M Repro

Question 1

An adolescent is identified as having a collection of fluid in the tunica vaginalis of his testes. The nurse knows that this adolescent will receive what medical diagnosis?
A) Cryptorchidism
B) Orchitis
C) Hydrocele
D) Prostatism

Answer 1

C) Hydrocele

Question 2

An uncircumcised 78-year-old male has presented at the clinic complaining that he cannot retract his foreskin over his glans. On examination, it is noted that the foreskin is very constricted. The nurse should recognize the presence of what health problem?
A) Bowens disease
B) Peyronies disease
C) Phimosis
D) Priapism

Answer 2

C) Phimosis

Question 3

A nurse practitioner is assessing a 55-year-old male patient who is complaining of perineal discomfort, burning, urgency, and frequency with urination. The patient states that he has pain with ejaculation. The nurse knows that the patient is exhibiting symptoms of what?
A) V aricocele
B) Epididymitis
C) Prostatitis
D) Hydrocele

Answer 3

C) Prostatitis

Question 4

A patient has been prescribed sildenafil. What should the nurse teach the patient about this medication?
A) Sexual stimulation is not needed to obtain an erection.
B) The drug should be taken 1 hour prior to intercourse.
C) Facial flushing or headache should be reported to the physician immediately.
D) The drug has the potential to cause permanent visual changes.

Answer 4

B) The drug should be taken 1 hour prior to intercourse.

Question 5

A patient is 24 hours postoperative following prostatectomy and the urologist has ordered continuous bladder irrigation. What color of output should the nurse expect to find in the drainage bag?
A) Red wine colored
B) Tea colored
C) Amber
D) Light pink

Answer 5

D) Light pink

Question 6

A public health nurse has been asked to provide a health promotion session for men at a wellness center. What should the nurse inform the participants about testicular cancer?
A) It is most common among men over 55.
B) It is one of the least curable solid tumors.
C) It typically does not metastasize.
D) It is highly responsive to treatment.

Answer 6

D) It is highly responsive to treatment.

Question 7

A nurse is planning the postoperative care of a patient who is scheduled for radical prostatectomy. What intraoperative position will place the patient at particular risk for the development of deep vein thrombosis postoperatively?
A) Fowlers position
B) Prone position
C) Supine position
D) Lithotomy position

Answer 7

D) Lithotomy position

Question 8

A patient has just been diagnosed with prostate cancer and is scheduled for brachytherapy next week. The patient and his wife are unsure of having the procedure because their daughter is 3 months pregnant. What is the most appropriate teaching the nurse should provide to this family?
A) The patient should not be in contact with the baby after delivery.
B) The patients treatment poses no risk to his daughter or her infant.
C) The patients brachytherapy may be contraindicated for safety reasons.
D) The patient should avoid close contact with his daughter for 2 months.

Answer 8

D) The patient should avoid close contact with his daughter for 2 months.

Question 9

A patient has presented at the clinic with symptoms of benign prostatic hyperplasia. What diagnostic findings would suggest that this patient has chronic urinary retention?
A) Hypertension
B) Peripheral edema
C) Tachycardia and other dysrhythmias
D) Increased blood urea nitrogen (BUN)

Answer 9

D) Increased blood urea nitrogen (BUN)

Question 10

A 55-year-old man presents at the clinic complaining of erectile dysfunction. The patient has a history of diabetes. The physician orders tadalafil (Cialis) to be taken 1 hour before sexual intercourse. The nurse reviews the patients history prior to instructing the patient on the use of this medication. What disorder will contraindicate the use of tadalafil (Cialis)?
A) Cataracts
B) Retinopathy
C) Hypotension
D) Diabetic nephropathy

Answer 10

B) Retinopathy

Question 11

A nurse is teaching a 53-year-old man about prostate cancer. What information should the nurse provide to best facilitate the early identification of prostate cancer?
A) Have a digital rectal examination and prostate-specific antigen (PSA) test done yearly.
B) Have a transrectal ultrasound every 5 years.
C) Perform monthly testicular self-examinations, especially after age 60.
D) Have a complete blood count (CBC), blood urea nitrogen (BUN) and creatinine assessment performed annually.

