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Worksheets2205 Exam 1 pt.5
Total questions: 45
Worksheet time: 23mins
A nurse is assessing a client with PMDD. Which finding increases concern for severe outcomes per notes?
Coexisting major depression/bipolar/anxiety disorders
Eating yogurt daily
Low HDL
Wearing cotton underwear
A client asks what “DSM-5-TR criteria” implies for PMDD diagnosis. Best response:
A standardized set of psychiatric diagnostic criteria used to confirm PMDD based on symptom pattern and severity
A lab test for BV
A tumor marker
A type of ultrasound
A nurse plans teaching for BV prevention. Which advice is most appropriate?
Avoid practices that disrupt normal vaginal flora (e.g., douching) and complete prescribed therapy
Increase alcohol intake
Stop all hygiene
Use antibiotics prophylactically every month
A client treated for chlamydia returns with the same symptoms two weeks later. Which nurse assessment is most critical?
Whether sexual partner(s) were tested and treated concurrently
Whether the client ate dairy
Whether the client took calcium supplements
Whether the client used a pessary
A client with suspected HSV asks how testing is done. Which is correct per notes?
Viral culture from lesion fluid and NAAT assays
HBsAg
DEXA scan
CA-125
A nurse is teaching Hep B prevention in a client with recent exposure. Which intervention is included in the notes?
Hepatitis B immune globulin and vaccine series (as indicated)
Fluconazole
Metronidazole
Clomiphene
A nurse is counseling infertility risk factors in females per notes. Which is included?
Smoking, alcohol, weight loss, age, stress-related amenorrhea
High calcium diet
HPV vaccination
Wearing loose clothing
A nurse is reviewing ovulation assessment methods. Which pairing is correct?
LH surge + cervical mucus changes + BBT trends + midluteal progesterone
CA-125 + Pap test
Wet mount pH + whiff test
DEXA scan + LDL level
A client undergoing ovulation induction asks why the provider wants the “lowest dose possible.” Best reason per notes:
To reduce risk of OHSS and multiples while aiming for one mature follicle
To prevent HPV
To cure BV
To treat osteoporosis
A nurse is reviewing primary syphilis teaching. Which statement is correct?
The chancre can heal without treatment, but infection persists and progresses if untreated
A chancre always itches severely
Primary syphilis causes thick white discharge
Primary syphilis is diagnosed by CA-125
A client has a non-itching rash on palms and soles with fever and lymphadenopathy. Which stage is most consistent?
Secondary syphilis
Latent syphilis
Primary syphilis
Tertiary syphilis
A nurse sees “latent syphilis” in a chart. What does this mean per notes?
No visible manifestations but infection remains within the body
Rapid onset pelvic pain with torsion
Bone density loss
Yeast hyphae on wet mount
A nurse is evaluating a vulvar lesion with itching and white patches in an older client. Which risk factor condition is associated with vulvar cancer per notes?
Lichen sclerosus
PCOS
Fibroadenoma
Lactational amenorrhea
Which is the most appropriate diagnostic next step for suspected vulvar malignancy?
Biopsy of visible lesion
Start SSRIs
Give metronidazole
Schedule semen analysis
A nurse is teaching about cystocele using exact terminology. Which statement is correct?
“A cystocele means the bladder prolapses into the vagina.”
“A cystocele means the rectum herniates into the vagina.”
“A cystocele means the uterus descends into the vagina.”
“A cystocele means an ovarian cyst ruptures.”
A nurse is teaching about rectocele using exact terminology. Which statement is correct?
“A rectocele means the rectum herniates into the vagina.”
“A rectocele means the bladder prolapses into the vagina.”
“A rectocele means the uterus descends into the vagina.”
“A rectocele means the cervix is infected by HPV.”
A nurse is counseling a client with endometriosis and infertility. Which explanation best links endometriosis to infertility?
Chronic inflammation/scarring can impair tubal function and ovum transport
Endometriosis cures anovulation
Endometriosis prevents adhesions
Endometriosis only affects breasts
A client asks why chlamydia is dangerous even if asymptomatic. Best nursing explanation:
It can ascend causing PID, increasing infertility and ectopic pregnancy risk
It always causes immediate pain
It only affects males
It is not treatable
A nurse is teaching candidiasis therapy. Which statement is most accurate per notes?
Oral antifungals are contraindicated during pregnancy (use appropriate alternatives as ordered)
Candidiasis is treated with penicillin G
Candidiasis pH is always > 7
Candidiasis is reportable to public health
A nurse is reviewing STI reporting. Which infection is explicitly listed as reportable (core list)?
HIV
Trichomoniasis
Candidiasis
PMS
A nurse is caring for a pregnant client with HIV in labor. Which nursing focus best aligns with the notes?
Minimize fetal exposure to maternal blood and anticipate antiretroviral management per protocol
Encourage breastfeeding without discussion
Perform invasive procedures routinely
Avoid gloves to build rapport
A nurse evaluates a client with PCOS for metabolic risks. Which set of comorbidities aligns with the notes?
Insulin resistance → diabetes risk, fatty liver, HTN, dyslipidemia, sleep apnea, depression
Only cervical cancer
Only osteoporosis
Only candidiasis
A nurse is teaching about the “leading cause of infertility” in the endocrine/metabolic context. Which condition fits?
