ATI RN
Assessment of Genitourinary System Questions
Question 1 of 5
Which is secreted by the juxtaglomerular apparatus?
Correct Answer: B
Rationale: The correct answer is B: renin. Renin is secreted by the juxtaglomerular apparatus in response to low blood pressure or low sodium levels. It plays a crucial role in regulating blood pressure by initiating the renin-angiotensin-aldosterone system. Atrial naturetic peptide (A) is secreted by the atria in response to high blood pressure. Angiotensin (C) is produced as a result of renin action. Antidiuretic hormone (D) is produced by the hypothalamus and released by the pituitary gland to regulate water balance, not by the juxtaglomerular apparatus.
Question 2 of 5
During the interview with a female patient, the nurse gathers data that indicate the patient is perimenopausal. Which of these statements made by this patient leads to this conclusion?
Correct Answer: C
Rationale: Step 1: Sweating more than usual, especially at night, is a common symptom of perimenopause due to hormonal changes. Step 2: Sweating is often associated with hot flashes, a hallmark of perimenopause. Step 3: Hot flashes can lead to night sweats, disrupting sleep. Step 4: Other symptoms like irregular periods also occur during perimenopause. Step 5: Therefore, the patient's statement about increased sweating, especially at night, strongly indicates perimenopause. Summary: A: Muscle aches are not specific to perimenopause. B: Worrying about periods stopping is more related to menopause. D: Breast tenderness as the first symptom is not a typical indicator of perimenopause.
Question 3 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 4 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 5 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.