ATI RN
Assessment of Genitourinary System Questions
Question 1 of 5
A patient is postoperative day 3 following the creation
Correct Answer: A
Rationale: The correct answer is A because pain management is crucial in the postoperative period to ensure the patient's comfort and promote recovery. With an ileal conduit, the patient may experience discomfort due to the surgical procedure and the stoma site. Proper pain management will help the patient mobilize, breathe deeply, and participate in activities that aid recovery. Choice B is incorrect as it focuses on assisting with stone aspiration, which is not relevant to the scenario provided. Choices C and D are incomplete, making them invalid options.
Question 2 of 5
A patient asks the nurse why kidney problems can
Correct Answer: A
Rationale: Rationale: A. The correct answer is A because kidney problems can lead to decreased excretion of waste products like blood urea nitrogen (BUN), causing its levels to increase in the blood. This can result in gastrointestinal disturbances. B. Choice B is incorrect because kidney problems are more likely to cause hyperkalemia (high potassium levels) rather than hypokalemia (low potassium levels). C. Choice C is incomplete and does not provide a relevant explanation. D. Choice D is irrelevant as the proximity of the right kidney to other organs does not explain the relationship between kidney problems and BUN levels.
Question 3 of 5
A male patient with possible fertility problems asks the nurse where sperm is produced. The nurse knows that sperm production occurs in the:
Correct Answer: A
Rationale: The correct answer is A: Testes. Sperm production, also known as spermatogenesis, occurs in the testes specifically in the seminiferous tubules. These tubules contain specialized cells called spermatogonia that undergo a series of cell divisions to eventually form mature sperm cells. The testes also produce hormones essential for sperm production. Explanation of incorrect choices: B: Prostate - The prostate gland produces seminal fluid, not sperm. C: Epididymis - The epididymis is where sperm mature and are stored, but not where they are produced. D: Vas deferens - The vas deferens is a duct that carries sperm from the epididymis to the urethra, it does not produce sperm.
Question 4 of 5
When performing a genital assessment on a middle-aged man, the nurse notices multiple soft, moist, painless papules in the shape of cauliflower-like patches scattered across the shaft of the penis. These lesions are characteristic of:
Correct Answer: D
Rationale: The correct answer is D: Genital warts. Genital warts are caused by the human papillomavirus (HPV) and present as soft, moist, painless papules in a cauliflower-like appearance. This is a classic presentation of genital warts, which are a common sexually transmitted infection. It is important to identify and differentiate genital warts from other genital lesions for appropriate treatment and management. Carcinoma (choice A) typically presents as a solitary, indurated, and ulcerated lesion. Syphilitic chancres (choice B) are usually firm, painless ulcers. Genital herpes (choice C) presents as painful vesicles or ulcers. These characteristics do not match the description provided in the question, making choices A, B, and C incorrect.
Question 5 of 5
A 35 year old man heroin addict on methadone maintenance therapy for the * last one year , is positive for TB on Chest x-ray. He was started on standard quadri anti -TB drug. He is rushed to ER complaining of withdrawal symptoms. Which of the following anti-TB drugs is likely to cause this patient's withdrawal reaction?
Correct Answer: C
Rationale: The correct answer is C: INH (Isoniazid). INH is known to interact with methadone, potentially leading to increased methadone metabolism and reduced methadone levels, causing withdrawal symptoms in a heroin addict on methadone maintenance therapy. Streptomycin (A), Rifampicin (B), and Pyrazinamide (D) are not associated with causing withdrawal symptoms in this scenario. Streptomycin can cause hearing loss and kidney damage, Rifampicin can cause liver toxicity and drug interactions, and Pyrazinamide can cause liver toxicity and joint pain.