Deck 27: Disorders of Male Reproductive System

Question 1

After examining an elderly client's penis, a 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

Answer 1

2

Question 2

A digital rectal examination (DRE) in a client reveals the enlargement of the prostate gland that is firm, painless, and generalized. Which medications will the nurse anticipate from the primary health-care provider to treat the client?
1) Alpha-blockers
2) 5-alpha-reductase inhibitors
3) Phosphodiesterase inhibitors
4) Both A and B

Answer 2

4

Question 3

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

Answer 3

1

Question 4

A nurse teaches intervention to a client for healthy spermatogenesis. During a follow-up visit, the nurse finds that the client has risk for diminished sperm production. Which statement of the client supports the nurse's conclusion?
1) "I should not limit fluid intake."
2) "I should take a hot bath regularly."
3) "I should refrain from cigarette smoking."
4) "I should not wear tight undergarments."

Question 5

A client tells a nurse, "My erections lasts for several hours and are painful. "Which medication found in the client's prescription is responsible?
1) Sildenafil
2) Finasteride
3) Tamsulosin
4) Pyridoxine

Question 6

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

Question 7

A registered nurse is teaching about the medications for benign prostatic hyperplasia (BPH) to a group of student nurses. Which statement of a student nurse indicates the need for further 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."

Question 8

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 9

While assessing a male client, a nurse observes that the client has a small penis, long legs, short trunk, enlarged breast tissues, small testicles, and sexual dysfunction. What reason does the nurse suspect from these findings?
1) Mumps infection
2) Presence of an extra X chromosome
3) Prolonged consumption of antihypertensive agents
4) Increased cellular growth and size of the prostate gland

Question 10

Which disorder can occur due to HIV?
1) Varicocele
2) Hypospadias
3) Cryptorchidism
4) Testicular cancer

Question 11

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

Question 12

Which hormone stimulates Sertoli cells to synthesize spermatozoa?
1) Inhibin
2) Testosterone
3) Luteinizing hormone (LH)
4) Follicle-stimulating hormone (FSH)

Question 13

Which condition can cause ischemia of the testicle?
1) Priapism
2) Hematocele
3) Testicular torsion
4) Cryptorchidism

Question 14

Which artery provides engorgement of the glans during erection?
1) Dorsal
2) Cavernous
3) Bulbourethral
4) Both A and C

Question 15

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

Question 16

While assessing a male client for reproductive disorders, the primary health-care provider wants to understand whether the client has prostate cancer or benign prostatic hyperplasia (BPH). Which diagnostic test will the nurse expect in this case?
1) Ultrasound
2) Urine flow studies
3) Digital rectal examination (DRE)
4) Both A and B

Question 17

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

Question 18

Which cells secrete inhibin hormone?
1) Sperm cells
2) Leydig cells
3) Sertoli cells
4) White blood cells

Question 19

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

Question 20

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

Question 21

What are signs of delayed puberty?
1) Larger testes
2) Gynecomastia
3) Long arms and legs
4) Absence of pubic hair
5) Persistent high-pitched voice

Question 22

Which clients have a higher risk of delayed puberty?
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 longtime.

Question 23

What are the risk factors of erectile dysfunction?
1) Atherosclerosis
2) Cryptorchidism
3) Peyronie's disease
4) Hypotension
5) Wearing tight undergarments

Question 24

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

Question 25

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