ATI RN
Assessment of Genitourinary System Questions
Question 1 of 5
The nurse is examining the glans and knows which finding is normal for this area?
Correct Answer: D
Rationale: The correct answer is D because the glans normally has wrinkled skin without lesions. This is due to the presence of sebaceous glands on the glans, which can create a wrinkled appearance. Choice A is incorrect as discharge from the meatus is not a normal finding. Choice B is incomplete. Choice C is irrelevant as the presence of pests is not related to the appearance of the glans. Thus, the wrinkled skin without lesions is the correct and normal finding for the glans during examination.
Question 2 of 5
During a health history, a patient tells the nurse that he has trouble in starting his urine stream. This problem is known as:
Correct Answer: D
Rationale: The correct answer is D: Hesitancy. Hesitancy refers to difficulty initiating the urine stream, which is the issue described by the patient. Urgency (A) is the sudden need to urinate, not difficulty starting. Dribbling (B) is the slow, steady leaking of urine after voiding, not the initial difficulty. Frequency (C) is the need to urinate more often than usual, not specifically related to starting the stream. Therefore, based on the patient's symptom of trouble starting the urine stream, hesitancy is the most appropriate term.
Question 3 of 5
Which is secreted by the juxtaglomerular apparatus?
Correct Answer: B
Rationale: The correct answer is B: renin. Renin is secreted by the juxtaglomerular apparatus in response to low blood pressure or low sodium levels. It plays a crucial role in regulating blood pressure by initiating the renin-angiotensin-aldosterone system. Atrial naturetic peptide (A) is secreted by the atria in response to high blood pressure. Angiotensin (C) is produced as a result of renin action. Antidiuretic hormone (D) is produced by the hypothalamus and released by the pituitary gland to regulate water balance, not by the juxtaglomerular apparatus.
Question 4 of 5
The uterus is usually positioned tilting forward and superior to the bladder. This position is known as:
Correct Answer: A
Rationale: The correct answer is A: Anteverted and anteflexed. The uterus is typically positioned forward and superior to the bladder, which is known as anteverted. Anteflexed refers to the forward bending of the uterus. This position is normal and allows for proper anatomical relationships in the female reproductive system. Choice B: Retroverted and anteflexed is incorrect because retroverted means the uterus is tilted backward instead of forward. Choice C: Retroverted and retroflexed is incorrect because retroflexed means the uterus is bent backward instead of forward. Choice D: Superiorverted and anteflexed is incorrect as superiorverted is not a recognized term in anatomy and does not accurately describe the position of the uterus.
Question 5 of 5
During the interview with a female patient, the nurse gathers data that indicate the patient is perimenopausal. Which of these statements made by this patient leads to this conclusion?
Correct Answer: C
Rationale: Step 1: Sweating more than usual, especially at night, is a common symptom of perimenopause due to hormonal changes. Step 2: Sweating is often associated with hot flashes, a hallmark of perimenopause. Step 3: Hot flashes can lead to night sweats, disrupting sleep. Step 4: Other symptoms like irregular periods also occur during perimenopause. Step 5: Therefore, the patient's statement about increased sweating, especially at night, strongly indicates perimenopause. Summary: A: Muscle aches are not specific to perimenopause. B: Worrying about periods stopping is more related to menopause. D: Breast tenderness as the first symptom is not a typical indicator of perimenopause.