ATI RN
Genitourinary System Assessment Questions
Question 1 of 5
The process by which water is reabsorbed by following solutes when they are reabsorbed is called
Correct Answer: B
Rationale: The correct answer is B: facultative water reabsorption. This process occurs in the collecting ducts of the nephron in the kidney, where water reabsorption is regulated based on the body's hydration levels. When solutes like sodium are reabsorbed, water follows passively through aquaporin channels, adjusting the amount of water reabsorbed according to the body's needs. A: Obligatory water reabsorption refers to the constant reabsorption of water in the proximal tubule and descending loop of Henle, not regulated based on hydration levels. C: Osmotic water reabsorption is a general term referring to the movement of water based on osmotic gradients, not specifically regulated by solute reabsorption. D: Renin-angiotensin water reabsorption involves the renin-angiotensin-aldosterone system in response to low blood pressure, focusing on sodium reabsorption rather than direct regulation of
Question 2 of 5
A 50-year-old woman calls the clinic because she has noticed some changes in her body and breasts and wonders if these changes could be attributable to the hormone replacement therapy (HRT) she started 3 months earlier. The nurse should tell her:
Correct Answer: B
Rationale: The correct answer is B because hormone replacement therapy (HRT) commonly causes side effects such as fluid retention, breast tenderness, and vaginal bleeding. This information is important for the nurse to communicate to the patient, as it aligns with the symptoms the woman is experiencing. Choice A is incorrect as even low doses of HRT can still result in side effects. Choice C is incorrect because vaginal bleeding with HRT is not very unusual and does not necessitate immediate evaluation unless it is severe. Choice D is incorrect as adjusting the dose without proper evaluation could be dangerous and is not the appropriate first step in addressing the patient's concerns.
Question 3 of 5
A 22-year-old woman has been considering using oral contraceptives. As a part of her health history, the nurse should ask:
Correct Answer: D
Rationale: The correct answer is D because smoking increases the risk of cardiovascular complications with oral contraceptives. By asking about the number of cigarettes smoked per day, the nurse can assess the level of risk. Choice A is incorrect as it is not directly related to the safety of oral contraceptives. Choice B is important for overall sexual health but not directly related to the safety of oral contraceptives. Choice C is vague and does not provide specific information about potential risks associated with oral contraceptives.
Question 4 of 5
The nurse is preparing to examine the external genitalia of a school-age girl. Which position would be most appropriate in this situation?
Correct Answer: B
Rationale: The correct answer is B, placing the girl in a frog-leg position on the examining table. This position provides optimal access and visualization of the external genitalia while ensuring the child's comfort and privacy. Placing the child in the parent's lap (A) may hinder the nurse's ability to perform the examination effectively. The lithotomy position (C) with feet in stirrups is typically used for pelvic exams in older females and may not be necessary for a school-age girl. Lying flat with legs extended (D) would also not provide the necessary access and visibility required for the examination.
Question 5 of 5
A 35-year-old woman is at the clinic for a gynecologic examination. During the examination, she asks the nurse, 'How often do I need to have this Pap test done?' Which reply by the nurse is correct?
Correct Answer: D
Rationale: The correct answer is D because it follows the current guidelines for cervical cancer screening. Starting at age 30, if a woman has had three consecutive normal Pap tests, she can be screened every 2 to 3 years. This is based on the evidence that the risk of cervical cancer is low in women with a history of normal Pap tests. Option A is incorrect as smoking status does not determine Pap test frequency. Option B is incorrect as annual Pap tests are no longer recommended for all women. Option C is incorrect as waiting 5 years between tests is not the standard recommendation based on guidelines.