Ch. 26 Male Genitalia and Rectum (PrepU)

Which client should a nurse recognize has the highest risk to develop prostate cancer? a) 65-year-old Caucasian male whose father had prostate cancer at age 55 b) 60-year-old male who works in a tire and rubber manufacturing plant c) 70-year-old Asian male who is not circumcised and eat a low fat diet d) 35-year-old African American male with a diet high in fat

a) 65-year-old Caucasian male whose father had prostate cancer at age 55

Where is the corona of the penis found? a) At the base of the glans b) At the root of the penis c) At the tip of the glans d) At the root of the corpus spongiosum

a) At the base of the glans

The nurse is palpating the prostate of a 55-year-old client and finds it to be enlarged, smooth, firm, and slightly elastic, without a median sulcus. Which condition should the nurse most suspect? a) Benign prostatic hypertrophy b) Hydrocele c) Prostate cancer d) Acute prostatitis

a) Benign prostatic hypertrophy

A nurse examining a client's external genitalia notices that his scrotum and testes draw up and he shivers. This phenomenon is known as which of the following? a) Cremasteric reflex b) Rooting reflex c) Vasovagal reflex d) Patellar reflex

a) Cremasteric reflex

An adolescent present at the free clinic with a collection of fluid in the tunica vaginalis of the testes. The nurse knows that the term that defines this condition is what? a) Hydrocele b) Prostatism c) Orchitis d) Cryptorchidism

a) Hydrocele

The nurse educates the client that what condition may be associated with a varicocele? a) Infertility b) Klinefelter's syndrome c) Ischemia d) Circulatory obstruction

a) Infertility

A teenage male client comes to the ED with severe left testicular pain and vomiting. Elevation of his left testicle does not lessen the pain. What could these symptoms indicate for this patient? a) Left testicular torsion b) Epididymitis c) Testicular cancer d) Hydrocele

a) Left testicular torsion

When assessing a client during the physical examination of the genitalia, the nurse palpates the scrotal contents. Which finding should the nurse recognize as an indication that a varicocele is present? a) Palpable and tortuous veins b) Left testicle is slightly lower than the right c) Beaded or thickened cord d) Smooth, nontender cord

a) Palpable and tortuous veins

On inspecting a client's external genitalia, a nurse notes that he is uncircumcised. This means that which of the following covers the glans of the penis? a) Prepuce b) Corpus cavernosa c) Urethral meatus d) Corpus spongiosum

a) Prepuce

A patient presents at the clinic with severe scrotal pain. What is the presumptive diagnosis? a) Testicular torsion b) Hydrocele c) Priapism d) Varicocele

a) Testicular torsion

An uncircumcised male client has just come to the recovery room following a 4-hour back surgery. Before surgery a urinary catheter was placed. During the postoperative assessment, the recovery nurse discovers that the client has developed paraphimosis. What might have happened to the client to cause this? a) The foreskin was not pulled back over the head of the penis after catheter placement b) The client is having an anatomical reaction to being face down on a pillow for 4 hours c) The client is having a reaction to an anesthesia agent he received during surgery d) The catheter was too taut for too long and has damaged the urethra

a) The foreskin was not pulled back over the head of the penis after catheter placement

Induration along the ventral surface of the penis suggests which of the following? a) Urethral stricture b) Peyronie's disease c) Testicular carcinoma d) Epidermoid cysts

a) Urethral stricture

The prostate gland consists of two lobes separated by the a) median sulcus. b) valves of Houston. c) rectovesical pouch. d) anorectal junction.

a) median sulcus.

On palpating a client's scrotum and testes, the nurse notes that the testes appear to be of normal shape and size. Which of the following would indicate a normal length for testes? a) 1.5 cm b) 4.5 cm c) 3 cm d) 6 cm

b) 4.5 cm Testes are ovoid, approximately 3.5 to 5 cm long, 2.5 cm wide, and 2.5 cm deep, and equal bilaterally in size and shape.

Which of the following is inconsistent with a digital rectal examination? a) Enables examiner to assess size, shape, and consistency of prostate gland b) Can reveal a hydrocele c) Recommended for men greater than 40 years of age d) Assists in screening for cancer of prostate gland

b) Can reveal a hydrocele

A 68-year-old man comes to the clinic reporting that he is having difficulty obtaining an erection. When reviewing the patient's history what might the nurse note that contributes to impotence? a) Use of multivitamins b) History of hypertension c) Lack of exercise d) Past history of infection

b) History of hypertension

A 68-year-old man comes to the clinic reporting that he is having difficulty obtaining an erection. When reviewing the patient's history what might the nurse note that contributes to impotence? a) Use of multivitamins b) History of hypertension c) Past history of infection d) Lack of exercise

