ATI RN
Quizlet Genitourinary System Questions
Question 1 of 5
The nurse is performing a genitourinary assessment on a 50-year-old obese male laborer. On examination, the nurse notices a painless round swelling close to the pubis in the area of the internal inguinal ring that is easily reduced when the individual is supine. These findings are most consistent with a(n) ______ hernia.
Correct Answer: C
Rationale: The correct answer is C: Direct inguinal hernia. In this scenario, the key clues are the painless round swelling close to the pubis, easily reduced when supine, and in the area of the internal inguinal ring. Direct inguinal hernias occur due to weakness in the abdominal wall muscles, often seen in older males with increased intra-abdominal pressure. The hernia protrudes directly through the abdominal wall, typically in the area of the internal inguinal ring. Scrotal hernias (Choice A) present in the scrotum, not close to the pubis. Femoral hernias (Choice B) occur below the inguinal ligament and are more common in females. Indirect inguinal hernias (Choice D) pass through the internal inguinal ring and are more common in young males.
Question 2 of 5
Which of the following drugs act by inhibiting folate synthesis in bacteria and * it is advisable to drink 8 ounces of water during this drug's use because it may cause crystalluria and subsequent kidney stone formation.
Correct Answer: C
Rationale: Rationale: 1. Correct Answer (C - Sulfonamides): Sulfonamides inhibit folate synthesis in bacteria. Drinking water helps prevent crystalluria and kidney stone formation. 2. Incorrect Choices: A. Vancomycin - Acts on cell wall synthesis, not folate synthesis. B. Linezolid - Inhibits protein synthesis, not folate synthesis. D. Penicillin - Inhibits cell wall synthesis, not folate synthesis.
Question 3 of 5
Which of the following is the most appropriate choice of treating * aspergillosis?
Correct Answer: B
Rationale: Answer B, Amphotericin B, is the most appropriate choice for treating aspergillosis due to its broad-spectrum antifungal activity, especially against Aspergillus species. It is often used for severe or systemic infections when other options are ineffective. Terbinafine (A) is more commonly used for dermatophyte infections, while Flucytosine (C) is typically used for certain yeast infections. Itraconazole (D) may be effective against some Aspergillus strains but is generally considered less effective than Amphotericin B for severe cases.
Question 4 of 5
Corticosteroids are absolutely contraindicated in which of the following types * of tuberculosis?
Correct Answer: B
Rationale: The correct answer is B: Meningeal tuberculosis. Corticosteroids are contraindicated in meningeal tuberculosis because they can suppress the immune response, leading to increased bacterial growth and dissemination in the central nervous system. For miliary, intestinal, and renal tuberculosis, corticosteroids can be beneficial in reducing inflammation and improving outcomes.
Question 5 of 5
A 25 year old patient is diagnosed with genital herpes simplex virus infection. * Which of the following drug would be most appropriate to prescribe in treating this patient's illness?
Correct Answer: C
Rationale: The correct answer is C: Valacyclovir. Valacyclovir is an antiviral medication commonly used to treat herpes simplex virus infections. It is a prodrug of acyclovir, which inhibits viral DNA replication. Zanamivir (A) is used to treat influenza viruses, not herpes. Lamivudine (B) is used for HIV and hepatitis B, not herpes. Cidofovir (D) is used for cytomegalovirus and other viral infections, but not the first line for herpes. Valacyclovir is the most appropriate choice due to its effectiveness and safety profile in treating herpes simplex virus infections.