ATI RN
Maternal Disorders Questions
Question 1 of 5
Which statement by the client indicates further teaching is needed about uterine cancer?
Correct Answer: A
Rationale: The correct answer is A because a Pap test is used to detect cervical cancer, not uterine cancer. 1. A Pap test screens for cervical cancer by detecting abnormal cells in the cervix. 2. Uterine cancer is the most common cancer of the reproductive tract, making choice B accurate. 3. Choice C is correct as using estrogen without progesterone can increase uterine cancer risk. 4. Choice D is also accurate as postmenopausal bleeding can be a symptom of uterine cancer. In summary, the need for further teaching arises from the misconception that a Pap test can diagnose uterine cancer.
Question 2 of 5
A public health nurse is teaching a group about STIs at a local community center. Which statement made by the group demonstrates a good understanding of the disease process?
Correct Answer: C
Rationale: The correct answer is C: Sexual partners of the infected person must also be treated. This statement demonstrates a good understanding of the disease process because treating only the infected person may not prevent re-infection. Treating sexual partners is crucial to prevent the spread of STIs and reduce the risk of transmission. This approach is known as partner therapy and is recommended by public health guidelines to control the spread of STIs effectively. It is important to address the source of infection and not just the individual who is currently infected. Incorrect Choices: A: The infection can only be spread when a person is symptomatic - This is incorrect because some STIs can be transmitted even when the infected person is asymptomatic. B: I can only get the disease through vaginal intercourse - This is incorrect as STIs can be transmitted through various sexual activities, not just vaginal intercourse. D: Oral contraceptives are effective in protecting against STIs - This is incorrect as oral contraceptives do not protect against STIs;
Question 3 of 5
A nurse working in a community clinic is teaching a client about chlamydia. Which statement made by the client would indicate a need for further instruction?
Correct Answer: B
Rationale: The correct answer is B because it is incorrect. Chlamydia can be spread by individuals who are asymptomatic, so the statement that individuals can only spread it if symptomatic is inaccurate. Asymptomatic individuals can still transmit the infection to others. Therefore, this statement indicates a need for further instruction. Choices A, C, and D are all correct statements. Treatment is necessary for asymptomatic individuals to prevent complications, pregnant women should be screened for chlamydia to prevent transmission to the baby, and any sexually active individuals can indeed be infected with chlamydia.
Question 4 of 5
A client is being treated for gonorrhea. Which medication combination should the nurse expect to be prescribed?
Correct Answer: A
Rationale: The correct answer is A: Ceftriaxone and azithromycin. Ceftriaxone is the first-line treatment for gonorrhea due to increasing resistance to other antibiotics. Azithromycin is often prescribed in combination to treat possible co-infection with chlamydia. Penicillin (B) is not effective against gonorrhea. Tetracycline (C) is not recommended due to resistance issues. Levofloxacin (D) is no longer recommended due to resistance concerns. The combination of ceftriaxone and azithromycin covers both gonorrhea and possible chlamydia co-infection effectively.
Question 5 of 5
A male client reports painful urination and a creamy yellow drainage from the urethra. During the assessment, he admits to having unprotected sex. With which STI does the nurse associate these clinical manifestations?
Correct Answer: D
Rationale: The correct answer is D: Gonorrhea. Painful urination and yellow discharge from the urethra are classic symptoms of gonorrhea, a bacterial sexually transmitted infection (STI). Gonorrhea is commonly transmitted through unprotected sexual contact. The creamy yellow discharge is a key indicator of gonorrhea infection. The other choices are incorrect because: A: Candidiasis typically presents with white, cottage cheese-like discharge and itching, not yellow discharge or painful urination. B: HPV does not cause painful urination or discharge from the urethra; it usually presents with genital warts or abnormal pap smears. C: Trichomoniasis may cause green, frothy discharge and discomfort, but not creamy yellow discharge or painful urination.