ATI RN
Genitourinary System Assessment Questions
Question 1 of 5
When performing a genital examination on a 25-year-old man, the nurse notices deeply pigmented, wrinkled scrotal skin with large sebaceous follicles. On the basis of this information, the nurse would:
Correct Answer: C
Rationale: Rationale: Choice C is correct because the description of deeply pigmented, wrinkled scrotal skin with large sebaceous follicles in a 25-year-old man is indicative of normal changes associated with development and aging. The nurse should recognize this as a normal finding and proceed with the examination without any further intervention. Summary of Incorrect Choices: A: Squeezing the glans to check for discharge is not indicated based on the information provided. This action is unnecessary and could potentially cause discomfort or harm to the patient. D: Assessing the testicles for masses or painless lumps is not relevant to the described findings of pigmented, wrinkled scrotal skin with sebaceous follicles. This choice does not align with the presented information and would not be appropriate in this scenario.
Question 2 of 5
During an examination of an aging man, the nurse recognizes that normal changes to expect would be:
Correct Answer: B
Rationale: Rationale: 1. As men age, there is a decrease in testosterone levels leading to shrinkage of the testes and penis. 2. Decrease in penile size is a normal age-related change due to reduced blood flow. 3. Option A is incorrect as scrotal color usually remains unchanged. 4. Option C is incorrect as testes and scrotum tend to shrink rather than enlarge. 5. Option D is incorrect as rugae decrease with age due to decreased elasticity.
Question 3 of 5
During a genital examination, the nurse notices that a male patient has clusters of small vesicles on the
Correct Answer: C
Rationale: Rationale: 1. Genital herpes presents as clusters of small vesicles on the genitals. 2. The vesicles are typically painful and can ulcerate. 3. The presence of vesicles is a key feature of genital herpes. 4. Peyronie's disease is characterized by penile curvature, not vesicles. 5. Genital warts are caused by HPV and present as cauliflower-like growths, not vesicles.
Question 4 of 5
The process by which water is reabsorbed by following solutes when they are reabsorbed is called
Correct Answer: B
Rationale: The correct answer is B: facultative water reabsorption. This process occurs in the collecting ducts of the nephron in the kidney, where water reabsorption is regulated based on the body's hydration levels. When solutes like sodium are reabsorbed, water follows passively through aquaporin channels, adjusting the amount of water reabsorbed according to the body's needs. A: Obligatory water reabsorption refers to the constant reabsorption of water in the proximal tubule and descending loop of Henle, not regulated based on hydration levels. C: Osmotic water reabsorption is a general term referring to the movement of water based on osmotic gradients, not specifically regulated by solute reabsorption. D: Renin-angiotensin water reabsorption involves the renin-angiotensin-aldosterone system in response to low blood pressure, focusing on sodium reabsorption rather than direct regulation of
Question 5 of 5
An 11-year-old girl is in the clinic for a sports physical examination. The nurse notices that she has begun to develop breasts, and during the conversation the girl reveals that she is worried about her development. The nurse should use which of these techniques to best assist the young girl in understanding the expected sequence for development? The nurse should:
Correct Answer: A
Rationale: The correct answer is A: Use the Tanner scale on the five stages of sexual development. The Tanner scale is a standardized tool used to assess the stages of sexual development in children and adolescents. By using this scale, the nurse can provide the girl with a clear and objective understanding of her current stage of development and what to expect in the future. This approach helps the young girl feel informed and reassured about the normal process of puberty. Choice B is incorrect because comparing the girl's development with other girls her age may lead to unnecessary comparisons and anxiety. Choice C is incorrect as the Jacobsen table based on height and weight data is not relevant for assessing sexual development. Choice D is incorrect as simply reassuring the girl without providing detailed information may not address her concerns effectively.