ATI RN
Genitourinary System Questions
Question 1 of 5
A nurse knows that specific areas in the ureters have experienced after this procedure is what?
Correct Answer: D
Rationale: The correct answer is D: In the ureteropelvic junction. This is because the ureteropelvic junction is a specific anatomical location where the ureter connects to the renal pelvis. After a procedure involving the ureters, such as ureteroscopy or stent placement, it is crucial to monitor this area for any complications like strictures or obstruction. Choices A, B, and C are incorrect because urinary retention, bladder perforation, and hemorrhage are not specific to the ureteropelvic junction area and are more commonly associated with other parts of the urinary system.
Question 2 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 3 of 5
When performing a genitourinary assessment, the nurse notices that the urethral meatus is ventrally positioned. This finding is:
Correct Answer: A
Rationale: The correct answer is A: Called hypospadias. Hypospadias is a congenital condition where the urethral meatus is located on the ventral side of the penis. This condition is typically present from birth and is not a result of phimosis, which is the narrowing of the foreskin. It is also not likely due to a stricture, which is a narrowing of the urethra. Furthermore, hypospadias is a congenital condition and is not associated with aging, making option D incorrect.
Question 4 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 5 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.