ATI RN
Genitourinary System Diseases Questions
Question 1 of 5
Which is the most common from of acute glomerulonephritis?
Correct Answer: A
Rationale: The correct answer is A: Post streptococcal glomerulonephritis. It is the most common form of acute glomerulonephritis caused by a previous streptococcal infection. This type of glomerulonephritis typically occurs in children and young adults. The immune response to the streptococcal infection leads to the deposition of immune complexes in the glomeruli, causing inflammation and kidney damage. Choice B (IgA nephropathy) is a chronic form of glomerulonephritis characterized by the deposition of IgA immune complexes in the glomeruli. Choice C (Rapidly progressive glomerulonephritis) is a severe form of glomerulonephritis characterized by rapid loss of kidney function. Choice D (Goodpasture's syndrome) is a rare autoimmune disease affecting the lungs and kidneys, characterized by the production of antibodies against the basement membrane of the glomeruli.
Question 2 of 5
Which of these statements is most appropriate when the nurse is obtaining a genitourinary history from an older man?
Correct Answer: A
Rationale: The correct answer is A because it pertains to a common genitourinary issue in older men, nocturia. Nocturnal emissions (choice B) are not typically relevant in this context. Testicular self-examination (choice C) is more appropriate for younger men, and asking about unwanted touching (choice D) is not relevant to obtaining a genitourinary history. Asking about nocturia can provide valuable information about potential prostate issues, urinary tract infections, or other conditions commonly affecting older men.
Question 3 of 5
A 2-month-old uncircumcised infant has been brought to the clinic for a well-baby checkup. How would the nurse proceed with the genital examination?
Correct Answer: C
Rationale: The correct answer is C: The glans is assessed for redness or lesions. This is the appropriate step for a genital examination in a 2-month-old uncircumcised infant to check for any signs of infection or abnormalities. Eliciting the cremasteric reflex (choice A) is not necessary for a routine well-baby checkup and is more relevant in assessing testicular descent. Choices B and D are incomplete or irrelevant, not addressing the specific aspect of the genital examination needed in this scenario.
Question 4 of 5
The nurse is providing patient teaching about an erectile dysfunction drug. One of the drugs potential side effects is prolonged, painful erection of the penis without sexual stimulation, which is known as:
Correct Answer: C
Rationale: Step 1: Define priapism - Priapism is a prolonged, painful erection of the penis without sexual stimulation. Step 2: Link to the drug side effect - The question mentions a potential side effect of an erectile dysfunction drug, which is priapism. Step 3: Eliminate other choices - Orchitis is inflammation of the testicle, stricture is a narrowing of a tube or passage, and phimosis is the inability to retract the foreskin. These do not match the description of priapism. Step 4: Conclusion - The correct answer is C because it directly aligns with the described side effect and the other choices do not.
Question 5 of 5
The main regulator of water reabsorption is
Correct Answer: C
Rationale: The correct answer is C: antidiuretic hormone. Antidiuretic hormone (ADH) regulates water reabsorption in the kidneys by increasing permeability of the collecting ducts to water. This allows for reabsorption of more water back into the bloodstream, reducing urine output and maintaining water balance. Renin, angiotensin, and aldosterone are involved in regulating blood pressure and electrolyte balance, not specifically water reabsorption. Therefore, ADH is the main regulator of water reabsorption in the body.