NSG 3180 Exam 4 | Practice Questions And Answers |
2025-2026 Updates
1. Which action is appropriate when a nurse identifies a patient with a reportable sexually
transmitted infection (STI)?
A. Notify the patient’s insurance provider
B. Report the case to the local public health department
C. Refer the patient to private counseling without documentation
D. Report to the Centers for Disease Control directly
Correct answer: B
Rationale: STIs such as syphilis, chlamydia, gonorrhea, and HIV are legally reportable in all
states, and the correct procedure is to report the case to the local public health department.
This ensures contact tracing and outbreak prevention. Reporting to the CDC is not the nurse’s
responsibility, and involving insurance or skipping documentation violates protocols.
2. Which of the following symptoms is most likely in a male client diagnosed with gonorrhea?
A. Vaginal itching
B. Penile discharge and painful swollen testicles
C. Chronic pelvic pain
D. Vaginal bleeding after intercourse
Correct answer: B
Rationale: In male clients, gonorrhea often presents with penile discharge and painful, swollen
testicles. Vaginal symptoms like itching or bleeding are more common in women. Chronic pelvic
pain is more associated with longterm untreated infections or PID.
3. A client being treated for Chlamydia is prescribed metronidazole. What patient teaching
should the nurse include?
A. Take with orange juice to improve taste
B. Alcohol is safe in moderation
C. Avoid alcohol for at least 3 days after completing the medication
D. Take the medication only if symptoms persist
Correct answer: C
,Rationale: Metronidazole causes a severe disulfiram-like reaction with alcohol, leading to
nausea, vomiting, and hypotension. Patients must avoid alcohol during treatment and for 3 days
after. It should be taken as prescribed, not symptom-based, and not mixed with acidic
beverages unless directed.
4. A nurse is providing discharge instructions to a patient with genital warts caused by HPV.
Which statement indicates a need for further teaching?
A. "I should avoid touching other areas of my skin after contact with the warts."
B. "I can soak the warts in antiseptic to help dry them out."
C. "HPV is contagious through skin-to-skin contact."
D. "I’ll avoid sex while the warts are visible."
Correct answer: B
Rationale: Soaking HPV warts in antiseptic is contraindicated as this can increase irritation and
the risk of spreading the virus. Touching them can spread the virus to other body areas.
Avoiding sex and observing strict hygiene are appropriate actions.
5. What is the recommended age range for the HPV vaccine to prevent cervical cancer?
A. 5–15 years
B. 9–30 years
C. 11–26 years
D. 13–22 years
Correct answer: C
Rationale: The CDC recommends HPV vaccination for individuals aged 11– 26 to protect against
high-risk HPV strains that can lead to cervical cancer. Earlier or later vaccinations may be
offered, but 11–26 is the routine window. Starting before sexual activity is ideal.
6. Which of the following is true regarding genital herpes?
A. It can be cured with antibiotics
B. Symptoms always appear after infection
C. It is a viral infection that cannot be cured
D. The disease is not contagious even during flare-ups
Correct answer: C
, Rationale: Genital herpes is a chronic viral infection that cannot be cured, only managed.
Symptoms may not always be present, but the virus is still contagious. Antibiotics are ineffective
against viruses and should not be used.
7. What are the symptoms of the three stages of syphilis?
A. Primary: rash; Secondary: fever; Tertiary: lung failure
B. Primary: chancre; Secondary: rash, sores, malaise; Tertiary: neurological involvement
C. Primary: fever and vomiting; Secondary: vision loss; Tertiary: infertility
D. Primary: rash; Secondary: cancer; Tertiary: renal failure
Correct answer: B
Rationale: Primary syphilis presents with a painless chancre, secondary with a widespread rash,
oral sores, malaise, and muscle aches, and tertiary syphilis can involve the central nervous
system, leading to neurosyphilis. The other answer choices confuse the systemic progression.
8. Which of the following would the nurse delegate to the assistive personnel (AP) for a post-
prostatectomy client?
A. Catheter insertion and irrigation
B. Medication administration for bladder spasms
C. Encouraging the patient to ambulate and measuring urine output
D. Teaching about signs of infection
Correct answer: C
Rationale: In Texas, tasks like ambulation assistance and measuring urine output can be
delegated to an AP. Catheter care, medication administration, and patient teaching are outside
the AP's scope and should be performed by licensed nurses.
9. A client who underwent TURP surgery is receiving discharge teaching. Which instruction
would indicate a need for further education?
A. “I will limit my fluid intake to reduce incontinent episodes.”
B. “I will avoid caffeine and spicy foods.”
C. “I will avoid vigorous activities for the first two months.”
D. “I’ll practice stopping my urine stream to strengthen pelvic muscles.”
Correct answer: A
2025-2026 Updates
1. Which action is appropriate when a nurse identifies a patient with a reportable sexually
transmitted infection (STI)?
