Deck 21: Male Genitourinary System

Question 1

During the examination of an older adult male client, the nurse notes thin, gray pubic hairs and a scrotal sac that hangs significantly lower than the penis. Which action by the nurse is the most appropriate?

A) Document the findings as normal.
B) Inform the client that he is no longer fertile.
C) Notify the healthcare provider of the findings.
D) Ask the client about his sexual practices.

Answer 1

Document the findings as normal.

Question 2

The nurse is examining a male client and notes small clusters of vesicular lesions on the glans penis. The client states that the areas are painful and often are reddened. Based on this data, which does the nurse anticipate?

A) Carcinoma.
B) Genital warts.
C) Syphilis.
D) Genital herpes.

Answer 2

Genital herpes.

Question 3

The nurse is preparing to examine the reproductive system for a male client recently admitted to the medical unit. Which techniques does the nurse plan to incorporate into this physical assessment? Select all that apply.

A) Inspection.
B) Palpation.
C) Percussion.
D) Auscultation.
E) Aspiration.

Answer 3

Inspection.
Palpation.

Question 4

The nurse is preparing to examine a male client's reproductive organs. Which actions by the nurse are appropriate to prepare for this examination? Select all that apply.

A) Secure a private examination room.
B) Use clean hands for the examination.
C) Ask the client to lie down on the exam table.
D) Ask the client to empty his bladder.
E) Make sure the room's temperature is comfortable.

Question 5

The nurse is interviewing a male client who states "I feel like I have a bag of worms in my scrotum." Based on this data, which condition does the nurse suspect?

A) Orchitis.
B) Varicocele.
C) Epididymitis.
D) Inguinal Hernia.

Question 6

During the examination of a male client, the nurse detects a bulge in the right inguinal area as the client is bearing down. Based on this data, which condition does the nurse suspect?

A) Varicocele.
B) Prostatitis.
C) Orchitis.
D) Inguinal Hernia.

Question 7

A couple seeking infertility treatments has just received the results of a semen analysis, which shows a diminished sperm count. Which question is most appropriate for the nurse to address to the male partner at this time?

A) "How often do you masturbate?"
B) "Do you smoke?"
C) "How old is your present house?"
D) "Do you still want to have children?"

Question 8

The nurse is preparing to assess a client with internal hemorrhoids. Which finding should the nurse associate with the condition?

A) Redness.
B) Pain.
C) Swelling.
D) Bleeding without stool.

Question 9

During the examination of a male client's scrotum, the nurse detects a hardened area in the right side of the scrotal sac. Which is the priority nursing action based on this finding?

A) Ask the client about voiding patterns.
B) Notify the healthcare provider of this finding.
C) Use a light to perform transillumination.
D) Ask the client about sexual practices.

Question 10

A client asks the nurse where the prostate gland is located. Which information should the nurse provide?

A) "The prostate gland is located by the rectum."
B) "The prostate gland is located above the testes."
C) "The prostate gland is located on each side of the urethra."
D) "The prostate gland is located by the bladder."

Question 11

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. Based on this data, which action is appropriate?

A) Ask the client about recent illnesses.
B) Ask the client about sexual practices.
C) Notify the healthcare provider the findings.
D) Document the findings as normal.

Question 12

The nurse is caring for a client who has hypospadias. When assessing this client, where does the nurse anticipate to find the urinary meatus?

A) Underside of the penis.
B) Lateral side of the penis.
C) Anterior side of the penis.
D) Dorsal side of the penis.

Question 13

The nurse is preparing to review the signs of penile carcinoma with a client. Which information should the nurse include in the teaching? Select all that apply.

A) Usually occurs in the glans.
B) Rapidly growing popular lesions.
C) Reddened nodular growth.
D) May appear as an ulcer-like lesion.
E) Palpable hard plaques along the dorsum under the skin.

Question 14

The nurse is caring for a client with chronic alcoholism. Which effect does this condition have on the client's genitourinary system?

A) Testicular cancer.
B) Impotence.
C) Prostate enlargement.
D) Sperm abnormalities.

Question 15

The nurse is preparing to assess a client that states they are experiencing painful tender testes. After noting the client's testes are swollen, which diagnosis should the nurse suspect?

A) Scrotal hernia.
B) Orchitis.
C) Hydrocele tumor.
D) Testicular tumor.

Question 16

The nurse is examining a male client's genitalia and notes that the scrotum is asymmetric. The left side hangs lower than the right side. Based on this data, which action by the nurse is the most appropriate?

