ATI RN
Disorders of the Genitourinary System Questions
Question 1 of 5
The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty. The nurse should reply by saying:
Correct Answer: C
Rationale: The correct answer is C because the first sign of puberty in boys is typically an enlargement of the testes due to increased testosterone production. This occurs around age 10-14. Choice A is incorrect as puberty usually begins around 10-14 years of age. Choice D is incorrect as penis growth usually starts during puberty, not at 16.
Question 2 of 5
When the nurse is performing a testicular examination on a 25-year-old man, which finding is considered normal?
Correct Answer: C
Rationale: The correct answer is C because testes that feel oval, movable, and slightly sensitive to compression are considered normal during a testicular examination in a 25-year-old man. This finding indicates normal testicular anatomy and function. Rationale: 1. Oval shape: Normal testes are typically oval in shape. 2. Movable: Normal testes should be able to move slightly within the scrotum. 3. Sensitive to compression: Slight sensitivity to compression is normal due to the presence of nerves and blood vessels in the testes. Summary of other choices: A: Nontender subcutaneous plaques - Not normal; could indicate conditions like Peyronie's disease. B: Scrotal area that is dry, scaly, and nodular - Not normal; could suggest dermatological conditions or infections. D: Single, hard, circumscribed, movable mass 1 cm under the surface of the testes - Not normal; could be indicative of a test
Question 3 of 5
The first step in urine production
Correct Answer: D
Rationale: The correct answer is D because the first step in urine production occurs as water and solutes move from the glomerulus to the glomerular capsule during the process of filtration. This initial step involves the passive movement of water and small solutes through the filtration membrane in the glomerulus. Reabsorption (choice A) occurs later in the process when useful substances are reclaimed from the filtrate. Choice B is incorrect as it describes the process of reabsorption, not the initial step. Choice C is also incorrect as secretion is the process of actively transporting substances from the blood into the renal tubules, not the first step in urine production.
Question 4 of 5
Which of the following is true of nephrons?
Correct Answer: D
Rationale: Step 1: Identify key characteristics of nephrons - functional units of kidneys, responsible for urine formation. Step 2: Confirm accuracy of statements - A: Nephrons are functional units. C: About a million nephrons in each kidney. Step 3: Combine statements - A + C = D, confirming both are correct. Step 4: Justify choice D - correct because nephrons are indeed functional units and there are approximately a million in each kidney. Summary: B is incorrect as the proximal convoluted tubules are not solely responsible for urine concentration/dilution. Choice D is correct as it combines the accurate statements from A and C.
Question 5 of 5
Generally, the changes normally associated with menopause occur because the cells in the reproductive tract are:
Correct Answer: C
Rationale: The correct answer is C: Estrogen dependent. During menopause, the changes in the reproductive tract are primarily due to the decline in estrogen levels. Estrogen plays a crucial role in regulating the menstrual cycle and maintaining the health of the reproductive tissues. As estrogen levels decrease, it leads to various symptoms and changes associated with menopause. Choices A and B are incorrect as they do not directly relate to the hormonal changes that occur during menopause. Choice D is incorrect because during menopause, the cells in the reproductive tract become less responsive to estrogen due to the decline in estrogen levels.