The student nurse practitioner and her preceptor are reviewing images from a colposcopy conducted on a 29-year-old female patient. The student remarks to the preceptor that the patient's cervix looks like a "strawberry." What is this finding most consistent with?

Primary syphilis

Herpes simplex virus (HSV)

Human papillomavirus (HPV)

Trichomonas

Answer and Explanation

The Correct Answer is D

Choice A reason: Primary syphilis typically presents with a painless chancre at the site of inoculation. It does not cause a strawberry-like appearance of the cervix. Syphilitic lesions are ulcerative and not associated with the described colposcopic finding.

Choice B reason: Herpes simplex virus (HSV) causes painful vesicular or ulcerative lesions on the genital mucosa. It does not produce the characteristic strawberry cervix appearance seen in colposcopy.

Choice C reason: Human papillomavirus (HPV) is associated with cervical dysplasia and warts. Colposcopic findings may include acetowhite changes, mosaicism, or punctation, but not the strawberry cervix appearance.

Choice D reason: Trichomonas vaginalis infection is classically associated with a "strawberry cervix," which refers to punctate hemorrhages on the cervical mucosa. This is a hallmark finding in trichomoniasis and supports the diagnosis.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason: While polydipsia and polyuria are consistent with central diabetes insipidus, extreme hunger and weight loss are more characteristic of uncontrolled diabetes mellitus. Hunger is not a hallmark symptom of diabetes insipidus.

Choice B reason: Irritability, lack of appetite, and vomiting may be seen in various pediatric or metabolic conditions but are not typical features of central diabetes insipidus, which primarily affects fluid balance.

Choice C reason: Fatigue, depression, and sensitivity to cold are symptoms more consistent with hypothyroidism or other endocrine disorders involving decreased metabolic rate. They do not reflect the hallmark features of diabetes insipidus.

Choice D reason: Central diabetes insipidus is characterized by a deficiency of antidiuretic hormone (ADH), leading to excessive urination (polyuria), excessive thirst (polydipsia), and frequent nighttime urination (nocturia). These symptoms result from the kidneys' inability to concentrate urine, making this the most accurate choice.

A. "People with your personal characteristics of brown hair and brown eyes are at higher risk for developing malignant melanomas." B. "Recent research has shown that malignant melanoma is higher in people who use sunscreen, because those people are generally out in the sun more than the general population, and sunscreen mostly blocks UVB rays, not UVA rays, which are equally as damaging." C. "Higher socioeconomic status is correlated with higher rates of malignant melanoma. Going to the beach every year is an indication that you are of higher socioeconomic status." D. "The water from the ocean at the beach washed off the sunscreen and you didn't reapply often enough."

Correct Answer is B

Explanation

Choice A reason: Individuals with fair skin, light hair, and light eyes are at higher risk for melanoma. However, brown hair and brown eyes are not considered high-risk features. This statement is inaccurate and may mislead the patient.

Choice B reason: This explanation reflects current understanding that sunscreen use may give a false sense of security, leading to prolonged sun exposure. Additionally, many sunscreens primarily block UVB rays, while UVA rays—which penetrate deeper into the skin—can still contribute to melanoma risk. This statement provides a scientifically grounded rationale.

Choice C reason: While there is some correlation between higher socioeconomic status and increased melanoma rates due to lifestyle factors like frequent sun exposure, this explanation is indirect and not the most accurate or helpful for the patient.

Choice D reason: Although improper sunscreen application or failure to reapply can reduce protection, this statement is speculative and lacks the broader context of UVA exposure and behavioral patterns associated with sunscreen use.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The student nurse practitioner and her preceptor are reviewing images from a colposcopy conducted on a 29-year-old female patient. The student remarks to the preceptor that the patient's cervix looks like a "strawberry." What is this finding most consistent with?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What are the expected assessment findings in a patient with central diabetes insipidus?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

The nurse practitioner is reviewing the chart of an 18-year-old female patient with a BMI of 18 who presented with fatigue and pale skin. Of the following lab values, which would be true in a case of iron deficiency anemia?

The pathogenesis of polycystic ovarian syndrome (PCOS) has been linked to which of the following?

A 66-year-old man with diabetes and a family history of glaucoma presents with new onset vision difficulties. Which of the following tests is commonly used as part of a comprehensive glaucoma exam?

A 63-year-old White man presents with bowing deformity of his legs, gait abnormality, and tingling and weakness in his left leg. The nurse practitioner suspects Paget’s disease of bone (PDB). Which of the following most closely describes the pathophysiology of PDB?

A 67-year-old woman is diagnosed with bacterial pneumonia. Which of the following is NOT a risk factor that determines whether she can be treated on an inpatient or outpatient basis?

A 71-year-old White man with a history of hip fracture is diagnosed with osteoporosis. Which medication or class is considered first-line therapy for men with osteoporosis?

A 40-year-old woman calls the PMHNP with concerns that she is exhibiting both negative and positive symptoms of schizophrenia. Which of the following descriptions about gender differences in schizophrenia is true?