Question 1

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

Accepted Answer

Glandular structures accessory to the male genital organs are the prostate,seminal vesicles,and bulbourethral glands.

Question 2

During an examination of an aging male,the nurse recognizes that a normal,expected change would be:

Accepted Answer

After 55 to 60 years of age,testosterone production declines.The older male may find that an erection takes longer to develop,and that it is less full or firm.Once obtained,the erection may be maintained for longer periods without ejaculation.The refractory state (when the male is physiologically unable to ejaculate)lasts longer (from 12 to 24 hours,compared with 2 minutes in the younger male).

Question 3

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

Accepted Answer

Start the interview with a permission statement.This conveys that it is normal and all right to think or feel a certain way.Avoid sounding judgemental.

Question 4

Which of the following statements is most appropriate when the nurse is obtaining a genitourinary history from an elderly man?

Accepted Answer

The elderly male patient should be asked about the presence of nocturia.This may be due to diuretic medication,fluid retention from mild heart failure or varicose veins,or fluid ingestion.

Question 5

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

Accepted Answer

After adolescence,the scrotal skin is deeply pigmented and has large sebaceous follicles.The scrotal skin looks corrugated.

Question 6

The external male genital structures include the:

Accepted Answer

The external male genital structures include the penis and scrotum.

Question 7

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

Accepted Answer

If urethral discharge is noted,collect a smear for microscopic examination and culture by compressing the glans anteroposteriorly between the thumb and forefinger.

Question 8

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

Accepted Answer

Sebaceous cysts are commonly found on the scrotum.These are yellowish,1-cm nodules and are firm,nontender,and often multiple.

Question 9

A 45-year-old carpenter is seen at the clinic for a complaint of "losing my urine when I lift heavy objects." He is experiencing:

Accepted Answer

Stress incontinence is the loss of urine with physical strain as a result of weakness of sphincters.The individual accidentally urinates when sneezing,laughing,coughing,or bearing down.

Question 10

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

Accepted Answer

Common reasons given in favour of circumcision are hygiene,avoidance of later circumcision,medical indications,the father's circumcision status,and religious and cultural values.Since 1975,the Canadian Paediatric Society has held the policy that there is no medical indication for male neonatal circumcision.

Question 11

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

Accepted Answer

Sperm production occurs in the testes.

Question 12

Which of the following statements about the testes is true?

Accepted Answer

When it is cold,the cremaster muscle contracts,raising the sac and bringing the testes closer to the body to absorb the heat necessary for sperm viability.

Question 13

While 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:

Accepted Answer

When the male patient has an erection,reassure the patient that this is a normal physiological response to touch,and proceed with the rest of the examination.

Question 14

The mother of a 10-year-old boy asks the nurse to discuss how puberty can be recognized.The nurse should reply:

Accepted Answer

Puberty begins sometime between 9½ and 13½ years of age.The first sign is enlargement of the testes.Pubic hair appears next,followed by an increase in penis size.

Question 15

Which of the following statements is true regarding the penis?

Accepted Answer

The penis is composed of three cylindrical columns of erectile tissue.At the distal end of the shaft,the corpus spongiosum expands into a cone of erectile tissue,the glans.

Question 16

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

Accepted Answer

Hypospadias is the ventral location of the urethral meatus.Normally,the urethral meatus is positioned just about centrally.

Question 17

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:

Accepted Answer

Dysuria,or burning,is common with acute cystitis,prostatitis,and urethritis.

Question 18

The nurse knows that which of the following is a normal finding when examining the glans?

Accepted Answer

The glans looks smooth and without lesions,and does not have hair.Some cheesy smegma may have collected under the foreskin of an uncircumcised male.

Question 19

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

Accepted Answer

A hernia is a loop of bowel protruding through a weak spot in the musculature.

Question 20

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

Accepted Answer

In the absence of disease,a withdrawal from sexual activity may be due to side effects of medications such as antihypertensives,antidepressants,or sedatives.

Quiz 26: Male Genitourinary System