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There are two types of vulvar cancer. One type is found in older women, and one type is found in younger women, generally less than 40 years of age. The type found in younger women is thought to be caused by: Nonsquamous cell lesions Lichen sclerotic lesions Human papillomavirus (HPV) Multiple sexual partners

Human papillomavirus (HPV)

Which factor in a client's history is most likely related to the diagnosis of cervical squamous dysplasia? Endometriosis Infertility Human papillomavirus (HPV) infection Bartholin cysts

Human papillomavirus (HPV) infection

The mother of a 5-year-old boy brings him into the clinic because there is a firm feeling and swelling around one of his testes. What would the suspected diagnosis be? Priapism Hydrocele Peyronie disease Cryptorchidism

Hydrocele

The nurse knows that which structures are a part of the male reproductive system? Select all that apply. Urinary bladder Seminiferous tubules Prostate gland Pair of kidneys Pair of gonads

Pair of gonads Seminiferous tubules Prostate gland

The nursing instructor is teaching the class about the male hormone testosterone. Which statement made by a student indicates a need for further instruction? Testosterone is essential for the appropriate differentiation of the internal and external genitalia. Testosterone does not affect development of increased musculature during puberty. Testosterone is necessary for the descent of the testes in the fetus. Testosterone is secreted by the testes.

Testosterone does not affect development of increased musculature during puberty.

A client is concerned about having mumps orchitis and asks the nurse about the symptoms. What is the nurse's best response? Purplish or red-colored scrotum after an abdominal procedure Painful enlargement of the testes with fever 3 days after infection Painful urination with the presence of urethral discharge Abnormal increase in sexual drive

Painful enlargement of the testes with fever 3 days after infection

A female client with a strong family history of cardiovascular disease asks the nurse if she should take estrogen replacement while in menopause. What is the nurse's best response? "If you don't take hormone replacement, you are at risk for myocardial infarction." "I wouldn't take it since it causes breast cancer." "Estrogen has additional cardioprotective actions and you and your physician should determine if this would benefit you." "With your family history of cardiovascular disease, you should definitely take hormone replacement."

"Estrogen has additional cardioprotective actions and you and your physician should determine if this would benefit you."

A nurse suspects an older adult client is experiencing benign prostatic hyperplasia (BPH). Which question should the nurse ask this client? "Has the force of your urinary stream decreased?" "Have you experienced a decrease in your sex drive?" "Do you have any difficulty in achieving an erection?" "Have you noticed any unusual discharge from your penis?"

"Has the force of your urinary stream decreased?"

Which assessment question is most likely to address the causation of a woman's new case of candidiasis? "Have you been on antibiotics recently?" "Have you recently begun a new sexual relationship?" "Do you use condoms during sexual activity?" "Have you noticed any new growths on your vagina in recent months?"

"Have you been on antibiotics recently?"

A client is admitted with secondary orchitis. Which assessment question is most relevant? "Have you ever injured your testicles in sports?" "Does cancer run in your family?" "Did you get the flu vaccination this fall?" "Have you ever had mumps?"

"Have you ever had mumps?"

A client is diagnosed with granuloma inguinale. Which question should the nurse ask the client? "Have you been near anyone who has had the flu?" "Have you ever had genital herpes?" "Have you traveled outside of the country recently?" "Have you had all of your vaccinations?"

"Have you traveled outside of the country recently?"

After seeking care due to recent history of testicular enlargement and scrotal pain, a 22-year-old college student has been diagnosed with testicular cancer. Which statement by the client indicates the need for further teaching? "I have to admit that the prospect of losing a testicle is a bit overwhelming." "I can't shake this feeling like I've received a death sentence." "I really hope the cancer hasn't spread anywhere, because I've read that it's a possibility." "I guess there's some solace in the fact that this cancer wasn't a result of an unhealthy lifestyle."

"I can't shake this feeling like I've received a death sentence."

A client informs the nurse that he has been having difficulty sustaining an erection. Which statement made by the client demonstrates to the nurse that the client understands what a contributing factor to his erectile dysfunction is? "I should not take a warm shower before having sex." "I know that I need to stop having a glass of red wine with supper." "I have had sex with more than three partners in the last 5 years." "I should stop smoking cigarettes. I have been smoking for 20 years."

"I should stop smoking cigarettes. I have been smoking for 20 years."

While working with a client with a fairly recent spinal cord injury, the partner asks about the couple's ability to maintain a sexual relationship. Which response by the nurse is most accurate? "If the parasympathetic impulses can pass from the sacral segments of spinal cord through pelvic nerves, an erection should be possible." "It is highly doubtful since the majority of nerves in the lower back must function in order to obtain an erection and for ejaculation." "As long as you can stimulate each other in a meaningful way, then this will fulfill your need for sex." "It takes all components, neural, vascular, and chemical pathways to produce a satisfactory erection."

