Deck 21: Male Reproductive System

Question 1

During the examination of a male client,the nurse detects a bulge in the right inguinal area as the client is bearing down.The nurse would correctly interpret this finding as which of the following conditions?
1)Varicocele
2)Prostatitis
3)Orchitis
4)Hernia

Answer 1

4

Question 2

The nurse is preparing to examine a male client's reproductive organs.Which of the following steps should the nurse do in preparation for this examination?
1)Secure a private examination room.
2)Use clean hands for the examination.
3)Ask the client to lie down on the exam table.
4)Ask the client to empty his bladder.
5)Make sure the room's temperature is cool and comfortable.

Answer 2

1,2,4,5

Question 3

The nurse is examining a male client and notes small clusters of vesicular lesions on the glans penis.The client states the areas are painful and that often are reddened.The nurse would suspect which of the following?
1)Carcinoma
2)Genital warts
3)Syphilis
4)Genital herpes

Answer 3

4

Question 4

During the examination of a male client's scrotum the nurse detects a hardened area in the right side of the scrotal sac.The nurse would correctly choose which of the following actions to complete first?
1)Ask the client about voiding patterns.
2)Notify the healthcare provider of this finding.
3)Use a light to perform transillumination.
4)Ask the client about sexual practices.

Question 5

The nurse is caring for a client who has hypospadias .Mark the figure provided to illustrate the location of the phenomena.

Question 6

The nurse is assessing a male infant and notes only one testis.The mother asks what effect this will have on the child.Which of the following would be a correct response by the nurse?
1)"There will be a need for your child to have hormone replacement therapy."
2)"He will be unable to father children."
3)"He will do fine and have no problems."
4)"There will be a normal level of sperm production."

Question 7

During the focused interview,a male client describes his erection and ejaculate in terms that are less than professional.The nurse would correctly do which of the following?
1)Ask the client to refrain from using the terms.
2)Ask the client to define the terms.
3)Document the client's responses in the terms used.
4)Find another nurse to complete the assessment.

Question 8

During the examination of an adult male the nurse notes thick,curly hair over the pubis area,a pear-shaped scrotum,and slightly darkened skin on the penis.The nurse would correctly choose which of the following actions?
1)Ask the client about recent illnesses.
2)Ask the client about sexual practices.
3)Notify the healthcare provider the findings.
4)Document the findings as normal.

Question 9

The nurse is examining a male client's genitalia and notices the scrotum is asymmetric.The left side hangs lower than the right side.The nurse would correctly choose which of the following actions?
1)Reassess after increasing the temperature in the room.
2)Report the finding to the healthcare provider.
3)Consider this a normal finding and proceed with palpation of the scrotum.
4)Ask if the client if has noticed this before.

Question 10

A client has presented for a physical examination.During the examination the nurse palpates to assess the right inguinal region.

Question 11

The student nurse is preparing to examine the male reproductive system of a client.Prior To starting the examination the student nurse explains to the supervising nurse the techniques that will be used.Plans to use which of the following indicates the need for further instruction?
1)Inspection
2)Palpation
3)Percussion
4)Auscultation
5)Aspiration

Question 12

The nurse is providing education to a client who has been experiencing symptoms consistent with BPH.The nurse presents a diagram the client to illustrate the location of the prostate.Mark with an "X" the correct location of the prostate gland.

Question 13

While performing prostate palpation,the nurse notes that the client expresses severe tenderness and discomfort during the procedure.The nurse should suspect which of the following conditions in the client?
1)Prostate cancer
2)Prostatitis
3)Enlargement of the prostate
4)Urinary tract infection

Question 14

The nurse has completed testicular self-exam teaching for a male client.Which of the following statements if made by the client would indicate the need for further instruction?
1)"I will feel hardened areas where the testicles and epididymis are located."
2)"I should perform this exam monthly."
3)"I should be in a warm room or the shower to perform this exam."
4)"I should apply gentle pressure to each testicle to feel the area."

Question 15

The nurse is interviewing a male client who states "I feel like I have a bag of worms in my scrotum." The nurse would correctly suspect which of the following conditions?
1)Orchitis
2)Varicocele
3)Epididymitis
4)Hernia

Question 16

The mother of a toddler expresses concern over her son "constantly playing with his penis and scrotum." The nurse would correctly use which of the following responses to address the mother's concern in this situation?
1)"These practices are normal for a child of this age."
2)"Does she see his father doing the same actions?"
3)"Does he know what it means to be a boy or a girl?"
4)"These behaviors will go away as he gets older."

