ATI RN
Genitourinary System Questions
Question 1 of 5
Which accurately represents the pathway of fluid through a juxtamedullary nephron?
Correct Answer: C
Rationale: The correct pathway for fluid through a juxtamedullary nephron is proximal convoluted tubule, descending loop of Henle, distal convoluted tubule, and ascending loop of Henle. This is because in the juxtamedullary nephron, the loop of Henle dips deep into the medulla, allowing for concentration of urine. Choice A is incorrect because it has the ascending and descending loops of Henle in the wrong order. Choice B is incorrect because it has the ascending and descending loops of Henle reversed. Choice D is incorrect because it starts with the distal convoluted tubule instead of the proximal convoluted tubule.
Question 2 of 5
A 54-year-old woman who has just completed menopause is in the clinic today for a yearly physical examination. Which of these statements should the nurse include in patient education? A postmenopausal woman:
Correct Answer: B
Rationale: The correct answer is B. Postmenopausal women are at increased risk for dyspareunia due to decreased vaginal secretions caused by hormonal changes. This can lead to discomfort or pain during sexual intercourse. Choice A is incorrect because postmenopausal women are actually at a greater risk for heart disease compared to younger women due to hormonal changes and aging. Choice C is incorrect as menopause involves various hormonal and physical changes that can impact a woman's health, such as bone density loss and increased risk for osteoporosis. Choice D is incorrect because while women may experience changes in sexual response after menopause, difficulty with sexual pleasure is not a universal outcome and can be managed with proper education and interventions.
Question 3 of 5
Which statement would be most appropriate when the nurse is introducing the topic of sexual relationships during an interview?
Correct Answer: C
Rationale: The correct answer is C because it is non-judgmental, open-ended, and patient-centered. It acknowledges common concerns without assuming the individual's experiences. It invites the patient to share their questions, signaling a safe and supportive environment for discussing sensitive topics. Rationale for other choices: A: This choice is too direct and may make the patient uncomfortable. It does not consider the patient's readiness to discuss their sexual history. B: This choice assumes dissatisfaction and may not apply to the patient. It could lead to a negative perception of the topic. D: This choice is judgmental and assumes the patient's sexual history, potentially creating a barrier to open communication.
Question 4 of 5
During an examination, which tests will the nurse collect to screen for cervical cancer?
Correct Answer: A
Rationale: The correct answer is A because it includes the essential tests for screening cervical cancer. Endocervical specimen and cervical scrape are collected to examine cells for abnormalities. Vaginal pool is obtained to detect any abnormal secretions or bleeding. Choice B is incorrect as acetic acid wash is not typically used for cervical cancer screening. Choice C includes potassium hydroxide (KOH) preparation which is not a standard test for cervical cancer screening. Choice D is incorrect as saline mount (wet prep) is not commonly used for this purpose. In summary, choice A is correct as it includes the necessary tests for cervical cancer screening, while the other choices include irrelevant or non-standard tests.
Question 5 of 5
When performing an external genitalia examination of a woman, the nurse notices several lesions around the vulva. The lesions are pink, moist, soft, and pointed papules. The patient states that she is not aware of any problems in that area. The nurse recognizes that these lesions may be:
Correct Answer: C
Rationale: The correct answer is C: HPV or genital warts. The description of pink, moist, soft, and pointed papules around the vulva is characteristic of genital warts caused by Human Papillomavirus (HPV). HPV can present with painless, cauliflower-like growths in the genital area. The patient's lack of awareness of any problems is common as genital warts can be asymptomatic. Syphilitic chancre (A) presents as a painless ulcer, not papules. Herpes simplex virus type 2 (B) causes painful vesicles or ulcers. Pediculosis pubis (D) is characterized by itching and the presence of lice or nits in the pubic hair, not papules.