Management of Patients with Sexually Transmitted Diseases and Musculoskeletal Disorders | Mock Test | Staff Nurse | Guides Academy

Management of patients with sexually transmitted diseases and musculoskeletal disorders.

Time: 15:00

A patient is being treated for active Rheumatoid Arthritis (RA). Which nursing intervention is a priority to promote joint function and prevent deformities?

[a] Encouraging complete bed rest to minimize joint stress.

[b] Applying cold packs to all affected joints for long periods.

[c] Balancing rest periods with a therapeutic exercise program.

[d] Maintaining joints in a flexed position for comfort.

A young woman is diagnosed with Pelvic Inflammatory Disease (PID). The nurse should explain that this condition is most commonly a serious complication of which untreated STDs?

[a] Herpes and Syphilis.

[b] HPV and Trichomoniasis.

[c] Gonorrhea and Chlamydia.

[d] HIV and Hepatitis B.

A patient with a cast on their lower leg complains of severe pain that is not relieved by opioid analgesics. The nurse notes the toes are cool, pale, and swollen. What is the priority nursing action?

[a] Elevate the leg on two pillows.

[b] Administer another dose of pain medication.

[c] Document the findings and reassess in one hour.

[d] Notify the physician immediately of a possible compartment syndrome.

Penicillin G is the treatment of choice for all stages of which sexually transmitted disease?

[a] Gonorrhea.

[b] Chlamydia.

[c] Syphilis.

[d] Genital Herpes.

A nurse is teaching a patient postoperative precautions after a total hip arthroplasty (THA). Which instruction is correct to prevent hip dislocation?

[a] "You should cross your legs only at the ankles."

[b] "It is important to use a low toilet seat to improve muscle strength."

[c] "You should use an abductor pillow between your legs when lying on your side."

[d] "You can bend at the waist past 90 degrees to put on your shoes."

A patient is diagnosed with Human Papillomavirus (HPV) infection. The nurse's health education should focus on the increased risk for developing which condition?

[a] Infertility.

[b] Pelvic Inflammatory Disease.

[c] Cervical cancer.

[d] Liver failure.

A nurse is caring for a patient in Buck's traction. Which nursing intervention is essential?

[a] Removing the weights for 30 minutes every 4 hours.

[b] Ensuring the patient's heel is resting firmly on the bed.

[c] Making sure the weights are hanging freely and not touching the floor.

[d] Placing the head of the bed in a high Fowler's position.

Acyclovir is an antiviral medication prescribed for a patient with genital herpes. The nurse should explain that the primary purpose of this medication is to:

[a] Cure the herpes infection completely.

[b] Reduce the frequency and severity of outbreaks.

[c] Prevent transmission of the virus to sexual partners.

[d] Provide lifelong immunity.

A patient is diagnosed with osteoporosis. Which recommendation is most important for the nurse to include in the patient's plan of care?

[a] Maintain a sedentary lifestyle to prevent fractures.

[b] Follow a diet low in calcium and vitamin D.

[c] Implement fall precautions and encourage regular weight-bearing exercise.

[d] Suggest swimming as the only form of exercise.

The presence of a painless chancre at the site of infection is the hallmark sign of which stage of syphilis?

[a] Primary stage.

[b] Secondary stage.

[c] Latent stage.

[d] Tertiary stage.

A patient has sustained an open fracture of the tibia. This patient is at the highest risk for which complication?

[a] Fat embolism.

[b] Compartment syndrome.

[c] Osteomyelitis.

[d] Avascular necrosis.

When providing health education about preventing STDs, the nurse should emphasize that the most effective method for reducing transmission risk is:

[a] Douching after intercourse.

[b] The withdrawal method.

[c] Consistent and correct use of condoms.

[d] Use of spermicidal foam alone.

A patient with a long bone fracture (e.g., femur) suddenly develops dyspnea, confusion, and a petechial rash on the chest. The nurse should suspect which life-threatening complication?

[a] Pulmonary embolism.

[b] Hypovolemic shock.

[c] Fat embolism syndrome.

[d] Compartment syndrome.

A patient presents with a widespread rash on the palms of the hands and soles of the feet, along with generalized lymphadenopathy. These are classic signs of which STD?

[a] Primary Syphilis.

[b] Secondary Syphilis.

[c] Gonorrhea.

[d] Genital Warts (HPV).

A nurse is teaching a patient with gout about dietary modifications. The nurse should advise the patient to limit the intake of:

[a] Dairy products.

[b] Green leafy vegetables.

[c] Citrus fruits.

[d] Purine-rich foods like organ meats and seafood.

Expedited Partner Therapy (EPT) is a strategy used in the management of STDs where:

[a] The patient's partner must come to the clinic for a full examination.

[b] Medication is given to the patient to deliver to their partner without the partner being examined.

[c] The patient is treated with a higher dose of antibiotics.

[d] Both partners are treated simultaneously in the clinic.

A key difference in the clinical presentation of Osteoarthritis (OA) compared to Rheumatoid Arthritis (RA) is that OA typically:

[a] Is a systemic autoimmune disease.

[b] Presents with symmetrical joint involvement.

[c] Affects weight-bearing joints asymmetrically and pain worsens with activity.

[d] Causes prolonged morning stiffness lasting for more than an hour.

A female patient complains of a frothy, yellow-green, malodorous vaginal discharge and vaginal irritation. These symptoms are characteristic of:

[a] Chlamydia.

[b] Candidiasis.

[c] Trichomoniasis.

[d] Bacterial Vaginosis.

When performing a neurovascular assessment on a limb with a fracture, the nurse assesses the "5 P's," which include Pain, Pulselessness, Pallor, Paresthesia, and:

[a] Position.

[b] Pressure.

[c] Paralysis.

[d] Petechiae.

The current recommended treatment for uncomplicated urogenital gonorrhea is a combination therapy primarily because of:

[a] The high cost of single-drug therapy.

[b] Increasing antibiotic resistance and the high rate of co-infection with Chlamydia.

[c] The severe side effects of each individual drug.

[d] The need to treat a possible underlying syphilis infection.

A nurse is caring for a patient immediately after a total knee arthroplasty (TKA). The nurse might expect to see which device at the bedside to promote joint mobility?

[a] An abductor pillow.

[b] Skeletal traction.

[c] A continuous passive motion (CPM) machine.

[d] An external fixator device.

Which diagnostic test is considered the gold standard for confirming a diagnosis of osteoporosis?

[a] Standard X-ray.

[b] Serum calcium level.

[c] Computed Tomography (CT) scan.

[d] Dual-energy X-ray absorptiometry (DEXA) scan.

A male patient with urethritis is being tested for STDs. The most common cause of non-gonococcal urethritis (NGU) is:

[a] Syphilis.

[b] Herpes Simplex Virus.

[c] Chlamydia trachomatis.

[d] Human Papillomavirus.

A nurse is providing care for a patient with an external fixation device on their leg. What is the priority nursing intervention for this patient?

[a] Adjusting the clamps on the device daily.

[b] Wrapping the entire device in sterile gauze.

[c] Performing regular pin site care to prevent infection.

[d] Encouraging the patient to bear full weight on the affected leg.

A patient who has been treated for gonorrhea returns to the clinic with persistent symptoms. The nurse understands that a primary reason for treatment failure is:

[a] An allergic reaction to the medication.

[b] The development of a secondary infection.

[c] Re-infection from an untreated sexual partner.

[d] Taking the medication with food.