"If the parasympathetic impulses can pass from the sacral segments of spinal cord through pelvic nerves, an erection should be possible."

A female client is diagnosed with chlamydia during a routine pelvic examination. Which statement by the client indicates that the nurse's teaching about management of the disease has been effective? "I will use antibiotic cream as directed twice a day until the infection is cured." "The infection is not contagious and will resolve on its own in a few days." "I will use condoms during sex until I finish taking all the antibiotics." "My partner will need to take antibiotics at the same time I do."

"My partner will need to take antibiotics at the same time I do."

What should the nurse teach the client about assessing for possible breast cancer? "Have an MRI every 6 months if you are high risk." "There is no way for you to assess for this." "Perform monthly self-breast exams after menses." "Have mammography yearly beginning at the time of menses."

"Perform monthly self-breast exams after menses."

What will the nurse teach the client who has a cervical polyp? "Polyps cause extreme pain." "You do not need to have this removed." "Polyps typically are asymptomatic" "Polyps are most often cancerous."

"Polyps typically are asymptomatic"

A male client has been involved in a severe accident that has caused a complete transection of his spinal cord. The client's wife is concerned about their ability to become pregnant. Which response relating to childbearing and spinal cord injury is most accurate? "Some men with complete transection of the spinal cord are able to produce an erection and ejaculation with genital stimulation." "Some men with complete transection of the spinal cord usually consider adoption as their only option." "Men with complete transection of the spinal cord usually get divorced, especially when their wives want to start a family." "Men with complete transection of the spinal cord lose the ability to produce erections and ejaculations."

"Some men with complete transection of the spinal cord are able to produce an erection and ejaculation with genital stimulation."

A male client is diagnosed with an inguinal hernia. Which statement by the client indicates that the nurse's teaching about the hernia has been effective? "My hernia is a result of a congenital abnormality." "I will need immediate surgery since the hernia is blocking blood supply to my intestines." "Most men my age develop hernias so there is no cause for concern." "The hernia is a loop of bowel protruding through a weak spot in my abdominal muscles."

"The hernia is a loop of bowel protruding through a weak spot in my abdominal muscles."

Which instruction is essential for the nurse to include in the care plan for a client with herpes simplex virus-1 (HSV-1)? "This disease is not transmitted to others by contact." "Wear a mask at all times." "This disease is transmitted by oral secretions." "Hand washing prevents the spread of infection."

"This disease is transmitted by oral secretions."

The nurse is teaching a female client who has been prescribed hormone therapy. The client asks, "What does this medication do?" Which statement is an appropriate response by the nurse? "This medication will help relieve hot flashes and other adverse symptoms of menopause." "This medication will increase bone resorption." "This medication will prevent coronary heart disease." "This medication will promote the continuation of your menstrual periods."

"This medication will help relieve hot flashes and other adverse symptoms of menopause."

The nurse is teaching a group of fifth-grade girls about menstruation. One of the students asks, "Will I have periods the rest of my life?" Which statement is an appropriate response by the nurse? "You will have periods until you are about 48 to 55 years of age." "You will have periods until you are about 60 years of age. "You will have periods until you have your last baby." "You will have periods until you are about 35 years of age."

"You will have periods until you are about 48 to 55 years of age."

An asymptomatic client who is worried about developing breast cancer due to the fact that it runs in her family asks the nurse if she could have a mammogram to see if she has any lumps. The nurse informs the client that a tumor usually is undetectable until it has doubled 30 times and contains more than 1 billion cells. This means that at this point it measures approximately which size? 5 cm 3 cm 4 cm 1 cm

1 cm

Within how many days it is important to test anyone who has had sex with an individual who tests positive for gonorrhea? 180 90 60 365

60

The client has a Bartholin cyst that has developed into an abscess. The nurse explains to the client the plan of care, including which treatments? Antifungal cream will be administered. Application of dry heat. A hysterectomy will be required. A catheter may be inserted to drain the cyst for several weeks.

A catheter may be inserted to drain the cyst for several weeks.

