A client comes to the clinic with complaints of intense itching to their vaginal area. Upon inspection, the nurse notes swollen labia, erythema to the vaginal mucosa with thick, white discharge. What condition might the nurse suspect?

Syphilitic chancre

Trichomoniasis vaginitis

Bacterial vaginosis

Candidal vaginitis

Answer and Explanation

The Correct Answer is D

Choice A reason: Syphilitic chancre is a painless ulcer, not itchy with white discharge. This STD lacks the erythematous, swollen, thick discharge presentation, excluding it from matching the client’s vaginal symptoms entirely and accurately in this case here.
Choice B reason: Trichomoniasis causes frothy, yellow-green discharge with itching, not thick white. This parasitic infection’s discharge differs from the observed curd-like consistency, making it less likely than candidiasis for this clinical picture fully here.
Choice C reason: Bacterial vaginosis produces thin, gray discharge with fishy odor, not thick white or intense itching. This bacterial imbalance contrasts with the erythematous, swollen findings, ruling it out as the suspected condition comprehensively here.
Choice D reason: Candidal vaginitis, from yeast, causes thick, white, curd-like discharge, itching, and erythema. This matches the client’s swollen labia and mucosal redness, making it the most likely diagnosis for these vaginal symptoms accurately here fully.

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Correct Answer is D

Explanation

Choice A reason: Cerebral stagger isn’t a standard term; cerebral damage might cause spasticity, not wide-based ataxia. This lacks specificity for cerebellar signs like staggering, misaligning with the broad, unsteady gait tied to coordination loss in this client fully.
Choice B reason: Scissors gait, from cerebral palsy, shows stiff, crossed legs, not wide-based staggering. This spastic pattern contrasts with the unsteady, broad stance of cerebellar dysfunction, excluding it as the correct description for this presentation entirely here.
Choice C reason: Parkinsonian gait is shuffling with small steps and rigidity, not wide-based or staggering. This contrasts with the unsteady, broad stance of cerebellar ataxia, making it an incorrect match for the client’s observed walking pattern fully here.
Choice D reason: Cerebellar ataxia causes a wide-based, staggering gait due to coordination loss from cerebellar damage. This matches the client’s unsteady walk, reflecting impaired balance and motor control, accurately describing the observed gait pattern comprehensively here.

A. Brachial B. Ulnar C. Femoral D. Radial

Correct Answer is B

Explanation

Choice A reason: Brachial pulse, in the upper arm, is strong and palpable in healthy adults, used for blood pressure cuffs. Its deep location ensures consistent detection, unlike weaker pulses, making it reliably felt across most individuals without vascular issues here.

Choice B reason: Ulnar pulse, near the wrist’s pinky side, is often faint or not palpable in many healthy people due to its depth and smaller artery size. This variability distinguishes it as less detectable compared to other major pulses consistently.

Choice C reason: Femoral pulse, in the groin, is robust and palpable in healthy adults, reflecting large artery flow to the legs. Its prominence ensures detection, unlike the ulnar, making it a standard check not commonly absent in normal assessments fully.

Choice D reason: Radial pulse, at the wrist’s thumb side, is easily palpable in healthy clients, a key vital sign check. Its superficial location ensures consistent detection, contrasting with the ulnar’s frequent elusiveness in normal peripheral exams entirely here.

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A client comes to the clinic with complaints of intense itching to their vaginal area. Upon inspection, the nurse notes swollen labia, erythema to the vaginal mucosa with thick, white discharge. What condition might the nurse suspect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a wide-based, staggering, unsteady gait walks into the clinic. The gait would be correctly described as which of the following?

Correct Answer is D

Explanation

The nurse is performing a peripheral vascular assessment of an adult client. The nurse is palpating the client's peripheral pulses but knows that some are not palpable, even in healthy clients. What pulse is not palpable in a large proportion of healthy clients?

Correct Answer is B

Explanation

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