Chapter 24

Question 0

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

A) testis.
B) penis.
C) prostate.
D) vas deferens.

Answer 0

C) prostate

Question 1

The external male genital structures include the:

A) testis.
B) scrotum.
C) epididymis.
D) vas deferens.

Answer 1

B) scrotum

Question 2

Which of these statements is true regarding the penis?

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 composed of two cylindrical columns of erectile tissue.
D) The corpus spongiosum expands into a cone of erectile tissue called the glans.

Answer 2

D) The corpus spongiosum expands into a cone of erectile tissue called the glans.

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 the nurse would:

A) squeeze the glans to check for the presence of discharge.
B) consider this a normal finding 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.

Answer 3

B) consider this a normal finding and proceed with the examination

Question 4

Which of these statements about the testes is true?

A) The lymphatics of the testes drain into the abdominal lymph nodes.
B) The vas deferens is located along the inferior portion of each testis.
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.

Answer 4

D) The cremaster muscle contracts in response to cold and draws the testicles closer to the body.

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:

A) testes.
B) prostate.
C) epididymis.
D) vas deferens.

Answer 5

A) testes

Question 6

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:

A) tell him not to worry and that most men his age develop hernias.
B) explain that a hernia is often the result of prenatal growth abnormalities.
C) refer him to his physician for additional consultation because the physician made the initial diagnosis.
D) explain that a hernia is a loop of bowel protruding through a weak spot in the abdominal muscles.

Answer 6

D) explain that a hernia is a loop of bowel protruding through a weak spot in the abdominal muscles.

Question 7

During an examination of an aging male, the nurse recognizes that normal changes to expect would be:

A) enlarged scrotal sac.
B) increased pubic hair.
C) decreased penis size.
D) increased rugae over the scrotum.

Answer 7

C) decreased penis size

Question 8

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:

A) side effects of medications.
B) decreased libido with aging.
C) decreased sperm production.
D) decreased pleasure from sexual intercourse.

Answer 8

A) side effects of medications.

Question 9

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:

A) dysuria.
B) nocturia.
C) polyuria.
D) hematuria.

Answer 9

A) dysuria

Question 10

A 45-year-old mother of two children is seen at the clinic for complaints of “losing my urine when I sneeze.” The nurse documents that she is experiencing:

A) urinary frequency.
B) enuresis.
C) stress incontinence.
D) urge incontinence.

Answer 10

C) stress incontinence.

Question 11

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

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

Answer 11

D) “Often boys your age have questions about sexual activity.”

Question 12

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

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?”

Answer 12

A) “Do you need to get up at night to urinate?”

Question 13

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:

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.

Answer 13

D) reassure the patient that this is a normal response and continue with the examination.

Question 14

The nurse is examining the glans and knows that which of these is a normal finding for this area?

A) The meatus may have a slight discharge when the glans is compressed.
B) Hair is without pest inhabitants.
C) The skin is wrinkled and without lesions.
D) Smegma may be present under the foreskin of an uncircumcised male.

Answer 14

D) Smegma may be present under the foreskin of an uncircumcised male.

Question 15

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:

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.

Answer 15

D) compress the glans between the examiner’s thumb and forefinger and collect any discharge.

Question 16

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:

A) from urethritis.
B) sebaceous cysts.
C) subcutaneous plaques.
D) from inflammation of the epididymis

Answer 16

B) sebaceous cysts.

Question 17

When performing a scrotal assessment, the nurse notices that the scrotal contents transilluminate and show a red glow. On the basis of this finding the nurse would:

A) assess the patient for the presence of a hernia.
B) suspect the presence of serous fluid in the scrotum.
C) consider this normal and proceed with the examination.
D) refer the patient for evaluation of a mass in the scrotum.

Answer 17

B) suspect the presence of serous fluid in the scrotum

Question 18

When the nurse is performing a genital examination on a male patient, which of these actions is correct?

A) Auscultate for the presence of a bruit over the scrotum.
B) Palpate for the vertical chain of lymph nodes along the groin inferior to the inguinal ligament.
C) Palpate the inguinal canal only if there is a bulge present in the inguinal region during inspection.
D) Have the patient shift his weight onto the left (unexamined) leg when palpating for a hernia on the right side.

Answer 18

D) Have the patient shift his weight onto the left (unexamined) leg when palpating for a hernia on the right side.

Question 19

The nurse is aware that which of these statements is true regarding the incidence of testicular cancer?

A) Testicular cancer is the most common cancer in men aged 30 to 50 years.
B) The early symptoms of testicular cancer are pain and induration.
C) Men with a history of cryptorchidism are at greatest risk for development of testicular cancer.
D) The cure rate for testicular cancer is low.

