ATI RN
Genitourinary System Questions
Question 1 of 5
A 54-year-old woman who has just completed menopause is in the clinic today for a yearly physical examination. Which of these statements should the nurse include in patient education? A postmenopausal woman:
Correct Answer: B
Rationale: The correct answer is B. Postmenopausal women are at increased risk for dyspareunia due to decreased vaginal secretions caused by hormonal changes. This can lead to discomfort or pain during sexual intercourse. Choice A is incorrect because postmenopausal women are actually at a greater risk for heart disease compared to younger women due to hormonal changes and aging. Choice C is incorrect as menopause involves various hormonal and physical changes that can impact a woman's health, such as bone density loss and increased risk for osteoporosis. Choice D is incorrect because while women may experience changes in sexual response after menopause, difficulty with sexual pleasure is not a universal outcome and can be managed with proper education and interventions.
Question 2 of 5
During an examination, which tests will the nurse collect to screen for cervical cancer?
Correct Answer: A
Rationale: The correct answer is A because it includes the essential tests for screening cervical cancer. Endocervical specimen and cervical scrape are collected to examine cells for abnormalities. Vaginal pool is obtained to detect any abnormal secretions or bleeding. Choice B is incorrect as acetic acid wash is not typically used for cervical cancer screening. Choice C includes potassium hydroxide (KOH) preparation which is not a standard test for cervical cancer screening. Choice D is incorrect as saline mount (wet prep) is not commonly used for this purpose. In summary, choice A is correct as it includes the necessary tests for cervical cancer screening, while the other choices include irrelevant or non-standard tests.
Question 3 of 5
When performing an external genitalia examination of a woman, the nurse notices several lesions around the vulva. The lesions are pink, moist, soft, and pointed papules. The patient states that she is not aware of any problems in that area. The nurse recognizes that these lesions may be:
Correct Answer: C
Rationale: The correct answer is C: HPV or genital warts. The description of pink, moist, soft, and pointed papules around the vulva is characteristic of genital warts caused by Human Papillomavirus (HPV). HPV can present with painless, cauliflower-like growths in the genital area. The patient's lack of awareness of any problems is common as genital warts can be asymptomatic. Syphilitic chancre (A) presents as a painless ulcer, not papules. Herpes simplex virus type 2 (B) causes painful vesicles or ulcers. Pediculosis pubis (D) is characterized by itching and the presence of lice or nits in the pubic hair, not papules.
Question 4 of 5
A 30-year-old woman is experiencing irregular menstrual cycles, and the nurse suspects polycystic ovary syndrome (PCOS). Which of the following symptoms would the nurse expect to see in this patient?
Correct Answer: D
Rationale: The correct answer is D: Excessive weight gain. In PCOS, insulin resistance can lead to weight gain, especially in the abdominal area. This is a common symptom seen in patients with PCOS. Excessive hair growth (Choices A and C) is a symptom of hirsutism, which can occur in PCOS due to hormonal imbalances, but it is not the most specific symptom. Irregular periods and infertility (Choice B) are also common in PCOS, but weight gain is more characteristic and directly linked to the condition.
Question 5 of 5
A 38-year-old woman is undergoing a breast examination. During the examination, the nurse palpates a lump that is hard, fixed, and irregular. The nurse's most appropriate action would be to:
Correct Answer: B
Rationale: The correct answer is B: Perform a biopsy to assess for malignancy. The characteristics of the lump (hard, fixed, irregular) raise suspicion for malignancy. A biopsy is necessary to definitively determine if the lump is cancerous. Monitoring for changes (A), scheduling an ultrasound (C), or referring for a mammogram (D) may provide additional information, but a biopsy is the gold standard for diagnosing breast cancer.