ATI RN
Genitourinary Review of Systems Questions
Question 1 of 5
When performing a scrotal assessment, the nurse notices that the scrotal contents show a red glow with transillumination. On the basis of this finding the nurse would:
Correct Answer: A
Rationale: The correct answer is A: Assess the patient for the presence of a hernia. When scrotal contents show a red glow with transillumination, it indicates the presence of serous fluid or air, which can occur in a hernia. A hernia can cause the scrotal contents to be illuminated due to the presence of fluid or air. Other choices are incorrect because option C is misleading as serous fluid would not cause transillumination. Option D is incorrect as this finding is not normal and requires further assessment. Option B is incomplete and not related to the finding.
Question 2 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 3 of 5
A function of the kidney is to
Correct Answer: D
Rationale: The correct answer is D: regulate blood ionic composition. The kidneys help maintain the body's electrolyte balance by regulating the levels of ions such as sodium, potassium, and calcium in the blood. This is crucial for proper nerve and muscle function, pH balance, and overall homeostasis. Explanation for why the other choices are incorrect: A: The production of angiotensin is primarily done by the liver and lungs, not the kidneys. B: While the kidneys help filter out waste and toxins, they do not specifically target microorganisms in the blood. C: Removing aged blood from the blood is not a function of the kidneys; this task is mainly carried out by the spleen and liver. In summary, the kidney's main function is to regulate blood ionic composition to maintain overall bodily functions, making choice D the correct answer.
Question 4 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 5 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.