ATI RN
Assessment of the Genitourinary System Questions
Question 1 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 2 of 9
What post procedure care will the nurse provide following an intravenous pyelogram?
Correct Answer: A
Rationale: Using simple language with the client or significant others can help reduce anxiety and improve understanding. It is important to provide clear and concise information to address any concerns post-procedure.
Question 3 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 4 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 5 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 6 of 9
Which important functions of regulation of water balance and acid-base balance occur in the distal convoluted tubes of the nephron?
Correct Answer: A
Rationale: The distal convoluted tubules play a role in secreting H+ into the filtrate and reabsorption of water under ADH influence for regulation of water and acid-base balance.
Question 7 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 8 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 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.