ATI RN
Assessment of Genitourinary System Questions
Question 1 of 5
The uterus is usually positioned tilting forward and superior to the bladder. This position is known as:
Correct Answer: A
Rationale: The correct answer is A: Anteverted and anteflexed. The uterus is typically positioned forward and superior to the bladder, which is known as anteverted. Anteflexed refers to the forward bending of the uterus. This position is normal and allows for proper anatomical relationships in the female reproductive system. Choice B: Retroverted and anteflexed is incorrect because retroverted means the uterus is tilted backward instead of forward. Choice C: Retroverted and retroflexed is incorrect because retroflexed means the uterus is bent backward instead of forward. Choice D: Superiorverted and anteflexed is incorrect as superiorverted is not a recognized term in anatomy and does not accurately describe the position of the uterus.
Question 2 of 5
When the nurse is discussing sexuality and sexual issues with an adolescent, a permission statement helps convey that it is normal to think or feel a certain way. Which statement is the best example of a permission statement?
Correct Answer: B
Rationale: The correct answer is B because it acknowledges common concerns without making assumptions or judgments. It normalizes the adolescent's curiosity and encourages open discussion. Choice A could be seen as presumptive or judgmental. Choice C is not a permission statement but seeks consent for questioning. Choice D makes assumptions and may pressure the adolescent. In summary, choice B is the best example because it respects the adolescent's feelings and encourages dialogue without imposing views or pressure.
Question 3 of 5
A 65-year-old woman is in the office for routine gynecologic care. She had a complete hysterectomy 3 months ago after cervical cancer was detected. Which statement does the nurse know to be true regarding this visit?
Correct Answer: D
Rationale: The correct answer is D because after a complete hysterectomy, the cervix and uterus are removed, hence there is no cervical mucosa to be red and dry (eliminating choice A). Since the patient had a hysterectomy, she does not need a Pap smear performed as there is no cervix, eliminating choice B. Choice C is incorrect as the patient had a complete hysterectomy, so the nurse should not expect to find an enlarged uterus or small, hard ovaries. Choice D is correct as lubrication is essential for a comfortable examination due to the absence of natural lubrication post-hysterectomy.
Question 4 of 5
During an internal examination, the nurse notices that the cervix bulges outside the introitus when the patient is asked to strain. The nurse will document this as:
Correct Answer: B
Rationale: The correct answer is B: Uterine prolapse, graded second degree. This is because when the cervix bulges outside the introitus with straining, it indicates descent of the uterus beyond the vaginal walls but not completely outside the introitus. This corresponds to a second-degree uterine prolapse. A: Incorrect. First-degree uterine prolapse involves descent of the uterus into the upper portion of the vagina. C: Incorrect. Third-degree uterine prolapse is when the cervix is completely outside the introitus. D: Incorrect. This finding indicates a uterine prolapse, not a normal finding.
Question 5 of 5
A nurse is assessing a 40-year-old woman with a history of multiple sexual partners. She expresses concern about the risk of developing cervical cancer. The nurse would tell the patient that the main risk factor for cervical cancer is:
Correct Answer: B
Rationale: The correct answer is B: HPV infection. Human papillomavirus (HPV) is the main risk factor for cervical cancer as it is responsible for causing most cases of cervical cancer. Step 1: HPV is a sexually transmitted infection commonly spread through sexual activity, making it more likely in individuals with multiple sexual partners. Step 2: Chronic cervicitis, choice C, is an inflammation of the cervix but is not a direct cause of cervical cancer. Step 3: Pregnancy, choice D, is not a primary risk factor for cervical cancer. Step 4: Increased number of sexual partners, choice A, is indirectly related as it increases the likelihood of HPV exposure, but HPV infection itself is the key risk factor.