ATI RN
Genitourinary Review of Systems Questions
Question 1 of 5
A 1mm renal calculi in the ureter will most likely impact at
Correct Answer: A
Rationale: The correct answer is A: the pelvi-ureteric junction. A 1mm renal calculi is most likely to impact at this location because the pelvi-ureteric junction is the narrowest part of the ureter, making it more susceptible to blockages. The size of the calculi is small enough to get lodged at this site, causing obstruction and symptoms. The other choices are incorrect because the vesico-ureteric junction and bladder orifice are wider areas, less likely to be obstructed by a small calculi. The pelvic brim is not a common site for renal calculi obstruction.
Question 2 of 5
When performing a scrotal assessment, the nurse notices that the scrotal contents show a red glow with transillumination. On the basis of this finding the nurse would:
Correct Answer: A
Rationale: The correct answer is A: Assess the patient for the presence of a hernia. When scrotal contents show a red glow with transillumination, it indicates the presence of serous fluid or air, which can occur in a hernia. A hernia can cause the scrotal contents to be illuminated due to the presence of fluid or air. Other choices are incorrect because option C is misleading as serous fluid would not cause transillumination. Option D is incorrect as this finding is not normal and requires further assessment. Option B is incomplete and not related to the finding.
Question 3 of 5
When performing a genitourinary assessment on a 16-year-old male adolescent, the nurse notices a
Correct Answer: A
Rationale: The correct answer is A because the description provided suggests inguinal hernia. Abdominal pressure causing pain, worsening when standing or straining, and relief when lying down are classic symptoms of inguinal hernia. This is common in males, especially adolescents, due to the descent of the testes through the inguinal canal. Choices B, C, and D do not align with the symptoms of an inguinal hernia and are therefore incorrect. Option A stands out as the best choice based on the specific symptoms presented in the question.
Question 4 of 5
During a physical examination, the nurse finds that a male patients foreskin is fixed and tight and will not retract over the glans. The nurse recognizes that this condition is:
Correct Answer: A
Rationale: The correct answer is A: Phimosis. Phimosis is the condition where the foreskin is tight and cannot retract over the glans. This is a common condition in males and can lead to issues such as difficulty urinating and increased risk of infections. Epispadias (B) is a congenital condition where the urethra opens on the upper side of the penis. Urethral stricture (C) is a narrowing of the urethra that can cause difficulty with urination, but it is not related to tight foreskin.
Question 5 of 5
A function of the kidney is to
Correct Answer: D
Rationale: The correct answer is D: regulate blood ionic composition. The kidneys help maintain the body's electrolyte balance by regulating the levels of ions such as sodium, potassium, and calcium in the blood. This is crucial for proper nerve and muscle function, pH balance, and overall homeostasis. Explanation for why the other choices are incorrect: A: The production of angiotensin is primarily done by the liver and lungs, not the kidneys. B: While the kidneys help filter out waste and toxins, they do not specifically target microorganisms in the blood. C: Removing aged blood from the blood is not a function of the kidneys; this task is mainly carried out by the spleen and liver. In summary, the kidney's main function is to regulate blood ionic composition to maintain overall bodily functions, making choice D the correct answer.