ATI RN
Genitourinary System Quizlet Questions
Question 1 of 5
During a speculum inspection of the vagina, the nurse would expect to see what at the end of the vaginal canal?
Correct Answer: A
Rationale: The correct answer is A: Cervix. During a speculum inspection, the nurse would expect to see the cervix at the end of the vaginal canal. The cervix is the lower part of the uterus that connects the uterus to the vagina. It appears as a small, round structure at the end of the vaginal canal. This is an important part of the female reproductive system that can be visualized during a speculum examination. Summary: B: Uterus - Incorrect as the uterus is located above the cervix and is not visible at the end of the vaginal canal. C: Ovaries - Incorrect as the ovaries are located on either side of the uterus and are not visible during a speculum examination. D: Fallopian tubes - Incorrect as the fallopian tubes are not visible during a speculum examination as they are located above the ovaries and connect the ovaries to the uterus.
Question 2 of 5
When the nurse is interviewing a preadolescent girl, which opening question would be least threatening?
Correct Answer: C
Rationale: Correct Answer: C - "When did you notice that your body was changing?" Rationale: 1. This question is open-ended and focuses on the preadolescent girl's personal experience, allowing her to share information at her comfort level. 2. It avoids assumptions and allows the girl to express herself without feeling pressured. 3. By asking about her own observations, it encourages self-reflection and empowers her to communicate about her body changes. Summary: A - Option A might indirectly suggest that the girl should have questions about growing up, potentially creating pressure. B - Option B assumes the mother's role as the primary source of information, potentially overlooking the girl's own experiences. D - Option D introduces the tutor's personal experience, which may lead the girl to compare her feelings to the tutor's, potentially causing unnecessary anxiety.
Question 3 of 5
The nurse is palpating a female patient's adnexa. The findings include a firm, smooth uterine wall; the ovaries are palpable and feel smooth and firm. The fallopian tube is firm and pulsating. The nurse's most appropriate course of action would be to:
Correct Answer: B
Rationale: The correct answer is B because the findings of a firm, smooth uterine wall, palpable ovaries, and a firm, pulsating fallopian tube are concerning for possible gynecological issues such as ovarian cancer or pelvic inflammatory disease. A prompt referral to a gynecologist is necessary for further evaluation, which may include imaging studies or biopsies to rule out serious conditions. Choice A is incorrect as the findings are not normal. Choice C delays necessary evaluation, potentially leading to a progression of any underlying condition. Choice D assumes the presence of an ovarian cyst without further investigation, which is not appropriate given the pulsating fallopian tube and the need for a comprehensive assessment by a specialist.
Question 4 of 5
A woman has just been diagnosed with HPV or genital warts. The nurse should counsel her to receive regular examinations because this virus makes her at a higher risk for _______ cancer.
Correct Answer: B
Rationale: The correct answer is B: Cervical cancer. HPV is a known risk factor for cervical cancer as certain strains of the virus can lead to changes in cervical cells that may progress to cancer. Regular examinations, such as Pap smears, can help detect any abnormalities early on and prevent the development of cervical cancer. Choice A: Uterine cancer is not directly linked to HPV. Choice C: Ovarian cancer is not commonly associated with HPV. Choice D: Endometrial cancer is not directly caused by HPV. Regular screenings for cervical cancer are crucial for women with HPV to monitor any changes and take necessary preventive measures.
Question 5 of 5
A 33-year-old woman comes to the clinic with a history of abnormal vaginal bleeding and pelvic pain. The nurse suspects that she might have fibroids. Which of the following would the nurse expect to find upon examination?
Correct Answer: A
Rationale: The correct answer is A because fibroids typically present as an enlarged, irregular uterus that may be tender to palpation. Fibroids are non-cancerous growths in the uterus that can cause abnormal bleeding and pelvic pain. The irregular shape and tenderness are characteristic findings of fibroids. Option B is incorrect because fibroids are not typically smooth and do not have smooth contours. Option C is incorrect because fibroids are not usually smooth and tender. Option D is incorrect because fibroids are not soft or mobile; they are usually firm and fixed in place within the uterus.