PrepU - Chapter 26: Assessing Male Genitalia and Rectum

A nurse is palpating the prostate of a client and finds it to be swollen, tender, firm, and warm to the touch. Which condition should the nurse most suspect? A. Acute prostatitis B. Hydrocele C. Benign prostatic hypertrophy D. Prostate cancer

A. Acute prostatitis

Which of the following would the nurse expect to be done to assess the size of the prostate? A. Digital rectal examination B. Transillumination C. Pelvic examination D. Bladder percussion

A. Digital rectal examination

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. Hydrocele D. Testicular cancer

A. Left testicular torsion

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

B. 65-year-old Caucasian male whose father had prostate cancer at age 55

A 25-year-old client asks the nurse how often he should have a testicular examination. After instructing the client about the American Cancer Society's guidelines, the nurse determines that the client has understood the instructions when he says he should have a testicular examination every A. year. B. 2 years. C. 3 years. D. 4 years.

C. 3 years.

Which of the following groups has the highest incidence of prostate cancer? A. Caucasian men B. Native American men C. African American men D. Asian American men

C. African American men

You are giving an educational event to a local men's group about prostate cancer. What group should you be sure to tell the attendees of this event should receive information regarding the predisposition of prostate cancer? A. Native Americans B. Euro-Americans C. African Americans D. Asian Americans

C. African Americans

The prostate gland consists of two lobes separated by the A. median sulcus. B. rectovesical pouch. C. anorectal junction. D. valves of Houston.

A. median sulcus.

The nurse prepares material to teach a group of adolescent male students on testicular self-examination. What should the nurse include in this teaching? Select all that apply. - Stand in front of a mirror - Perform the examination one a month - Complete the examination after a warm bath or shower - Apply lotion to the hands before beginning the examination - Use the thumb, and index and middle finger for the examination

- Stand in front of a mirror - Perform the examination one a month - Complete the examination after a warm bath or shower - Use the thumb, and index and middle finger for the examination

Upon inspection and palpation of the scrotum, the nurse discovers a mass. The nurse asks the client to lie down, and the bulge remains. On auscultation, the nurse finds bowel sounds. The nurse should document this finding as which type of hernia? A. Scrotal B. Incarcerated C. Strangulated D. Femoral

A. Scrotal

A patient presents at the clinic with severe scrotal pain. What is the presumptive diagnosis? A. Testicular torsion B. Priapism C. Hydrocele 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 a reaction to an anesthesia agent he received during surgery C. The client is having an anatomical reaction to being face down on a pillow for 4 hours 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

An adult male client comes to the clinic for his annual physical examination. During the nursing assessment, the nurse asks, "Do you have any current or chronic illnesses such as diabetes, hypertension, respiratory problems, or cardiovascular disease?" Why does the nurse ask this question? A. To assess risk for erectile dysfunction B. To refer the patient to a pulmonologist C. To assess risk for limited range of motion D. To determine the need for involvement from an internist

A. To assess risk for erectile dysfunction

A 23 year old male comes to the clinic complaining of sudden and severe pain in his scrotum. The nurse would suspect what? A. Torsion of the spermatic cord B. Spermatocele C. Orchitis D. Varicocele

A. Torsion of the spermatic cord

While reviewing the medical record before examining a male clinic patient, the nurse notes that the urinary meatus is located on the top of the glans of the penis. The nurse understands the correct term for this congenital defect is A. epispadias B. hypospadias C. hydrocele D. varicocele

A. epispadias

What information should nurse include in the teaching plan for a client considering a vasectomy? A. offers permanent birth control B. increases the amount of ejaculate C. protects from sexually transmitted infection D. May causes urinary incontinence

A. offers permanent birth control

A nurse observes that the mucosa of the rectum and the rectal wall of a female client protrudes out through the anal opening. It appears as a red, doughnut-like mass with radiating folds. How should the nurse document this condition of the rectum? A. prolapse B. Rectal polyps C. shelf D. cancer

A. prolapse

Which client would the nurse identify as being at highest risk for the development of testicular cancer? A. A 45-year-old white man with a history of hypertension. B. A 25-year-old man with a history of cryptorchidism. C. A 39-year-old African-American man who is HIV-negative. D. A 75-year-old white man with erectile dysfunction.