A. Notify the patient’s insurance provider
B. Report the case to the local public health department
C. Refer the patient to private counseling without documentation
D. Report to the Centers for Disease Control directly
Correct answer: B
Rationale: STIs such as syphilis, chlamydia, gonorrhea, and HIV are legally reportable in all
states, and the correct procedure is to report the case to the local public health department.
This ensures contact tracing and outbreak prevention. Reporting to the CDC is not the nurse’s
responsibility, and involving insurance or skipping documentation violates protocols.
2. Which of the following symptoms is most likely in a male client diagnosed with gonorrhea?
A. Vaginal itching
B. Penile discharge and painful swollen testicles
C. Chronic pelvic pain
D. Vaginal bleeding after intercourse
Correct answer: B
Rationale: In male clients, gonorrhea often presents with penile discharge and painful, swollen
testicles. Vaginal symptoms like itching or bleeding are more common in women. Chronic pelvic
pain is more associated with longterm untreated infections or PID.
3. A client being treated for Chlamydia is prescribed metronidazole. What patient teaching
should the nurse include?
A. Take with orange juice to improve taste
B. Alcohol is safe in moderation
C. Avoid alcohol for at least 3 days after completing the medication
D. Take the medication only if symptoms persist
Correct answer: C
,Rationale: Metronidazole causes a severe disulfiram-like reaction with alcohol, leading to
nausea, vomiting, and hypotension. Patients must avoid alcohol during treatment and for 3 days
after. It should be taken as prescribed, not symptom-based, and not mixed with acidic
beverages unless directed.
4. A nurse is providing discharge instructions to a patient with genital warts caused by HPV.
Which statement indicates a need for further teaching?
A. "I should avoid touching other areas of my skin after contact with the warts."
B. "I can soak the warts in antiseptic to help dry them out."
C. "HPV is contagious through skin-to-skin contact."
D. "I’ll avoid sex while the warts are visible."
Correct answer: B
Rationale: Soaking HPV warts in antiseptic is contraindicated as this can increase irritation and
the risk of spreading the virus. Touching them can spread the virus to other body areas.
Avoiding sex and observing strict hygiene are appropriate actions.
5. What is the recommended age range for the HPV vaccine to prevent cervical cancer?
A. 5–15 years
B. 9–30 years
C. 11–26 years
D. 13–22 years
Correct answer: C
Rationale: The CDC recommends HPV vaccination for individuals aged 11– 26 to protect against
high-risk HPV strains that can lead to cervical cancer. Earlier or later vaccinations may be
offered, but 11–26 is the routine window. Starting before sexual activity is ideal.
6. Which of the following is true regarding genital herpes?
A. It can be cured with antibiotics
B. Symptoms always appear after infection
C. It is a viral infection that cannot be cured
D. The disease is not contagious even during flare-ups
Correct answer: C
, Rationale: Genital herpes is a chronic viral infection that cannot be cured, only managed.
Symptoms may not always be present, but the virus is still contagious. Antibiotics are ineffective
against viruses and should not be used.
7. What are the symptoms of the three stages of syphilis?
A. Primary: rash; Secondary: fever; Tertiary: lung failure
B. Primary: chancre; Secondary: rash, sores, malaise; Tertiary: neurological involvement
C. Primary: fever and vomiting; Secondary: vision loss; Tertiary: infertility
D. Primary: rash; Secondary: cancer; Tertiary: renal failure
Correct answer: B
Rationale: Primary syphilis presents with a painless chancre, secondary with a widespread rash,
oral sores, malaise, and muscle aches, and tertiary syphilis can involve the central nervous
system, leading to neurosyphilis. The other answer choices confuse the systemic progression.
8. Which of the following would the nurse delegate to the assistive personnel (AP) for a post-
prostatectomy client?
A. Catheter insertion and irrigation
B. Medication administration for bladder spasms
C. Encouraging the patient to ambulate and measuring urine output
D. Teaching about signs of infection
Correct answer: C
Rationale: In Texas, tasks like ambulation assistance and measuring urine output can be
delegated to an AP. Catheter care, medication administration, and patient teaching are outside
the AP's scope and should be performed by licensed nurses.
9. A client who underwent TURP surgery is receiving discharge teaching. Which instruction
would indicate a need for further education?
A. “I will limit my fluid intake to reduce incontinent episodes.”
B. “I will avoid caffeine and spicy foods.”
C. “I will avoid vigorous activities for the first two months.”
D. “I’ll practice stopping my urine stream to strengthen pelvic muscles.”
Correct answer: A
