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.
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.
