ATI RN
Assessment of Genitourinary System Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A 50-year-old woman reports vaginal dryness and discomfort during intercourse. The nurse suspects that she is in menopause. Which of the following is a common symptom of menopause?
Correct Answer: A
Rationale: The correct answer is A: Hot flashes. Menopause is characterized by the cessation of menstruation and a decline in estrogen levels, leading to symptoms like hot flashes. Vaginal dryness and discomfort are also common symptoms, but hot flashes are more specific to menopause. Mood swings can occur due to hormonal changes, but they are not as specific to menopause as hot flashes. Night sweats are similar to hot flashes but occur during the night and are not as indicative of menopause as hot flashes.
Question 5 of 5
Certain food sources provide more urea than others. Which of the following foods would provide the most urea that would have to be filtered out of the blood via the kidneys?
Correct Answer: B
Rationale: The correct answer is B: Proteins, such as meats and eggs. Proteins are broken down into amino acids in the body, and excess amino acids are converted into urea by the liver. Urea is a waste product that needs to be filtered out by the kidneys. Meats and eggs are rich sources of protein, hence they would provide the most urea to be filtered out. Grains (A), fruits (C), and oils (D) do not contain as much protein as meats and eggs, so they would not produce as much urea for the kidneys to filter out.