ATI RN
Genitourinary System Assessment Questions
Question 1 of 5
If necessary, your physician can increase your dose up to 40 mg per day.
Correct Answer: A
Rationale: Step 1: The statement indicates the possibility of increasing the dose up to 40 mg, implying that it is within the physician's discretion. Step 2: The use of the word "can" suggests the potential for the physician to make such an adjustment. Step 3: The phrase "if necessary" implies that the dose adjustment will be based on the individual's specific needs. Step 4: Therefore, it is true that the physician has the authority to increase the dose up to 40 mg per day based on the patient's condition and requirements.
Question 2 of 5
The mother of an 8-year-old girl has brought her child to the clinic because she is wetting the bed at night. What terminology should the nurse use when documenting this situation?
Correct Answer: C
Rationale: The correct terminology for bedwetting in an 8-year-old is enuresis. Enuresis specifically refers to the involuntary discharge of urine during sleep at an age where bladder control is expected. This term is appropriate for the child's situation as it accurately describes the bedwetting issue. Ascites (A) refers to abnormal accumulation of fluid in the abdomen, not related to bedwetting. Dysuria (B) is painful urination, which is not the issue described. Urgency (D) refers to a sudden compelling need to urinate, which is also not relevant to this scenario. Using the correct term, enuresis, will ensure accurate documentation and communication regarding the child's bedwetting issue.
Question 3 of 5
Which test is required for a diagnosis of pyelonephritis?
Correct Answer: D
Rationale: The correct answer is D, Urine for culture and sensitivity. This test is required for a diagnosis of pyelonephritis as it helps identify the specific bacteria causing the infection and determines the most effective antibiotic treatment. Renal biopsy (A) is not typically required for diagnosing pyelonephritis. Blood culture (B) may be helpful in severe cases but is not specific for pyelonephritis. Intravenous pyelogram (IVP) (C) is a radiological test used to visualize the urinary tract but does not confirm the diagnosis of pyelonephritis.
Question 4 of 5
Which type of urinary tract calculi are the most common and frequently obstruct the ureter?
Correct Answer: C
Rationale: The correct answer is C: Calcium oxalate. This type of urinary tract calculi is the most common because calcium oxalate crystals are frequently formed due to various factors such as high dietary intake of oxalate-rich foods. These crystals can easily aggregate and form calculi that often obstruct the ureter due to their size and shape. Cystine calculi (A) are rare and usually seen in patients with genetic disorders. Uric acid calculi (B) are common in patients with gout or acidic urine but are not the most frequent type. Calcium phosphate calculi (D) can form in conditions of alkaline urine but are less common than calcium oxalate calculi.
Question 5 of 5
What would the nurse first anticipate in the treatment of a patient in the Injury stage of the RIFLE staging of AKI?
Correct Answer: B
Rationale: The correct answer is B because in the Injury stage of AKI, the priority is to maintain fluid balance and prevent further kidney damage. IV fluid administration helps improve renal perfusion, while furosemide helps manage fluid overload. A: Assessing daily weight is important but not the first priority in the Injury stage. C: IV insulin and sodium bicarbonate are not typically indicated in the initial treatment of AKI. D: Urinalysis is important for diagnostics but not the first intervention in the Injury stage.