ATI RN
Genitourinary System Assessment Questions
Question 1 of 5
Which of the following substances does NOT NOT normally be expected to appear in normally pass through from glomerular urine? capillaries into the filtrate?
Correct Answer: B
Rationale: The correct answer is B: albumin. Glomerular capillaries have a filtration barrier that prevents large molecules like albumin from passing into the filtrate. Water (A), urea (C), and sodium ions (D) are smaller molecules that can pass through the filtration barrier and are normally found in the filtrate. Albumin, being a large protein molecule, is normally retained in the blood and not expected to appear in the filtrate. This is essential for maintaining proper blood composition and oncotic pressure.
Question 2 of 5
Which is incorrect of renal transplant patients?
Correct Answer: A
Rationale: Correct Answer: A Rationale: Identical twin donor and recipient still require immunosuppression due to minor histocompatibility antigens. Failure to suppress the immune system can lead to rejection. Graft rejection may present with symptoms such as graft tenderness, decreased urine output, and increased creatinine levels. Infections are indeed a common cause of morbidity and mortality in renal transplant patients, with a high incidence within the first year post-transplant. Therefore, choice A is incorrect as even identical twin donors and recipients require immunosuppression to prevent rejection.
Question 3 of 5
When performing a genital examination on a 25-year-old man, the nurse notices deeply pigmented, wrinkled scrotal skin with large sebaceous follicles. On the basis of this information, the nurse would:
Correct Answer: C
Rationale: Rationale: Choice C is correct because the description of deeply pigmented, wrinkled scrotal skin with large sebaceous follicles in a 25-year-old man is indicative of normal changes associated with development and aging. The nurse should recognize this as a normal finding and proceed with the examination without any further intervention. Summary of Incorrect Choices: A: Squeezing the glans to check for discharge is not indicated based on the information provided. This action is unnecessary and could potentially cause discomfort or harm to the patient. D: Assessing the testicles for masses or painless lumps is not relevant to the described findings of pigmented, wrinkled scrotal skin with sebaceous follicles. This choice does not align with the presented information and would not be appropriate in this scenario.
Question 4 of 5
When assessing the scrotum of a male patient, the nurse notices the presence of multiple firm, nontender, yellow 1-cm nodules. The nurse knows that these nodules are most likely:
Correct Answer: B
Rationale: The correct answer is B: Sebaceous cysts. Sebaceous cysts are commonly seen as firm, nontender, yellow nodules in the scrotum. They are benign growths formed from blocked sebaceous glands. Urethritis (A) would present with symptoms such as pain or burning during urination, not as nodules on the scrotum. Subcutaneous plaques (C) are typically seen in conditions like Peyronie's disease, not as discrete nodules. COM (D) is not a recognized term in this context.
Question 5 of 5
During an examination of an aging man, the nurse recognizes that normal changes to expect would be:
Correct Answer: B
Rationale: Rationale: 1. As men age, there is a decrease in testosterone levels leading to shrinkage of the testes and penis. 2. Decrease in penile size is a normal age-related change due to reduced blood flow. 3. Option A is incorrect as scrotal color usually remains unchanged. 4. Option C is incorrect as testes and scrotum tend to shrink rather than enlarge. 5. Option D is incorrect as rugae decrease with age due to decreased elasticity.