ATI RN
Quizlet Genitourinary System Questions
Question 1 of 5
In the process of renal autoregulation,
Correct Answer: B
Rationale: Step-by-step rationale for choice B being correct: 1. Renal autoregulation maintains a constant glomerular filtration rate (GFR). 2. If the collecting tubule reabsorbs less water, it helps regulate the body's fluid balance. 3. Reabsorbing less water in the collecting tubule helps prevent excessive fluid loss or retention. 4. This process ensures that the body maintains appropriate blood volume and blood pressure. Summary of why other choices are incorrect: A: Loop of Henle reabsorbs ions, not more sodium and chloride ions. C: Afferent arterioles constrict to decrease GFR, not dilate to increase it. D: Efferent arterioles constrict to maintain GFR, not dilate to allow faster blood flow.
Question 2 of 5
The nurse is reviewing the changes that occur with menopause. Which changes are associated with menopause?
Correct Answer: A
Rationale: Rationale: Answer A is correct because during menopause, there is uterine and ovarian atrophy due to decreased estrogen levels, leading to a thinning of the vaginal epithelium. This is a common physiological change associated with menopause. Summary of other choices: B: Incorrect - Increased vaginal secretions and clitoral size do not typically occur with menopause. C: Incorrect - Cervical hypertrophy and increased acidity of vaginal secretions are not common changes seen with menopause. D: Incorrect - Vaginal mucosa fragility and uterine hypertrophy are not typical changes associated with menopause.
Question 3 of 5
A woman states that 2 weeks ago she had a urinary tract infection that was treated with an antibiotic. As a part of the interview, the nurse should ask, 'Have you noticed any':
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A patient calls the clinic for instructions before having a Papanicolaou (Pap) smear. The most appropriate instructions from the nurse are:
Correct Answer: B
Rationale: The correct answer is B because avoiding intercourse, inserting anything into the vagina, or douching within 24 hours of the appointment helps ensure an accurate Pap smear result. Intercourse, vaginal products, and douching can introduce foreign substances or disrupt the natural vaginal flora, potentially affecting the test results. Option A is incorrect because using pads during menstruation is a general recommendation and not specific to a Pap smear appointment. Option C is incorrect because bringing a sample of discharge is not necessary for a Pap smear. Option D is incorrect because douching is not recommended before a Pap smear as it can alter the vaginal environment.
Question 5 of 5
A 22-year-old woman is being seen at the clinic for problems with vulvar pain, dysuria, and fever. On physical examination, the nurse notices clusters of small, shallow vesicles with surrounding erythema on the labia. Inguinal lymphadenopathy is present. The most likely cause of these lesions is:
Correct Answer: D
Rationale: The correct answer is D: Herpes simplex virus type 2. The presence of small, shallow vesicles with surrounding erythema on the labia, along with symptoms of vulvar pain, dysuria, and fever, are classic signs of genital herpes caused by HSV-2. The inguinal lymphadenopathy further supports the diagnosis. Herpes simplex virus is known for causing painful vesicular lesions in the genital area. Choice A, Pediculosis pubis, is incorrect as it presents with itching and nits (eggs) attached to the hair shafts, not vesicles. Choice B, Contact dermatitis, typically presents with red, itchy, and inflamed skin due to an allergic reaction. Choice C, HPV, does not typically present with vesicles but rather with warts or abnormal cell changes on the skin or mucous membranes.