Answer 11

A) Have a digital rectal examination and prostate-specific antigen (PSA) test done yearly.

Question 12

A public health nurse is teaching a health class for the male students at the local high school. The nurse is teaching the boys to perform monthly testicular self-examinations. What point would be appropriate to emphasize?
A) Testicular cancer is a highly curable type of cancer.
B) Testicular cancer is very difficult to diagnose.
C) Testicular cancer is the number one cause of cancer deaths in males.
D) Testicular cancer is more common in older men.

Answer 12

A) Testicular cancer is a highly curable type of cancer.

Question 13

A patient has just returned to the floor following a transurethral resection of the prostate. A triple-lumen indwelling urinary catheter has been inserted for continuous bladder irrigation. What, in addition to balloon inflation, are the functions of the three lumens?
A) Continuous inflow and outflow of irrigation solution
B) Intermittent inflow and continuous outflow of irrigation solution
C) Continuous inflow and intermittent outflow of irrigation solution
D) Intermittent flow of irrigation solution and prevention of hemorrhage

Answer 13

A) Continuous inflow and outflow of irrigation solution

Question 14

A nurse is assessing a patient who presented to the ED with priapism. The student nurse is aware that this condition is classified as a urologic emergency because of the potential for what?
A) Urinary tract infection
B) Chronic pain
C) Permanent vascular damage
D) Future erectile dysfunction

Answer 14

C) Permanent vascular damage

Question 15

A man comes to the clinic complaining that he is having difficulty obtaining an erection. When reviewing the patients history, what might the nurse note that contributes to erectile dysfunction?
A) The patient has been treated for a UTI twice in the past year.
B) The patient has a history of hypertension.
C) The patient is 66 years old.
D) The patient leads a sedentary lifestyle.

Answer 15

B) The patient has a history of hypertension.

Question 16

A 35-year-old man is seen in the clinic because he is experiencing recurring episodes of urinary frequency, dysuria, and fever. The nurse should recognize the possibility of what health problem?
A) Chronic bacterial prostatitis
B) Orchitis
C) Benign prostatic hyperplasia
D) Urolithiasis

Answer 16

A) Chronic bacterial prostatitis

Question 17

To decrease glandular cellular activity and prostate size, an 83-year-old patient has been prescribed finasteride (Proscar). When performing patient education with this patient, the nurse should be sure to tell the patient what?
a. Report the planned use of dietary supplements to the physician.
b. Decrease the intake of fluids to prevent urinary retention.
c. Abstain from sexual activity for 2 weeks following the initiation of treatment.
d. Anticipate a temporary worsening of urinary retention before symptoms subside.

Answer 17

a. Report the planned use of dietary supplements to the physician.

Question 18

A nurse is providing an educational event to a local mens group about prostate cancer. The nurse should cite an increased risk of prostate cancer in what ethnic group?

Native Americans
Caucasian Americans
African Americans
Asian Americans

Answer 18

African Americans

Question 19

A man tells the nurse that his father died of prostate cancer and he is concerned about his own risk of developing the disease, having heard that prostate cancer has a genetic link. What aspect of the pathophysiology of prostate cancer would underlie the nurses response?
A) A number of studies have identified an association of BRCA-2 mutation with an increased risk of prostate cancer.
B) HNPCC is a mutation of two genes that causes prostate cancer in men and it is autosomal dominant.
C) Studies have shown that the presence of the TP53 gene strongly influences the incidence of prostate cancer.
D) Recent research has demonstrated that prostate cancer is the result of lifestyle factors and that genetics are unrelated.

Answer 19

A) A number of studies have identified an association of BRCA-2 mutation with an increased risk of prostate cancer.

Question 20

A nurse is performing an admission assessment on a 40-year-old man who has been admitted for outpatient surgery on his right knee. While taking the patients family history, he states, My father died of prostate cancer at age 48. The nurse should instruct him on which of the following health promotion activities?

a. The patient will need PSA levels drawn starting at age 55.
b. The patient should have testing for presence of the CDH1 and STK11 genes.
c. The patient should have PSA levels drawn regularly.
d. The patient should limit alcohol use due to the risk of malignancy.

