Deck 11: Assessing the Male Genitourinary System

Question 1

Which is the recommended procedure for palpating the testicle?

A) Use the first two fingers of each hand to palpate firmly.
B) Gently palpate using the fingers of both hands.
C) Palpate firmly using the palmar surface of one hand.
D) Gently palpate using the thumb and first two fingers of one hand.

Answer 1

Gently palpate using the thumb and first two fingers of one hand.

Question 2

Which is not a warning sign of a sexually transmitted infection (STI)?

A) Penile discharge
B) Penile lesion
C) Testicular mass
D) Dysuria

Answer 2

Testicular mass

Question 3

Structures that are assessed when palpating both sides of the scrotum include the testicle and which other structures?

A) Prostate gland and seminal vesicles
B) Vas deferens and penis
C) Epididymis and spermatic cord
D) All of the above

Answer 3

Epididymis and spermatic cord

Question 4

Which is not considered a risk factor for male patients in terms of contracting a sexually transmitted infection (STI)?

A) Multiple sexual partners
B) Smoking
C) Intravenous (IV) drug use
D) Unprotected sex

Question 5

A young adult patient presents with complaints of a penile discharge and dysuria for 3 days. Which is the most likely cause of the patient's clinical manifestations?

A) Sexually transmitted infection
B) Orchitis
C) Spermatocele
D) All of the above

Question 6

Spermatogenesis occurs for the male patient until which age?

A) 50 years
B) 60 years
C) 70 years
D) 80 years

Question 7

The nurse is examining an adult patient who complains of left inguinal pain. Bowel sounds are auscultated in the scrotum, and the nurse palpates a bulge at the external inguinal ring when the patient coughs. Based on this data, which diagnosis does the nurse suspect?

A) Hydrocele
B) Spermatocele
C) Rectocele
D) Hernia

Question 8

Which assessment findings are indicative of testicular cancer?

A) Hard, fixed, palpable nodule on the testicle
B) Indurated, swollen, and tender testicle
C) Soft, movable mass on the testicle
D) Small testicle with scrotal edema

Question 9

The nurse is assessing the patient for an inguinal hernia. To palpate for a hernia at the external inguinal ring, the nurse inserts the right index finger into which location?

A) Rectum
B) Femoral area
C) Scrotal sac above the testicles
D) None of the above

Question 10

The nurse is conducting a male genitourinary assessment. Which hormone often decreases after the age of 50 years?

A) Testosterone
B) Progesterone
C) Growth-stimulating hormone
D) Luteinizing hormone

Question 11

The nurse is assessing the genitourinary system for a premature infant. Which is an expected finding?

A) Descended testes
B) Scrotal edema
C) Ecchymosis
D) Few rugae

Question 12

Which cultural group practices circumcision of the penis as part of their religious value system?

A) Hispanics
B) Muslims
C) Greeks
D) Native Americans

Question 13

What is a potential complication for an adult male who develops mumps?

A) Epididymitis
B) Prostatitis
C) Orchitis
D) Hydrocele

Question 14

Which is the term used to describe a soft, nontender, and enlarged prostate gland?

A) Prostatectomy
B) Prostatitis
C) Prostate cancer
D) Benign prostatic hyperplasia (BPH)

Question 15

The nurse is preparing to conduct a male genitourinary assessment. Which approach is least likely to be used during this process?

A) Percussion
B) Palpation
C) Inspection
D) Auscultation

Question 16

Which is not a function of the male reproductive system?

A) Manufacturing and protecting sperm for fertilization
B) Providing sexual pleasure
C) Transporting sperm to the vagina
D) Growth and development

Question 17

The nurse is preparing to conduct an assessment of the male genitourinary system. Which position should the nurse ask the patient to assume?

A) Prone
B) Supine
C) Standing
D) Sitting

Question 18

Which is a primary function of the male genitourinary system?

A) Protecting the ova
B) Regulating estrogen production
C) Secreting insulin
D) Manufacturing sperm

Question 19

The nurse teaches the patient how to perform testicular self-exam (TSE). Which response by the patient would indicate that further teaching is indicated?

A) "I should perform the exam once a year."
B) "I should perform the exam after a warm shower when both hands and the scrotum are warm."
C) "It is necessary to report any lumps or nodules."
D) "It is necessary to check for penile discharge at the time of self-exam."

Question 20

At a 2-month well-child visit, it is discovered that the infant's testicles are still not descended. This can lead to what problem in adulthood?

