Deck 48: Disorders of the Male Reproductive System

Question 1

Which findings would the nurse expect in a patient diagnosed with chronic prostatitis?

A) Fever, chills, and dysuria
B) Chronic symptoms of prostatitis, recurrent urinary tract infection, epididymitis
C) Chronic pelvic pain, painful ejaculation, blood-tinged urine, and scrotal pain
D) Inflamed prostate, but no genitourinary tract symptoms

Answer 1

Chronic pelvic pain, painful ejaculation, blood-tinged urine, and scrotal pain

Question 2

When looking at the medical record of a patient with prostatitis, the nurse would expect the digital rectal examination to reveal:

A) a hard, enlarged nontender prostate.
B) a firm prostate with nodules.
C) an enlarged, boggy, tender prostate.
D) a firm prostate protruding into rectum.

Answer 2

an enlarged, boggy, tender prostate.

Question 3

Which statement by a patient indicates that he needs more teaching about prostate-specific antigen (PSA) levels?

A) "Infection can increase my PSA level."
B) "PSA levels can't distinguish between cancer and benign prostatic hyperplasia."
C) "An elevated PSA would be an indication for further testing."
D) "An elevated PSA level means I have prostate cancer."

Answer 3

"An elevated PSA level means I have prostate cancer."

Question 4

When assessing a patient with benign prostatic hyperplasia, which would the nurse consider a late finding?

A) Difficulty starting a flow of urine
B) A weak stream of urine
C) Nocturia
D) Urinary incontinence

Question 5

Which of the follow statements made by a patient with benign prostatic hyperplasia indicates that he needs more instruction about active surveillance treatment?

A) "I need to get a digital rectal exam every year."
B) "I should not take tranquilizers."
C) "I should drink plenty of fluids in the evening."
D) "I should avoid over-the-counter decongestants."

Question 6

Which instruction should the nurse give the patient with benign prostatic hyperplasia being treated with an alpha blocker?

A) "This drug works by relaxing the smooth muscles of the prostate."
B) "Symptoms should start to improve in 48 to 72 hours."
C) "Notify the doctor if you experience a slow heart rate."
D) "This drug may make you hyperaroused or excitable."

Question 7

When conducting a community program about prostate cancer screening, which of the following digital rectal examination (DRE) screening schedules does the nurse recommend?

A) All men should have an annual DRE by age 60.
B) African American men should begin annual DRE screening at age 45.
C) Men with a first-degree relative with prostate cancer should start DRE screening at age 50.
D) Men with more than one first-degree relative with prostate cancer should begin DRE screening at age 45.

Question 8

Which information does the nurse give the patient when he asks what his grade 1 score on his prostate biopsy using the Gleason Scoring System means?

A) The tissue sample was poorly differentiated cancer, with a good prognosis.
B) The tissue sample was well differentiated, with a poor chance of cure.
C) The tissue sample was well differentiated, with a good chance of cure.
D) The tissue sample was poorly differentiated cancer, with a poor prognosis.

Question 9

Which information should the nurse give to parents who are concerned about the newborn's hydrocele?

A) "Your baby will need surgery to correct this before his first birthday."
B) "Typically, no treatment is needed as the fluid goes away on its own within the first year of life."
C) "Keep the testicles elevated when the baby is lying down."
D) "Scrotal massage can help to hasten the fluid resorption."

Question 10

Which of the following findings would the nurse anticipate prompted a patient with epididymitis to seek care?

A) Burning on urination
B) Fever, nausea, and vomiting
C) Pain and swelling for several days
D) Foul-smelling urine

Question 11

Which is a priority intervention if the nurse suspects testicular torsion in a male patient?

A) Instruct the patient to wear an athletic strap to support the scrotum.
B) Apply cold packs to the scrotum.
C) Notify the physician immediately.
D) Place the patient in a supine position with the legs elevated.

Question 12

When performing health screenings on a college campus, which factor should the university health nurse keep in mind as increasing the risk of testicular cancer in men?

A) History of measles
B) African American race
C) Family history of prostate cancer
D) Cryptorchidism

Question 13

Which tumor markers would the nurse anticipate being tested in a 22-year-old man with a testicular mass?

A) Alpha-fetoprotein, human chorionic gonadotropin, lactate dehydrogenase
B) BRCA1, BRCA2, alpha-fetoprotein
C) CA-125, human chorionic gonadotropin, lactate dehydrogenase
D) Carcinoembryonic antigen, immunoglobulins, alpha-fetoprotein

Question 14

Which statement by a parent of a newborn with hypospadias indicates an understanding of instructions given by the nurse?

A) "Circumcision should not be done now."
B) "We will have the baby circumcised before we leave the hospital."
C) "The condition will be surgically repaired before we leave the hospital."
D) "The condition will be repaired at 3 months of age."

Question 15

Which of the following is a priority action when the nurse observes paraphimosis in an elderly man?

A) Place the patient on bedrest and assess in two hours.
B) Administer an analgesic for pain.
C) Notify the physician immediately.
D) Teach the patient how to care for his foreskin.

Question 16

Which finding is the patient with Peyronie disease most likely to report?

A) Inability to retract foreskin of penis
B) A painful, bent erection
C) Urinary meatus on the underside of the penis
D) Inability to attain an erection

Question 17

Which concept should the nurse keep in mind when preparing a care plan for a patient with prostate cancer?

A) Prostate cancer is a fast-growing cancer.
B) Prostate cancer occurs predominantly in middle-age men.
C) Men with localized prostate cancer often die of other causes.
D) Prostate cancer is easy to diagnose early.

Question 18

Which information should the nurse include in the teaching plan for a male patient with varicocele?

A) Varicocele is an enlarged varicose vein in the leg.
B) This condition can cause low sperm production.
C) Sperm quality is not affected.
D) Varicoceles are painful.

Question 19

What instruction should the nurse give to a patient who has been cured of testicular cancer?

A) "You no longer need to do testicular self-exam of the remaining testicle."
B) "You should continue to do testicular self-exam of the remaining testicle."
C) "Your risk of breast cancer is increased."
D) "Your risk of prostate cancer is increased."

Question 20

When teaching a community health program about benign prostatic hyperplasia (BPH), which information should the nurse include?

A) Half of all men experience BPH by age 50.
B) African American men develop BPH symptoms earlier than Caucasian men.
C) Asian men develop symptoms of BPH earlier than Caucasian men.
D) Latino men develop BPH symptoms later than Caucasian men.