ATI RN
Genitourinary System Questions
Question 1 of 5
During a health history, a 22-year-old woman asks, 'Can I get that vaccine for human papilloma virus (HPV)? I have genital warts and I'd like them to go away! What is the nurse's best response?'
Correct Answer: D
Rationale: The correct answer is D because the HPV vaccine is prophylactic and does not treat existing HPV infections. The primary purpose of the vaccine is to prevent future HPV infections, not to cure current ones. Therefore, administering the vaccine to someone who already has an HPV infection would not provide any benefit in treating the existing infection. Choices A, B, and C are incorrect because they do not address the fact that the vaccine cannot treat an existing HPV infection. Choice A is incorrect because the age range for the HPV vaccine includes individuals up to 26 years old, but it does not address the issue of existing infection. Choice B is incorrect because the vaccine is recommended for both sexually active and non-sexually active individuals to prevent future infections. Choice C is incorrect because checking with the physician does not change the fact that the vaccine cannot treat an existing HPV infection.
Question 2 of 5
Which statement would be most appropriate when the nurse is introducing the topic of sexual relationships during an interview?
Correct Answer: C
Rationale: The correct answer is C because it is non-judgmental, open-ended, and patient-centered. It acknowledges common concerns without assuming the individual's experiences. It invites the patient to share their questions, signaling a safe and supportive environment for discussing sensitive topics. Rationale for other choices: A: This choice is too direct and may make the patient uncomfortable. It does not consider the patient's readiness to discuss their sexual history. B: This choice assumes dissatisfaction and may not apply to the patient. It could lead to a negative perception of the topic. D: This choice is judgmental and assumes the patient's sexual history, potentially creating a barrier to open communication.
Question 3 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 4 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 5 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.