Question 1

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

Accepted Answer

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 2

A male patient with possible fertility problems asks the nurse where sperm is produced. Which answer should the nurse give the patient?

Accepted Answer

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

Question 3

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, how should the nurse proceed?

Accepted Answer

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. B

Question 4

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. What do these findings suggest?

Accepted Answer

A)   A varicocele
B)   Epididymitis
C)   A spermatocele
D)   Testicular torsion

Question 5

Which of these statements is true regarding the penis?

Accepted Answer

A)   The urethral meatus is located on the ventral side of the penis.
B)   The prepuce is the fold of foreskin covering the shaft of the penis.
C)   The penis is made up of two cylindric columns of erectile tissue.
D)   The corpus spongiosum expands into a cone of erectile tissue called the glans.

Question 6

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?

Accepted Answer

A)   Elicit the cremasteric reflex.
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 7

A 55-year-old man is in the clinic for a yearly checkup. He is worried because his father died of prostate cancer. The nurse knows which tests should be performed at this time? (Select all that apply.)

Accepted Answer

A)   Urinalysis
B)   Prostate biopsy
C)   Transrectal ultrasound
D)   Digital rectal examination (DR
E)  
E)   Blood test for prostate-specific antigen (PS
A)

Question 8

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

Accepted Answer

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?"
D)   "Has anyone ever touched your genitals when you did not want them to?"

Question 9

The nurse is performing a genital examination on a male patient and notices urethral drainage. What should the nurse do when collecting urethral discharge for microscopic examination and culture?

Accepted Answer

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

Question 10

During a genital examination, the nurse notices that a male patient has clusters of small vesicles on the glans, surrounded by erythema. What does this finding suggest?

Accepted Answer

A)   Genital warts
B)   Genital herpes
C)   Peyronie disease
D)   Syphilitic chancres

Question 11

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 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.)

Accepted Answer

A)   Swollen testis
B)   Mass that transilluminates
C)   Scrotal skin that is reddened
D)   Mass that does not transilluminate
E)   Scrotum that is tender upon palpationF)  Scrotum that is nontender upon palpation

Question 12

When the nurse is performing a genital examination on a male patient, the patient has an erection. How should the nurse respond?

Accepted Answer

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, leave the room while stating that the examination will resume at a later time.
D)   Reassure the patient that this is a normal response and continue with the examination.

Question 13

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. Which response by the nurse is best?

Accepted Answer

A)   "Don't worry, most men your age develop hernias."
B)   "A hernia is often the result of a prenatal growth abnormality."
C)   "You should talk to your physician since he or she made the initial diagnosis."
D)   "A hernia is a loop of bowel protruding through a weak spot in the abdominal muscles."

Question 14

What is a common assessment finding in a boy younger than 2 years old?

Accepted Answer

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 15

During an examination of an aging man, the nurse recognizes that which finding is an expected or normal change?

Accepted Answer

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

Question 16

The mother of a 10-year-old boy asks the nurse about the recognition of puberty. How should the nurse reply?

Accepted Answer

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 testicular or penis enlargement." B

Question 17

Which statement concerning the testes is true?

Accepted Answer

A)   The vas deferens is located along the inferior portion of each testis.
B)   The lymphatic vessels of the testes drain into the abdominal lymph nodes.
C)   The right testis is lower than the left 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 18

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

Accepted Answer

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

Question 19

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 reports pain when straining. What do these findings indicate?

Accepted Answer

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

Question 20

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. What is the medical term for this condition?

Accepted Answer

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

Exam 25: Male Genitourinary System

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

Correct Answer
verified

A male patient with possible fertility problems asks the nurse where sperm is produced. Which answer should the nurse give the patient?

Correct Answer
verified

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, how should the nurse proceed?

Correct Answer
verified
B

Correct Answer
verified

Which of these statements is true regarding the penis?

Correct Answer
verified

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?

Correct Answer
verified

A 55-year-old man is in the clinic for a yearly checkup. He is worried because his father died of prostate cancer. The nurse knows which tests should be performed at this time? (Select all that apply.)

Correct Answer
verified

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

Correct Answer
verified

The nurse is performing a genital examination on a male patient and notices urethral drainage. What should the nurse do when collecting urethral discharge for microscopic examination and culture?

Correct Answer
verified

During a genital examination, the nurse notices that a male patient has clusters of small vesicles on the glans, surrounded by erythema. What does this finding suggest?

Correct Answer
verified

Correct Answer
verified

When the nurse is performing a genital examination on a male patient, the patient has an erection. How should the nurse respond?

Correct Answer
verified

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. Which response by the nurse is best?

Correct Answer
verified

What is a common assessment finding in a boy younger than 2 years old?

Correct Answer
verified

During an examination of an aging man, the nurse recognizes that which finding is an expected or normal change?

Correct Answer
verified

The mother of a 10-year-old boy asks the nurse about the recognition of puberty. How should the nurse reply?

Correct Answer
verified
B

Which statement concerning the testes is true?

Correct Answer
verified

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

Correct Answer
verified
D

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 reports pain when straining. What do these findings indicate?

Correct Answer
verified

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. What is the medical term for this condition?

Correct Answer
verified

Exam 25: Male Genitourinary System

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

Correct AnswerverifiedShow Answer

A male patient with possible fertility problems asks the nurse where sperm is produced. Which answer should the nurse give the patient?

Correct AnswerverifiedShow Answer

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, how should the nurse proceed?

Correct AnswerverifiedB

Correct AnswerverifiedShow Answer

Which of these statements is true regarding the penis?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

A 55-year-old man is in the clinic for a yearly checkup. He is worried because his father died of prostate cancer. The nurse knows which tests should be performed at this time? (Select all that apply.)

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

The nurse is performing a genital examination on a male patient and notices urethral drainage. What should the nurse do when collecting urethral discharge for microscopic examination and culture?

Correct AnswerverifiedShow Answer

During a genital examination, the nurse notices that a male patient has clusters of small vesicles on the glans, surrounded by erythema. What does this finding suggest?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

When the nurse is performing a genital examination on a male patient, the patient has an erection. How should the nurse respond?

Correct AnswerverifiedShow Answer

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. Which response by the nurse is best?

Correct AnswerverifiedShow Answer

What is a common assessment finding in a boy younger than 2 years old?

Correct AnswerverifiedShow Answer

During an examination of an aging man, the nurse recognizes that which finding is an expected or normal change?

Correct AnswerverifiedShow Answer

The mother of a 10-year-old boy asks the nurse about the recognition of puberty. How should the nurse reply?

Correct AnswerverifiedB

Which statement concerning the testes is true?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedD

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 reports pain when straining. What do these findings indicate?

Correct AnswerverifiedShow Answer

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. What is the medical term for this condition?

Correct AnswerverifiedShow Answer

Correct Answer
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Correct Answer
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Correct Answer
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B

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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B

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D

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Correct Answer
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