ATI RN
Assessment of Genitourinary System Questions
Question 1 of 5
Which of the following statements about within the urinary system? antidiuretic hormone (ADH) is incorrect?
Correct Answer: B
Rationale: The correct answer is B. Without ADH, the proximal parts of the nephron are permeable to water, not impermeable. ADH acts on the distal tubules and collecting ducts to increase water reabsorption. This allows the body to retain water and concentrate urine. Choice A (ureter) is not related to ADH and Choice C and D are incomplete options.
Question 2 of 5
Which of these statements is true regarding the penis?
Correct Answer: D
Rationale: The correct answer is D because the corpus spongiosum is a column of erectile tissue in the penis that surrounds the urethra and expands into the glans. This expansion forms the glans, which is the rounded tip of the penis. This is anatomically accurate as the glans is indeed an expanded cone-shaped structure at the distal end of the penis. A: The urethral meatus is actually located at the tip of the glans, which is at the distal end of the penis, not the ventral side. B: The prepuce is the foreskin that covers the glans, not the shaft of the penis. C: The penis is actually made up of three cylindrical columns of erectile tissue - two corpora cavernosa and one corpus spongiosum.
Question 3 of 5
The nurse is examining the glans and knows which finding is normal for this area?
Correct Answer: D
Rationale: The correct answer is D because the glans normally has wrinkled skin without lesions. This is due to the presence of sebaceous glands on the glans, which can create a wrinkled appearance. Choice A is incorrect as discharge from the meatus is not a normal finding. Choice B is incomplete. Choice C is irrelevant as the presence of pests is not related to the appearance of the glans. Thus, the wrinkled skin without lesions is the correct and normal finding for the glans during examination.
Question 4 of 5
The nurse knows that a common assessment finding in a boy younger than 2 years old is:
Correct Answer: D
Rationale: The correct answer is D because it is a common assessment finding in boys younger than 2 years old to have a penis that looks large in relation to the scrotum due to the immaturity of the genitourinary system. This is known as physiological phimosis, where the foreskin cannot be retracted. Choices A and C are incorrect as inflamed and tender spermatic cord and presence of a hernia are not common assessment findings in boys younger than 2 years old.
Question 5 of 5
During a health history, a patient tells the nurse that he has trouble in starting his urine stream. This problem is known as:
Correct Answer: D
Rationale: The correct answer is D: Hesitancy. Hesitancy refers to difficulty initiating the urine stream, which is the issue described by the patient. Urgency (A) is the sudden need to urinate, not difficulty starting. Dribbling (B) is the slow, steady leaking of urine after voiding, not the initial difficulty. Frequency (C) is the need to urinate more often than usual, not specifically related to starting the stream. Therefore, based on the patient's symptom of trouble starting the urine stream, hesitancy is the most appropriate term.