ATI RN
Genitourinary System Questions
Question 1 of 5
A patient with kidney stones is scheduled for is less than what? extracorporeal shock wave lithotripsy (ESWL). What
Correct Answer: C
Rationale: Rationale: - Choice C (100 mL) is correct as it ensures adequate hydration post-ESWL to promote stone passage and prevent further stone formation. - Choice A (30 mL) is too low and may not provide sufficient hydration. - Choice B (50 mL) is also inadequate for hydration post-procedure. - Choice D (Strain the patient's urine) is important but not directly related to post-procedure hydration.
Question 2 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 3 of 5
A nurse is aware of the high incidence and
Correct Answer: B
Rationale: Rationale: Option B is correct because providing education on the importance of adequate hydration and strategies to prevent fluid volume deficit is crucial for older adults. This includes encouraging regular water intake, monitoring urine color, and recognizing signs of dehydration. Option A is incorrect as applying an ice pack to the perineum does not address fluid volume deficit. The other choices are not provided, but they would likely be incorrect as they do not focus on addressing fluid volume deficit in older adults.
Question 4 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 5 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.