Male Genitourinary System
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.
A
The nurse is inspecting the scrotum and testes of a 43-year-old man. Which finding would require additional follow-up and evaluation?a.Skin on the scrotum is taut.b.Left testicle hangs lower than the right testicle.c.Scrotal skin has yellowish 1-cm nodules that are firm and nontender.d.Testes move closer to the body in response to cold temperatures.
A
Which of these statements is most appropriate when the nurse is obtaining a genitourinary history from an older 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?
A
A 55-year-old man is in the clinic for a yearly checkup. He is worried because his father died of prostate cancer. The nurse knows which tests should be performed at this time? Select all that apply. a. Blood test for prostate-specific antigen (PSA) b. Urinalysis c. Transrectal ultrasound d. Digital rectal examination (DRE) e. Prostate biopsy
A,D
The external male genital structures include the:a. Testis.b. Scrotum.c. Epididymis.d. Vas deferens.
B
The nurse is describing how to perform a testicular self-examination to a patient. Which statement 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 examination at least once a week to detect the early stages of testicular cancer.
B
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 an inflammation of the epididymis.
B
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 finding as normal, and proceed with theexamination.c. Assess the testicles for the presence of masses or painlesslumps.d. Obtain a more detailed history, focusing on any scrotalabnormalities the patient has noticed.
B
When performing a scrotal assessment, the nurse notices that the scrotal contents show a red glow with transillumination. 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 finding normal, and proceed with the examination.d.Refer the patient for evaluation of a mass in the scrotum.
B
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.
C
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.
C
During an examination of an aging man, 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.
C
When the nurse is performing a testicular examination on a 25-year-old man, which finding is considered normal?a.Nontender subcutaneous plaquesb.Scrotal area that is dry, scaly, and nodularc.Testes that feel oval and movable and are slightly sensitive to compressiond.Single, hard, circumscribed, movable mass, less than 1 cm under the surface of the testes
C
A 62-year-old man states that his physician 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.
D
An accessory glandular structure for the male genital organs is the:a. Testis.b. Scrotum.c. Prostate.d. Vas deferens.
D
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
D
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 dont masturbate, do you?c.Have you had sex in the last 6 months?d.Often adolescents your age have questions about sexual activity.
D
When the nurse is performing a genital examination on a male patient, which action is correct? a. Auscultating for the presence of a bruit over the scrotum b. Palpating for the vertical chain of lymph nodes along the groin, inferior to the inguinal ligament c. Palpating the inguinal canal only if a bulge is present in the inguinal region during inspection d. Having the patient shift his weight onto the left (unexamined) leg when palpating for a hernia on the right side
D