ATI RN
Genitourinary System Diseases Questions
Question 1 of 5
A 2-month-old uncircumcised infant has been brought to the clinic for a well-baby checkup. How would the nurse proceed with the genital examination?
Correct Answer: C
Rationale: The correct answer is C: The glans is assessed for redness or lesions. This is the appropriate step for a genital examination in a 2-month-old uncircumcised infant to check for any signs of infection or abnormalities. Eliciting the cremasteric reflex (choice A) is not necessary for a routine well-baby checkup and is more relevant in assessing testicular descent. Choices B and D are incomplete or irrelevant, not addressing the specific aspect of the genital examination needed in this scenario.
Question 2 of 5
The main regulator of water reabsorption is
Correct Answer: C
Rationale: The correct answer is C: antidiuretic hormone. Antidiuretic hormone (ADH) regulates water reabsorption in the kidneys by increasing permeability of the collecting ducts to water. This allows for reabsorption of more water back into the bloodstream, reducing urine output and maintaining water balance. Renin, angiotensin, and aldosterone are involved in regulating blood pressure and electrolyte balance, not specifically water reabsorption. Therefore, ADH is the main regulator of water reabsorption in the body.
Question 3 of 5
During an examination, the nurse observes a female patient's vestibule and expects to see the:
Correct Answer: A
Rationale: The correct answer is A: Urethral meatus and vaginal orifice. The vestibule is the area between the labia minora where the urethral meatus and vaginal orifice are located. This is important for the nurse to observe during an examination to assess the patient's genital health. Choice B is incorrect because the vestibular (Bartholin) glands are not typically visible in the vestibule during an examination. Choice C is incorrect because the paraurethral (Skene) glands are not typically visible in the vestibule either. Choice D is incorrect because it combines the paraurethral (Skene) and vestibular (Bartholin) glands, which are not typically visible in the vestibule during examination.
Question 4 of 5
A woman is in the clinic for an annual gynecologic examination. The nurse should plan to begin the interview with the:
Correct Answer: A
Rationale: The correct answer is A: Menstrual history, because it is generally nonthreatening. Starting with the menstrual history is appropriate as it is a common and noninvasive topic that can help build rapport and make the patient feel more comfortable. It also provides important insights into the patient's overall health and reproductive system. By addressing this topic first, the nurse can establish a foundation for a more in-depth discussion of other aspects of the patient's gynecologic health. Summary of other choices: B: Obstetric history is not the most appropriate to start with as it may not be relevant for all patients during an annual gynecologic examination. C: Urinary system history may not be the most relevant starting point for a routine gynecologic exam and may not be as nonthreatening as discussing menstrual history. D: Sexual history, while important, may be more sensitive and personal for some patients, making it less suitable as an initial topic for building rapport and establishing trust.
Question 5 of 5
A nurse is assessing a patient's risk of contracting a sexually transmitted infection (STI). An appropriate question to ask would be:
Correct Answer: B
Rationale: The correct answer is B: "Do you use a condom with each episode of sexual intercourse?" This question directly assesses the patient's behavior regarding condom use, providing specific information about their risk of contracting STIs. Choice A assumes knowledge without assessing behavior. Choice C assumes the patient already has an STI. Choice D assumes awareness without assessing behavior. Choice B is the most appropriate as it focuses on the specific preventive measure of condom use.