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Gonorrhea NCLEX Practice Questions

Gonorrhea quiz for nursing students in preparation for the NCLEX exam!

Gonorrhea is a sexually transmitted infection (STI) that can be spread via sexual contact and during pregnancy. The nurse should be familiar with what causes the STI, signs and symptoms, complications, nursing’s role and treatment.

Don’t forget to check out our sexually transmitted infection (STI) nursing reviews and to review the gonorrhea nursing notes before taking this quiz.

Gonorrhea NCLEX Practice Questions

1. True or False: Gonorrhea is caused by a gram-positive bacterium known as Neisseria gonorrhoeae.(Required)
2. Which signs and symptoms do NOT typically present with gonorrhea? Select all that apply:(Required)
3. The nurse is educating a patient who has received treatment for gonorrhea. Which of the following actions should the nurse recommend to the patient to prevent reinfection? Select all that apply:(Required)
4. A patient asks when they can resume sexual activity after completing treatment for gonorrhea. Which statement should the nurse provide to the patient?(Required)
5. The nurse knows that which of the following is NOT a recommended testing method for gonorrhea?(Required)
6. What complications below can occur from untreated gonorrhea in a female patient?(Required)
7. For gonorrhea, the CDC currently recommends what screening protocol for pregnant patients?(Required)
8. A non-pregnant patient is diagnosed with an uncomplicated case of gonorrhea in the vagina and is negative for any other STIs. The patient has no known drug allergies. Based on the latest CDC guidelines, which medication should the nurse expect the healthcare provider to order for the patient?(Required)
9. Which transmission route is gonorrhea NOT transmitted. Select all that apply:(Required)
10. You're providing education to a sexually active female patient who is 20 years old. According to the latest CDC guidelines, which statement by the patient indicates an understanding of when to undergo screening for this STI?(Required)

Gonorrhea NCLEX Nursing Practice Questions

  1. True or False: Gonorrhea is caused by a gram-positive bacterium known as Neisseria gonorrhoeae.
    True
    False
    FALSE: Gonorrhea is specifically caused by the bacterium Neisseria gonorrhoeae, which is a gram-negative bacterium.
  2. Which signs and symptoms do NOT typically present with gonorrhea? Select all that apply:
    A. chancre
    B. tender testicles
    C. thick, greenish/yellowish discharge
    D. cauliflower-like warty growths
    E. erythema and swelling of the affected area
    The answers are A and D. Chancre (syphilis) and cauliflower-like warty growths (genital warts HPV) are associated with syphilis and genital warts (HPV), not gonorrhea. The typical signs and symptoms of gonorrhea include tender testicles, abnormal discharge, painful urination, pelvic inflammatory disease, lack of symptoms (especially in women) and erythema with swelling in the genital, throat, or anal areas.
  3. The nurse is educating a patient who has received treatment for gonorrhea. Which of the following actions should the nurse recommend to the patient to prevent reinfection? Select all that apply:
    A. use condoms
    B. get retested in 3 months
    C. discontinue medications once symptoms disappear
    D. partners should be tested and treated
    E. limit sexual activity to 5 partners per year
    The answers are A, B, and D. To prevent reinfection, partners should also be tested and treated, condoms should be used to reduce the risk, and individuals should be retested 3 months after treatment to confirm the infection is cleared. It is important to complete the full course of medication as prescribed, even if symptoms disappear and limiting sexual activity to 5 partners per year is not a recommended strategy to prevent infection.
  4. A patient asks when they can resume sexual activity after completing treatment for gonorrhea. Which statement should the nurse provide to the patient?
    A. “You can resume sexual activity as soon as you finish your medication.”
    B. “You should wait 3 days after completing your treatment before resuming sexual activity.”
    C. “You can resume sexual activity 7 days after completing all medication therapy and being symptom-free.”
    D. “You must wait a minimum of 3 months after finishing your medication therapy and be retested before resuming sexual activity.”
    The answer is C. The patient should wait 7 days after completing all the medication therapy and being symptom-free before resuming sexual activity. This will ensure the antibiotic has had enough time to treat the infection and prevent spreading the infection.
  5. The nurse knows that which of the following is NOT a recommended testing method for gonorrhea?
    A. blood sample
    B. urine sample
    C. swab collection from the vagina
    D. swab collection from the rectum or throat
    The answer is A. There is currently NOT a blood test for gonorrhea. It is tested via a urine sample or swab collection from the infected site (rectum, throat, cervix, vagina, or urethra).
  6. What complications below can occur from untreated gonorrhea in a female patient?
    A. infertility
    B. ectopic pregnancy
    C. pelvic inflammatory disease
    D. all the above
    The answer is D. All the options are complications that can present in women with untreated gonorrhea.
  7. For gonorrhea, the CDC currently recommends what screening protocol for pregnant patients?
    A. all pregnant patients been screened at first prenatal visit regardless of age or risk factors
    B. screening is only necessary during third trimester
    C. all pregnant patients less than 25 years of age
    D. screen only high risk patients
    The answer is C. The CDC currently recommends that all pregnant patients less than 25 years of age be screened. If older, high risk patients should be screened.
  8. A non-pregnant patient is diagnosed with an uncomplicated case of gonorrhea in the vagina and is negative for any other STIs. The patient has no known drug allergies. Based on the latest CDC guidelines, which medication should the nurse expect the healthcare provider to order for the patient?
    A. erythromycin IM
    B. oral Azithromycin and IM ceftriaxone
    C. IM Penicillin G
    D. single dose of IM ceftriaxone
    The answer is D. The CDC recommends a single intramuscular (IM) injection of ceftriaxone for the treatment of gonorrhea in both non-pregnant and pregnant individuals. Doxycycline is used only if chlamydia is not excluded in a non-pregnant patient. Dual therapy of oral azithromycin and IM ceftriaxone is no longer recommended due to recent CDC guideline changes. Erythromycin eye ointment is used for newborns, and penicillin is not recommended for gonorrhea.
  9. Which transmission route is gonorrhea NOT transmitted. Select all that apply:
    A. touching contaminated surfaces
    B. unprotected oral sex
    C. breastfeeding
    D. unprotected anal sex
    E. delivery during pregnancy
    The answers are A and C. Gonorrhea is transmitted through unprotected vaginal, anal, or oral sex. It can also be passed to the baby during delivery, but it is not spread through breastfeeding or contact with contaminated surfaces.
  10. You’re providing education to a sexually active female patient who is 20 years old. According to the latest CDC guidelines, which statement by the patient indicates an understanding of when to undergo screening for this STI?
    A. “I will get screened every 3 years.”
    B. “I will get annual screening until I’m 25 and then depending on my risk factors I may not need to be screen annually.”
    C. “I only need screening if I have signs and symptoms.”
    D. “Screening is not recommended until I’m 25”.
    The answer is B. The CDC recommends annual screening for sexually active patients under 25 years of age. For those older than 25, only high-risk patients should be screened regularly.

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