ATI Rectum and Genitourinary Test
A nurse is inserting a urinary catheter for a female adolescent. Which of the following finding should the nurse report to the provider?
An area of tenderness on the labia majora (a palpable, fluid-filled area with swelling, tenderness, or other manifestations of inflammation on the labia majora could be a Bartholin gland abscess and should be reported to the provider).
A nurse is collecting a health history from a client. Which of the following client statements requires further investigation?
"I have noticed that it burns when I urinate."
A nurse is providing teaching about the prevention of sexually transmitted infections (STIs) to a 19 y/o client who is sexually active and reports having multiple partners. Which of the following client responses demonstrates an understanding of the teaching?
"I should plan on getting tested each year for STIs (It is recommended that all sexually active females who are under the age of 25 receive a yearly screening for chlamydia, gonorrhea, and syphilis infections).
A nurse is preparing to assess a client for the presence of a hernia. Which of the following areas should the nurse plan to inspect?
*femoral area *inguinal area
A nurse is caring for an older adult client who has an enlarged prostate and reports difficulty voiding. Which of the following actions should the nurse take?
*inspect the client's suprapubic area for distention *notify the provider if the bladder scan residual volume is greater than 100 mL *ask the client if they are experiencing pain or a burning sensation when voiding
A nurse is conducting a health history interview w a client about their urinary system. The nurse should recognize that which of the following client reports could indicate the presence of declining kidney function?
*recent weight gain *SOB *swelling in the ankles
A nurse is inspecting the genitals of an adult male client. Which of the following should the nurse identify as expected findings?
*visible dorsal vein on the underside of the penile shaft *absence of pubic hair on the penile shaft *testes that are easily movable during palpation
A nurse is providing education to a female client who has expressed a desire to use a natural method of contraception. Which of the following methods should the nurse recommend?
*withdrawl *fertility tracking w periodic abstinence
A nurse is providing a bed bath for an older adult client who is immobile. Which of the following findings should the nurse report to the provider?
An inability to retract the foreskin (the prepuce, or foreskin, should be retractable in an uncircumcised male. Phimosis, a narrowed opening of the foreskin, is an unexpected finding and should be reported to the provider).
A nurse is providing education to a male client about health promotion screenings. Which of the following information should the nurse include in the teaching?
A digital rectal examination can detect enlargement of the prostate gland.
A nurse is providing education to a young adult client about the HPV vaccine. Which of the following information should the nurse include in the teaching?
An HPV infection can lead to the development of cancer.
A nurse is caring for a male client who reports the presence of yellow discharge from the meatus and burning w urination. Which of the following infections should the nurse suspect?
Gonorrhea (the reported manifestation of yellow discharge from the meatus and dysuria are associated w a gonorrhea infection. The edges of the meatus can also appear inflamed and edematous)
A nurse is inspecting the genitalia of an older adult female client. For which of the following findings should the nurse notify the provider?
Labial ulceration (redness, swelling, or ulcerations in the genital area are always unexpected findings and should be reported to the provider).
A nurse is preparing to assist w a prostate examination. Which of the following actions should the nurse plan to take?
Position the client standing, facing the examination table.
A nurse is preparing to assist the provider w an assessment of a female client's genitourinary system. Which of the following actions should the nurse plan to take?
Position the client supine w the HOB elevated.
A nurse is inspecting a client's rectal area and notes the presence of bulging red tissue that encompasses the entire anal opening. Which of the following should the nurse suspect?
Rectal prolapse (appears as a moist, red, circular protrusion of the rectal mucus membranes through the anal opening. This can occur due to straining if the client has weak pelvic muscular support)
A nurse is preparing to assess a client's genitalia. Which of the following actions should the nurse plan to take?
Use a firm, deliberate touch when palpating.
