ATI RN
Assessment of the Genitourinary System Questions
Question 1 of 9
Water intoxication may result from absorption of excessive bladder irrigation solution after surgery. Which of the following symptoms might indicate water intoxication is developing?
Correct Answer: A
Rationale: Confusion and restlessness are common symptoms of water intoxication. Monitoring for these signs is crucial in detecting and managing water intoxication promptly to prevent further complications.
Question 2 of 9
Which intervention should you delegate to the nursing assistant for a patient with cystitis?
Correct Answer: C
Rationale: Reviewing the nursing care plan and adding nursing interventions can be delegated to the nursing assistant as it does not involve any complex medical procedures or decision-making.
Question 3 of 9
Which characteristic is more likely with acute pyelonephritis than with a lower UTI?
Correct Answer: A
Rationale: The correct answer is A because fever is more commonly associated with acute pyelonephritis, which is an infection of the renal parenchyma, compared to lower UTIs that primarily affect the bladder and urethra. Dysuria, urgency, and frequency can occur in both types of UTIs but may be more severe in acute pyelonephritis.
Question 4 of 9
A year after the diagnosis of hypothyroidism, Mrs. T. is admitted to the hospital in January in myxedema coma. Which of the following most probably accounts for this medical emergency?
Correct Answer: B
Rationale: Myxedema coma is a severe form of hypothyroidism that can occur due to the failure to take thyroid medication.
Question 5 of 9
What information should be taught to a patient taking oxybutynin chloride (Ditropan) for incontinence?
Correct Answer: B
Rationale: It is important to monitor heart rate, as oxybutynin can cause cardiac side effects.
Question 6 of 9
Symptoms of prostate cancer include:
Correct Answer: D
Rationale: Prostate cancer can cause a variety of urinary symptoms due to the enlargement or obstruction of the prostate gland. These include nocturia (frequent nighttime urination)
Question 7 of 9
Which important functions of regulation of water balance and acid-base balance occur in the distal convoluted tubes of the nephron?
Correct Answer: A
Rationale: The distal convoluted tubules play a role in secreting H+ into the filtrate and reabsorption of water under ADH influence for regulation of water and acid-base balance.
Question 8 of 9
What results in the edema associated with nephrotic syndrome?
Correct Answer: C
Rationale: The edema associated with nephrotic syndrome is a result of decreased plasma oncotic pressure, which leads to fluid leaking out of the blood vessels and into the tissues.
Question 9 of 9
Water intoxication may result from absorption of excessive bladder irrigation solution after surgery. Which of the following symptoms might indicate water intoxication is developing?
Correct Answer: A
Rationale: Confusion and restlessness are common symptoms of water intoxication. Monitoring for these signs is crucial in detecting and managing water intoxication promptly to prevent further complications.