ATI RN
Assessment of Genitourinary System Questions
Question 1 of 5
The nurse is caring for a patient with a nursing
Correct Answer: B
Rationale: The correct answer is B because a blood pressure of 98/52 mm Hg indicates hypotension, which is a common sign of deficient fluid volume in patients with renal disorders. This indicates the need for immediate intervention to prevent complications such as hypovolemic shock. Choice A is incorrect because biopsies are not routinely ordered for all patients with renal diagnoses of deficient fluid volume. Choice C is incorrect because abnormal x-ray findings of the renal pelvis do not necessarily indicate the need for a biopsy. Choice D is incorrect because biopsies are not often ordered for patients before they have symptoms or diagnostic indications of renal disorders.
Question 2 of 5
A male patient with possible fertility problems asks the nurse where sperm is produced. The nurse knows that sperm production occurs in the:
Correct Answer: A
Rationale: The correct answer is A: Testes. Sperm production, also known as spermatogenesis, occurs in the testes specifically in the seminiferous tubules. These tubules contain specialized cells called spermatogonia that undergo a series of cell divisions to eventually form mature sperm cells. The testes also produce hormones essential for sperm production. Explanation of incorrect choices: B: Prostate - The prostate gland produces seminal fluid, not sperm. C: Epididymis - The epididymis is where sperm mature and are stored, but not where they are produced. D: Vas deferens - The vas deferens is a duct that carries sperm from the epididymis to the urethra, it does not produce sperm.
Question 3 of 5
When performing a genital assessment on a middle-aged man, the nurse notices multiple soft, moist, painless papules in the shape of cauliflower-like patches scattered across the shaft of the penis. These lesions are characteristic of:
Correct Answer: D
Rationale: The correct answer is D: Genital warts. Genital warts are caused by the human papillomavirus (HPV) and present as soft, moist, painless papules in a cauliflower-like appearance. This is a classic presentation of genital warts, which are a common sexually transmitted infection. It is important to identify and differentiate genital warts from other genital lesions for appropriate treatment and management. Carcinoma (choice A) typically presents as a solitary, indurated, and ulcerated lesion. Syphilitic chancres (choice B) are usually firm, painless ulcers. Genital herpes (choice C) presents as painful vesicles or ulcers. These characteristics do not match the description provided in the question, making choices A, B, and C incorrect.
Question 4 of 5
A 35 year old man heroin addict on methadone maintenance therapy for the * last one year , is positive for TB on Chest x-ray. He was started on standard quadri anti -TB drug. He is rushed to ER complaining of withdrawal symptoms. Which of the following anti-TB drugs is likely to cause this patient's withdrawal reaction?
Correct Answer: C
Rationale: The correct answer is C: INH (Isoniazid). INH is known to interact with methadone, potentially leading to increased methadone metabolism and reduced methadone levels, causing withdrawal symptoms in a heroin addict on methadone maintenance therapy. Streptomycin (A), Rifampicin (B), and Pyrazinamide (D) are not associated with causing withdrawal symptoms in this scenario. Streptomycin can cause hearing loss and kidney damage, Rifampicin can cause liver toxicity and drug interactions, and Pyrazinamide can cause liver toxicity and joint pain.
Question 5 of 5
This class of drug exert its antimicrobial action by binding to 30S ribosomes * and inhibit bacterial protein synthesis, is the drug of choice for treating non- gonoccocal urethritis caused by Chlamydia and Ureaplasma, but should be avoided in patients with liver disease:
Correct Answer: D
Rationale: The correct answer is D: Tetracyclines. Tetracyclines bind to the 30S ribosomal subunit and inhibit bacterial protein synthesis, making them effective against Chlamydia and Ureaplasma causing non-gonococcal urethritis. They should be avoided in patients with liver disease due to the potential for hepatotoxicity. A: Daptomycin is not the correct choice as it works by disrupting bacterial cell membrane function, not by binding to ribosomes. B: Carbapenems are broad-spectrum antibiotics that inhibit cell wall synthesis by binding to penicillin-binding proteins, not ribosomes. C: Cephalosporins are beta-lactam antibiotics that inhibit cell wall synthesis, not protein synthesis by binding to ribosomes. In summary, tetracyclines are the drug of choice for the given condition due to their mechanism of action on ribosomes, while the other choices are incorrect as they target different