ATI RN
Disorders of the Genitourinary System Questions
Question 1 of 5
Which antibiotic course is inappropriate for clinical scenario?
Correct Answer: B
Rationale: The correct answer is B because the antibiotic regimen for acute uncomplicated pyelonephritis should not include gentamycin due to its potential toxicity and nephrotoxicity. The initial use of IV gentamycin is not recommended for uncomplicated pyelonephritis. The combination of gentamycin and amoxicillin is not the standard treatment for this condition. Gentamycin should be reserved for more serious infections. The choice of Augmentin for 7 days orally is also not the standard of care for pyelonephritis. The other choices (A, C, D) are appropriate antibiotic regimens for the corresponding clinical scenarios.
Question 2 of 5
The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty. The nurse should reply by saying:
Correct Answer: C
Rationale: The correct answer is C because the first sign of puberty in boys is typically an enlargement of the testes due to increased testosterone production. This occurs around age 10-14. Choice A is incorrect as puberty usually begins around 10-14 years of age. Choice D is incorrect as penis growth usually starts during puberty, not at 16.
Question 3 of 5
When the nurse is performing a genital examination on a male patient, which action is correct?
Correct Answer: B
Rationale: The correct answer is B: Palpating for the vertical chain of lymph nodes along the groin, inferior to the inguinal ligament. This is the correct action during a male genital examination as it helps assess for any abnormalities or signs of infection in the lymphatic system. Palpating the lymph nodes allows the nurse to identify any swelling, tenderness, or enlargement which could indicate underlying health issues. The other choices are incorrect because: A: Auscultating for a bruit over the scrotum is not a standard practice during a genital examination and is not relevant to assessing male genital health. C: Palpating the inguinal canal only if a bulge is present is incorrect as palpating the inguinal canal should be done regardless of the presence of a bulge to check for hernias. D: Having the patient shift his weight is not a standard procedure during a genital examination and is not relevant to assessing male genital health.
Question 4 of 5
When the nurse is performing a testicular examination on a 25-year-old man, which finding is considered normal?
Correct Answer: C
Rationale: The correct answer is C because testes that feel oval, movable, and slightly sensitive to compression are considered normal during a testicular examination in a 25-year-old man. This finding indicates normal testicular anatomy and function. Rationale: 1. Oval shape: Normal testes are typically oval in shape. 2. Movable: Normal testes should be able to move slightly within the scrotum. 3. Sensitive to compression: Slight sensitivity to compression is normal due to the presence of nerves and blood vessels in the testes. Summary of other choices: A: Nontender subcutaneous plaques - Not normal; could indicate conditions like Peyronie's disease. B: Scrotal area that is dry, scaly, and nodular - Not normal; could suggest dermatological conditions or infections. D: Single, hard, circumscribed, movable mass 1 cm under the surface of the testes - Not normal; could be indicative of a test
Question 5 of 5
The first step in urine production
Correct Answer: D
Rationale: The correct answer is D because the first step in urine production occurs as water and solutes move from the glomerulus to the glomerular capsule during the process of filtration. This initial step involves the passive movement of water and small solutes through the filtration membrane in the glomerulus. Reabsorption (choice A) occurs later in the process when useful substances are reclaimed from the filtrate. Choice B is incorrect as it describes the process of reabsorption, not the initial step. Choice C is also incorrect as secretion is the process of actively transporting substances from the blood into the renal tubules, not the first step in urine production.