ATI RN
Quizlet Genitourinary System Questions
Question 1 of 5
A patient with a history of incontinence will undergo
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
The nurse is performing a genitourinary assessment on a 50-year-old obese male laborer. On examination, the nurse notices a painless round swelling close to the pubis in the area of the internal inguinal ring that is easily reduced when the individual is supine. These findings are most consistent with a(n) ______ hernia.
Correct Answer: C
Rationale: The correct answer is C: Direct inguinal hernia. In this scenario, the key clues are the painless round swelling close to the pubis, easily reduced when supine, and in the area of the internal inguinal ring. Direct inguinal hernias occur due to weakness in the abdominal wall muscles, often seen in older males with increased intra-abdominal pressure. The hernia protrudes directly through the abdominal wall, typically in the area of the internal inguinal ring. Scrotal hernias (Choice A) present in the scrotum, not close to the pubis. Femoral hernias (Choice B) occur below the inguinal ligament and are more common in females. Indirect inguinal hernias (Choice D) pass through the internal inguinal ring and are more common in young males.
Question 3 of 5
A 23 year old pregnant woman has UTI and presents to the ER with fever, * frequency and urgency. Which of the following antibiotics can cause potential harm to her fetus?
Correct Answer: A
Rationale: The correct answer is A: Nitrofurantoin. Nitrofurantoin is contraindicated in the third trimester of pregnancy due to potential risk of hemolytic anemia in the fetus. It can also cross the placenta and reach the fetal bloodstream. Amoxicillin (B) and Cephalexin (D) are safe for use in pregnancy. Gentamycin (C) is generally not recommended during pregnancy due to potential risk of ototoxicity and nephrotoxicity but is not specifically harmful to the fetus.
Question 4 of 5
Which of the following drugs act by inhibiting folate synthesis in bacteria and * it is advisable to drink 8 ounces of water during this drug's use because it may cause crystalluria and subsequent kidney stone formation.
Correct Answer: C
Rationale: Rationale: 1. Correct Answer (C - Sulfonamides): Sulfonamides inhibit folate synthesis in bacteria. Drinking water helps prevent crystalluria and kidney stone formation. 2. Incorrect Choices: A. Vancomycin - Acts on cell wall synthesis, not folate synthesis. B. Linezolid - Inhibits protein synthesis, not folate synthesis. D. Penicillin - Inhibits cell wall synthesis, not folate synthesis.
Question 5 of 5
Which of the following is the most appropriate choice of treating * aspergillosis?
Correct Answer: B
Rationale: Answer B, Amphotericin B, is the most appropriate choice for treating aspergillosis due to its broad-spectrum antifungal activity, especially against Aspergillus species. It is often used for severe or systemic infections when other options are ineffective. Terbinafine (A) is more commonly used for dermatophyte infections, while Flucytosine (C) is typically used for certain yeast infections. Itraconazole (D) may be effective against some Aspergillus strains but is generally considered less effective than Amphotericin B for severe cases.