ATI RN
Genitourinary System Assessment Questions
Question 1 of 5
A patient who has recently undergone ESWL for the manage her new ileal conduit in the home setting. To treatment of renal calculi has phoned the urology prevent leakage or skin breakdown, the nurse should
Correct Answer: B
Rationale: The correct answer is B. Emptying the collection bag when it is between half and two-thirds full helps prevent leakage and skin breakdown by maintaining proper drainage and preventing overfilling. This practice also reduces the risk of urinary stasis and infection. Choice A is incorrect because it is not related to the management of an ileal conduit. Choice C is incorrect as it does not address the specific issue of proper bag emptying to prevent leakage. Choice D is incorrect as waiting until the bag is too full can lead to increased pressure, potential leakage, and skin breakdown.
Question 2 of 5
A patient has experienced excessive losses of the kidneys
Correct Answer: B
Rationale: The correct answer is B because excessive losses of the kidneys can lead to metabolic acidosis due to bicarbonate loss. Bicarbonate is essential for maintaining acid-base balance in the body. Replacement of lost bicarbonate is crucial to prevent acidosis. Choice A is incorrect as the kidneys are not connected to the common bile duct. Choices C and D are not applicable to the scenario provided.
Question 3 of 5
A 62-year-old man states that his physician told him that he has an “inguinal hernia.†He asks the nurse to explain what a hernia is. The nurse should:
Correct Answer: D
Rationale: Step 1: Define hernia as a condition where an organ or fatty tissue protrudes through a weak spot in the surrounding muscle or connective tissue. Step 2: Emphasize the relevance to the patient's situation. Step 3: Clarify that an inguinal hernia specifically involves the intestines protruding through the inguinal canal in the groin area. Step 4: Explain that surgery may be needed to repair the hernia. Step 5: Stress the importance of seeking medical attention for proper evaluation and treatment. Summary: A: Incorrect - Dismissing the patient's concerns is not appropriate. B: Incorrect - Hernias are not typically related to prenatal growth abnormalities. C: Incorrect - The nurse can provide basic information about hernias without needing the physician to explain further.
Question 4 of 5
A 15-year-old boy is seen in the clinic for complaints of “dull pain and pulling†in the scrotal area. On examination, the nurse palpates a soft, irregular mass posterior to and above the testis on the left. This mass collapses when the patient is supine and refills when he is upright. This description is consistent with:
Correct Answer: D
Rationale: The correct answer is D: Varicocele. Varicocele is a dilatation of the pampiniform plexus of veins within the scrotum. In this case, the soft, irregular mass that collapses when the patient is supine and refills when he is upright is characteristic of a varicocele due to the pooling of blood causing the mass to vary in size with position changes. A: Epididymitis typically presents with redness, warmth, and tenderness in the epididymis, not a soft, irregular mass. B: Spermatocele is a cystic mass that is typically painless and does not change in size with position changes. C: Testicular torsion presents with severe, sudden onset of testicular pain, swelling, and discoloration, not a soft, irregular mass that changes with position. In summary, the description of a soft, irregular mass that changes with position is consistent with a varicocele,
Question 5 of 5
Which of the following interferes with mycolic acid synthesis an essential * component of mycobacterial cell walls for which resistance will develop rapidly if the drug is used alone?
Correct Answer: D
Rationale: Mycolic acid synthesis is inhibited by Ethambutol by targeting the enzyme arabinosyltransferase, essential for cell wall synthesis in mycobacteria. Resistance develops slowly with Ethambutol, unlike other choices which target different pathways (A: Isoniazid - inhibits mycolic acid synthesis by targeting InhA enzyme, B: Rifampicin - inhibits RNA polymerase, C: Pyrazinamide - disrupts membrane potential). Ethambutol is essential in combination therapy to prevent resistance.