Deck 27: Disorders of Male Reproductive System

Question 1

While performing the genital assessment of a male client, the nurse observes that the client has a curvature of the penis. Which condition does the nurse suspect in the client?
1)Orchitis
2)Phimosis
3)Hypospadias
4)Peyronie's disease

Answer 1

4

Question 2

Which physical finding in a client will lead a nurse to suspect paraphimosis?
1)Inflammation of the testes
2)Enlargement of the prostate gland
3)Abnormal prolonged erection of the penis
4)Permanent retraction of the foreskin behind the tip of the penis

Answer 2

4

Question 3

The registered nurse is teaching about medications for benign prostatic hyperplasia (BPH) to a group of staff nurses. Which statement made by a nurse indicates the need for additional teaching?
1)"Alpha-blockers improve urine flow."
2)"Alpha-blockers reduce the size of the prostate."
3)"Tamsulosin is a typical example of an alpha-blocker."
4)"Alpha-blockers relax the smooth muscles in the prostate."

Answer 3

2

Question 4

Which gland secretes a lubricating fluid that coats the urethra during sexual arousal?
1)Bartholin gland
2)Prostate gland
3)Bulbourethral gland
4)Sertoli gland

Question 5

After examining an older adult client's penis, the nurse finds the presence of scar tissue in the corpora cavernosum. On further assessment, the nurse confirms Peyronie's disease in the client. Which finding supports the nurse's confirmation?
1)Small intrascrotal testes
2)Presence of a curved penis
3)Dilatation of the veins within the scrotum
4)Excessive growth of the prostate gland

Question 6

While assessing a male client for reproductive disorders, the health-care provider wants to verify whether the client has prostate cancer or benign prostatic hyperplasia (BPH). Which diagnostic test does the health-care provider prescribe to rule out cancer?
1)Ultrasound
2)Biopsy
3)Digital rectal examination (DRE)
4)Blood test for the level of prostate-specific antigen (PSA)

Question 7

Which artery provides engorgement of the glans during erection?
1)Dorsal
2)Cavernous
3)Bulbourethral
4)Thoracic

Question 8

During an assessment, the nurse observes the signs of diminished secondary sexual characteristics in an adult male client. Which is the appropriate nursing action?
1)Perform a digital rectal examination
2)Check the prostate-specific antigen levels
3)Measure the morning serum testosterone levels
4)Perform a computerized tomography (CT) scan

Question 9

Which hormone stimulates the Leydig cells of the testes to secrete testosterone?
1)Prolactin
2)Thyroid hormone
3)Luteinizing hormone
4)Follicle-stimulating hormone

Question 10

A male client at the age of 62 years visits the health-care provider with concerns about infertility. The client states, "I am marrying a younger woman and we want to have children." Which information presented by the health-care provider is likely to be most applicable to the client?
1)Age is an important consideration affecting sperm count.
2)A history of cancer and cancer treatment affects fertility.
3)Anatomical abnormalities can prevent sexual activity.
4)Lifestyle choices and habits can prevent fertility.

Question 11

The nurse counsels a male client about healthy spermatogenesis. During a follow-up visit, the nurse learns the client is still experiencing diminished sperm production. Which statement by the client indicates a need for additional teaching?
1)"I am trying to limit fluid intake."
2)"I sit in the hot tub daily after exercising."
3)"I am medicating to stop cigarette smoking."
4)"I have replaced all my underwear with boxers."

Question 12

A male client reports to a community clinic and asks to be checked for a sexually transmitted infection (STI). Upon examination the client is noted to have wartlike lesions on the penis. Which testing is prescribed?
1)Hormonal analysis
2)Alpha-fetoprotein levels
3)HIV testing
4)Semen analysis

Question 13

A digital rectal examination (DRE) in a client reveals the enlargement of the prostate gland that is firm, painless, and generalized. Which medication does the nurse anticipate the health-care provider will prescribe?
1)Anticoagulants
2)Alpha-adrenergic blockers
3)Phosphodiesterase inhibitors
4)Extracts of saw palmetto

Question 14

While assessing a male client, a nurse observes that the client has a small penis and testicles, long legs, short trunk, enlarged breast tissue, and a history of sexual dysfunction. Which condition does the nurse suspect?
1)Effects of mumps infection
2)Presence of an extra X chromosome
3)Prolonged administration of antihypertensive agents
4)Increased cellular growth and size of the prostate gland

Question 15

The nurse is performing an assessment on a male client with a known diagnosis of HIV. Which information does the nurse give to the client regarding testicular cancer?
1)"Once you reach the age of 40 you have no risk for testicular cancer."
2)"If your sexual partner contracts testicular cancer, so will you."
3)"More men die of testicular cancer in the United States than of other cancers."
4)"You need to immediately report a mass lesion on one testicle."

Question 16

While assessing an adolescent male client, the nurse finds erythema, swelling, and tenderness of the scrotum. The client also reports the presence of pain. Which disorder does the nurse suspect in the client?
1)Epispadias
2)Cryptorchidism
3)Testicular torsion
4)Benign prostatic hyperplasia

Question 17

In the male client, which hormone stimulates Sertoli cells to synthesize spermatozoa?
1)Inhibin
2)Testosterone
3)Luteinizing hormone (LH)
4)Follicle-stimulating hormone (FSH)

Question 18

While assessing a male client, a nurse observes swelling in the scrotum due to the collection of serous fluid. Which condition does the nurse suspect in the client?
1)Hydrocele
2)Epispadias
3)Hematocele
4)Hypospadias

Question 19

A client tells a nurse, "My new medication has helped with my erectile dysfunction." Which medication prescribed for the client is likely responsible?
1)Sildenafil
2)Finasteride
3)Tamsulosin
4)Pyridoxine

Question 20

A nurse observes that a newborn has an abnormally positioned urethral orifice of the penis. Which disorder does the nurse suspect in the newborn?
1)Orchitis
2)Hypospadias
3)Cryptorchidism
4)Testicular torsion

Question 21

Which are risk factors for erectile dysfunction? Select all that apply.
1)Atherosclerosis
2)Cryptorchidism
3)Peyronie's disease
4)Hypotension
5)Tight undergarments

Question 22

Which clients does the nurse identify as having a higher risk of delayed puberty? Select all that apply.
1)A client who has sickle cell anemia
2)A client who has chronic renal failure
3)A client who has inflammatory bowel disease
4)A client who has exposure to diethylstilbestrol
5)A client who is taking antidepressants for a long time

Question 23

While teaching health promotion measures to a group of football players, the nurse instructs the players to wear protective gear while on the field. Which complications is the nurse trying to avoid in the players? Select all that apply.
1)Orchitis
2)Priapism
3)Prostatitis
4)Hydrocele
5)Testicular torsion

Question 24

Which signs does a nurse observe in a client who is diagnosed with precocious puberty? Select all that apply.
1)Gynecomastia
2)Long arms and legs
3)Reduced adult height
4)Small penis and testes
5)Presence of axillary and pubic hair

Question 25

Which are signs of delayed puberty in a male? Select all that apply.
1)Larger testes
2)Gynecomastia
3)Long arms and legs
4)Absence of pubic hair
5)Persistent high-pitched voice