Question 1

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

Accepted Answer

Normally, the urethral meatus is positioned just about centrally.Hypospadias is the ventral location of the urethral meatus.The position of the meatus does not change with aging.Phimosis is the inability to retract the foreskin.A stricture is a narrow opening of the meatus.

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:

Accepted Answer

If urethral discharge is noticed, then the examiner should obtain a smear for microscopic examination and culture by compressing the glans anteroposteriorly with the thumb and forefinger.The other options are not correct actions.

Question 3

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

Accepted Answer

In the aging man, the amount of pubic hair decreases, the penis size decreases, and the rugae over the scrotal sac decreases.The scrotal sac does not enlarge.Because of decreased tone of the dartos muscle, the scrotal contents hang lower, the rugae decrease, and the scrotum looks pendulous.

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:

Accepted Answer

When it is cold, the cremaster muscle contracts, which raises the scrotal sac and brings the testes closer to the body to absorb heat necessary for sperm viability.The lymphatic vessels of the testes drain into the inguinal lymph nodes.The vas deferens is located along the upper portion of each testis.The left testis is lower than the right because the left spermatic cord is longer.

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:

Accepted Answer

Sperm production occurs in the testes, not in the other structures listed.

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:

Accepted Answer

A hernia occurs when an organ or tissue protrudes through a weakened area in the abdominal muscles. The nurse should explain this to the patient and reassure him that hernias are common and can often be repaired with surgery. However, the nurse should also encourage the patient to follow up with his physician for further evaluation and treatment options. Choices A and B are incorrect as they provide incorrect or incomplete information, and Choice C is not necessary as the patient already has an established diagnosis.

Question 7

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 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:

Accepted Answer

Sebaceous cysts are commonly found on the scrotum.These yellowish, 1-cm nodules are firm, nontender, and often multiple.The other options are not correct.

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:

Accepted Answer

In the absence of disease, a withdrawal from sexual activity could be attributed to the side effects of medications, such as antihypertensives, antidepressants, sedatives, psychotropics, antispasmotics, tranquilizers or narcotics, and hormone therapy.The other options are not correct.

Question 10

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

Accepted Answer

Reasons for circumcision include cultural and religious beliefs; the prevention of both phimosis and paraphimosis and inflammation of the glans penis and foreskin; lowering the risk for human immunodeficiency virus (HIV) infection through heterosexual contact, genital herpes, genital ulcers, human papillomavirus (HPV) infection, and, for female partners of these men, a reduced risk for acquiring HPV, bacterial vaginosis, trichomoniasis, and cervical cancer; decreasing the incidence of cancer of the penis; and decreasing the incidence of urinary tract infections in infancy.

Question 11

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

Accepted Answer

The older adult male patient should be asked about the presence of nocturia.Awaking at night to urinate may be attributable to a diuretic medication, fluid retention from mild heart failure or varicose veins, or fluid ingestion 3 hours before bedtime, especially coffee and alcohol.The other questions are more appropriate for younger men.

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:

Accepted Answer

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

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:

Accepted Answer

The external male genital structures include the penis and the scrotum.The testis, epididymis, and vas deferens are internal structures.

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:

Accepted Answer

Dysuria (burning with urination) is common with acute cystitis, prostatitis, and urethritis.Nocturia is voiding during the night.Polyuria is voiding in excessive quantities.Hematuria is blood in urine.

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?

Accepted Answer

The interview should begin with a permission statement, which conveys that it is normal and acceptable to think or feel a certain way.The nurse should avoid sounding judgemental.

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:

Accepted Answer

When the male patient has an erection, the nurse should reassure the patient that this is a normal physiological response to touch and proceed with the rest of the examination.The other responses are not correct and may be perceived as judgemental.

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:

Accepted Answer

Stress incontinence is involuntary urine loss with physical strain, sneezing, or coughing, and it occurs as a result to weakness of the pelvic floor.Urinary frequency is urinating more often than usual (more than five to six times per day).Enuresis is involuntary passage of urine at night after age 5 to 6 years (bed wetting).Urge incontinence is involuntary urine loss from overactive detrusor muscle in the bladder.It contracts, causing an urgent need to void.

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:

Accepted Answer

Puberty begins sometime between ages 9 11ea644c_d32e_72a5_9252_a5241dd3a0a7_TB6765_11 and 13 11ea644c_d32e_72a6_9252_0f573b58b23e_TB6765_11 years.The first sign is enlargement of the testes.Next, pubic hair appears, and then penis size increases.

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:

Accepted Answer

The penis is made up of three cylindrical columns of erectile tissue.The skin that covers the glans of the penis is the prepuce.The urethral meatus forms at the tip of the glans.Over the glans, the skin folds in and back on itself, forming a hood or flap.This is the foreskin, or prepuce.Sometimes, it is surgically removed shortly after birth by circumcision.

Question 20

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

Accepted Answer

The glans looks smooth and without lesions and does not have hair.The meatus should not have any discharge when the glans is compressed.Some cheesy smegma may have collected under the foreskin of an uncircumcised male.

Quiz 26: Male Genitourinary System