ATI RN
Assessment of Genitourinary System Questions
Question 1 of 5
The nurse knows that a common assessment finding in a boy younger than 2 years old is:
Correct Answer: D
Rationale: The correct answer is D because it is a common assessment finding in boys younger than 2 years old to have a penis that looks large in relation to the scrotum due to the immaturity of the genitourinary system. This is known as physiological phimosis, where the foreskin cannot be retracted. Choices A and C are incorrect as inflamed and tender spermatic cord and presence of a hernia are not common assessment findings in boys younger than 2 years old.
Question 2 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 3 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 4 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.
Question 5 of 5
When the nurse is discussing sexuality and sexual issues with an adolescent, a permission statement helps convey that it is normal to think or feel a certain way. Which statement is the best example of a permission statement?
Correct Answer: B
Rationale: The correct answer is B because it acknowledges common concerns without making assumptions or judgments. It normalizes the adolescent's curiosity and encourages open discussion. Choice A could be seen as presumptive or judgmental. Choice C is not a permission statement but seeks consent for questioning. Choice D makes assumptions and may pressure the adolescent. In summary, choice B is the best example because it respects the adolescent's feelings and encourages dialogue without imposing views or pressure.