Trichomoniasis is a common STI caused by the protozoan parasite Trichomonas vaginalis. This quiz helps nurses and students review the key content needed for exams, including causes, symptoms, transmission routes, first-line treatment, patient education, prenatal considerations, and strategies to prevent reinfection.
Don’t forget to check out our sexually transmitted infection (STI) nursing reviews and to review the trichomoniasis nursing notes before taking this quiz.
Trichomoniasis STI Nursing NCLEX Questions Quiz
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Trichomoniasis STI Nursing NCLEX Practice Questions Quiz
- The nurse knows that the STI known as trichomoniasis is caused by which organism?
A. virus
B. protozoan parasite
C. bacterium
D. fungi
The answer is B: protozoan parasite. Trichomoniasis is caused by the protozoan parasite called Trichomonas vaginalis.
- Which sign/symptom would the nurse NOT expect to find in a female patient with trichomoniasis?
A. thick, foamy discharge
B. “strawberry” appearance to cervix
C. pruritus in the affected area
D. chancres
The answer is D: chancres. Options A, B, and C can all appear with this STI. However, it’s important to note some patients can be asymptomatic. Chancres appears with the STI known as syphilis. These are painless lesions that is highly contagious during the primary stage of syphilis.
- The nurse is educating a patient about trichomoniasis. Which route of transmission should the nurse clarify as not a risk?
A. Oral sex
B. Toilet seats
C. During childbirth
D. Vaginal intercourse
The answer is B: Toilet seats. Options A, C, and D are transmission routes of trichomoniasis. However, toilet seats are not a mode of transmission because the protozoan parasite cannot survive long outside a host.
- True or False: Trichomoniasis is not typically screened for during standard prenatal visits.
The answer is TRUE. Trichomoniasis is not part of routine prenatal screening. Screening is recommended if a patient is experiencing symptoms or considered high risk.
- A patient is diagnosed with trichomoniasis. Which medication should the nurse anticipate as the first-line treatment?
A. Penicillin G
B. Metronidazole
C. Acyclovir
D. Doxycycline
The answer is B: Metronidazole. This is the first-line treatment for this STI. Penicillin G is used for syphilis; acyclovir is used for herpes simplex virus; and doxycycline is used for chlamydia.
- Based on the treatment ordered in Question 5, what important teaching should the nurse provide to the patient?
A. “Avoid foods high in tyramine while taking this medication.”
B. “Take this medication with a full glass of milk to prevent stomach upset.”
C. “Do not drink alcohol while taking this medication and for at least 72 hours after finishing it.”
D. “This medication can affect your hearing. Report any ringing in your ears immediately.”
The answer is C: “Do not drink alcohol while taking this medication and for at least 72 hours after finishing it.” Drinking alcohol while on metronidazole can cause a disulfiram-like reaction (similar to Antabuse), which includes flushing, nausea, vomiting, and headache. This can occur up to 72 hours after taking the medication.
- A pregnant patient has completed treatment for trichomoniasis. When should the nurse instruct the patient to return for retesting to ensure the infection has been eradicated?
A. 2 weeks
B. 4 weeks
C. 2 months
D. 3 months
The answer is D: 3 months. Pregnant patients are at high risk for not clearing the infection and complications due to the infection. Therefore, it is recommended that the patient be retested at 3 months to confirm the infection is cured. In addition, patients who are at high-risk should also follow this guideline.
- What are some ways the nurse should educate the patient to prevent reinfection of trichomoniasis? Select all that apply.
A. Encourage all sexual partners to get tested and treated
B. Continue antibiotics until symptoms disappear
C. Avoid sexual activity until treatment is completed and symptoms resolve
D. Use natural skin condoms during sexual activity
The answers are A and C. These are key points the nurse should educate the patient about to prevent reinfection. Option B is incorrect because patients must complete the full prescribed course of antibiotics, not just until symptoms disappear. Option D is incorrect because natural skin condoms do not prevent STI transmission due to having pores that are large enough to allow organisms to pass through.
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