ATI RN
Disorders of the Genitourinary System Questions
Question 1 of 5
When the nurse is performing a testicular examination on a 25-year-old man, which finding is considered normal?
Correct Answer: C
Rationale: The correct answer is C because testes that feel oval, movable, and slightly sensitive to compression are considered normal during a testicular examination in a 25-year-old man. This finding indicates normal testicular anatomy and function. Rationale: 1. Oval shape: Normal testes are typically oval in shape. 2. Movable: Normal testes should be able to move slightly within the scrotum. 3. Sensitive to compression: Slight sensitivity to compression is normal due to the presence of nerves and blood vessels in the testes. Summary of other choices: A: Nontender subcutaneous plaques - Not normal; could indicate conditions like Peyronie's disease. B: Scrotal area that is dry, scaly, and nodular - Not normal; could suggest dermatological conditions or infections. D: Single, hard, circumscribed, movable mass 1 cm under the surface of the testes - Not normal; could be indicative of a test
Question 2 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 3 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 4 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.
Question 5 of 5
A nurse is examining a 35-year-old female patient. During the health history, the nurse notices that she has had two term pregnancies, and both babies were delivered vaginally. During the internal examination, the nurse observes that the cervical os is a horizontal slit with some healed lacerations and that the cervix has some nabothian cysts that are small, smooth, and yellow. In addition, the nurse notices that the cervical surface is granular and red, especially around the os. Finally, the nurse notices the presence of stringy, opaque, odorless secretions. Which of these findings are abnormal?
Correct Answer: C
Rationale: The correct answer is C: The cervical surface is granular and red. This finding indicates inflammation or infection, as a healthy cervix should appear smooth and pink. The presence of granular and red surface could suggest cervicitis or another underlying issue that needs further evaluation or treatment. A: Nabothian cysts are present - This is a normal finding and does not indicate any abnormality or concern. B: The cervical os is a horizontal slit - This is a normal anatomical variation and does not indicate any abnormality. D: Stringy, opaque secretions are present - This can be a normal finding depending on the phase of the menstrual cycle and does not necessarily indicate an abnormality.