Deck 17: Assessing the Male Breasts and Reproductive System

Question 1

The nursing instructor is reviewing the anatomy of reproductive systems with a group of nursing students. Which areas should the student expect will be assessed during a focused assessment of the reproductive system of a male patient? Select all that apply.

A) Areolae
B) Glans penis
C) Urethra
D) Prostate gland

Answer 1

Glans penis
Urethra
Prostate gland

Question 2

The nurse is assessing the breasts of a male patient. What are the normal expected findings? Select all that apply.

A) Both breasts are symmetric in appearance.
B) No lesions are present.
C) There is a small lump in axillae on the left side.
D) The color is even and matches ethnicity.
E) The left areola is slightly puckered.

Answer 2

Both breasts are symmetric in appearance.
No lesions are present.
The color is even and matches ethnicity.

Question 3

You are inspecting the skin of the male genitalia. What are you assessing? Select all that apply.

A) Shape
B) Color
C) Lesions
D) Drainage
E) Hair distribution

Answer 3

Color
Lesions
Drainage
Hair distribution

Question 4

A male patient come to the urgent care center with a chief complaint of yellow-green urethral drainage. The health-care provider orders a culture to be sent to the laboratory. Which of the following supplies will the nurse need? Select all that apply.

A) Mask
B) Gloves
C) Penlight
D) Culturette tube
E) Swab

Question 5

A male patient reports that he has some type of drainage coming out of his penis. A nurse should assess which of the following? Select all that apply.

A) Color of discharge
B) Amount of discharge
C) Consistency of discharge
D) Odor of discharge
E) Texture of discharge

Question 6

You are about to obtain a sexual history on a 56-year-old male patient. What are the specific areas that need to be discussed during this assessment? Select all that apply.

A) Spouse satisfaction
B) Partners
C) Practices
D) Past sexually transmitted infections
E) Protection
F) Erectile dysfunction

Question 7

A 31-year-old male reports scrotal pain and tenderness. The OLDCARTS mnemonic is a useful reminder for the nurse to use when collecting information about this patient's reported clinical manifestations. The nurse recognizes that each of the letters in OLDCARTS stands for which of the following terms?

A) Onset, level of pain, duration, characteristics, aggravating/alleviating factors, relieving factors, treatment, and severity
B) Onset, location, duration, characteristics, aggravating/alleviating factors, relieving factors, treatment, and severity
C) Onset, location, duration, changes, aggravating/alleviating factors, relieving factors, treatment, and symptoms
D) Onset, location, duration, characteristics, aggravating/alleviating factors, repeating patterns, treatment, and symptoms

Question 8

A 56-year-old male patient is being seen in the clinic and reports painful hematuria with frequent urination for the past several weeks. The nurse recognizes the clinical manifestations may indicate which significant health issue?

A) Prostate cancer
B) Bladder cancer
C) Kidney cancer
D) Testicular cancer

Question 9

A patient is being seen in the clinic. He reports painful urination with a white discharge for the past several weeks. The nurse recognizes the clinical manifestations may indicate which significant health issue?

A) Chlamydia
B) Bladder cancer
C) Kidney cancer
D) Gonorrhea

Question 10

A 24-year-old male patient is being seen in the clinic requesting screening for several sexually transmitted infections. The nurse prepares to provide information on the importance of health screenings. Which screening should the nurse be sure to discuss?

A) Biannual clinic screenings for human immunodeficiency virus (HIV)
B) Annual testicular self-examinations
C) Monthly prostate specific antigen testing
D) Monthly digital rectal examinations

Question 11

A 19-year-old male patient is being seen in the clinic for a routine sports physical. The nurse prepares to provide health education on testicular self-examinations. What information is best to share with the patient?

A) The examination should be completed in a cool shower.
B) A warm shower can assist in relaxation during the examination.
C) Use firm pressure when checking each testicle.
D) Examine the penis skin surfaces for any ulcers or lesions.

Question 12

You are inquiring about sexual practices with a male patient. You know that latex condoms protect against:

A) Human immunodeficiency virus (HIV).
B) Human papilloma virus (HPV).
C) Hepatitis virus.
D) All of the above.

