ATI RN
Quizlet Genitourinary System Questions
Question 1 of 5
A patient with a sacral pressure ulcer has had a
Correct Answer: E
Rationale: Step-by-step rationale for the correct answer (E): 1. The prompt mentions a patient with a sacral pressure ulcer. 2. Considering the context, the most relevant issue would be wound care and prevention of pressure ulcers. 3. Option E is the only choice related to wound care and prevention, indicating the correct focus for the nurse. 4. Choices A, B, C, and D are unrelated to the primary concern of managing the sacral pressure ulcer. 5. Therefore, E is the correct answer as it aligns with the patient's immediate care needs.
Question 2 of 5
The staff educator is giving a class for a group of biopsy 12 hours ago. The presence of what assessment nurses new to the renal unit. The educator is discussing finding should prompt the nurse to notify the physician?
Correct Answer: B
Rationale: Step 1: Renal colic is a symptom of possible kidney stones or obstruction, which can lead to severe pain and require immediate medical attention. Step 2: Scant hematuria may be common after a biopsy and does not necessarily indicate an urgent issue. Step 3: Chronic glomerulonephritis in a 64-year-old patient is a chronic condition that may not require immediate physician notification. Step 4: A temperature of 100.2F orally is slightly elevated but not a critical finding that would warrant immediate physician notification. Summary: Renal colic is the correct answer as it indicates a potential urgent issue requiring immediate physician notification. Scant hematuria, chronic glomerulonephritis, and a slightly elevated temperature are not as concerning in this context.
Question 3 of 5
A patient with a history of incontinence will undergo
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Because voiding in the presence of others can cause situational anxiety, the nurse should perform what action? This is the right choice because it demonstrates an understanding of the psychological aspect of incontinence. Patients with a history of incontinence may experience heightened anxiety or embarrassment when needing to void in front of others, which can impact their ability to provide a urine sample. By acknowledging this potential issue and taking appropriate action, such as providing privacy or reassurance, the nurse can help the patient feel more comfortable and facilitate the collection of a more accurate sample. Option B) Administer diuretics as ordered is incorrect because giving diuretics may not address the underlying issue of situational anxiety related to voiding in the presence of others. Additionally, diuretics can lead to increased urine production, which might exacerbate the patient's anxiety and make sample collection even more challenging. Option D) Push fluids for several hours prior to the test is also incorrect as it does not address the specific issue of situational anxiety that the patient may be experiencing. While adequate hydration is generally important for sample collection, it does not directly tackle the psychological factors that can affect a patient with a history of incontinence. Educationally, this question highlights the importance of considering the holistic needs of patients, including their psychological well-being, when providing care. It emphasizes the role of nurses in addressing not just the physical aspects of a condition but also the emotional and psychological factors that can impact a patient's experience and outcomes. By understanding and addressing these aspects, healthcare providers can deliver more patient-centered care and improve overall patient outcomes.
Question 4 of 5
When the nurse is performing a genital examination on a male patient, the patient has an erection. The nurse’s most appropriate action or response is to:
Correct Answer: D
Rationale: The correct answer is D. This is the most appropriate action because it acknowledges the patient's normal physiological response and reassures him. It helps maintain professionalism and respect for the patient's dignity. Choice A could potentially embarrass the patient further. Choice B may ignore the patient's discomfort. Choice C abruptly halts the examination without addressing the situation. Overall, choice D is the most respectful and professional response in this scenario.
Question 5 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.