ATI RN
Assessment of the Genitourinary System Questions
Question 1 of 5
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 2 of 5
A teaching plan developed by the nurse for the patient with a new ileal conduit includes instructions to do what?
Correct Answer: C
Rationale: The correct answer is C because using sterile supplies and technique during care of the stoma is crucial to prevent infection and promote healing. Cleanliness is essential in stoma care to avoid complications. Using a wick or changing the appliance every day may not be the most important aspect of caring for a new ileal conduit.
Question 3 of 5
What post procedure care will the nurse provide following an intravenous pyelogram?
Correct Answer: A
Rationale: Using simple language with the client or significant others can help reduce anxiety and improve understanding. It is important to provide clear and concise information to address any concerns post-procedure.
Question 4 of 5
The male patient is admitted with a diagnosis of benign prostatic hyperplasia (BPH). What urination characteristics should the nurse expect to assess in this patient?
Correct Answer: B
Rationale: The correct answer is B because hesitancy is a common urination characteristic in patients with benign prostatic hyperplasia. Oliguria, hematuria, and pneumaturia are not typically associated with BPH.
Question 5 of 5
An important point to remember when assisting urosto-mates with a pouch change is to
Correct Answer: B
Rationale: When assisting urosto-mates with a pouch change, it is important to cut the pouch opening approximately 3 mm larger than the stoma to prevent irritation and ensure a proper fit. This allows for a better seal and reduces the risk of leakage or skin damage. Scrubbing the peristomal skin with a deodorant soap, drying the skin with alcohol wipes, or placing aspirin in the pouch are not recommended practices and may lead to complications.