A) Prostatitis
B) Hydrocele
C) Testicular cancer
D) Testicular torsion

Question 21

Which is a clinical manifestation associated with neurosyphilis?

A) Systemic rash
B) Vesicles
C) Penile discharge
D) Psychosis

Question 22

The nurse is conducting a health history for a patient who presents with erectile dysfunction. Which question is most appropriate?

A) "Do you have sex with men, women, or both?"
B) "Which types of sexual activity do you participate in?"
C) "Do you have more than one partner?"
D) "Have you maintained an interest in sex?"

Question 23

The nurse is conducting a male genitourinary assessment. Which clinical manifestation is often associated with hyperthyroidism?

A) Decreased libido
B) Infertility
C) Gynecomastia
D) Increased production of sperm

Question 24

The nurse is using Tanner staging to track the sexual maturation of a male patient. The nurse documents that the patient has no pubic hair except for fine body hair similar to that on the abdomen. Which Tanner stage supports this nurse's documentation?

A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4

Question 25

The nurse is assessing a patient who presents in the emergency department (ED) with priapism. Which medication in the patient's history may be responsible for the current finding?

A) Tricyclic antidepressants
B) Selective serotonin reuptake inhibitors
C) Prazosin
D) Chlorothiazide

Question 26

The nurse is conducting a health history interview while assessing a male patient who presents with genitourinary symptoms. Which assessment question is most appropriate?

A) "Have you noticed any unusual discharge from your penis?"
B) "Do you have blood in your urine?"
C) "What color is your penile discharge?"
D) "Is there any odor to the discharge?"

Question 27

The nurse is assessing the inguinal area on a male patient and notes a bulge. Which conclusions by the nurse are appropriate? Select all that apply.

A) The patient may have a hernia.
B) The patient may have a hydrocele.
C) The patient may have an enlarged lymph node.
D) The patient may be impotent.
E) The patient may be infertile.

Question 28

The nurse is assessing a pediatric patient who is diagnosed with a hydrocele. Which statement to the patient's parents is most appropriate?

A) "Your child is at an increased risk for testicular cancer."
B) "This is a common finding in boys younger than 2 years of age."
C) "Your child may be infertile as a result of this diagnosis."
D) "This is an abnormal finding and will require a biopsy."

Question 29

The student nurse researches the rates of circumcision before giving a presentation. Which country has the highest rate of circumcision?

A) Canada
B) England
C) Sweden
D) United States

Question 30

The nurse is conducting an assessment on a patient who is diagnosed with orchitis. Which clinical manifestations does the nurse anticipate? Select all that apply.

A) Purulent discharge
B) Edema
C) Mucus shreds
D) Pain
E) Vesicles

Question 31

The nurse educator is teaching a group of students about circumcision. Which statement by the nurse educator is most appropriate?

A) "Circumcision is conducted based on medical necessity."
B) "It is no longer socially acceptable to circumcise a male infant."
C) "Female circumcision is becoming a common practice in the United States."
D) "The decision to circumcise is culturally based."

Question 32

The nurse is conducting a sexual history interview. Which assessment question is appropriate?

A) "Have you ever had a kidney stone?"
B) "Have you had any changes in your voiding pattern?"
C) "How many times do you wake up during the night to void?"
D) "Are you using condoms?"

Question 33

The nurse is assessing the patient's scrotum. Which are normal assessment findings? Select all that apply.

A) Darker skin color than rest of the body
B) Swelling
C) Left testicle slightly lower than right testicle
D) Erythema
E) Hydrocele

Question 34

The nurse is preparing to conduct a genitourinary physical assessment for a male patient. Which will the nurse use during the assessment process? Select all that apply.

A) Stethoscope
B) Sterile gloves
C) Water-soluble lubricant
D) Speculum
E) Otoscope

Question 35

The nurse is conducting a genitourinary assessment for an older adult male patient. Which is an expected finding based on the patient's age?

A) Thick pubic hair on the external genitalia
B) Larger and harder testicles
C) Atrophy of the penis
D) Elastic scrotal sac

Question 36

The nurse is using transillumination during a scrotal assessment. Which conditions will produce a red glow? Select all that apply.

A) Orchitis
B) Atrophic testicle
C) Hydrocele
D) Spermatocele
E) Hernia

Question 37

When conducting a physical examination, the nurse notes that the patient has a systemic rash. Which sexually transmitted infection may be the cause for this clinical manifestation?

A) Herpes simplex virus
B) Gonorrhea
C) Secondary syphilis
D) Chlamydia