial vaginosis.
Her health care practitioner has ordered metronidazole (Flagyl) to treat the problem.
Which of the following educational information is important for the nurse to
provide the woman at this time?
1. The woman must be careful to observe for signs of preterm labor.
2. The woman must advise her partner to seek therapy as soon as possible.
3. The main side effect of the medicine is a copious vaginal discharge.
4. A repeat culture should be taken two weeks after completing the therapy.
12. A nonpregnant young woman has been diagnosed with bacterial vaginosis (BV).
The nurse questions the woman regarding her sexual history, including her frequency
of intercourse, how many sexual partners she has, and her use of contraceptives.
What is the rationale for the nurse’s questions?
1. Clients with BV can infect their sexual partners.
2. The nurse is required by law to ask the questions.
3. Clients with BV can become infected with HIV and other sexually transmitted
infections more easily than uninfected women.
4. The laboratory needs a full client history in order to know for which organisms
and antibiotic sensitivities it should test.
13. A woman is noted to have multiple soft warts on her perineum and rectal areas.
The nurse suspects that this client is infected with which of the following sexually
transmitted infections?
1. Human papillomavirus (HPV).
2. Human immunodeficiency virus (HIV).
3. Syphilis.
4. Trichomoniasis.
14. A woman is to receive 2.4 million units of penicillin G benzathine IM to treat