An adult male reports painful urination, rectal pain, fever/chills, general malaise and myalgia. Vital signs are: temperature, 101.7°F (38.7°C); blood pressure, 105/74 mm Hg; pulse, 98 bpm; respiration, 22 breaths/min. What condition should the health care provider suspect? Acute bacterial prostatitis Benign prostatic hyperplasia Epididymitis Orchitis

Acute bacterial prostatitis

A client has been diagnosed with syphilis after seeking care for a penile lesion. The nurse should anticipate which intervention? Administration of injectable penicillin Twice-daily irrigation of the lesions Placing the client on protective isolation Topical administration of erythromycin

Administration of injectable penicillin

A female client with anorexia nervosa tells the nurse that she has been experiencing amenorrhea. The nurse is aware that this is a result of: A secondary decrease in sexual activity Alteration of critical body fat-to-muscle ratio needed for menses to occur Increased gonadotropin-releasing hormone (GnRH) production Increased estrogen production that occurs in the body SUBMIT ANSWER

Alteration of critical body fat-to-muscle ratio needed for menses to occur

A 24-year-old female presents with vulvar pruritus accompanied by irritation, pain on urination, erythema, and an odorless, thick, acid vaginal discharge. She denies sexual activity during the last 6 months. Her records show that she has diabetes mellitus and uses oral contraceptives. Which category of medication is most likely to resolve her symptoms? A quinolone antibiotic A penicillin antibiotic An antiviral agent An azole antifungal agent

An azole antifungal agent

Which client is at highest risk for developing acute bacterial prostatitis? An older adult male diagnosed with frequent urinary tract infections testing positive for Gram-negative rods A middle-aged male with prostate hyperplasia A fifth-grade boy diagnosed with acute pyelonephritis A male client with sickle cell anemia reporting prolonged erection lasting less than 4 hours

An older adult male diagnosed with frequent urinary tract infections testing positive for Gram-negative rods

A 50-year-old female client reports menorrhagia with no cramping. Which medical condition is a likely cause of these symptoms? Anovulatory cycle Enterocele Endometriosis Premenstrual molimina

Anovulatory cycle

The nurse is explaining ovulation to a female client. The nurse explains that follicle-stimulating hormone (FSH) and luteinizing hormone (LH) are important hormones needed to ovulate and are secreted by which gland? Posterior pituitary Anterior pituitary Thyroid Adrenal

Anterior pituitary

Select the structure primarily responsible for the secretions of luteinizing hormone (LH), follicle-stimulating hormone (FSH), and prolactin. Anterior pituitary gland Hypothalamus Ovaries Endometrium

Anterior pituitary gland

When caring for the client with acute bacterial prostatitis, the nurse plans for which intervention? Transurethral prostatectomy Anti-neoplastic medications Antibiotics Urethral catheter

Antibiotics

A male client has experienced a forceful hit to the testes. The nurse expects that the sensory nerves that transmit pain impulses are associated with which nervous system? Circulatory nervous system Endocrine nervous system Autonomic nervous system Enteric nervous system

Autonomic nervous system

A woman of child-bearing age asks the nurse about a natural method to avoid pregnancy. What is an appropriate response? Stand up immediately after intercourse. Take a shower immediately after sex. Use a diluted vinegar douche after intercourse. Avoid sex when cervical mucus is most stretchy.

Avoid sex when cervical mucus is most stretchy

The nurse is speaking with a couple at the fertility clinic about ways to increase sperm counts. Which topic does the nurse include in the discussion? Avoid tight undergarments Drink plenty of fluids Avoid caffeine Bathe in cool water

Avoid tight undergarments

A client has been diagnosed with a chlamydial infection. Select the pharmacologic treatment of choice. Acyclovir Ceclor Azithromycin Bactrim

Azithromycin

A client presents to the outpatient clinic complaining of gray discharge that has a fishy odor. The health care provider sees "clue cells" on wet-mount microscopic exam. This would most likely lead to the diagnosis of: Bacterial vaginosis Syphilis Chlamydia Trichomonas vaginalis

Bacterial vaginosis

The environment of the vagina is moist with a pH 4.0 to 4.5. The major purpose of the acidic environment is: Bacteriostatic Maintains the lining of the vagina Helps in times of menses Helps with reproduction

Bacteriostatic

Based on the group that statistically has the greatest risk, the health care provider should assess which ethnic group for prostate cancer? Black Japanese White Native American/First Nation SUBMIT ANSWER

Black

A client on the urology floor who has BPH asks the nurse how the pharmacologic agent finasteride will help decrease the size of his prostate. Which principle explains the mechanism of action? Blocking effects of androgens on the prostate Promoting relaxation of the urinary sphincter Relaxation of the muscles surrounding the urethra Decreasing urine output and the need to void

Blocking effects of androgens on the prostate

A sexually active female presents to the clinic with white copious vaginal discharge, itch, swelling, and dysuria. The nurse anticipates the client will be treated for the overgrowth of which organism? Neisseria gonorrhoeae Candida albicans Escherichia coli Lactobacillus acidophilus

Candida albicans

A client complains of not being able to experience satisfactory sexual intercourse. The nurse knows that erectile dysfunction is now recognized as a marker for: Diabetes Cardiovascular disease Arthritis Balanitis

