ATI RN
Genitourinary System Quizlet Questions
Question 1 of 5
When the nurse is performing a genital examination on a male patient, the patient has an erection. The nurses most appropriate action or response is to:
Correct Answer: C
Rationale: The correct answer is C: reassure the patient that it is normal. An erection during a genital examination is a normal physiological response and not under the patient's control. By reassuring the patient, the nurse helps alleviate any potential embarrassment or anxiety. Asking for someone else (A) may further embarrass the patient. Continuing as if nothing happened (B) may ignore the patient's emotional well-being. Stopping the examination and leaving (D) without explanation can create confusion and discomfort.
Question 2 of 5
During an examination, the nurse notices that a male patient has a red, round, superficial ulcer with a yellowish serous discharge on his penis. On palpation, the nurse finds a nontender base that feels like a small button between the thumb and fingers. At this point the nurse suspects that this patient has:
Correct Answer: D
Rationale: The correct answer is D: Syphilitic chancre. The description of a red, round, superficial ulcer with a yellowish serous discharge on the penis, along with a nontender base that feels like a small button, is indicative of a primary syphilitic chancre. This lesion is typically painless and can be mistaken for other genital ulcers, but the specific characteristics described point towards syphilis. Genital warts (choice B) present as cauliflower-like growths, herpes infection (choice C) typically causes painful blisters, and chancroid (choice A) is characterized by soft, painful ulcers. Syphilitic chancre is the most likely diagnosis based on the presentation described.
Question 3 of 5
Glomerular filtrate is produced as a result of
Correct Answer: D
Rationale: The correct answer is D: blood hydrostatic pressure. Glomerular filtrate is produced as a result of the pressure exerted by the blood in the glomerular capillaries forcing water and small solutes into the Bowman's capsule. This pressure, known as blood hydrostatic pressure, is the driving force for the initial filtration of blood in the kidneys. Rationale: 1. A: Tubule secretion is the process by which substances are actively transported from the blood into the renal tubules, not the initial production of glomerular filtrate. 2. B: Facilitated diffusion is a passive transport process that requires specific carrier proteins, not a mechanism for producing glomerular filtrate. 3. C: Blood colloid osmotic pressure is the pressure exerted by proteins in the blood that tends to pull water back into the capillaries, opposing filtration, not causing the production of glomerular filtrate.
Question 4 of 5
During a speculum inspection of the vagina, the nurse would expect to see what at the end of the vaginal canal?
Correct Answer: A
Rationale: The correct answer is A: Cervix. During a speculum inspection, the nurse would expect to see the cervix at the end of the vaginal canal. The cervix is the lower part of the uterus that connects the uterus to the vagina. It appears as a small, round structure at the end of the vaginal canal. This is an important part of the female reproductive system that can be visualized during a speculum examination. Summary: B: Uterus - Incorrect as the uterus is located above the cervix and is not visible at the end of the vaginal canal. C: Ovaries - Incorrect as the ovaries are located on either side of the uterus and are not visible during a speculum examination. D: Fallopian tubes - Incorrect as the fallopian tubes are not visible during a speculum examination as they are located above the ovaries and connect the ovaries to the uterus.
Question 5 of 5
A patient has had three pregnancies and two live births. The nurse would record this information as gravida _____, para _____, AB _____
Correct Answer: C
Rationale: The correct answer is C: 3; 2; 1. Gravida refers to the total number of pregnancies, including the current one. As the patient has had three pregnancies, the gravida is 3. Para indicates the number of live births, so since the patient has had two live births, the para is 2. AB represents the number of abortions or miscarriages, which is 1 in this case. Therefore, the correct way to record this patient's obstetric history is gravida 3, para 2, AB 1. Choice A (2; 2; 1) is incorrect because the patient has had three pregnancies, not two. Choice B (3; 2; 0) is incorrect as it does not account for the abortion/miscarriage that occurred. Choice D (3; 3; 1) is also incorrect because the patient has had two live births, not three.