ATI Rectum and Genitourinary 3.0 Test
A nurse is preparing to assist with a prostate examination. Which of the following
actions should the nurse plan to take?
Position the client standing, facing the examination table.
Rationale: An ambulatory client can be positioned standing with the examination table
supporting their upper body. Alternately, the provider might prefer the client to be
positioned on their left side with the hip and knee flexed to stabilize their position and
enable adequate visualization of the area.
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?
"I should plan on getting tested each year for sexually transmitted infections."
Rationale: 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 assist the provider with an assessment of the genitourinary
system of a client who is assigned female at birth. Which of the following actions should
the nurse plan to take?
Position the client supine with the head of the bed elevated.
Rationale:
The client should be positioned supine with the head of the bed elevated 45° or with
their head on a pillow so that the provider can maintain eye contact with the client
throughout the examination.
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.
, Rationale: 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 preparing to assess the genitalia of a female client. Which of the following
actions should the nurse plan to take?
Verify that the room temperature is warm.
Rationale: The nurse should verify that the temperature in the room is warm. Assessing
a client in a room that is cool may be uncomfortable for the client and can affect the
assessment of the male genitalia.
A nurse is conducting a health history 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)
Rationale: Recent weight gain is correct. If kidney function declines, the body is less
able to excrete fluid leading to extracellular volume overload. This alteration in fluid
balance can result in weight gain, edema, and shortness of breath.
Hematuria is incorrect. The presence of blood in the urine is associated with cancer of
the bladder or prostate, or an infection in the kidneys or bladder. Hematuria is not
associated with kidney failure.
Shortness of breath is correct. If kidney function declines, the body is less able to
excrete fluid leading to extracellular volume overload. This alteration in fluid balance can
result in weight gain, edema, and shortness of breath.
Swelling in the ankles is correct. If kidney function declines, the body is less able to
excrete fluid leading to extracellular volume overload. This alteration in fluid balance can
result in weight gain, edema, and shortness of breath.
Difficulty starting a urine stream is incorrect. Difficulty initiating a urine stream is
associated with an obstruction at the bladder outlet, such as from an enlarged prostate.
A nurse is inspecting the genitals of an adult client assigned male at birth. Which of the
following should the nurse identify as expected findings? (Select all that apply.)
Rationale: Visible dorsal vein on the underside of the penile shaft is correct. The
dorsal vein might be visible on the penile shaft. This is an expected finding.
A nurse is preparing to assist with a prostate examination. Which of the following
actions should the nurse plan to take?
Position the client standing, facing the examination table.
Rationale: An ambulatory client can be positioned standing with the examination table
supporting their upper body. Alternately, the provider might prefer the client to be
positioned on their left side with the hip and knee flexed to stabilize their position and
enable adequate visualization of the area.
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?
"I should plan on getting tested each year for sexually transmitted infections."
Rationale: 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 assist the provider with an assessment of the genitourinary
system of a client who is assigned female at birth. Which of the following actions should
the nurse plan to take?
Position the client supine with the head of the bed elevated.
Rationale:
The client should be positioned supine with the head of the bed elevated 45° or with
their head on a pillow so that the provider can maintain eye contact with the client
throughout the examination.
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.
, Rationale: 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 preparing to assess the genitalia of a female client. Which of the following
actions should the nurse plan to take?
Verify that the room temperature is warm.
Rationale: The nurse should verify that the temperature in the room is warm. Assessing
a client in a room that is cool may be uncomfortable for the client and can affect the
assessment of the male genitalia.
A nurse is conducting a health history 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)
Rationale: Recent weight gain is correct. If kidney function declines, the body is less
able to excrete fluid leading to extracellular volume overload. This alteration in fluid
balance can result in weight gain, edema, and shortness of breath.
Hematuria is incorrect. The presence of blood in the urine is associated with cancer of
the bladder or prostate, or an infection in the kidneys or bladder. Hematuria is not
associated with kidney failure.
Shortness of breath is correct. If kidney function declines, the body is less able to
excrete fluid leading to extracellular volume overload. This alteration in fluid balance can
result in weight gain, edema, and shortness of breath.
Swelling in the ankles is correct. If kidney function declines, the body is less able to
excrete fluid leading to extracellular volume overload. This alteration in fluid balance can
result in weight gain, edema, and shortness of breath.
Difficulty starting a urine stream is incorrect. Difficulty initiating a urine stream is
associated with an obstruction at the bladder outlet, such as from an enlarged prostate.
A nurse is inspecting the genitals of an adult client assigned male at birth. Which of the
following should the nurse identify as expected findings? (Select all that apply.)
Rationale: Visible dorsal vein on the underside of the penile shaft is correct. The
dorsal vein might be visible on the penile shaft. This is an expected finding.
