ATI RN
Genitourinary System Questions
Question 1 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 2 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.
Question 3 of 5
A 30-year-old woman is experiencing irregular menstrual cycles, and the nurse suspects polycystic ovary syndrome (PCOS). Which of the following symptoms would the nurse expect to see in this patient?
Correct Answer: D
Rationale: The correct answer is D: Excessive weight gain. In PCOS, insulin resistance can lead to weight gain, especially in the abdominal area. This is a common symptom seen in patients with PCOS. Excessive hair growth (Choices A and C) is a symptom of hirsutism, which can occur in PCOS due to hormonal imbalances, but it is not the most specific symptom. Irregular periods and infertility (Choice B) are also common in PCOS, but weight gain is more characteristic and directly linked to the condition.
Question 4 of 5
A 38-year-old woman is undergoing a breast examination. During the examination, the nurse palpates a lump that is hard, fixed, and irregular. The nurse's most appropriate action would be to:
Correct Answer: B
Rationale: The correct answer is B: Perform a biopsy to assess for malignancy. The characteristics of the lump (hard, fixed, irregular) raise suspicion for malignancy. A biopsy is necessary to definitively determine if the lump is cancerous. Monitoring for changes (A), scheduling an ultrasound (C), or referring for a mammogram (D) may provide additional information, but a biopsy is the gold standard for diagnosing breast cancer.
Question 5 of 5
A 55-year-old woman presents to the clinic with a complaint of severe hot flashes and irregular periods. The nurse suspects perimenopause. Which of the following is the most likely cause of these symptoms?
Correct Answer: A
Rationale: The correct answer is A: Decreased estrogen levels. In perimenopause, the ovaries gradually produce less estrogen, leading to symptoms like hot flashes and irregular periods. Estrogen decline is the primary cause, as evidenced by the characteristic symptoms. Hormonal fluctuations (B) are a result of estrogen decline. Ovarian cysts (C) and increased progesterone levels (D) are less likely causes of perimenopausal symptoms.