ATI RN
Genitourinary System Questions
Question 1 of 5
A nurse is working with a patient who will undergo invasive urologic testing. The nurse has informed the patient that slight hematuria may occur after the testing
Correct Answer: B
Rationale: The correct answer is B, increased fluid intake following the test. Hematuria after urologic testing is common due to irritation of the urinary tract. Increased fluid intake can help dilute urine, reduce irritation, and promote flushing of any potential blood clots. Option A is incorrect as it does not address the underlying cause of hematuria. Option C is incorrect as OTC diuretics may not be necessary and can potentially worsen hematuria. Option D is incorrect as gentle massage of the lower abdomen will not resolve hematuria.
Question 2 of 5
The nurse is providing patient teaching about an erectile dysfunction drug. One of the drug’s potential side effects is prolonged, painful erection of the penis without sexual stimulation, which is known as:
Correct Answer: D
Rationale: The correct answer is D, Priapism. Priapism is a rare but serious side effect of some erectile dysfunction drugs, causing prolonged and painful erection without sexual stimulation. Orchitis (A) is inflammation of the testicles, not related to this side effect. Stricture (B) is a narrowing of a tube or passageway, not relevant to this scenario. Phimosis (C) is a condition in which the foreskin of the penis cannot be retracted, unrelated to the side effect described. Therefore, the correct answer is D, as it aligns with the description of prolonged, painful erection without sexual stimulation.
Question 3 of 5
Which of the following antibiotics requires close monitoring and dosing * adjustment in a patient with liver disease?
Correct Answer: A
Rationale: The correct answer is A: Erythromycin. Erythromycin is primarily metabolized in the liver, making it important to monitor and adjust dosage in patients with liver disease to prevent potential toxicity. Gentamycin and Penicillin G are primarily excreted by the kidneys, so liver function has less impact on their metabolism. Vancomycin is primarily excreted by the kidneys as well, so liver disease would not significantly affect its dosing requirements.
Question 4 of 5
Which of the following cephalosporins has activity against gram negative * anaerobic bacteria like Bacteroides fragilis, and the only cephalorins that cross the blood brain barrier and enter the brain?
Correct Answer: A
Rationale: Rationale: 1. Ceftriaxone belongs to the third-generation cephalosporins known for broad-spectrum activity against gram-negative * anaerobic bacteria like Bacteroides fragilis. 2. It is the only cephalosporin among the choices that can effectively penetrate the blood-brain barrier, making it effective in treating central nervous system infections. 3. Cefoxitin (B) is a second-generation cephalosporin mainly active against gram-positive and some gram-negative bacteria. 4. Cephalin (C) is not a cephalosporin and does not exist. 5. Cexime (D) is a fourth-generation cephalosporin with extended spectrum, but it does not have the same ability to cross the blood-brain barrier as ceftriaxone.
Question 5 of 5
Which of the following v agents is indicated in a 25 year old female is * diagnosed with genital herpes simplex virus infection?
Correct Answer: B
Rationale: The correct answer is B: Valacyclovir. 1. Valacyclovir is an antiviral drug used to treat herpes simplex infections, including genital herpes. 2. It works by stopping the virus from multiplying in the body. 3. Amantadine (A) is used for influenza A virus, not herpes. 4. Lamivudine (C) is used for HIV and hepatitis B, not herpes. 5. Zanamivir (D) is used for influenza, not herpes.