ATI RN
Assessment of Genitourinary System Questions
Question 1 of 5
Which is incorrect regarding CAPD peritonitis?
Correct Answer: C
Rationale: The correct answer is C because vancomycin as a one-off 2 grams to CAPD bags is not sufficient for proven gram-positive infection. For CAPD peritonitis, continuous intraperitoneal antibiotics are required, not just a single dose. This is because peritoneal dialysis fluid is continuously present in the peritoneal cavity, necessitating ongoing antibiotic therapy. Choice A is incorrect because a positive Gram stain in only 10-40% of culture-positive bags does not rule out peritonitis. Choice B is incorrect as coagulase-negative staphylococci are the most common organisms isolated in CAPD peritonitis, not Staph aureus. Choice D is incorrect as antibiotics are usually needed parenterally in addition to intraperitoneal administration for severe cases or systemic infections.
Question 2 of 5
The nurse is examining the glans and knows which finding is normal for this area?
Correct Answer: D
Rationale: The correct answer is D because the glans normally has wrinkled skin without lesions. This is due to the presence of sebaceous glands on the glans, which can create a wrinkled appearance. Choice A is incorrect as discharge from the meatus is not a normal finding. Choice B is incomplete. Choice C is irrelevant as the presence of pests is not related to the appearance of the glans. Thus, the wrinkled skin without lesions is the correct and normal finding for the glans during examination.
Question 3 of 5
The nurse knows that a common assessment finding in a boy younger than 2 years old is:
Correct Answer: D
Rationale: The correct answer is D because it is a common assessment finding in boys younger than 2 years old to have a penis that looks large in relation to the scrotum due to the immaturity of the genitourinary system. This is known as physiological phimosis, where the foreskin cannot be retracted. Choices A and C are incorrect as inflamed and tender spermatic cord and presence of a hernia are not common assessment findings in boys younger than 2 years old.
Question 4 of 5
During a health history, a patient tells the nurse that he has trouble in starting his urine stream. This problem is known as:
Correct Answer: D
Rationale: The correct answer is D: Hesitancy. Hesitancy refers to difficulty initiating the urine stream, which is the issue described by the patient. Urgency (A) is the sudden need to urinate, not difficulty starting. Dribbling (B) is the slow, steady leaking of urine after voiding, not the initial difficulty. Frequency (C) is the need to urinate more often than usual, not specifically related to starting the stream. Therefore, based on the patient's symptom of trouble starting the urine stream, hesitancy is the most appropriate term.
Question 5 of 5
Which is secreted by the juxtaglomerular apparatus?
Correct Answer: B
Rationale: The correct answer is B: renin. Renin is secreted by the juxtaglomerular apparatus in response to low blood pressure or low sodium levels. It plays a crucial role in regulating blood pressure by initiating the renin-angiotensin-aldosterone system. Atrial naturetic peptide (A) is secreted by the atria in response to high blood pressure. Angiotensin (C) is produced as a result of renin action. Antidiuretic hormone (D) is produced by the hypothalamus and released by the pituitary gland to regulate water balance, not by the juxtaglomerular apparatus.