A) Reassess after increasing the temperature in the room.
B) Report the finding to the healthcare provider.
C) Consider this a normal finding and proceed with palpation of the scrotum.
D) Ask if the client has noticed this before.

Question 17

During the focused interview, a male client describes his erection and ejaculate in terms that are less than professional. Which action by the nurse is the most appropriate?

A) Ask the client to refrain from using the terms.
B) Ask the client to define the terms.
C) Document the client's responses in the terms used.
D) Find another nurse to complete the assessment.

Question 18

The nurse is reviewing the records of a child diagnosed with cryptorchidism. Which assessment finding should the nurse anticipate?

A) Inflamed testicle.
B) Small testicle.
C) Absent testicle.
D) Herniated testicle.

Question 19

During the examination of a male client who has not been circumcised, the nurse attempts to retract the foreskin of the penis but the skin is very tight and cannot be pulled back. Based on this data, which condition does the nurse anticipate for this client?

A) Urethral stricture.
B) Paraphimosis.
C) Urethritis.
D) Phimosis.

Question 20

The nurse has completed teaching a client about testicular self-examination. Which client statements indicate understanding of the content presented? Select all that apply.

A) "I will feel hardened areas where the testicles and epididymis are located."
B) "I should perform this exam monthly."
C) "I should be in a warm room or the shower to perform this exam."
D) "I should apply gentle pressure to each testicle to feel the area."
E) "It is normal to feel testicular pain during this exam."

Question 21

The nurse is examining a male adolescent with suspected spermatic cord torsion. Which is the priority intervention for this client?

A) Medicate for pain with narcotics.
B) Prepare for surgery.
C) Elevate the scrotum.
D) Administer anti-inflammatory medications.

Question 22

A couple is seeking infertility information from the nurse. Which statement made by the couple indicates the need for further intervention?

A) "We have been to two doctors already."
B) "We have intercourse at least three times a week."
C) "We are using temperature tracking for ovulation prediction."
D) "We have been trying to conceive for a year."

Question 23

The nurse is preparing to inspect a client's penis. Which information should the nurse include in the documentation?

A) Size.
B) Location of the dorsal vein.
C) Glans.
D) Pigmentation.
E) Hair distribution.

Question 24

The nurse is preparing a presentation on testicular cancer to target the age group most frequently affected. Which settings would provide the nurse with audiences at an increased risk for this disease process? Select all that apply.

A) Elementary schools.
B) Colleges.
C) Cub Scout groups.
D) High schools.
E) Senior assisted living facilities.

Question 25

The nurse is preparing to assess the genitourinary system of a client with epispadias. Which assessment finding should the nurse anticipate?

A) Pinpoint appearance of the urinary meatus.
B) Urinary meatus located on the upper side of the glans.
C) Urinary meatus located on the underside of the glans.
D) Urinary meatus that is under a foreskin that cannot be retracted.

Question 26

An adult male presents to the urologist office with concerns relating to fertility. Which data in the client's medical history warrants further investigation?

A) Treated for gonorrhea 2 years prior.
B) Genital herpes simplex.
C) Past history of marijuana use.
D) Employment in a paint manufacturing company.

Question 27

A client expresses a feeling of pain during the palpation of the scrotum. The nurse notes that when the scrotum is lifted, the pain is relieved. Which condition should the nurse suspect?

A) Orchitis.
B) Testicular tumor.
C) Epididymitis.
D) Pilonidal cyst.

Question 28

The nurse notes that a client has anal fissures. Which questions should the nurse ask the client that are causes of anal fissures? Select all that apply.

A) "Have you recently had diarrhea?"
B) "Do you have problems with constipation?"
C) "Do you have a history of hemorrhoids?"
D) "How often do you have a bowel movement?"
E) "Have you noticed any blood in your stool?"

Question 29

A 45-year-old male client asks the nurse when they need to begin screening for prostate cancer. Which response should the nurse provide the client?

A) "You can start with either the prostate specific antigen screening or the digital rectal exam."
B) "PSA screening tests should be performed once you reach 50 years of age."
C) "When you turn 50, you can discuss this with the healthcare provider to determine a recommendation."
D) "Unless you are at an increased risk for the development of prostate cancer, no additional screening is indicated."

Question 30

The nurse is interviewing a male client with an elevated prostate specific antigen level (PSA). In order to determine other risk factors for this client, which questions are appropriate for the nurse to include in the assessment process? Select all that apply.

A) "Do you have a positive family history for prostate cancer?"
B) "Do you masturbate?"
C) "How frequently do you have sexual intercourse?"
D) "Do you smoke?"
E) "Do you have a history of urinary tract infections?"