ATI RN
Assessment of Genitourinary System Questions
Question 1 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 2 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 3 of 5
During an internal examination, the nurse notices that the cervix bulges outside the introitus when the patient is asked to strain. The nurse will document this as:
Correct Answer: B
Rationale: The correct answer is B: Uterine prolapse, graded second degree. This is because when the cervix bulges outside the introitus with straining, it indicates descent of the uterus beyond the vaginal walls but not completely outside the introitus. This corresponds to a second-degree uterine prolapse. A: Incorrect. First-degree uterine prolapse involves descent of the uterus into the upper portion of the vagina. C: Incorrect. Third-degree uterine prolapse is when the cervix is completely outside the introitus. D: Incorrect. This finding indicates a uterine prolapse, not a normal finding.
Question 4 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 5 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.