NCLEX-PN/ ATI/ HESI/ on Chapter 70 on Sexuality, Fertility and Sexually Transmitted Diseases Rosdahls Textbook of Basic Nursing 12TH Edition

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Sample questions from NCLEX-PN/ ATI/ HESI/ on Chapter 70 on Sexuality, Fertility and Sexually Transmitted Diseases Rosdahls Textbook of Basic Nursing 12TH Edition

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.In a family-planning clinic, a client asks which contraceptive method also reduces the risk of sexually transmitted infections. Which method should the practical nurse identify?

   • A.External or internal condoms
   • B.Intrauterine device
   • C.Fertility-awareness method
   • D.Combined oral contraceptive pills

   Rationale: Condoms provide a barrier that reduces transmission of many sexually transmitted infections (STIs) when used correctly and consistently. Hormonal pills, an intrauterine device, and fertility-awareness methods may prevent pregnancy but do not protect against STIs. The exam takeaway is to distinguish pregnancy prevention from infection prevention.

2. 2.During a clinic visit, a client newly diagnosed with chlamydia asks what to do next. Which points should the practical nurse reinforce from the provider's instructions? Select all that apply.

   • A.Return for recommended retesting even if symptoms resolve.
   • B.Stop the medication when symptoms disappear.
   • C.Avoid sexual activity until treatment is complete and partners have been treated as directed.
   • D.Take the prescribed medication exactly as directed.
   • E.Notify recent sexual partners so they can receive evaluation and treatment.

   Rationale: Taking the full prescribed regimen, avoiding sex until treatment guidance is met, notifying partners, and completing recommended retesting help prevent ongoing transmission and reinfection. Stopping medication when symptoms improve is unsafe because infection may remain. The practical nurse reinforces the prescribed plan and reports questions or barriers to the RN or provider.

3. 3.A client states, "I missed two doses of my birth control pills and had unprotected sex yesterday." Which response is most appropriate?

   • A."Use an antibiotic now to prevent pregnancy."
   • B."There is no need to act unless your next period is late."
   • C."Take three pills today and continue your pack as usual."
   • D."Contact your provider or pharmacist promptly to discuss emergency contraception and what to do about the missed pills."

   Rationale: Prompt consultation is appropriate because emergency contraception may be time-sensitive and missed-pill instructions vary by pill type and timing. Taking extra pills without product-specific directions can cause adverse effects, and waiting for a late period delays care. Antibiotics do not prevent pregnancy.

4. 4.At change of shift, the nurse receives report on four clients. Which client should the practical nurse report to the RN first?

   • A.A client scheduled for a routine STI screening who asks about confidentiality
   • B.A client with genital herpes who asks when lesions will heal
   • C.A client with pelvic inflammatory disease who now has a temperature of 39.2 C and worsening abdominal pain
   • D.A client taking oral contraceptives who reports mild nausea

   Answer and rationale are in the full material.

5. 5.The provider prescribes doxycycline for a nonpregnant adult with chlamydia. Which instruction should the practical nurse reinforce?

   • A.Take the medication only when pelvic discomfort occurs.
   • B.Take each dose with a full glass of water and remain upright afterward.
   • C.Take the medication with an antacid to improve absorption.
   • D.Stop treatment if sunlight causes skin redness.

   Answer and rationale are in the full material.