Question 17

During the examination of an elderly male the nurse notes thin,gray pubic hairs and a scrotal sac that hangs significantly lower than the penis.The nurse would correctly choose which of the following actions?
1)Document the findings as normal.
2)Inform the client that he is no longer fertile.
3)Notify the healthcare provider of the findings.
4)Ask the client about his sexual practices.

Question 18

A couple seeking infertility treatments has just received the results of a semen analysis,which shows a diminished sperm count.The nurse would ask which of the following questions to the male in this scenario?
1)"How often do you masturbate?"
2)"Do you smoke?"
3)"How old is your present house?"
4)"Do you still want to have children?"

Question 19

When caring for a male client scheduled for a prostatectomy due to cancer,the nurse would expect which of the following assessment findings to be present?
1)Enlargement of the scrotal sac
2)Pyuria
3)Increase in prostatic specific antigen (PSA)
4)Dribbling of urine
5)Difficulty in initiating urine stream

Question 20

During the examination of a male client who has not been circumcised,the nurse is attempts to retract the foreskin of the penis,but skin is very tight and cannot be pulled back.The nurse would correctly anticipate which of the following conditions?
1)Urethral stricture
2)Paraphimosis
3)Urethritis
4)Phimosis

Question 21

The nurse is assessing a male client who has epididymitis.The nurse would appropriately educate the client using which of the following statements?
1)"You will have a decrease in testosterone production."
2)"Your sperm maturity may be affected."
3)"There will be a decrease in blood flow to your penis."
4)"There may be erectile difficulties."

Question 22

The nurse is interviewing a male client with an elevated prostate specific antigen level (PSA).The nurse would correlate potential risk factors for this client by asking which of the following questions?
1)"Do you have a positive family history for prostate cancer?"
2)"Do you masturbate?"
3)"How frequently do you have sexual intercourse?"
4)"Do you smoke?"
5)"Do you have a history of urinary tract infections?"

Question 23

During the well-child assessment on a 2-year-old male the nurse notes that the testes are not descended.The nurse would correctly choose which of the following actions?
1)Report the finding to the healthcare provider.
2)Ask the parent if the child has had any surgeries.
3)Proceed with palpation of the scrotum.
4)Inquire about the child's voiding patterns.

Question 24

The parents of a 9-year-old boy voice concerns about the seemingly advanced level of sexual maturity of their son.The examination reveals the child has thick pubic hair and enlarged genitalia.Which treatment intervention may be anticipated by the nurse?
1)Administration of estrogen to reduce the impact of escalating testosterone levels
2)Continued observation of the rate of maturation for the next 6 to 9 months
3)Referral to an endocrinologist
4)Reduction of processed foods in the diet to reduce hormone exposure

Question 25

The nurse is preparing a presentation on testicular cancer and wishes to target the age group most frequently affected.Which of the following settings would be considered appropriate to provide audiences considered to be at an increased risk for the disease?
1)Elementary schools
2)Colleges
3)Cub Scout groups
4)High schools
5)Senior assisted living facilities

Question 26

A couple is seeking infertility information from the nurse.Which of the following statements made by the couple would indicate the need for intervention by the nurse?
1)"We have been to two doctors already."
2)"We have intercourse at least three times a week."
3)"We are using temperature tracking for ovulation prediction."
4)"We have been trying to conceive for a year."

Question 27

The nurse is examining a male adolescent with suspected spermatic cord torsion.The nurse would anticipate which of the following as a priority intervention?
1)Medicate for pain with narcotics.
2)Prepare for surgery.
3)Elevate the scrotum.
4)Administer anti-inflammatory medications.

Question 28

A 65-year-old client reports to the ambulatory care clinic for a routine physical examination.During the assessment the client reports plans to marry a much younger woman in the coming weeks.The client voices concerns about his ability to father children.What information may be provided by the nurse?
1)The client is facing infertility in the next few years as the majority of older men become infertile by age 70 years.
2)Although the production of sperm may be reduced in the older male,fathering a child is still possible with advancing age.
3)There are no changes to fertility of a man associated with aging.
4)Limited studies concerning the fertility of men are available and there is no definitive information available.

Question 29

A male is being seen at the urologist office with concerns relating to his fertility.Which of the following factors may warrant further investigation?
1)The client was treated for gonorrhea 2 years ago.
2)The client has a history of genital herpes simplex.
3)The client's medical history indicates a past history of marijuana use.
4)The client works in a paint manufacturing company.