ATI RN
Genitourinary System Questions
Question 1 of 5
Which is not an absolute indication for dialysis in ARF?
Correct Answer: B
Rationale: The correct answer is B: Pulmonary edema. Pulmonary edema is not an absolute indication for dialysis in acute renal failure (ARF) as it is primarily managed with oxygen therapy and diuretics. Refractory hyperkalemia >6.5 mmol/l is a life-threatening condition that requires immediate dialysis to remove excess potassium. Encephalopathy indicates severe uremia and is another absolute indication for dialysis. Other options were not provided in the question.
Question 2 of 5
When the nurse is conducting sexual history from a male adolescent, which statement would be most appropriate to use at the beginning of the interview?
Correct Answer: D
Rationale: The correct option, D, is appropriate as it acknowledges the common concerns of adolescents regarding sexual activity, setting a non-judgmental and open tone for the interview. It helps establish rapport and encourages the adolescent to feel comfortable discussing their questions or concerns. Option A is too direct and may make the adolescent uncomfortable. Option B is intrusive and assumes the adolescent's behavior. Option C is specific and may not be relevant to the adolescent's current situation. Overall, option D is the most appropriate as it focuses on the adolescent's perspective and facilitates open communication.
Question 3 of 5
The nurse is describing how to perform a testicular self-examination to a patient. Which statement is most appropriate? Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 391
Correct Answer: B
Rationale: The correct answer is B because it emphasizes the importance of seeking medical attention if any abnormalities are found during the testicular self-examination. This statement promotes early detection of potential issues such as testicular cancer, which is crucial for timely treatment. The other choices are incorrect: A focuses on timing rather than the action to take if a problem is detected, C describes the shape and mobility of the testicle which is not directly related to the examination process, and D provides a vague description of the testicle's texture without addressing the significance of findings.
Question 4 of 5
The nurse is performing a genitourinary assessment on a 50-year-old obese male laborer. On examination, the nurse notices a painless round swelling close to the pubis in the area of the internal inguinal ring that is
Correct Answer: B
Rationale: The correct answer is B: Direct inguinal hernia. This is because a direct inguinal hernia typically presents as a painless round swelling close to the pubis in the area of the internal inguinal ring. In this case, the patient being a 50-year-old obese male laborer is at higher risk for a direct inguinal hernia due to increased intra-abdominal pressure. The other choices are incorrect because scrotal hernias typically present in the scrotum, femoral hernias occur below the inguinal ligament, and indirect inguinal hernias present lateral to the pubic tubercle.
Question 5 of 5
Which accurately represents the pathway of fluid through a juxtamedullary nephron?
Correct Answer: C
Rationale: The correct pathway for fluid through a juxtamedullary nephron is proximal convoluted tubule, descending loop of Henle, distal convoluted tubule, and ascending loop of Henle. This is because in the juxtamedullary nephron, the loop of Henle dips deep into the medulla, allowing for concentration of urine. Choice A is incorrect because it has the ascending and descending loops of Henle in the wrong order. Choice B is incorrect because it has the ascending and descending loops of Henle reversed. Choice D is incorrect because it starts with the distal convoluted tubule instead of the proximal convoluted tubule.