ATI RN
Disorders of the Genitourinary System Questions
Question 1 of 5
When the nurse is performing a genital examination on a male patient, which action is correct?
Correct Answer: B
Rationale: The correct answer is B: Palpating for the vertical chain of lymph nodes along the groin, inferior to the inguinal ligament. This is the correct action during a male genital examination as it helps assess for any abnormalities or signs of infection in the lymphatic system. Palpating the lymph nodes allows the nurse to identify any swelling, tenderness, or enlargement which could indicate underlying health issues. The other choices are incorrect because: A: Auscultating for a bruit over the scrotum is not a standard practice during a genital examination and is not relevant to assessing male genital health. C: Palpating the inguinal canal only if a bulge is present is incorrect as palpating the inguinal canal should be done regardless of the presence of a bulge to check for hernias. D: Having the patient shift his weight is not a standard procedure during a genital examination and is not relevant to assessing male genital health.
Question 2 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 3 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 4 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.
Question 5 of 5
During the interview, a patient reveals that she has some vaginal discharge. She is worried that it may be a sexually transmitted infection. The nurse's most appropriate response to this would be:
Correct Answer: C
Rationale: The correct answer is C because it focuses on gathering more information about the vaginal discharge, which is essential in assessing the patient's condition. By asking about the color of the discharge, the nurse can gather valuable information to help determine if it might be related to a sexually transmitted infection or another issue. This approach shows a patient-centered and thorough assessment. Choice A is incorrect as it dismisses the patient's concerns without obtaining further information. Choice B jumps to conclusions about unprotected sexual intercourse without first assessing the situation. Choice D is unrelated to the patient's primary concern about vaginal discharge and urinary incontinence.