ATI RN
Genitourinary System Questions
Question 1 of 5
Through which vessel does blood leave the urea? glomerulus?
Correct Answer: D
Rationale: The correct answer is D: interlobular vessel. Blood leaves the glomerulus through the efferent arteriole, which then branches into the peritubular capillaries. These capillaries merge to form the interlobular veins, which ultimately carry the blood away from the nephron and back into the general circulation. The other choices are incorrect because: A: Bone marrow is not directly involved in blood leaving the glomerulus. B: The afferent arteriole brings blood into the glomerulus, it does not carry blood out. C: Kidneys are the site where blood is filtered, not where it leaves the glomerulus.
Question 2 of 5
Which of the following is the MOST likely diagnosis?
Correct Answer: B
Rationale: The correct answer is B: Acute tubular necrosis (ATN). ATN is the most likely diagnosis due to its common occurrence in critically ill patients with factors like hypotension, sepsis, or nephrotoxic medications. The key characteristic is the damage to the renal tubules leading to acute kidney injury. Prerenal failure (A) is usually due to decreased blood flow to the kidneys, glomerulonephritis (C) involves inflammation of the glomeruli, and postrenal failure (D) is caused by obstruction of urine flow. These conditions are less likely in a critically ill patient compared to ATN.
Question 3 of 5
When the nurse is conducting sexual history from a male adolescent, which statement would be most appropriate to use at the beginning of the interview?
Correct Answer: D
Rationale: The correct option, D, is appropriate as it acknowledges the common concerns of adolescents regarding sexual activity, setting a non-judgmental and open tone for the interview. It helps establish rapport and encourages the adolescent to feel comfortable discussing their questions or concerns. Option A is too direct and may make the adolescent uncomfortable. Option B is intrusive and assumes the adolescent's behavior. Option C is specific and may not be relevant to the adolescent's current situation. Overall, option D is the most appropriate as it focuses on the adolescent's perspective and facilitates open communication.
Question 4 of 5
The nurse is describing how to perform a testicular self-examination to a patient. Which statement is most appropriate? Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 391
Correct Answer: B
Rationale: The correct answer is B because it emphasizes the importance of seeking medical attention if any abnormalities are found during the testicular self-examination. This statement promotes early detection of potential issues such as testicular cancer, which is crucial for timely treatment. The other choices are incorrect: A focuses on timing rather than the action to take if a problem is detected, C describes the shape and mobility of the testicle which is not directly related to the examination process, and D provides a vague description of the testicle's texture without addressing the significance of findings.
Question 5 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
Correct Answer: B
Rationale: The correct answer is B: Direct inguinal hernia. This is because a direct inguinal hernia typically presents as a painless round swelling close to the pubis in the area of the internal inguinal ring. In this case, the patient being a 50-year-old obese male laborer is at higher risk for a direct inguinal hernia due to increased intra-abdominal pressure. The other choices are incorrect because scrotal hernias typically present in the scrotum, femoral hernias occur below the inguinal ligament, and indirect inguinal hernias present lateral to the pubic tubercle.