Deck 26: Male Genitourinary System

Question 1

When performing a genitourinary assessment, the nurse notices that the urethral meatus is ventrally positioned.This finding is:

A)Known as hypospadias
B)A result of phimosis
C)Probably caused by a stricture
D)Often associated with aging

Answer 1

Known as hypospadias

Question 2

The nurse is performing a genital examination on a male patient and notices urethral drainage.When collecting urethral discharge for microscopic examination and culture, the nurse should:

A)Ask the patient to urinate into a sterile cup
B)Ask the patient for a specimen of semen
C)Insert a cotton-tipped applicator into the urethra to collect a specimen
D)Compress the glans between thumb and forefinger to obtain a specimen of the discharge

Answer 2

Compress the glans between thumb and forefinger to obtain a specimen of the discharge

Question 3

During an examination of a70-year-old male patient, the nurse recognizes that normal changes to expect would be:

A)Enlarged scrotal sac
B)Increased pubic hair
C)Decreased penis size
D)Increased rugae over the scrotum

Answer 3

Decreased penis size

Question 4

During the health history interview with an 18 year-old male patient, the patient expresses concern that his "private parts seem to move closer to his body when it is cold out." The nurse explains that:

A)The lymphatic vessels of the testes drain into the abdominal lymph nodes
B)The vas deferens is located along the inferior portion of each testis
C)The right testis is lower than the left one because the right spermatic cord is longer
D)The cremaster muscle contracts in response to cold and draws the testicles closer to the body

Question 5

A male patient with possible fertility problems asks the nurse where sperm is produced.The nurse knows that sperm production occurs in the:

A)Testes
B)Prostate
C)Epididymis
D)Vas deferens

Question 6

A 62-year-old man states that his physician told him that he has an "inguinal hernia." He asks the nurse to explain what a hernia is.The nurse should:

A)Tell him not to worry and that most men his age have hernias
B)Explain that a hernia is often the result of prenatal growth abnormalities
C)Refer him to his physician for additional consultation because the physician made the initial diagnosis
D)Explain that a hernia is a loop of bowel protruding through a weak spot in the abdominal muscles

Question 7

An accessory glandular structure for the male genital organs is the:

A)Testis
B)Scrotum
C)Prostate
D)Vas deferens

Question 8

When assessing the scrotum of a male patient, the nurse notices the presence of multiple firm, nontender, yellow, 1-cm nodules.The nurse knows that these nodules are most likely:

A)Caused by urethritis
B)Sebaceous cysts
C)Subcutaneous plaques
D)From an inflammation of the epididymis

Question 9

An older man is concerned about his sexual performance.The nurse knows that in the absence of disease, a man may withdraw from sexual activity later in life because of:

A)Side effects of medications
B)Decreased libido with aging
C)Decreased sperm production
D)Decreased pleasure from sexual intercourse

Question 10

A baby boy is about to have a circumcision.The nurse knows that the reasons for circumcision include:

A)Cultural and religious beliefs
B)Prevention of testicular cancer
C)Improving the sperm count later in life
D)Prevention of dysuria

Question 11

Which of these questions is most appropriate when the nurse is obtaining a genitourinary history from an older adult male?

A)"Do you need to get up at night to urinate?"
B)"Do you experience nocturnal emissions, or 'wet dreams'?"
C)"Do you know how to perform a testicular self-examination (TSE)?"
D)"Has anyone ever touched your genitals when you did not want them to?"

Question 12

When performing a genital examination on a 25-year-old man, the nurse notices deeply pigmented, wrinkled scrotal skin with large sebaceous follicles.On the basis of this information, the nurse would:

A)Squeeze the glans to check for the presence of discharge
B)Consider this finding as normal and proceed with the examination
C)Assess the testicles for the presence of masses or painless lumps
D)Obtain a more detailed history, focusing on any scrotal abnormalities the patient has noticed

Question 13

The nurse is teaching a class of 5-year-olds the correct terminology for male genitalia and explains that the external structures include the:

A)Testis
B)Scrotum
C)Epididymis
D)Vas deferens

Question 14

A 59-year-old patient has been diagnosed with prostatitis and is being seen at the clinic for complaints of burning and pain during urination.He is experiencing:

A)Dysuria
B)Nocturia
C)Polyuria
D)Hematuria

Question 15

When the nurse is conducting sexual history interview with a male adolescent, which statement would be most appropriate to use at the beginning of the interview?

A)"Do you use condoms?"
B)"You don't masturbate, do you?"
C)"Have you had sex in the past 6 months?"
D)"Often adolescents your age have questions about sexual activity."

