ATI RN
Genitourinary Review of Systems Questions
Question 1 of 5
Which of the following statements about part of a nephron? antidiuretic hormone (ADH) is incorrect?
Correct Answer:
Rationale: The correct answer is A: renal pelvis. The renal pelvis is not directly related to the action of antidiuretic hormone (ADH) in the nephron. ADH regulates water reabsorption in the collecting duct of the nephron to maintain water balance in the body. Choices B, C, and D are incorrect because they are all associated with the function of ADH in the nephron. ADH regulates the amount of water reabsorbed in the distal tubule and collecting duct, not the renal pelvis.
Question 2 of 5
A 1mm renal calculi in the ureter will most likely impact at
Correct Answer: A
Rationale: The correct answer is A: the pelvi-ureteric junction. A 1mm renal calculi is most likely to impact at this location because the pelvi-ureteric junction is the narrowest part of the ureter, making it more susceptible to blockages. The size of the calculi is small enough to get lodged at this site, causing obstruction and symptoms. The other choices are incorrect because the vesico-ureteric junction and bladder orifice are wider areas, less likely to be obstructed by a small calculi. The pelvic brim is not a common site for renal calculi obstruction.
Question 3 of 5
Which statement concerning the testes is true?
Correct Answer: D
Rationale: The correct answer is D: The cremaster muscle contracts in response to cold and draws the testicles closer to the body. This is true because the cremaster muscle is responsible for regulating the position of the testicles in response to temperature changes to maintain optimal conditions for sperm production. The other choices are incorrect because: A: The lymphatic vessels of the testes drain into the para-aortic lymph nodes, not the abdominal lymph nodes. B: The vas deferens is a duct that carries sperm from the testes to the urethra, not located along the inferior portion of each testis. C: The difference in height between the testes is due to differences in the descent of the testes during fetal development, not the length of the spermatic cord.
Question 4 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 5 of 5
When performing a genitourinary assessment on a 16-year-old male adolescent, the nurse notices a
Correct Answer: A
Rationale: The correct answer is A because the description provided suggests inguinal hernia. Abdominal pressure causing pain, worsening when standing or straining, and relief when lying down are classic symptoms of inguinal hernia. This is common in males, especially adolescents, due to the descent of the testes through the inguinal canal. Choices B, C, and D do not align with the symptoms of an inguinal hernia and are therefore incorrect. Option A stands out as the best choice based on the specific symptoms presented in the question.