Answer 20

c. The patient should have PSA levels drawn regularly.

Question 21

A patient who is postoperative day 12 and recovering at home following a laparoscopic prostatectomy has reported that he is experiencing occasional dribbling of urine. How should the nurse best respond to this patients concern?

A) Inform the patient that urinary control is likely to return gradually.
B) Arrange for the patient to be assessed by his urologist.
C) Facilitate the insertion of an indwelling urinary catheter by the home care nurse.
D) Teach the patient to perform intermittent self-catheterization.

Answer 21

A) Inform the patient that urinary control is likely to return gradually.

Question 22

A nurse is caring for a 33-year-old male who has come to the clinic for a physical examination. He states that he has not had a routine physical in 5 years. During the examination, the physician finds that digital rectal examination (DRE) reveals stoney hardening in the posterior lobe of the prostate gland that is not mobile. The nurse recognizes that the observation typically indicates what?
a. A normal finding
b. A sign of early prostate cancer
c. Evidence of a more advanced lesion
d. Metastatic disease

Answer 22

c. Evidence of a more advanced lesion

Question 23

A patient has returned to the floor from the PACU after undergoing a suprapubic prostatectomy. The nurse notes significant urine leakage around the suprapubic tube. What is the nurses most appropriate action?
A) Cleanse the skin surrounding the suprapubic tube.
B) Inform the urologist of this finding.
C) Remove the suprapubic tube and apply a wet-to-dry dressing.
D) Administer antispasmodic drugs as ordered.

Answer 23

B) Inform the urologist of this finding.

Question 24

A nurse is providing care for a patient who has recently been admitted to the postsurgical unit from PACU following a transuretheral resection of the prostate. The nurse is aware of the nursing diagnosis of Risk for Imbalanced Fluid Volume. In order to assess for this risk, the nurse should prioritize what action?
A) Closely monitoring the input and output of the bladder irrigation system
B) Administering parenteral nutrition and fluids as ordered
C) Monitoring the patients level of consciousness and skin turgor
D) Scanning the patients bladder for retention every 2 hours

Answer 24

A) Closely monitoring the input and output of the bladder irrigation system

Question 25

A 22-year-old male is being discharged home after surgery for testicular cancer. The patient is scheduled to begin chemotherapy in 2 weeks. The patient tells the nurse that he doesnt think he can take weeks or months of chemotherapy, stating that he has researched the adverse effects online. What is the most appropriate nursing action for this patient at this time?
A) Provide empathy and encouragement in an effort to foster a positive outlook.
B) Tell the patient it is his decision whether to accept or reject chemotherapy.
C) Report the patients statement to members of his support system.
D) Refer the patient to social work.

Answer 25

A) Provide empathy and encouragement in an effort to foster a positive outlook.

Question 26

A patient has experienced occasional urinary incontinence in the weeks since his prostatectomy. In order to promote continence, the nurse should encourage which of the following?

A) Pelvic floor exercises
B) Intermittent urinary catheterization
C) Reduced physical activity
D) Active range of motion exercises

Answer 26

A) Pelvic floor exercises

Question 27

A patient has returned to the floor after undergoing a transurethral resection of the prostate (TURP). The patient has a continuous bladder irrigation system in place. The patient tells you he is experiencing bladder spasms and asks what you can do to relieve his discomfort. What is the most appropriate nursing action to relieve the discomfort of the patient?

A) Apply a cold compress to the pubic area.
B) Notify the urologist promptly.
C) Irrigate the catheter with 30 to 50 mL of normal saline as ordered.
D) Administer a smooth-muscle relaxant as ordered.

Answer 27

D) Administer a smooth-muscle relaxant as ordered.

Question 28

The nurse is leading a workshop on sexual health for men. The nurse should teach participants that organic causes of erectile dysfunction include what? Select all that apply.
A) Diabetes
B) Testosterone deficiency
C) Anxiety
D) Depression
E) Parkinsonism

Answer 28

A) Diabetes
B) Testosterone deficiency
E) Parkinsonism