NR 538 EXAM PREP QUESTIONS& ANSWERS 2023/2024
UPDATED
A adolescent asks the nurse if there is anything that would greatly increase her risk of acquiring herpes
simplex virus (HSV). Which response would be the most accurate for the nurse to reply? -ANSWER-
Engaging in oral-genital sex
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? -ANSWER- Fallopian tube damage
Which assessment question is most likely to address the causation of a woman's new case of
candidiasis? -ANSWER- "Have you been on antibiotics recently?"
Which clients would the nurse determine are at increased risk of infection with gonorrhea? Select all
that apply. -ANSWER- The client who is younger than 25 years of age
The client who does not use condoms
The client with multiple sexual partners
Which client will the nurse determine is a candidate for continuous antiviral suppressive therapy for
genital herpes? -ANSWER- The client with more than six outbreaks this year
A client has been diagnosed with candidiasis. Which symptom was present to diagnose this condition? -
ANSWER- Thick white secretions
Which information is essential for a nurse to include in the teaching plan for a client receiving
metronidazole for trichomoniasis? -ANSWER- Abstinence is recommended until the therapy is
completed.
, An male client presents with urethral itching, burning, pain, and a creamy, yellow discharge following
unprotected sex with a new partner 3 days ago. The nurse anticipates the client to be diagnosed with
which sexually transmitted infection? -ANSWER- Neisseria gonorrhoeae
The primary reason genital herpes has reached epidemic proportions throughout the world relates to
the fact that: -ANSWER- a large percentage (70%) of those infected experience no symptoms of the
disease.
A 24-year-old female presents with vulvar pruritus accompanied by irritation, pain on urination,
erythema, and an odorless, thick, acid vaginal discharge. She denies sexual activity during the last 6
months. Her records show that she has diabetes mellitus and uses oral contraceptives. Which category
of medication is most likely to resolve her symptoms? -ANSWER- An azole antifungal agent
Which event is associated with the primary stage of syphilis? -ANSWER- Genital chancres
A couple presents to an infertility clinic. The health care provider will focus testing on which sexually
transmitted infection (STI) that is very damaging to the reproductive system but rarely exhibits symptoms
of infection? -ANSWER- Chlamydial infection
A nurse is attempting to culture a lesion to determine if a client has genital herpes. What is the nurse's
best action? -ANSWER- Attempt to culture a lesion as soon as it develops.
Select the most reliable test to diagnose syphilis. -ANSWER- serology
A woman who has developed vulvovaginal candidiasis will likely report which clinical manifestations to
her health care provider? Select all that apply. -ANSWER- Redness
Edema
Painful urination
A young woman presents with vaginal itching and irritation of recent onset. Her labia are swollen, and
she has a frothy yellowish discharge with an unpleasant smell and a pH of 6.8. She has been celibate
during the last 6 months and has been taking antibiotics for a throat infection. Which medication is most
likely to clear her symptoms? -ANSWER- metronidazole
UPDATED
A adolescent asks the nurse if there is anything that would greatly increase her risk of acquiring herpes
simplex virus (HSV). Which response would be the most accurate for the nurse to reply? -ANSWER-
Engaging in oral-genital sex
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? -ANSWER- Fallopian tube damage
Which assessment question is most likely to address the causation of a woman's new case of
candidiasis? -ANSWER- "Have you been on antibiotics recently?"
Which clients would the nurse determine are at increased risk of infection with gonorrhea? Select all
that apply. -ANSWER- The client who is younger than 25 years of age
The client who does not use condoms
The client with multiple sexual partners
Which client will the nurse determine is a candidate for continuous antiviral suppressive therapy for
genital herpes? -ANSWER- The client with more than six outbreaks this year
A client has been diagnosed with candidiasis. Which symptom was present to diagnose this condition? -
ANSWER- Thick white secretions
Which information is essential for a nurse to include in the teaching plan for a client receiving
metronidazole for trichomoniasis? -ANSWER- Abstinence is recommended until the therapy is
completed.
, An male client presents with urethral itching, burning, pain, and a creamy, yellow discharge following
unprotected sex with a new partner 3 days ago. The nurse anticipates the client to be diagnosed with
which sexually transmitted infection? -ANSWER- Neisseria gonorrhoeae
The primary reason genital herpes has reached epidemic proportions throughout the world relates to
the fact that: -ANSWER- a large percentage (70%) of those infected experience no symptoms of the
disease.
A 24-year-old female presents with vulvar pruritus accompanied by irritation, pain on urination,
erythema, and an odorless, thick, acid vaginal discharge. She denies sexual activity during the last 6
months. Her records show that she has diabetes mellitus and uses oral contraceptives. Which category
of medication is most likely to resolve her symptoms? -ANSWER- An azole antifungal agent
Which event is associated with the primary stage of syphilis? -ANSWER- Genital chancres
A couple presents to an infertility clinic. The health care provider will focus testing on which sexually
transmitted infection (STI) that is very damaging to the reproductive system but rarely exhibits symptoms
of infection? -ANSWER- Chlamydial infection
A nurse is attempting to culture a lesion to determine if a client has genital herpes. What is the nurse's
best action? -ANSWER- Attempt to culture a lesion as soon as it develops.
Select the most reliable test to diagnose syphilis. -ANSWER- serology
A woman who has developed vulvovaginal candidiasis will likely report which clinical manifestations to
her health care provider? Select all that apply. -ANSWER- Redness
Edema
Painful urination
A young woman presents with vaginal itching and irritation of recent onset. Her labia are swollen, and
she has a frothy yellowish discharge with an unpleasant smell and a pH of 6.8. She has been celibate
during the last 6 months and has been taking antibiotics for a throat infection. Which medication is most
likely to clear her symptoms? -ANSWER- metronidazole
