ATI RN
Genitourinary Review of Systems Questions
Question 1 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 2 of 5
A woman who is 8 weeks pregnant is in the clinic for a checkup. The nurse reads on her chart that her cervix is softened and looks cyanotic. The nurse knows that the woman is exhibiting ________ sign and ________ sign.
Correct Answer: D
Rationale: The correct answer is D: Goodell; Chadwick. Goodell's sign refers to cervical softening, which is a common sign of pregnancy at 8 weeks. Chadwick's sign refers to the bluish discoloration of the cervix due to increased blood flow, also commonly seen at this stage. Tanner and Hegar signs are not relevant to the described scenario. Tanner's sign is related to breast development and Hegar's sign is related to softening of the isthmus of the uterus, not the cervix. Therefore, choices A, B, and C are incorrect.
Question 3 of 5
A 52-year-old patient states that when she sneezes or coughs she wets herself a little. She is very concerned that something may be wrong with her. The nurse suspects that the problem is:
Correct Answer: B
Rationale: The correct answer is B: Stress incontinence. This is the most likely issue because the patient leaks urine during activities that increase intra-abdominal pressure, such as sneezing or coughing. Stress incontinence is due to weakened pelvic floor muscles and sphincter, leading to leakage with exertion. Dysuria (choice A) is painful urination, not related to leakage. Hematuria (choice C) is blood in urine, not related to leakage. Urge incontinence (choice D) involves a sudden, strong urge to urinate and is not triggered by sneezing or coughing.
Question 4 of 5
A married couple has come to the clinic seeking advice on pregnancy. They have been trying to conceive for 4 months and have not been successful. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B because it aligns with standard medical guidelines. Couples are typically considered infertile after 1 year of trying to conceive without success. This timeframe allows for natural variations in fertility and is when medical intervention is usually recommended. A: Ascertain antibiotic use is not the first step as it may not be directly related to infertility. C: Referring to pelvic inflammatory disease assumes a diagnosis without proper evaluation. D: Incorrect timeline of 3 months and immediate referral to a fertility expert is premature without giving time for natural conception.
Question 5 of 5
When assessing a newborn infant's genitalia, the nurse notices that the genitalia are somewhat engorged. The labia majora are swollen, the clitoris looks large, and the hymen is thick. The vaginal opening is difficult to visualize. The infant's mother states that she is worried about the labia being swollen. The nurse should reply:
Correct Answer: A
Rationale: Step 1: Neonatal genital engorgement is a common finding due to maternal hormones. Step 2: Maternal hormones can cause swelling of the labia majora, clitoris, and thickening of the hymen. Step 3: This physiological phenomenon typically resolves within a few weeks post-birth. Step 4: The nurse should reassure the mother that this is a normal finding in newborns. Summary: Choice A is correct because it aligns with the normal physiological process, while the other options suggest unnecessary interventions or monitoring that are not indicated in this situation.