ATI RN
Quizlet Genitourinary System Questions
Question 1 of 5
A woman states that 2 weeks ago she had a urinary tract infection that was treated with an antibiotic. As a part of the interview, the nurse should ask, 'Have you noticed any':
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A 22-year-old woman is being seen at the clinic for problems with vulvar pain, dysuria, and fever. On physical examination, the nurse notices clusters of small, shallow vesicles with surrounding erythema on the labia. Inguinal lymphadenopathy is present. The most likely cause of these lesions is:
Correct Answer: D
Rationale: The correct answer is D: Herpes simplex virus type 2. The presence of small, shallow vesicles with surrounding erythema on the labia, along with symptoms of vulvar pain, dysuria, and fever, are classic signs of genital herpes caused by HSV-2. The inguinal lymphadenopathy further supports the diagnosis. Herpes simplex virus is known for causing painful vesicular lesions in the genital area. Choice A, Pediculosis pubis, is incorrect as it presents with itching and nits (eggs) attached to the hair shafts, not vesicles. Choice B, Contact dermatitis, typically presents with red, itchy, and inflamed skin due to an allergic reaction. Choice C, HPV, does not typically present with vesicles but rather with warts or abnormal cell changes on the skin or mucous membranes.
Question 3 of 5
A patient has been experiencing vaginal bleeding and cramping, which the nurse suspects could be an early sign of a miscarriage. Which of the following should the nurse assess for during this examination?
Correct Answer: C
Rationale: The correct answer is C: Weight loss and fatigue. In the context of vaginal bleeding and cramping, weight loss and fatigue are concerning signs that may indicate a potential miscarriage. Weight loss could be due to decreased appetite or nutritional deficiencies associated with the stress of a miscarriage. Fatigue may result from hormonal changes and emotional distress. Assessing for weight loss and fatigue helps the nurse monitor the patient's overall well-being and provide appropriate support. Choice A (Hyperthyroidism) is incorrect as it is not directly related to the symptoms of vaginal bleeding and cramping suggestive of a possible miscarriage. Choice B (High blood pressure) is also incorrect as it is not typically associated with early signs of a miscarriage. Choice D (Changes in breast size or tenderness) is incorrect as these symptoms are more commonly related to pregnancy rather than miscarriage.
Question 4 of 5
A 45-year-old woman is seeking advice on contraception. She is considering using an intrauterine device (IUD). The nurse should inform her that the IUD is effective for:
Correct Answer: A
Rationale: The correct answer is A: 5 to 10 years. IUDs are long-acting reversible contraceptives effective for 5 to 10 years depending on the type. Hormonal IUDs last around 5 years, while copper IUDs can last up to 10 years. This extended duration provides reliable contraception for an extended period with minimal user intervention. Choice B: 1 to 2 years is incorrect because IUDs have a longer duration of effectiveness. Choice C: 3 to 5 years is incorrect as it falls short of the typical duration of effectiveness for most IUD types. Choice D: Indefinitely is incorrect as IUDs do have a maximum effective period, after which they need to be removed or replaced.
Question 5 of 5
A 32-year-old woman presents with vaginal bleeding and lower abdominal pain. The nurse suspects an ectopic pregnancy. Which of the following is the most common risk factor for ectopic pregnancy?
Correct Answer: D
Rationale: The correct answer is D: Pelvic inflammatory disease (PID). PID can lead to scarring and narrowing of the fallopian tubes, increasing the risk of ectopic pregnancy. This is because the fertilized egg may get stuck in the narrowed tube, leading to an ectopic pregnancy. A: Previous pelvic surgery is a risk factor, but it is not the most common one for ectopic pregnancy. B: Endometriosis can also affect fallopian tubes but is not the most common risk factor for ectopic pregnancy. C: Tubal ligation is a form of contraception that reduces the risk of pregnancy but does not increase the risk of ectopic pregnancy. In summary, PID is the most common risk factor for ectopic pregnancy due to its potential to cause fallopian tube scarring and narrowing, leading to the implantation of the fertilized egg outside the uterus.