ATI RN
Assessment of Genitourinary System Questions
Question 1 of 5
A 65-year-old woman is in the office for routine gynecologic care. She had a complete hysterectomy 3 months ago after cervical cancer was detected. Which statement does the nurse know to be true regarding this visit?
Correct Answer: D
Rationale: The correct answer is D because after a complete hysterectomy, the cervix and uterus are removed, hence there is no cervical mucosa to be red and dry (eliminating choice A). Since the patient had a hysterectomy, she does not need a Pap smear performed as there is no cervix, eliminating choice B. Choice C is incorrect as the patient had a complete hysterectomy, so the nurse should not expect to find an enlarged uterus or small, hard ovaries. Choice D is correct as lubrication is essential for a comfortable examination due to the absence of natural lubrication post-hysterectomy.
Question 2 of 5
A nurse is assessing a 40-year-old woman with a history of multiple sexual partners. She expresses concern about the risk of developing cervical cancer. The nurse would tell the patient that the main risk factor for cervical cancer is:
Correct Answer: B
Rationale: The correct answer is B: HPV infection. Human papillomavirus (HPV) is the main risk factor for cervical cancer as it is responsible for causing most cases of cervical cancer. Step 1: HPV is a sexually transmitted infection commonly spread through sexual activity, making it more likely in individuals with multiple sexual partners. Step 2: Chronic cervicitis, choice C, is an inflammation of the cervix but is not a direct cause of cervical cancer. Step 3: Pregnancy, choice D, is not a primary risk factor for cervical cancer. Step 4: Increased number of sexual partners, choice A, is indirectly related as it increases the likelihood of HPV exposure, but HPV infection itself is the key risk factor.
Question 3 of 5
A 50-year-old woman reports vaginal dryness and discomfort during intercourse. The nurse suspects that she is in menopause. Which of the following is a common symptom of menopause?
Correct Answer: A
Rationale: The correct answer is A: Hot flashes. Menopause is characterized by the cessation of menstruation and a decline in estrogen levels, leading to symptoms like hot flashes. Vaginal dryness and discomfort are also common symptoms, but hot flashes are more specific to menopause. Mood swings can occur due to hormonal changes, but they are not as specific to menopause as hot flashes. Night sweats are similar to hot flashes but occur during the night and are not as indicative of menopause as hot flashes.
Question 4 of 5
Certain food sources provide more urea than others. Which of the following foods would provide the most urea that would have to be filtered out of the blood via the kidneys?
Correct Answer: B
Rationale: The correct answer is B: Proteins, such as meats and eggs. Proteins are broken down into amino acids in the body, and excess amino acids are converted into urea by the liver. Urea is a waste product that needs to be filtered out by the kidneys. Meats and eggs are rich sources of protein, hence they would provide the most urea to be filtered out. Grains (A), fruits (C), and oils (D) do not contain as much protein as meats and eggs, so they would not produce as much urea for the kidneys to filter out.
Question 5 of 5
___________ is the site of blood filtration in the human body.
Correct Answer: B
Rationale: The correct answer is B: The kidney. The kidney is the site of blood filtration in the human body, specifically in the nephrons where waste products are removed and filtered blood is returned to circulation. The heart (A) pumps blood, the small intestine (C) aids in digestion, and the lung (D) is responsible for gas exchange. The kidney is uniquely designed for blood filtration through its specialized structures like glomeruli and tubules.