ATI RN
Genitourinary Review of Systems Questions
Question 1 of 5
The nurse caring for a patient with suspected renal has been referred by her primary physician for further dysfunction calculates that the patients weight has evaluation. The nurse should anticipate the use of what increased by 5 pounds in the past 24 hours. The nurse initial diagnostic test?
Correct Answer: A
Rationale: The correct answer is A: Ultrasound. This is the appropriate initial diagnostic test for suspected renal dysfunction due to its non-invasive nature and ability to visualize the kidneys and urinary system. Ultrasound can detect abnormalities such as kidney stones or obstruction. X-ray (B) does not provide detailed imaging of the kidneys. Option C refers to fluid intake, which is not a diagnostic test. Computed tomography (CT) scan (D) involves radiation exposure and is usually reserved for more advanced imaging after initial ultrasound. Ultrasound is the most suitable choice for initial evaluation of renal dysfunction.
Question 2 of 5
An older man is concerned about his sexual performance. The nurse knows that in the absence of disease, a withdrawal from sexual activity later in life may be attributable to:
Correct Answer: A
Rationale: The correct answer is A: Side effects of medications. As people age, they are more likely to be on multiple medications, some of which can have side effects like erectile dysfunction or decreased libido, leading to a withdrawal from sexual activity. This is a common issue for older adults. Choice B (Decreased libido with aging) is incorrect because while libido may decrease with age, it is not usually the sole reason for a complete withdrawal from sexual activity. Choice C (Decreased sperm production) is incorrect as it is not directly related to a withdrawal from sexual activity in older men. Choice D (Decreased pleasure from sexual intercourse) is incorrect as pleasure can still be experienced regardless of age, and it is unlikely to be the primary reason for withdrawal.
Question 3 of 5
When performing a genitourinary assessment on a 16-year-old male adolescent, the nurse notices a swelling in the scrotum that increases with increased intra-abdominal pressure and decreases when he is lying down. The patient complains of pain when straining. The nurse knows that this description is most consistent with a(n) ______ hernia.
Correct Answer: D
Rationale: The correct answer is D: Indirect inguinal hernia. In an indirect inguinal hernia, the swelling in the scrotum increases with increased intra-abdominal pressure due to the herniation of abdominal contents through the internal inguinal ring. The swelling decreases when lying down because the contents reduce back into the abdominal cavity. Pain with straining is also characteristic of an indirect inguinal hernia. A: Femoral hernia presents as a bulge in the upper thigh and is more common in females. B: Incisional hernia occurs at the site of a previous surgical incision and is not typically affected by intra-abdominal pressure. C: Direct inguinal hernia protrudes directly through the abdominal wall and is typically not palpable in the scrotum.
Question 4 of 5
The drug of choice for monilial diarrhea is: *
Correct Answer: B
Rationale: The correct answer is B: Nystatin. Nystatin is the drug of choice for monilial diarrhea because it is an antifungal medication specifically effective against Candida species causing the infection in the gastrointestinal tract. It is not absorbed systemically, making it suitable for gastrointestinal infections. Amphothericin B (A) is used for systemic fungal infections. Ketoconazole (C) and Itraconazole (D) are not typically used for gastrointestinal Candida infections.
Question 5 of 5
The following drug may cure typhoid fever, but does not prevent development * of carrier state?
Correct Answer: D
Rationale: The correct answer is D: Chloramphenicol. It is effective in curing typhoid fever but does not prevent carrier state due to its inability to eradicate the bacteria from the gallbladder. Ceftriaxone, Ciprofloxacin, and Cotrimoxazole can also cure typhoid fever but have been shown to reduce the carrier state development. Chloramphenicol lacks this preventive property, making it the correct answer.