Management of patients with various pelvic infections. | Mock Test | Staff Nurse | Guides Academy
Time: 15:00
What is the most common and serious complication of untreated Pelvic Inflammatory Disease (PID)?
[a] Menorrhagia.
[b] Ovarian cysts.
[c] Tubal factor infertility and ectopic pregnancy.
[d] Uterine fibroids.
A patient is being treated for PID on an outpatient basis. Which instruction is essential for the nurse to include in the discharge teaching?
[a] "You can stop taking your antibiotics as soon as you feel better."
[b] "Bed rest is not necessary; you can resume all normal activities."
[c] "Only you need to be treated, not your sexual partner."
[d] "You must complete the entire course of antibiotics, even if symptoms improve."
A patient with PID complains of severe lower abdominal pain. To promote comfort, the nurse should place the patient in which position?
[a] Supine with legs extended.
[b] Prone.
[c] Semi-Fowler's position.
[d] Trendelenburg position.
A patient presents with a thin, grayish-white vaginal discharge and a strong "fishy" odor, especially after intercourse. These are classic signs of:
[a] Vulvovaginal Candidiasis.
[b] Bacterial Vaginosis (BV).
[c] Trichomoniasis.
[d] Atrophic vaginitis.
When a patient is prescribed metronidazole (Flagyl) for a pelvic infection like BV or trichomoniasis, what is the most important teaching point the nurse must provide?
[a] "Take this medication on an empty stomach."
[b] "You should double the dose if you miss one."
[c] "You must avoid all alcohol consumption during and after treatment."
[d] "This medication will turn your urine orange."
A patient complains of intense vulvar itching and a thick, white, "cottage cheese-like" vaginal discharge. The nurse should suspect:
[a] Bacterial Vaginosis.
[b] Chlamydia.
[c] Vulvovaginal Candidiasis (yeast infection).
[d] Gonorrhea.
Which patient is at highest risk for developing vulvovaginal candidiasis?
[a] A postmenopausal woman on hormone replacement therapy.
[b] An adolescent who is not yet sexually active.
[c] A patient with uncontrolled diabetes mellitus or who is taking broad-spectrum antibiotics.
[d] A patient who uses condoms for contraception.
The two most common causative organisms of Pelvic Inflammatory Disease (PID) are:
[a] Group B Streptococcus and E. coli.
[b] Candida albicans and Gardnerella vaginalis.
[c] Neisseria gonorrhoeae and Chlamydia trachomatis.
[d] Trichomonas vaginalis and Herpes Simplex Virus.
A patient is diagnosed with trichomoniasis. Effective management requires:
[a] Treatment with a topical antifungal cream.
[b] Treating the patient only, as it is not sexually transmitted.
[c] Oral metronidazole for both the patient and her sexual partner(s).
[d] A single dose of intramuscular penicillin.
A "chandelier sign," where cervical motion tenderness is so severe it causes the patient to "jump for the chandelier," is a classic finding during a bimanual exam for:
[a] A uterine fibroid.
[b] An ovarian cyst.
[c] Acute Pelvic Inflammatory Disease (PID).
[d] A urinary tract infection.
A patient presents with a painful, swollen, and tender mass on the labia majora. The nurse recognizes these as symptoms of a:
[a] Uterine prolapse.
[b] Varicose vein.
[c] Hemorrhoid.
[d] Bartholin's gland abscess.
Initial nursing management for a patient with a Bartholin's gland abscess often includes providing comfort and promoting drainage through the use of:
[a] Ice packs.
[b] Sitz baths.
[c] A compression dressing.
[d] Topical antibiotics.
What is the primary rationale for advising a patient with a pelvic infection to abstain from sexual intercourse until treatment is complete?
[a] To allow the patient to rest.
[b] To prevent pregnancy during treatment.
[c] To prevent transmission or re-infection and to allow for healing.
[d] To ensure the medication is fully absorbed.
A nurse is preparing a patient for a wet mount (wet prep) slide. The nurse knows this test is used to:
[a] Screen for cervical cancer.
[b] Detect human papillomavirus (HPV).
[c] Microscopically identify causative organisms for vaginitis.
[d] Check for fallopian tube patency.
The most effective primary prevention strategy for sexually transmitted pelvic infections is:
[a] Douching regularly after intercourse.
[b] Annual pelvic examinations.
[c] Consistent and correct use of barrier contraceptives like condoms.
[d] Taking prophylactic antibiotics.
A yellow-green, frothy, malodorous vaginal discharge is a hallmark sign of:
[a] Bacterial Vaginosis.
[b] Candidiasis.
[c] Trichomoniasis.
[d] Cervicitis.
Cervicitis, an inflammation of the cervix, is often asymptomatic but is a concern because it can:
[a] Cause uterine fibroids.
[b] Ascend into the upper genital tract and cause PID.
[c] Lead to ovarian cancer.
[d] Cause painful menstruation.
Which of the following is an important nursing intervention for a hospitalized patient with acute, severe PID?
[a] Encouraging frequent ambulation to promote circulation.
[b] Providing a high-fat diet to increase caloric intake.
[c] Restricting fluid intake to decrease pelvic congestion.
[d] Administering IV fluids and antibiotics and managing pain.
A patient is being treated for a pelvic infection. Which finding would indicate that the treatment is effective?
[a] An increase in body temperature.
[b] Continued presence of purulent discharge.
[c] A decrease in pelvic pain and a normal white blood cell count.
[d] A positive cervical motion tenderness.
What is the primary reason for placing a patient with acute PID in a semi-Fowler's position?
[a] To decrease blood pressure.
[b] To promote pelvic drainage by gravity and prevent abscess formation higher in the abdomen.
[c] To make it easier for the patient to eat and drink.
[d] To reduce the risk of deep vein thrombosis.
Douching is discouraged as a routine hygiene practice because it can:
[a] Be too expensive.
[b] Be a reliable form of contraception.
[c] Alter the normal vaginal flora and increase the risk of infection.
[d] Cause uterine prolapse.
The term for a serious complication of PID where a collection of pus forms in the fallopian tube is:
[a] Endometritis.
[b] Salpingitis.
[c] Oophoritis.
[d] Tubo-ovarian abscess.
A nurse is taking a history from a patient with recurrent vaginitis. Which question is most important to ask?
[a] "What is your favorite type of food?"
[b] "How many children do you have?"
[c] "What are your personal hygiene practices, such as douching or the use of scented products?"
[d] "What is your current occupation?"
The most common presenting symptom for women with acute PID is:
[a] Vaginal itching.
[b] Heavy menstrual bleeding.
[c] Lower abdominal or pelvic pain.
[d] Urinary frequency.
A key aspect of nursing management for any pelvic infection is:
[a] Ensuring the patient understands the high probability of infertility.
[b] Providing non-judgmental care and comprehensive patient education.
[c] Focusing only on the administration of medication.
[d] Insisting that the patient's partner come in for an examination.
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