Answer 19

C) Men with a history of cryptorchidism are at greatest risk for development of testicular cancer.

Question 20

The nurse is describing how to perform a testicular self-examination to a patient. Which of these statements is most appropriate?

A) “A good time to examine your testicles is just before you take a shower.”
B) “If you notice an enlarged testicle or a painless lump, call your health care provider.”
C) “The testicle is egg shaped and movable. It feels firm and has a lumpy consistency.”
D) “Perform a testicular exam at least once a week to detect the early stages of testicular cancer.”

Answer 20

B) “If you notice an enlarged testicle or a painless lump, call your health care provider.”

Question 21

When performing a genital assessment on a middle-aged man, the nurse notices multiple soft, moist, painless papules in the shape of cauliflower-like patches scattered across the shaft of the penis. These lesions are characteristic of:

A) carcinoma.
B) syphilitic chancres.
C) genital herpes.
D) genital warts.

Answer 21

D) genital warts.

Question 22

A 15-year-old boy is seen in the clinic for complaints of “dull pain and pulling” in the scrotal area. On examination the nurse palpates a soft, irregular mass posterior to and above the testis on the left. This mass collapses when the patient is supine and refills when he is upright. This description is consistent with:

A) epididymitis.
B) spermatocele.
C) testicular torsion.
D) varicocele.

Answer 22

D) varicocele

Question 23

When performing a genitourinary assessment on a 16-year-old boy, the nurse notices a swelling in the scrotum that increases with increased intra-abdominal pressure and decreases when he is lying down. The patient complains of pain when straining. The nurse knows that this description is most consistent with a(n) _____ hernia.

A) femoral
B) incisional
C) direct inguinal
D) indirect inguinal

Answer 23

D) indirect inguinal

Question 24

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

A) Nontender subcutaneous plaques
B) A scrotal area that is dry, scaly, and nodular
C) Testes that feel oval and movable and are slightly sensitive to compression
D) A single, hard, circumscribed, movable mass, less than 1 cm under the surface of the testes

Answer 24

C) Testes that feel oval and movable and are slightly sensitive to compression

Question 25

The nurse is inspecting the scrotum and testes of a 43-year-old man. Which finding would require additional follow-up and evaluation?

A) The skin on the scrotum is taut.
B) The left testicle hangs lower than the right testicle.
C) The scrotal skin has yellowish 1-cm nodules that are firm and nontender.
D) The testes move closer to the body in response to cold temperatures

Answer 25

A) The skin on the scrotum is taut.

Question 26

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. It is difficult to distinguish the epididymis from the testis, and the scrotal skin is thick and edematous. This description is consistent with which of these?

A) Varicocele
B) Epididymitis
C) Spermatocele
D) Testicular torsion

Answer 26

B) Epididymitis

Question 27

The nurse is performing a genitourinary assessment on a 50-year-old obese male laborer. On examination the nurse notices a painless round swelling close to the pubis in the area of the internal inguinal ring that is easily reduced when the individual is supine. These findings are most consistent with a(n) _____ hernia.

A) scrotal
B) femoral
C) direct inguinal
D) indirect inguinal

Answer 27

C) direct inguinal

Question 28

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, which is known as:
A) orchitis.
B) stricture.
C) phimosis.
D) priapism.

Answer 28

D) priapism.

Question 29

During an examination, the nurse notices that a male patient has a red, round, superficial ulcer with a yellowish serous discharge on his penis. On palpation, the nurse finds a nontender base that feels like a small button between the thumb and fingers. At this point the nurse suspects that this patient has:

A) genital warts.
B)na herpes infection.
C) a syphilitic chancre.
D) a carcinoma lesion.

Answer 29

C) a syphilitic chancre.

Question 30

During a health history, a patient tells the nurse that he has trouble in starting his urine stream. This problem is known as:
A) urgency.
B) dribbling.
C) frequency.
D) hesitancy.

Answer 30

D) hesitancy

Question 31

During a genital examination, the nurse notices that a male patient has clusters of small vesicles on the glans, surrounded by erythema. The nurse recognizes that these lesions are:
A) Peyronie disease.
B) genital warts.
C) genital herpes.
D) syphilitic cancer.

Answer 31

C) genital herpes

Question 32

During a physical examination, the nurse finds that a male patient’s foreskin is fixed and tight and will not retract over the glans. The nurse recognizes that this condition is:

A) phimosis.
B) epispadias.
C) urethral stricture.
D) Peyronie’s disease.

Answer 32

A) phimosis