Question 16

When the nurse is performing a genital examination on a male patient, the patient has an erection.The nurse's most appropriate action or response is to:

A)Ask the patient if he would like someone else to examine him
B)Continue with the examination as though nothing has happened
C)Stop the examination and leave the room after stating that the examination will be resumed at a later time
D)Reassure the patient that this is a normal physiological response and continue with the examination

Question 17

During a follow-up appointment with a 68-year-old male patient who had surgery for prostate cancer, he tells the nurse that he is concerned because "every time I sneeze some urine leaks out." The nurse will document that he is experiencing:

A)Urinary frequency
B)Enuresis
C)Stress incontinence
D)Urge incontinence

Question 18

The mother of a 10-year-old boy asks the nurse to explain the onset of puberty.The nurse should reply by saying:

A)"Puberty usually begins around 15 years of age."
B)"The first sign of puberty is an enlargement of the testes."
C)"The penis size does not increase until about 16 years of age."
D)"The development of pubic hair precedes enlargement of the testicles or penis."

Question 19

The nurse is teaching a sex education class for a group of 10-year-old boys, who are curious about why the penis looks different in some boys.The nurse explains that some boys are circumcised and that circumcision involves:

A)The ventral placement of the urethral meatus
B)The placement of the prepuce covering the shaft of the penis
C)Surgery of the two cylindrical columns of erectile tissue
D)The surgical removal of the foreskin shortly after birth

Question 20

The nurse is examining the glans and knows which finding is normal for this area?

A)The meatus may have a slight discharge when the glans is compressed.
B)Hair is without any infestations.
C)The skin is wrinkled and without lesions.
D)Smegma may be present under the foreskin of an uncircumcised male.

Question 21

The nurse is providing patient teaching about an erectile dysfunction drug.One of the drug's potential side effects is prolonged, painful erection of the penis without sexual stimulation, which is known as:

A)Orchitis
B)Stricture
C)Phimosis
D)Priapism

Question 22

A 2-year-old boy has been diagnosed with physiological cryptorchidism.Considering this diagnosis, during assessment the nurse will most likely observe:

A)Testes that are hard and painful to palpation
B)Atrophic scrotum and a bilateral absence of the testis
C)Absence of the testis in the scrotum, but the testis can be milked down
D)Testes that migrate into the abdomen when the child squats or sits cross-legged

Question 23

When the nurse is performing a genital examination on a male patient, which action is correct?

A)Auscultating for the presence of a bruit over the scrotum
B)Palpating for the vertical chain of lymph nodes along the groin, inferior to the inguinal ligament
C)Palpating the inguinal canal only if a bulge is present in the inguinal region during inspection
D)Having the patient shift his weight onto the left (unexamined) leg when palpating the right inguinal canal for a mass

Question 24

When performing a genitourinary assessment on a 16-year-old male adolescent, the nurse notices a swelling in the scrotum that increases with increased intra-abdominal pressure and decreases when he is lying down.The patient complains of pain when straining.The nurse knows that this description is most consistent with a(n) __________ hernia.

A)Femoral
B)Incisional
C)Direct inguinal
D)Indirect inguinal

Question 25

During a health history, a patient tells the nurse that he has trouble starting urination.This problem is known as:

A)Urgency
B)Dribbling
C)Frequency
D)Hesitancy

Question 26

The nurse is performing a genitourinary assessment on a 50-year-old male labourer, who is obese.On examination, the nurse notices a painless round swelling close to the pubis in the area of the internal inguinal ring that is easily reduced when the individual is supine.These findings are most consistent with a(n) __________ hernia.

A)Scrotal
B)Femoral
C)Direct inguinal
D)Indirect inguinal

Question 27

When the nurse is performing a testicular examination on a 25-year-old man, which finding is considered normal?

A)Nontender subcutaneous plaques
B)Scrotal area that is dry, scaly, and nodular
C)Testes that feel oval and movable and are slightly sensitive to compression
D)Single, hard, circumscribed, movable mass, less than 1 cm under the surface of the testes

Question 28

The nurse is describing to a patient how to perform TSE.Which statement is most appropriate?

A)"A good time to examine your testicles is just before you take a shower."
B)"An enlarged testicle or a painless lump is not unusual."
C)"The healthy testicle is egg shaped and movable.It should feel firm and have a lumpy consistency."
D)"Perform TSE at least once a week to detect testicular cancer in the early stage."

Question 29

A 55-year-old man is experiencing severe pain of sudden onset in the scrotal area.It is somewhat relieved by elevation.On examination the nurse notices an enlarged, red scrotum that is very tender to palpation.Distinguishing the epididymis from the testis is difficult, and the scrotal skin is thick and edematous.This description is consistent with which of these?

