ATI RN
Disorders of the Genitourinary System Questions
Question 1 of 5
A gerontologic nurse is assessing a patient who has
Correct Answer: B
Rationale: The correct answer is B because uncharacteristic drowsiness can be a sign of a urinary tract infection (UTI) in older adults. UTIs can present atypically in older adults with symptoms like confusion, lethargy, and drowsiness. The other choices are incorrect because: A: A dull suprapubic region on percussion is not specific to UTI. C: Voiding large amounts of urine is not a typical symptom of UTI. D: Food cravings are not associated with UTI symptoms.
Question 2 of 5
The nurse is performing a focused genitourinary and the flank and lower abdomen. The patient is being renal assessment of a patient. Where should the nurse assessed for renal calculi. The nurse recognizes that the assess for pain at the costovertebral angle? stone is most likely in what anatomic location?
Correct Answer: D
Rationale: The correct answer is D: Ureter. The nurse should assess for pain at the costovertebral angle to check for renal calculi because the ureters connect the kidneys to the bladder and flank pain at this angle can indicate ureteral obstruction from a renal stone. Assessing at the umbilicus (choice A) or meatus (choice B) would not provide information specific to renal calculi. Assessing at the bladder (choice C) would be more relevant for bladder issues, not renal calculi.
Question 3 of 5
The nurse is reviewing the electronic health record of
Correct Answer: B
Rationale: The correct answer is B: Renal calculi. Deep tendon reflex assessment is not directly related to the urinary/renal system. Renal calculi, or kidney stones, can cause severe pain and discomfort in the urinary tract. The assessment may help identify if the patient is experiencing symptoms related to renal calculi, such as flank pain or hematuria. Choices A, C, and D are incorrect because they are not specifically addressed by assessing deep tendon reflexes, unlike renal calculi.
Question 4 of 5
A 45-year-old mother of two children is seen at the clinic for complaints of “losing my urine when I sneeze.†The nurse documents that she is experiencing:
Correct Answer: C
Rationale: The correct answer is C: Stress incontinence. This type of incontinence is characterized by leakage of urine during activities that increase intra-abdominal pressure, such as sneezing, coughing, or laughing. In this case, the woman is experiencing urine loss specifically when she sneezes, which aligns with the definition of stress incontinence. Other choices are incorrect because urinary frequency (choice A) refers to a frequent need to urinate, enuresis (choice B) is involuntary urination during sleep, and urge incontinence (choice D) is the sudden, strong need to urinate followed by involuntary leakage.
Question 5 of 5
A 55-year-old man is experiencing severe pain of sudden onset in the scrotal area. It is somewhat relieved by elevation. On examination the nurse notices an enlarged, red scrotum that is very tender to palpation. Distinguishing the epididymis from the testis is difficult, and the scrotal skin is thick and edematous. This description is consistent with which of these?
Correct Answer: B
Rationale: The correct answer is B: Epididymitis. The key features that point towards epididymitis in this case include sudden onset severe scrotal pain, tenderness in the scrotal area, difficulty in distinguishing the epididymis from the testis, and thick, edematous scrotal skin. Epididymitis is inflammation of the epididymis typically caused by a bacterial infection. The pain is often relieved by elevation due to reduced pressure. Varicocele (A) is a painless swelling of the veins in the scrotum. Spermatocele (C) is a benign cyst containing sperm that is usually painless. Testicular torsion (D) presents with sudden, severe testicular pain but does not typically involve difficulty in differentiating between the epididymis and testis or edematous scrotal skin.