ATI RN
Assessment of Genitourinary System Questions
Question 1 of 5
During a health history, a patient tells the nurse that he has trouble in starting his urine stream. This problem is known as:
Correct Answer: D
Rationale: The correct answer is D: Hesitancy. Hesitancy refers to difficulty initiating the urine stream, which is the issue described by the patient. Urgency (A) is the sudden need to urinate, not difficulty starting. Dribbling (B) is the slow, steady leaking of urine after voiding, not the initial difficulty. Frequency (C) is the need to urinate more often than usual, not specifically related to starting the stream. Therefore, based on the patient's symptom of trouble starting the urine stream, hesitancy is the most appropriate term.
Question 2 of 5
The uterus is usually positioned tilting forward and superior to the bladder. This position is known as:
Correct Answer: A
Rationale: The correct answer is A: Anteverted and anteflexed. The uterus is typically positioned forward and superior to the bladder, which is known as anteverted. Anteflexed refers to the forward bending of the uterus. This position is normal and allows for proper anatomical relationships in the female reproductive system. Choice B: Retroverted and anteflexed is incorrect because retroverted means the uterus is tilted backward instead of forward. Choice C: Retroverted and retroflexed is incorrect because retroflexed means the uterus is bent backward instead of forward. Choice D: Superiorverted and anteflexed is incorrect as superiorverted is not a recognized term in anatomy and does not accurately describe the position of the uterus.
Question 3 of 5
During the interview with a female patient, the nurse gathers data that indicate the patient is perimenopausal. Which of these statements made by this patient leads to this conclusion?
Correct Answer: C
Rationale: Step 1: Sweating more than usual, especially at night, is a common symptom of perimenopause due to hormonal changes. Step 2: Sweating is often associated with hot flashes, a hallmark of perimenopause. Step 3: Hot flashes can lead to night sweats, disrupting sleep. Step 4: Other symptoms like irregular periods also occur during perimenopause. Step 5: Therefore, the patient's statement about increased sweating, especially at night, strongly indicates perimenopause. Summary: A: Muscle aches are not specific to perimenopause. B: Worrying about periods stopping is more related to menopause. D: Breast tenderness as the first symptom is not a typical indicator of perimenopause.
Question 4 of 5
When the nurse is discussing sexuality and sexual issues with an adolescent, a permission statement helps convey that it is normal to think or feel a certain way. Which statement is the best example of a permission statement?
Correct Answer: B
Rationale: The correct answer is B because it acknowledges common concerns without making assumptions or judgments. It normalizes the adolescent's curiosity and encourages open discussion. Choice A could be seen as presumptive or judgmental. Choice C is not a permission statement but seeks consent for questioning. Choice D makes assumptions and may pressure the adolescent. In summary, choice B is the best example because it respects the adolescent's feelings and encourages dialogue without imposing views or pressure.
Question 5 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.