ATI RN
Genitourinary Review of Systems Questions
Question 1 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 2 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.
Question 3 of 5
During a physical examination, the nurse finds that a male patients foreskin is fixed and tight and will not retract over the glans. The nurse recognizes that this condition is:
Correct Answer: A
Rationale: The correct answer is A: Phimosis. Phimosis is the condition where the foreskin is tight and cannot retract over the glans. This is a common condition in males and can lead to issues such as difficulty urinating and increased risk of infections. Epispadias (B) is a congenital condition where the urethra opens on the upper side of the penis. Urethral stricture (C) is a narrowing of the urethra that can cause difficulty with urination, but it is not related to tight foreskin.
Question 4 of 5
A function of the kidney is to
Correct Answer: D
Rationale: The correct answer is D: regulate blood ionic composition. The kidneys help maintain the body's electrolyte balance by regulating the levels of ions such as sodium, potassium, and calcium in the blood. This is crucial for proper nerve and muscle function, pH balance, and overall homeostasis. Explanation for why the other choices are incorrect: A: The production of angiotensin is primarily done by the liver and lungs, not the kidneys. B: While the kidneys help filter out waste and toxins, they do not specifically target microorganisms in the blood. C: Removing aged blood from the blood is not a function of the kidneys; this task is mainly carried out by the spleen and liver. In summary, the kidney's main function is to regulate blood ionic composition to maintain overall bodily functions, making choice D the correct answer.
Question 5 of 5
A woman who is 8 weeks pregnant is in the clinic for a checkup. The nurse reads on her chart that her cervix is softened and looks cyanotic. The nurse knows that the woman is exhibiting ________ sign and ________ sign.
Correct Answer: D
Rationale: The correct answer is D: Goodell; Chadwick. Goodell's sign refers to cervical softening, which is a common sign of pregnancy at 8 weeks. Chadwick's sign refers to the bluish discoloration of the cervix due to increased blood flow, also commonly seen at this stage. Tanner and Hegar signs are not relevant to the described scenario. Tanner's sign is related to breast development and Hegar's sign is related to softening of the isthmus of the uterus, not the cervix. Therefore, choices A, B, and C are incorrect.