Question 1

While performing the genital assessment of a male client, the nurse observes that the client has a curvature of the penis. Which condition does the nurse suspect in the client?

Accepted Answer

Peyronie's disease is characterized by the development of fibrous scar tissue inside the penis, causing curved, painful erections. This condition is the most likely cause of a curvature of the penis observed during a genital assessment.

Question 2

Which physical finding in a client will lead a nurse to suspect paraphimosis?

Accepted Answer

Paraphimosis is a condition where the foreskin is permanently retracted behind the tip of the penis, leading to swelling and potentially cutting off blood flow. This is different from inflammation of the testes, enlargement of the prostate, or prolonged erection, which are unrelated conditions.

Question 3

The registered nurse is teaching about medications for benign prostatic hyperplasia (BPH) to a group of staff nurses. Which statement made by a nurse indicates the need for additional teaching?

Accepted Answer

Alpha-blockers are primarily used to relax the smooth muscles in the bladder neck and prostate, improving urine flow in BPH. They do not reduce the size of the prostate; medications like 5-alpha reductase inhibitors are used for that purpose.

Question 4

Which gland secretes a lubricating fluid that coats the urethra during sexual arousal?

Accepted Answer

The Bulbourethral gland, also known as Cowper's gland, secretes a lubricating fluid that coats the urethra during sexual arousal to neutralize any acidity and lubricate the urethra for the passage of sperm.

Question 5

After examining an older adult client's penis, the 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?

Accepted Answer

Peyronie's disease is characterized by the development of fibrous scar tissue inside the penis, leading to curved, painful erections. Presence of a curved penis is a hallmark sign supporting the diagnosis.

Question 6

While assessing a male client for reproductive disorders, the health-care provider wants to verify whether the client has prostate cancer or benign prostatic hyperplasia (BPH). Which diagnostic test does the health-care provider prescribe to rule out cancer?

Accepted Answer

A biopsy is the most definitive diagnostic test to rule out cancer, including prostate cancer, by examining tissue samples under a microscope for cancerous cells.

Question 7

Which artery provides engorgement of the glans during erection?

Accepted Answer

The dorsal artery of the penis is responsible for the engorgement of the glans during erection.

Question 8

During an assessment, the nurse observes the signs of diminished secondary sexual characteristics in an adult male client. Which is the appropriate nursing action?

Accepted Answer

Diminished secondary sexual characteristics in an adult male suggest a possible deficiency in testosterone levels. Measuring the morning serum testosterone levels is the most direct and appropriate action to assess for hypogonadism or other conditions affecting testosterone production.

Question 9

Which hormone stimulates the Leydig cells of the testes to secrete testosterone?

Accepted Answer

Luteinizing hormone (LH) stimulates the Leydig cells in the testes to produce testosterone, which is crucial for the development of male secondary sexual characteristics and spermatogenesis.

Question 10

A male client at the age of 62 years visits the health-care provider with concerns about infertility. The client states, "I am marrying a younger woman and we want to have children." Which information presented by the health-care provider is likely to be most applicable to the client?

Accepted Answer

Age is an important consideration affecting sperm count, especially in older males, as sperm quality and quantity can decline with age, impacting fertility.

Question 11

The nurse counsels a male client about healthy spermatogenesis. During a follow-up visit, the nurse learns the client is still experiencing diminished sperm production. Which statement by the client indicates a need for additional teaching?

Accepted Answer

Exposure to high temperatures, such as sitting in a hot tub daily, can negatively affect sperm production. The client needs to be advised to avoid such practices to promote healthy spermatogenesis.

Question 12

A male client reports to a community clinic and asks to be checked for a sexually transmitted infection (STI). Upon examination the client is noted to have wartlike lesions on the penis. Which testing is prescribed?

Accepted Answer

HIV testing is recommended for individuals presenting with symptoms of a sexually transmitted infection (STI), such as wartlike lesions on the penis, which could indicate human papillomavirus (HPV) infection. HIV testing is part of the standard evaluation for STIs due to the potential for co-infection and the serious nature of HIV.

Question 13

A digital rectal examination (DRE) in a client reveals the enlargement of the prostate gland that is firm, painless, and generalized. Which medication does the nurse anticipate the health-care provider will prescribe?

Accepted Answer

The answer of A digital rectal examination (DRE) in a...

Question 14

While assessing a male client, a nurse observes that the client has a small penis and testicles, long legs, short trunk, enlarged breast tissue, and a history of sexual dysfunction. Which condition does the nurse suspect?

Accepted Answer

The symptoms described are characteristic of Klinefelter syndrome, which is caused by the presence of an extra X chromosome (47,XXY). This genetic condition leads to the physical features and symptoms mentioned, including small testicles, enlarged breast tissue, and sexual dysfunction.

Question 15

The nurse is performing an assessment on a male client with a known diagnosis of HIV. Which information does the nurse give to the client regarding testicular cancer?

Accepted Answer

Testicular cancer can occur in men of any age, and it's important for individuals, especially those with a known diagnosis of HIV who may have a compromised immune system, to report any unusual findings such as a mass lesion on one testicle immediately to a healthcare provider for further evaluation. This is because early detection and treatment are crucial for the best outcomes. The other statements are incorrect: testicular cancer can occur in men under 40, it is not contagious, and it does not cause more deaths than all other cancers in the U.S.

Question 16

While assessing an adolescent male client, the nurse finds erythema, swelling, and tenderness of the scrotum. The client also reports the presence of pain. Which disorder does the nurse suspect in the client?

Accepted Answer

Testicular torsion is characterized by sudden, severe pain in the scrotum, along with swelling, tenderness, and often erythema. It occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle, and requires immediate medical attention to prevent testicular loss.

Question 17

In the male client, which hormone stimulates Sertoli cells to synthesize spermatozoa?

Accepted Answer

Follicle-stimulating hormone (FSH) directly stimulates Sertoli cells in the testes to promote spermatogenesis, the process of sperm production.

Question 18

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?

Accepted Answer

Hydrocele is characterized by the accumulation of serous fluid in the scrotum, leading to swelling.

Question 19

A client tells a nurse, "My new medication has helped with my erectile dysfunction." Which medication prescribed for the client is likely responsible?

Accepted Answer

Sildenafil is a medication commonly used to treat erectile dysfunction by increasing blood flow to the penis during sexual stimulation.

Question 20

A nurse observes that a newborn has an abnormally positioned urethral orifice of the penis. Which disorder does the nurse suspect in the newborn?

Accepted Answer

Hypospadias is a condition where the opening of the urethra is on the underside of the penis instead of at the tip, which matches the description given.

Quiz 27: Disorders of Male Reproductive System