ATI Rectum and Genitourinary Post Test

A nurse is providing teaching about the prevention of sexually transmitted infections (STIs) to a 19 year old client who is sexually active and reports having multiple partners. Which of the following client responses demonstrates an understanding of the teaching? a.) I should plan on getting tested each year for sexually transmitted infections b.) Taking my birth control pills will prevent me from getting an infection c.) Because I am at a low risk for HIV, I only need to get tested every other year d.) Since I got Hepatitis B vaccine, I am protected from sexually transmitted infections.

a.) I should plan on getting tested each year for sexually transmitted infections

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.) a digital rectal examination can detect enlargement of the prostate gland. b.) the prostate-specific antigen (PSA) test evaluates semen for the presence of cancer cells c.) testicular self-examination should be performed when the client is sitting in a cool environment d.) a client who has an average risk for colorectal cancer should have a colonoscopy every 2 years.

a.) a digital rectal examination can detect enlargement of the prostate gland.

A nurse is preparing to assess a client for the presence of a hernia. Which of the following areas should nurse plan to inspect? (select all that apply) a.) femoral area b.) inguinal area c.) rectal area d.) length of the shaft e.) the circumference of the glans

a.) femoral area b.) inguinal area

A nurse is preparing to assist the provider with an assessment of a female client's genitourinary system. Which of the following actions should the nurse plan to take? a.) position the client supine with the head of the bed elevated b.) avoid conversation while the provider is performing the assessment c.) instruct the client to position their knees inward d.) position the client's arms above their head

a.) position the client supine with the head of the bed elevated

A nurse is conducting a healthy interview with 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? (select all that apply) a.) recent weight gain b.) hematuria c.) shortness of breath d.) swelling in the ankles e.) difficulty starting a urine system

a.) recent weight gain c.) shortness of breath d.) 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? (select all that apply) a.) visible dorsal vein on the underside of the penile shaft b.) bilateral pea-sized (1cm), soft testes c.) Meatus located on the dorsal side of the glans d.) absence of public hair on the penile shaft e.) testes that are easily moveable during palpation

a.) visible dorsal vein on the underside of the penile shaft d.) absence of public hair on the penile shaft e.) testes that are easily moveable during palpation

A nurse is providing education to a young adult about the human papillomavirus (HPV) vaccine. Which of the following information should the nurse include in the teaching? a.) the HPV vaccine is only recommended for female clients b.) an HPV infection can lead to the development of cancer c.) the HPV vaccine should be administered before age 18 to be effective d.) immunization to prevent an HPV infection requires a single injection

b.) an HPV infection can lead to the development of cancer

A nurse is inserting a urinary catheter for a female adolescent. Which of the following findings should the nurse report to the provider? a.) a membrane at the vaginal opening b.) an area of tenderness on the labia majora c.) lack of pubic hair on the medial thigh d.) labia minora is a darker skin tone than overall coloring

b.) an area of tenderness on the labia majora

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? a.) a pendulous scrotal sac b.) an inability to retract the foreskin c.) sparse pubic hair d.) left testicle is positioned lower than the right one

b.) an inability to retract the foreskin

A nurse is inspecting a client's rectal area and noted the presence of bulging red tissue that encompasses the entire anal opening. Which of the following should the nurse suspect? a.) anal fissure b.) rectal prolapse c.) external hemorrhoid d.) pilondial sinus

b.) rectal prolapse

A nurse is preparing to assess a client's genitalia. Which of the following actions should the nurse plan to take? a.) ensure the client has a full bladder b.) use a firm, deliberate touch when palpating c.) apply sterile gloves prior to touching the genitalia d.) remove the drape from the lower half of the cleint's body.

b.) use a firm, deliberate touch when palpating

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? (select all that apply) a.) condoms b.) withdrawal c.) fertility track with periodic abstinence d.) spermicidal sponge e.) tubal ligation

b.) withdrawal c.) fertility track with periodic abstinence

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? (select all that apply) a.) perform a bladder scan within 60 minutes of the client voiding b.) ensure that the client's intake is significantly greater than output c.) inspect the client's suprapubic area for distention d.) notify the provider if the bladder scan residual volume is greater than 100ml e.) ask the client if they are experiencing pain or a burning sensation when voiding

c.) inspect the client's suprapubic area for distention d.) notify the provider if the bladder scan residual volume is greater than 100ml e.) ask the client if they are experiencing pain or a burning sensation when voiding

A nurse is preparing to assist with a prostate examination. Which of the following actions should the nurse plan to take? a.) supply sterile gloves for the provider b.) provide the supplies for a specimen culture c.) position the client standing, facing the examination table d.) darken the lighting in the room.

c.) position the client standing, facing the examination table

A nurse is caring for a male client who reports the presence of yellow discharge from the meatus and burning with urination. Which of the following infections should the nurse suspect? a.) Human papillomavirus (HPV) b.) Urinary tract infection (UTI) c.) Syphillis d.) gonorrhea

d.) gonorrhea

A nurse is inspecting the genitalia of an older adult female client. For which of the following findings should the nurse notify the provider? a.) sparse pubic hair b.) atrophy of the mons pubis c.) dry vaginal membranes d.) labial ulcerations

d.) labial ulcerations