ATI RN
Assessment of the Genitourinary System Questions
Question 1 of 9
A teaching plan developed by the nurse for the patient with a new ileal conduit includes instructions to do what?
Correct Answer: C
Rationale: The correct answer is C because using sterile supplies and technique during care of the stoma is crucial to prevent infection and promote healing. Cleanliness is essential in stoma care to avoid complications. Using a wick or changing the appliance every day may not be the most important aspect of caring for a new ileal conduit.
Question 2 of 9
The male patient is admitted with a diagnosis of benign prostatic hyperplasia (BPH). What urination characteristics should the nurse expect to assess in this patient?
Correct Answer: B
Rationale: The correct answer is B because hesitancy is a common urination characteristic in patients with benign prostatic hyperplasia. Oliguria, hematuria, and pneumaturia are not typically associated with BPH.
Question 3 of 9
Which characteristic is more likely with acute pyelonephritis than with a lower UTI?
Correct Answer: A
Rationale: The correct answer is A because fever is more commonly associated with acute pyelonephritis, which is an infection of the renal parenchyma, compared to lower UTIs that primarily affect the bladder and urethra. Dysuria, urgency, and frequency can occur in both types of UTIs but may be more severe in acute pyelonephritis.
Question 4 of 9
Symptoms of prostate cancer include:
Correct Answer: D
Rationale: Prostate cancer can cause a variety of urinary symptoms due to the enlargement or obstruction of the prostate gland. These include nocturia (frequent nighttime urination)
Question 5 of 9
A year after the diagnosis of hypothyroidism, Mrs. T. is admitted to the hospital in January in myxedema coma. Which of the following most probably accounts for this medical emergency?
Correct Answer: B
Rationale: Myxedema coma is a severe form of hypothyroidism that can occur due to the failure to take thyroid medication.
Question 6 of 9
What information should be taught to a patient taking oxybutynin chloride (Ditropan) for incontinence?
Correct Answer: B
Rationale: It is important to monitor heart rate, as oxybutynin can cause cardiac side effects.
Question 7 of 9
Water intoxication may result from absorption of excessive bladder irrigation solution after surgery. Which of the following symptoms might indicate water intoxication is developing?
Correct Answer: A
Rationale: Confusion and restlessness are common symptoms of water intoxication. Monitoring for these signs is crucial in detecting and managing water intoxication promptly to prevent further complications.
Question 8 of 9
What results in the edema associated with nephrotic syndrome?
Correct Answer: C
Rationale: The edema associated with nephrotic syndrome is a result of decreased plasma oncotic pressure, which leads to fluid leaking out of the blood vessels and into the tissues.
Question 9 of 9
An important point to remember when assisting urosto-mates with a pouch change is to
Correct Answer: B
Rationale: When assisting urosto-mates with a pouch change, it is important to cut the pouch opening approximately 3 mm larger than the stoma to prevent irritation and ensure a proper fit. This allows for a better seal and reduces the risk of leakage or skin damage. Scrubbing the peristomal skin with a deodorant soap, drying the skin with alcohol wipes, or placing aspirin in the pouch are not recommended practices and may lead to complications.