ATI RN
Genitourinary System Diseases Questions
Question 1 of 5
The nurse is providing patient teaching about an erectile dysfunction drug. One of the drugs potential side effects is prolonged, painful erection of the penis without sexual stimulation, which is known as:
Correct Answer: C
Rationale: Step 1: Define priapism - Priapism is a prolonged, painful erection of the penis without sexual stimulation. Step 2: Link to the drug side effect - The question mentions a potential side effect of an erectile dysfunction drug, which is priapism. Step 3: Eliminate other choices - Orchitis is inflammation of the testicle, stricture is a narrowing of a tube or passage, and phimosis is the inability to retract the foreskin. These do not match the description of priapism. Step 4: Conclusion - The correct answer is C because it directly aligns with the described side effect and the other choices do not.
Question 2 of 5
During an examination, the nurse observes a female patient's vestibule and expects to see the:
Correct Answer: A
Rationale: The correct answer is A: Urethral meatus and vaginal orifice. The vestibule is the area between the labia minora where the urethral meatus and vaginal orifice are located. This is important for the nurse to observe during an examination to assess the patient's genital health. Choice B is incorrect because the vestibular (Bartholin) glands are not typically visible in the vestibule during an examination. Choice C is incorrect because the paraurethral (Skene) glands are not typically visible in the vestibule either. Choice D is incorrect because it combines the paraurethral (Skene) and vestibular (Bartholin) glands, which are not typically visible in the vestibule during examination.
Question 3 of 5
A woman is in the clinic for an annual gynecologic examination. The nurse should plan to begin the interview with the:
Correct Answer: A
Rationale: The correct answer is A: Menstrual history, because it is generally nonthreatening. Starting with the menstrual history is appropriate as it is a common and noninvasive topic that can help build rapport and make the patient feel more comfortable. It also provides important insights into the patient's overall health and reproductive system. By addressing this topic first, the nurse can establish a foundation for a more in-depth discussion of other aspects of the patient's gynecologic health. Summary of other choices: B: Obstetric history is not the most appropriate to start with as it may not be relevant for all patients during an annual gynecologic examination. C: Urinary system history may not be the most relevant starting point for a routine gynecologic exam and may not be as nonthreatening as discussing menstrual history. D: Sexual history, while important, may be more sensitive and personal for some patients, making it less suitable as an initial topic for building rapport and establishing trust.
Question 4 of 5
A nurse is assessing a patient's risk of contracting a sexually transmitted infection (STI). An appropriate question to ask would be:
Correct Answer: B
Rationale: The correct answer is B: "Do you use a condom with each episode of sexual intercourse?" This question directly assesses the patient's behavior regarding condom use, providing specific information about their risk of contracting STIs. Choice A assumes knowledge without assessing behavior. Choice C assumes the patient already has an STI. Choice D assumes awareness without assessing behavior. Choice B is the most appropriate as it focuses on the specific preventive measure of condom use.
Question 5 of 5
When performing the bimanual examination, the nurse notices that the cervix feels smooth and firm, is round, and is fixed in place (does not move). When cervical palpation is performed, the patient complains of some pain. The nurse's interpretation of these results should be which of these?
Correct Answer: C
Rationale: Step-by-step rationale for the correct answer (C): 1. The cervix is normally mobile and should move when palpated. A fixed cervix may indicate malignancy. 2. Pain during cervical palpation can be a sign of inflammation, infection, or other abnormalities. 3. Smooth and firm cervix, along with pain, raise suspicion of an underlying issue. 4. Therefore, the nurse should interpret these findings as potentially concerning and further assessment is needed. Summary: Choice A is incorrect because the findings are not within normal limits. Choice B is incorrect as the cervix should not be firm. Choice D is incorrect as pain during palpation is significant and should not be dismissed.