ATI RN
Genitourinary System Quizlet Questions
Question 1 of 5
Glomerular filtrate is produced as a result of
Correct Answer: D
Rationale: The correct answer is D: blood hydrostatic pressure. Glomerular filtrate is produced as a result of the pressure exerted by the blood in the glomerular capillaries forcing water and small solutes into the Bowman's capsule. This pressure, known as blood hydrostatic pressure, is the driving force for the initial filtration of blood in the kidneys. Rationale: 1. A: Tubule secretion is the process by which substances are actively transported from the blood into the renal tubules, not the initial production of glomerular filtrate. 2. B: Facilitated diffusion is a passive transport process that requires specific carrier proteins, not a mechanism for producing glomerular filtrate. 3. C: Blood colloid osmotic pressure is the pressure exerted by proteins in the blood that tends to pull water back into the capillaries, opposing filtration, not causing the production of glomerular filtrate.
Question 2 of 5
A patient has had three pregnancies and two live births. The nurse would record this information as gravida _____, para _____, AB _____
Correct Answer: C
Rationale: The correct answer is C: 3; 2; 1. Gravida refers to the total number of pregnancies, including the current one. As the patient has had three pregnancies, the gravida is 3. Para indicates the number of live births, so since the patient has had two live births, the para is 2. AB represents the number of abortions or miscarriages, which is 1 in this case. Therefore, the correct way to record this patient's obstetric history is gravida 3, para 2, AB 1. Choice A (2; 2; 1) is incorrect because the patient has had three pregnancies, not two. Choice B (3; 2; 0) is incorrect as it does not account for the abortion/miscarriage that occurred. Choice D (3; 3; 1) is also incorrect because the patient has had two live births, not three.
Question 3 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 4 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 5 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.