ATI RN
Genitourinary System Quizlet Questions
Question 1 of 5
Which is not a relatively common finding in ESRF patients?
Correct Answer: C
Rationale: The correct answer is C: Hypophosphatemia. In end-stage renal failure (ESRF) patients, hypophosphatemia is not a common finding due to impaired renal excretion of phosphate. Metastatic calcification (A) occurs due to high calcium-phosphate product, peripheral neuropathy (B) can result from uremic toxins, and hyperparathyroidism (D) is common in ESRF due to secondary hyperparathyroidism. Therefore, hypophosphatemia is the least likely finding in ESRF patients.
Question 2 of 5
When the nurse is performing a genital examination on a male patient, the patient has an erection. The nurses most appropriate action or response is to:
Correct Answer: C
Rationale: The correct answer is C: reassure the patient that it is normal. An erection during a genital examination is a normal physiological response and not under the patient's control. By reassuring the patient, the nurse helps alleviate any potential embarrassment or anxiety. Asking for someone else (A) may further embarrass the patient. Continuing as if nothing happened (B) may ignore the patient's emotional well-being. Stopping the examination and leaving (D) without explanation can create confusion and discomfort.
Question 3 of 5
A 2-year-old boy has been diagnosed with physiologic cryptorchidism. Considering this diagnosis, during assessment the nurse will most likely observe:
Correct Answer: C
Rationale: The correct answer is C. Physiologic cryptorchidism refers to a common condition in newborns where the testes have not descended into the scrotum but can be manually pushed down (milked) into the scrotum. This is a normal developmental process that usually resolves by the age of 3 months. Rationale: 1. Absence of the testis in the scrotum: In physiologic cryptorchidism, the testes are not palpable in the scrotum due to incomplete descent. 2. Testis can be milked down: The testes can be gently pushed down into the scrotum, indicating that they are present and capable of descending on their own. Summary of other choices: A: Testes that are hard and painful to palpation is incorrect because physiologic cryptorchidism is not associated with inflammation or pain. B: Atrophic scrotum and bilateral absence of the testis is incorrect as
Question 4 of 5
During an examination, the nurse notices that a male patient has a red, round, superficial ulcer with a yellowish serous discharge on his penis. On palpation, the nurse finds a nontender base that feels like a small button between the thumb and fingers. At this point the nurse suspects that this patient has:
Correct Answer: D
Rationale: The correct answer is D: Syphilitic chancre. The description of a red, round, superficial ulcer with a yellowish serous discharge on the penis, along with a nontender base that feels like a small button, is indicative of a primary syphilitic chancre. This lesion is typically painless and can be mistaken for other genital ulcers, but the specific characteristics described point towards syphilis. Genital warts (choice B) present as cauliflower-like growths, herpes infection (choice C) typically causes painful blisters, and chancroid (choice A) is characterized by soft, painful ulcers. Syphilitic chancre is the most likely diagnosis based on the presentation described.
Question 5 of 5
Glomerular filtrate is produced as a result of
Correct Answer: D
Rationale: The correct answer is D: blood hydrostatic pressure. Glomerular filtrate is produced as a result of the pressure exerted by the blood in the glomerular capillaries forcing water and small solutes into the Bowman's capsule. This pressure, known as blood hydrostatic pressure, is the driving force for the initial filtration of blood in the kidneys. Rationale: 1. A: Tubule secretion is the process by which substances are actively transported from the blood into the renal tubules, not the initial production of glomerular filtrate. 2. B: Facilitated diffusion is a passive transport process that requires specific carrier proteins, not a mechanism for producing glomerular filtrate. 3. C: Blood colloid osmotic pressure is the pressure exerted by proteins in the blood that tends to pull water back into the capillaries, opposing filtration, not causing the production of glomerular filtrate.