A)Varicocele
B)Epididymitis
C)Spermatocele
D)Testicular torsion

Question 30

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?

A)Eliciting the cremasteric reflex is recommended.
B)The glans is assessed for redness or lesions.
C)Retracting the foreskin should be avoided until the infant is 3 months old.
D)Any dirt or smegma that has collected under the foreskin should be noted.

Question 31

During an examination of an older adult male, the nurse recognizes that normal changes to expect would be:

A)Change in scrotal colour
B)Decrease in the size of the penis
C)Enlargement of the testes and scrotum
D)Increase in the number of rugae over the scrotal sac

Question 32

The nurse knows that a common assessment finding in a boy younger than 2 years of age is:

A)Inflamed and tender spermatic cord
B)Presence of a hernia in the scrotum
C)Penis that looks large in relation to the scrotum
D)Presence of a hydrocele, or fluid in the scrotum

Question 33

When performing a genital assessment on a middle-aged man, the nurse notices multiple soft, moist, painless papules in the shape of cauliflower-like patches scattered across the shaft of the penis.These lesions are characteristic of:

A)Carcinoma
B)Syphilitic chancres
C)Genital herpes
D)Genital warts

Question 34

During a genital examination, the nurse notices that a male patient has clusters of small vesicles on the glans, surrounded by erythema.The nurse recognizes that these lesions are:

A)Peyronie's disease
B)Genital warts
C)Genital herpes
D)Syphilitic cancer

Question 35

During a scrotal assessment, the nurse palpates a mass and notices that the scrotal contents show a red glow with transillumination.On the basis of these findings, the nurse would:

A)Assess the patient for the presence of a hernia
B)Suspect the presence of serous fluid in the scrotum
C)Consider this finding normal and proceed with the examination
D)Refer the patient for evaluation of the mass in the scrotum

Question 36

A 15-year-old boy is seen in the clinic for complaints of "dull pain and pulling" in the scrotal area.On examination, the nurse palpates a soft, irregular mass posterior to and above the testis on the left.This mass collapses when the patient is supine and refills when he is upright.This description is consistent with:

A)Epididymitis
B)Spermatocele
C)Testicular torsion
D)Varicocele

Question 37

The nurse is inspecting the scrotum and testes of a 43-year-old man.Which finding would require additional follow-up and evaluation?

A)Skin on the scrotum is taut.
B)Left testicle hangs lower than the right testicle.
C)Scrotal skin has yellowish, 1-cm nodules that are firm and nontender.
D)Testes move closer to the body in response to cold temperatures.

Question 38

During an examination, the nurse notices that a male patient has a red, round, superficial ulcer with a yellowish serous discharge on his penis.On palpation, the nurse finds a nontender base that feels like a small button between the thumb and fingers.At this point the nurse suspects that this patient has:

A)Genital warts
B)Herpes infection
C)Syphilitic chancre
D)Carcinoma lesion

Question 39

During a physical examination, the nurse finds that a male patient's foreskin is fixed and tight and will not retract over the glans.The nurse recognizes that this condition is:

A)Phimosis
B)Epispadias
C)Urethral stricture
D)Peyronie's disease

Question 40

During the health history interview with a 40-year-old male patient who was raised in South Korea, the patient mentions that he has undescended testes that had not been corrected in his childhood and is concerned about getting cancer.The nurse informs the patient that:

A)Testicular cancer is the most common cancer in men 30 to 50 years of age
B)The early symptoms of testicular cancer are pain and induration
C)Men with a history of cryptorchidism are at risk for the development of testicular cancer
D)The cure rate for testicular cancer is low

Question 41

A 70-year-old man is in for his annual checkup.He has noticed some changes he is concerned about as he is aging.The nurse explains what normal changes he should expect including: (Select all that apply.)

A)Scrotum hanging lower
B)Decrease in the size of the testes
C)Increase in the amount of pubic hair
D)Decrease in the size of the penis
E)Scrotum shrinking in size

Question 42

A 16-year-old boy is brought to the clinic for a problem that he refused to let his mother see.The nurse examines him and finds that he has scrotal swelling on the left side.He had had the mumps the previous week, and the nurse suspects that he has orchitis.Which of the following assessment findings support this diagnosis? (Select all that apply.)

A)Swollen testis
B)Mass that is transilluminated
C)Mass that is not transilluminated
D)Scrotum that is nontender on palpation
E)Scrotum that is tender on palpation
F)Scrotal skin that is reddened