ATI RN
Disorders of the Genitourinary System Questions
Question 1 of 5
Generally, the changes normally associated with menopause occur because the cells in the reproductive tract are:
Correct Answer: C
Rationale: The correct answer is C: Estrogen dependent. During menopause, the changes in the reproductive tract are primarily due to the decline in estrogen levels. Estrogen plays a crucial role in regulating the menstrual cycle and maintaining the health of the reproductive tissues. As estrogen levels decrease, it leads to various symptoms and changes associated with menopause. Choices A and B are incorrect as they do not directly relate to the hormonal changes that occur during menopause. Choice D is incorrect because during menopause, the cells in the reproductive tract become less responsive to estrogen due to the decline in estrogen levels.
Question 2 of 5
A nurse is examining a 35-year-old female patient. During the health history, the nurse notices that she has had two term pregnancies, and both babies were delivered vaginally. During the internal examination, the nurse observes that the cervical os is a horizontal slit with some healed lacerations and that the cervix has some nabothian cysts that are small, smooth, and yellow. In addition, the nurse notices that the cervical surface is granular and red, especially around the os. Finally, the nurse notices the presence of stringy, opaque, odorless secretions. Which of these findings are abnormal?
Correct Answer: C
Rationale: The correct answer is C: The cervical surface is granular and red. This finding indicates inflammation or infection, as a healthy cervix should appear smooth and pink. The presence of granular and red surface could suggest cervicitis or another underlying issue that needs further evaluation or treatment. A: Nabothian cysts are present - This is a normal finding and does not indicate any abnormality or concern. B: The cervical os is a horizontal slit - This is a normal anatomical variation and does not indicate any abnormality. D: Stringy, opaque secretions are present - This can be a normal finding depending on the phase of the menstrual cycle and does not necessarily indicate an abnormality.
Question 3 of 5
During a vaginal examination of a 38-year-old woman, the nurse notices that the vulva and vagina are erythematous and edematous with thick, white, curdlike discharge adhering to the vaginal walls. The woman reports intense pruritus and thick white discharge from her vagina. The nurse knows that these history and physical examination findings are most consistent with which condition?
Correct Answer: A
Rationale: Step 1: The key clues in the question are thick, white, curdlike discharge, intense pruritus, erythematous, and edematous vulva and vagina. Step 2: These symptoms are classic for candidiasis, a fungal infection caused by Candida species. Step 3: Candidiasis commonly presents with thick, white discharge, itching, and inflamed vaginal tissues. Step 4: Trichomoniasis (choice B) typically presents with frothy, greenish-yellow discharge and vaginal itching. Step 5: Atrophic vaginitis (choice C) is more common in postmenopausal women and presents with thin, watery discharge and vaginal dryness. Step 6: Bacterial vaginosis (choice D) presents with thin, grayish-white discharge and a fishy odor. Step 7: Therefore, based on the symptoms described in the question, the correct answer is A: Candidiasis.
Question 4 of 5
A 25-year-old woman presents to the clinic with pain in her lower abdomen and an abnormal pap smear result. The nurse suspects that she might have an ectopic pregnancy. Which of the following is the most common symptom of ectopic pregnancy?
Correct Answer: B
Rationale: The correct answer is B: Severe nausea and vomiting. In an ectopic pregnancy, the fertilized egg implants outside the uterus, commonly in the fallopian tube. As the pregnancy progresses, the tube can rupture, leading to severe internal bleeding. This bleeding can irritate the abdominal lining, causing nausea and vomiting. Severe pain on one side of the lower abdomen (choice A) is also common but not the most common symptom. Pain with urination or bowel movements (choice C) and frequent urination (choice D) are not typical symptoms of ectopic pregnancy.
Question 5 of 5
A 60-year-old woman is undergoing a pelvic examination. During the examination, the nurse finds a mass in the pelvic region that is hard, irregular, and fixed. The nurse's most appropriate course of action would be to:
Correct Answer: B
Rationale: The correct answer is B: Refer the patient to a gynecologist for further evaluation. Given the characteristics of the mass (hard, irregular, fixed), it raises concerns for possible malignancy. Referring the patient to a gynecologist allows for a specialist to conduct a thorough evaluation, which may include additional imaging studies and biopsies to determine the nature of the mass. Monitoring the mass (choice A) without further evaluation may delay potential diagnosis and treatment. Obtaining a biopsy (choice C) without proper evaluation by a specialist may not be appropriate at this stage. Performing a pelvic ultrasound (choice D) can provide additional information but may not be sufficient for a definitive diagnosis of malignancy.