PCOS
BV
Fibroadenoma
Vulvar cancer
A client asks which contraception provides STI protection. Best answer:
External/internal condoms (barrier methods)
Hormonal IUD
Copper IUD
Implant only
A nurse plans a patient teaching statement about IUD risks. Which is most accurate?
“IUDs can be displaced or rarely perforate the uterus; report severe pain or missing strings.”
“IUDs eliminate the need for condoms for STI prevention.”
“IUDs always cause infertility.”
“IUDs are placed in the cervix, not the uterus.”
A nurse is teaching the main symptom focus for endometrial cancer. Which is correct?
Abnormal uterine bleeding, especially in postmenopausal clients
Thick white discharge with pH < 4.5
Fishy odor and clue cells
A client with suspected ovarian cancer asks why CA-125 isn’t a perfect screening tool. Which nurse statement is most accurate?
“CA-125 can be elevated in conditions other than ovarian cancer and is mainly used with clinical evaluation and monitoring.”
“CA-125 is only positive in BV.”
“CA-125 replaces biopsy.”
“CA-125 is a pregnancy hormone.”
A nurse is teaching about bacterial vaginosis treatment alternatives mentioned in notes. Which is included?
Clindamycin (as alternative option)
Risedronate
Valacyclovir
Teriparatide
Which scenario requires mandatory public health reporting per the notes’ core list?
Positive chlamydia NAAT
Recurrent candidiasis
PMDD with mood swings
Fibrocystic breast changes
A nurse is teaching about risk factors for cervical cancer. Which is included?
Multiple sex partners, history of STIs, smoking, immunosuppressive disorder
High calcium diet
Daily exercise
Low BMI
A nurse is caring for a client with suspected menopausal transition. Which finding would require the nurse to pursue evaluation rather than assuming it’s menopause?
12 months without menses at age 52
Postmenopausal bleeding
Mild night sweats
Occasional hot flashes
A client asks which condition is most common GYN cancer and most common in postmenopausal clients per notes. Which is correct?
Ovarian cancer
Cervical cancer
Vulvar cancer
Endometrial cancer
A nurse is reviewing BV diagnostics. Which test is consistent with BV?
pH < 4.5 with hyphae
Positive whiff test with clue cells on wet mount
HBsAg positive
CA-125 elevated
A nurse teaching about emergency contraception should include which statement?
“Emergency contraception works mainly by delaying ovulation and is most effective when taken as soon as possible.”
“It prevents STIs for 30 days.”
“It is identical to a vasectomy.”
“It treats BV.”
A client on metronidazole for BV asks about drinking wine. Best response:
“Alcohol is safe; take with wine for absorption.”
“Only beer is unsafe.”
“Only liquor is unsafe.”
“Avoid alcohol while taking metronidazole.”
A nurse is teaching PID warning signs that require urgent evaluation. Which is most concerning?
Mild cyclic breast tenderness
Clear stretchy mucus
Fever, pelvic pain, and cervical motion tenderness
Hot flashes only
A nurse is counseling a patient with recurrent BV. Which behavior increases BV risk by disrupting normal flora?
Weight-bearing exercise
Douching
Calcium intake
HPV vaccination
A nurse is planning GBS prophylaxis. Which client most clearly meets criteria for intrapartum antibiotics per notes?
Scheduled cesarean birth with no labor and intact membranes
Term labor with GBS negative screen
Rupture of membranes ≥ 18 hours with unknown GBS status
Nonpregnant client with yeast infection
A nurse is teaching TORCH risks. Which action best reduces toxoplasmosis risk?
Share razors
Avoid undercooked meat and use caution with cat litter exposure
Drink alcohol daily
Stop all dairy
A nurse is teaching about infertility and weight loss. Which statement best fits the notes?
Significant weight loss can contribute to stress-related amenorrhea and infertility risk
Weight loss always increases ovulation immediately
Weight loss cures endometriosis
Weight loss prevents STIs
A client asks why a hysterosalpingogram is ordered. Best response:
“It checks for cervical cancer.”
“It measures bone density.”
“It evaluates whether fallopian tubes are open and assesses the uterine cavity.”
“It diagnoses BV.”
A nurse is teaching about GIFT. Which is correct?
Fertilization occurs outside the body and embryos are placed in uterus
Eggs and sperm are placed into the fallopian tube and fertilization occurs in vivo
A single sperm is injected into the egg in the lab
Washed sperm is placed into the uterus only
A nurse is teaching about IUI. Which is correct?
Egg retrieval and lab fertilization are required
Zygote is placed into fallopian tube after lab fertilization
Sperm is injected into egg in lab
Washed sperm is inserted into the uterus around ovulation
A nurse is teaching about risk factors for ovarian cancer. Which combination aligns with the notes?
Nulliparity, older age, infertility, endometriosis, BRCA 1/2 , Lynch syndrome, family history
Low BMI and weight loss only
BV and candidiasis only
PMS and PMDD only
A nurse is prioritizing education for STI prevention and public health safety. Which statement is the best closing teaching point?
“Complete all prescribed treatment, ensure partners are treated when indicated, use barrier protection, and follow up—some infections are reportable for public health control.”
“If symptoms stop, you can stop antibiotics.”
“Only the patient needs treatment—partners don’t matter.”
“IUDs prevent all STIs.”