Question 13

The instructor is reviewing the hormones associated with breast development in males. The student nurse recognizes that which hormone is responsible?

A) Progesterone
B) Testosterone
C) Estrogen
D) Adrenaline

Question 14

The nurse is completing the reproductive health history questions. Which reported clinical manifestation would be considered abnormal?

A) A white, cheesy substance
B) Recent increased size of scrotum
C) Yellow urine first thing in morning
D) Only one sex partner

Question 15

The most common presentation of male breast cancer is:

A) Painless upper outer quadrant lump.
B) Painful areolar mass.
C) Painless, palpable, subareolar lump or mass.
D) Painful upper outer quadrant lump.

Question 16

While teaching a young male about the risk factors of penile cancer the nurse makes sure to include education on which of the following topics?

A) Prevention of HIV and AIDS
B) Benefits of circumcision
C) Body size
D) Alcohol consumption

Question 17

You are preparing to perform a male health assessment on a 42-year-old man. A preliminary step includes:

A) Obtaining a signed consent.
B) Assuring confidentiality and privacy.
C) Putting on tangential lighting.
D) Discussing all the change of positions required for the assessment.

Question 18

The nurse is going to palpate the areola of a male breast. What is a priority nursing intervention?

A) Put on gloves.
B) Explain the technique.
C) Press on the areola.
D) Massage the areola.

Question 19

The nurse is preparing to examine a Hispanic male. The nurse wants to provide culturally sensitive care. Which approach is the best when working with this patient?

A) Ask if the patient would prefer a female examiner.
B) Introduce yourself before the examination.
C) Ask if the patient would like his partner present.
D) Quickly look over the genital area.

Question 20

A 42-year-old male has come to the clinic for an annual physical. The nurse notes in the patient's history that there is a strong history of male breast cancer in the patient's family. What should the nurse provide to the patient before he leaves the clinic?

A) A referral for a mammogram
B) Education on how to perform a breast self-examination
C) A referral to a breast surgeon
D) Instructions on when to call an oncologist

Question 21

During a class on sexually transmitted diseases the instructor asks a student which sexually transmitted disease produces a soft, small, cauliflower-shaped growth. What is the correct response?

A) Condyloma acuminatum
B) Chancroid lesion
C) Tinea cruris
D) Skin tag

Question 22

A male patient calls to schedule a screening test for chlamydia and gonorrhea. Which instructions should the nurse provide at this time?

A) "Make sure to drink lots of water before coming in."
B) "Do not urinate for 1 hour prior to the appointment."
C) "Collect any early morning drainage and bring it with you."
D) "Take some over-the-counter pain reliever before coming in."

Question 23

During the health history the nurse attempts to provide the older male patient with information about misconceptions of aging. Which statement is correct?

A) "Erectile dysfunction (ED) is not a natural part of aging."
B) "Prostate enlargement is a natural part of aging."
C) "You should expect difficulties with achieving an erection by age 65."
D) "Erectile dysfunction is purely a psychological disorder with no cure."

Question 24

The two assessment techniques used to assess the male breasts are:

A) Palpation and percussion.
B) Inspection and percussion.
C) Inspection and palpation.
D) Percussion and palpation.

Question 25

The nurse is performing a male health assessment. When is the appropriate time to discuss the patient's sexual health?

A) At the beginning of the assessment
B) During the genital examination
C) Toward the end of the assessment
D) Before the assessment

Question 26

When assessing the sexual history of a patient, the nurse should use which general guide?

A) The 4 Ps
B) The 4 Cs
C) Confidentiality
D) HIPAA

Question 27

You are assessing the groin area for inguinal bulging. If you suspect a hernia, you will ask the patient to:

A) Turn partially on his left side.
B) Hold his breath.
C) Cough.
D) Breathe in deeply.

Question 28

You are inspecting the skin of a middle-aged man and see these yellow-white papules on the skin of the penis. They are called _____________ _____________.

Question 29

A male patient has been diagnosis with syphilis. You know that the initial symptom is a skin lesion presenting as a sore called a ____________________.