B. A 25-year-old man with a history of cryptorchidism.

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 an infection or cysts are present? A. Palpable and tortuous veins B. Beaded or thickened cord C. Smooth, nontender cord D. Left testicle is slightly lower than the right

B. Beaded or thickened cord

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. Chronic bacterial prostatitis (CBP) B. Benign prostatic hyperplasia (BPH) C. Orchitis D. Epididymitis

B. Benign prostatic hyperplasia (BPH)

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. Cryptorchidism B. Orchitis C. Hydrocele D. Prostatism

C. Hydrocele

During the physical examination of a male client's genitalia, the nurse observes that the urinary meatus is displaced to the ventral surface of the penis. How should the nurse document this condition? A. Paraphimosis B. Epispadias C. Hypospadias D. Phimosis

C. Hypospadias

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. What is this condition called? A. Bowen's disease B. Peyronie's disease C. Phimosis D. Priapism

C. Phimosis

The nurse has assessed a male client and determines that one of the testes is absent. The nurse should explain to the client that this condition is termed A. hypospadias. B. hematocele. C. cryptorchidism. D. orchitis.

C. cryptorchidism.

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

D. Can reveal a hydrocele

Which of the following statements is true of prostate cancer? A. Survival rates are low. B. It is one of the less common forms of cancer. C. Family history does not appear to be a risk factor. D. Ethnicity is a risk factor.

D. Ethnicity is a risk factor.

A nurse examines the anal area of a client and observes the presence of a varicose vein. How should the nurse document this finding? A. Perianal abscess B. Anal fissure C. Anorectal fistula D. External hemorrhoid

D. External hemorrhoid

Which of the following should nurses teach all men, especially those who have had cryptorchidism? A. Need for blood tests to measure serum acid phosphate levels. B. Importance of regular monitoring of prostate-specific antigen (PSA) levels. C. Need to undergo a baseline and follow up lymph node biopsies. D. How to perform a testicular self-examination.

D. How to perform a testicular self-examination.

A nurse recognizes that which finding is normal upon palpation of the prostate? A. Swollen and tender B. Enlarged, smooth, firm, slightly elastic C. Hard, fixed, irregular nodules D. Nontender and rubbery

D. Nontender and rubbery

During the physical examination of the genitalia for an uncircumcised client, the nurse asks the client to retract the foreskin of the penis. The nurse observes that the foreskin is tight and cannot be retracted. How should the nurse document this condition? A. Paraphimosis B. Epispadias C. Hypospadias D. Phimosis

D. Phimosis

On palpation of a client's prostate, a nurse detects hard, fixed, and irregular nodules on the prostate. Which condition should the nurse most suspect in this client? A. Acute prostatitis B. Benign prostatic hypertrophy C. Hydrocele D. Prostate cancer

D. Prostate cancer

The rectum is lined with folds of mucosa, and each fold contains a network of arteries, veins, and visceral nerves. When these veins undergo chronic pressure, the result may be A. polyps. B. tumors. C. fissures. D. hemorrhoids.

D. hemorrhoids.

A male client is being prepared for an examination of the anus, rectum, and prostate. In which position will the nurse most likely place the client?

Sim's Position

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. Acute prostatitis B. Benign prostatic hypertrophy C. Hydrocele D. Prostate cancer

B. Benign prostatic hypertrophy

A nurse examines the external genitalia of a client and observes that the scrotum is underdeveloped and the testis cannot be palpated. How should the nurse document this condition? A. Orchitis B. Cryptorchidism C. Epididymitis D. Hydrocele

B. Cryptorchidism

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. Past history of infection B. History of hypertension C. Use of multivitamins D. Lack of exercise

B. History of hypertension

When performing the physical assessment of a client, the nurse notes the presence of a small cyst that contains hair, which is located midline in the sacrococcygeal area and has a palpable sinus tract. How should the nurse document this finding? A. External hemorrhoid B. Pilonidal cyst C. Anal fissure D. Perianal abscess

B. Pilonidal cyst

A client comes to the Emergency Department complaining of sudden sharp testicular pain. Further examination reveals torsion of the spermatic cord. Which of the following would the nurse expect to do next? A. Apply scrotal support. B. Prepare the client for surgery. C. Apply a dressing over the scrotum. D. Prepare the client for circumcision.

B. Prepare the client for surgery.

The nurse suspects that a male client may have a hernia. The nurse should further assess the client for A. bruising at the site. B. urinary tract infection. C. cysts at the spermatic cord. D. bowel sounds at the bulge.

D. bowel sounds at the bulge.

During assessment of an adult client, which of the following lifestyle practices would indicate to the nurse that the client may be at high risk for HIV/AIDS? A client who A. uses a condom on a regular basis. B. has multiple female partners. C. smokes marijuana occasionally. D. has anal intercourse with other males.

D. has anal intercourse with other males.