b) History of hypertension

Upon observation, the nurse documents that a male child's urethral meatus is located on the underside of his penis. What is the term for this structural abnormality? a) Cryptorchidism b) Hypospadias c) Epispadias d) Phimosis

b) Hypospadias

Upon inspection and palpation of the scrotum, the nurse discovers a mass. The nurse asks the client to lie down, and the bulge disappears. The nurse should document this finding as which type of hernia? a) Strangulated b) Scrotal c) Incarcerated d) Femoral

b) Scrotal

The nurse is providing a sex education informational session for a group of male clients. Which information should the nurse include? a) Hepatitis A can be prevented by condom use. b) The hepatitis A vaccine is recommended for men who have sex with men. c) Hepatitis B vaccine is recommended only for males in the healthcare profession. d) Males under age 30 should be immunized against Hepatitis C.

b) The hepatitis A vaccine is recommended for men who have sex with men.

A tender painful swelling of the scrotum should suggest which of the following? a) Acute epididymitis b) Strangulated inguinal hernia c) Any of the above d) Torsion of the spermatic cord

c) Any of the above

When palpating the rectal mucosa, how does the nurse rotate the examining hand? a) Counterclockwise, then clockwise b) Anteriorly, then posteriorly c) Clockwise, then counterclockwise d) From the nurse's left, then to the right

c) Clockwise, then counterclockwise

Which of the following recommendations would a nurse advocate during infancy and childhood to help reduce potential adult complications such as orchitis? a) Encourage the consumption of foods that are rich in fat and starch. b) Urge the limited intake of foods and fluids containing caffeine. c) Ensure immunizations against infectious diseases such as mumps. d) Engage in activities and exercises that minimize heavy lifting.

c) Ensure immunizations against infectious diseases such as mumps.

Upon inspection and palpation of the front of the client's thigh, the nurse discovers a bulge that appears when the client coughs. The nurse should document this finding as which type of hernia? a) Scrotal b) Incarcerated c) Femoral d) Strangulated

c) Femoral

A male client tells the nurse that he has received a diagnosis of hernia. He visits the clinic because he is nauseated and has extreme tenderness on the left side. The nurse should a) try to push the mass into the abdomen. b) assess for a mass on the right side. c) refer the client to an emergency room. d) assess the client's vital signs.

c) refer the client to an emergency room.

Which of the following male clients is most in need of immediate medical treatment? a) A 70-year-old retiree whose intestines are palpable in his scrotum b) A 30-year-old who presents with palpable nodules in his left testis c) A 22-year-old student who has presented with a cluster of painful lesions on the shaft of his penis d) A 15-year-old boy who has been brought in by his mother for assessment of his severely painful testes that are retracted upward

d) A 15-year-old boy who has been brought in by his mother for assessment of his severely painful testes that are retracted upward

How should a nurse proceed with palpation of the anus to best facilitate the exam without causing the client undo discomfort? a) Use gentle but firm force to push past the sphincter into the anal canal b) Spread the gluteal folds with the hands and attempt to visualize the anal opening c) Use the fingertips of one hand because they are the smallest part of the finger d) Ask the client to bear down and place the lubricated finger on the anal opening

d) Ask the client to bear down and place the lubricated finger on the anal opening

During a prostate examination, the prostate is noted to have a rubbery or boggy glandular consistency. The nurse recognizes that this is what? a) Chronic fibrosis b) Prostatic calculi c) Prostate cancer d) BPH

d) BPH

A 72-year-old male presents at a local clinic and states: "I have to urinate all the time, and I never feel like my bladder is emptied. It really bothers me at night." What condition might the nurse suspect related to this chief complaint? a) Epididymitis b) Orchitis c) Chronic bacterial prostatitis (CBP) d) Benign prostatic hyperplasia (BPH)

d) Benign prostatic hyperplasia (BPH)

The nurse is providing an educational event at the local PTO on prostate cancer. A 53-year-old male attendee asks about the prevention and detection of prostate cancer. What information should the nurse provide to this patient that would assist in the early identification of prostate cancer? a) Have a complete blood count (CBC) yearly (including blood urea nitrogen [BUN] and creatinine assessment) b) Perform monthly testicular self-examinations, especially after age 50. c) Have a transrectal ultrasound every 5 years. d) Have a digital rectal examination and prostate-specific antigen (PSA) test done yearly.

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

An adult male client comes to the clinic complaining of awakening at night to void and voiding more than once in a 2-hour time period. The client has a history of bladder irritation. What would be an appropriate nursing diagnosis for this client? a) Risk for infection b) Urinary retention c) Ineffective sexuality pattern d) Risk for urge incontinence

d) Risk for urge incontinence

The testes in the male scrotum are a) the location of the vas deferens. b) able to produce progesterone. c) joined with the ejaculatory duct. d) suspended by the spermatic cord.

d) suspended by the spermatic cord.