Cardiovascular disease

A client comes to the clinic and informs the nurse that he is having difficulty obtaining and maintaining an erection, which had never happened before. When assessing the client, which system should the nurse be sure to focus on? Respiratory system Psychological Cardiovascular system Neurologic system

Cardiovascular system

What function does estrogen have regarding general body metabolic effects? Decreases rate of bone resorption Decreases production of binding globulins Decreases thyroid globulin Decreases high density proteins

Decreases rate of bone resorption

The male reproductive system is composed of two systems. The nurse knows that which system is responsible for the transportation and storage of sperm? Accessory glands Pampiniform plexus Symphysis pubis Ductile system

Ductile system

A client who has been diagnosed with premenstrual syndrome (PMS) asks if there is anything to help alleviate the symptoms. The best response would be: Increase intake of caffeine products during this period. Limit activities and maintain bed rest as necessary. Eat a diet low in simple sugars and high in protein. Decrease intake of fluids to reduce fluid retention.

Eat a diet low in simple sugars and high in protein.

A adolescent asks the nurse if there is anything that would greatly increase her risk of acquiring herpes simplex virus (HSV). Which response would be the most accurate for the nurse to reply? Sharing pizza when an HSV-infected friend hands you a slice Engaging in oral-genital sex Cigarette smoking Hugging a friend who is infected

Engaging in oral-genital sex

The endocrine system is highly involved in the female reproductive system. Which hormones are used to stimulate the primordial follicles? Progesterone and testosterone FSH and ACTH FSH and LH Estrogen and progesterone

FSH and LH

During infertility workup, the client is diagnosed with chlamydial infection. The health care provider will especially be looking for which complication of chlamydial infections that can interfere with egg transportation? Fallopian tube damage Amenorrhea Vaginal adhesions Uterine cancer SUBMIT ANSWER

Fallopian tube damage

A nurse educator is explaining the process of sexual intercourse, fertilization, and fetal development to a high school biology class. What process should the nurse describe? The role of the functional endometrial layer in progesterone synthesis The relationship between androgen levels and cervical mucus production Fertilization in the stroma of the ovaries Fertilization in the outer portion of the fallopian tube

Fertilization in the outer portion of the fallopian tube

A woman with a regular 28-day menstrual cycle wishes to become pregnant. At which point in the menstrual cycle is the optimal time for intercourse to end in fertilization of the ovum? Third day after menses ceases Fourteenth day after menses begins Fourth day after menses begins Twentieth day after menses ceases

Fourteenth day after menses begins

Which statement about gonorrhea is correct?

Gonorrhea is a reportable sexually transmitted infection.

An adult client had bilateral orchiectomy (testicular removal) due to cancer. What will be the primary effect of the disruption in testosterone synthesis? He will likely experience an overall reduction in muscle mass. He will develop some secondary female sex characteristics. He will likely develop acne on his face and trunk. His voice will likely increase in pitch.

He will likely experience an overall reduction in muscle mass.

The nurse is assessing a client with a collection of blood in the tunica vaginalis of the scrotum. How does the nurse correctly document this in the medical record? Hematocele Spermatocele Varicocele Hydrocele

Hematocele

A 22-year-old client has presented to the primary health care provider for an annual Papanicolaou (Pap) test. Which infection will give abnormal results of this diagnostic test? Trichomonas vaginalis Chlamydia trachomatis Human papillomavirus (HPV) Candida albicans

Human papillomavirus (HPV)

The hormone progesterone is metabolized in which organ? Kidneys Lungs Small intestines Liver

Liver

A couple is undergoing initial testing to determine why they are unable to conceive. One of the tests shows that the man has a testosterone level of 198.8 ng/dL (6.9 nmol/L). The man reports being tired all the time. The woman is completely healthy. Which problem is most likely? Hypogonadism Adrenal insufficiency Hypergonadism Pituitary adenoma

Hypogonadism

The nurse assesses the client upon admission to the hospital. He states that he has been losing facial and body hair, has been fatigued and depressed, and has erectile dysfunction and a decreased libido. The nurse understands these symptoms to occur with which disorder? Klinefelter syndrome Hypogonadism Benign prostatic hyperplasia Prostate cancer

Hypogonadism

Which diagnosis is most likely to require surgical correction? Orchitis Spermatocele Hypospadias Erectile dysfunction

Hypospadias

A female client with a recent diagnosis of uterine leiomyoma asks the nurse about treatment options. Which interventions should the nurse include in the teaching plan? Select all that apply. Hypothalamic gonadotropin-releasing hormone (GnRH) agonist Pregnancy Myomectomy Estrogen replacement Hysterectomy

Hysterectomy Myomectomy Hypothalamic gonadotropin-releasing hormone (GnRH) agonist

Which disorder of the male genitourinary system creates the most urgent need for prompt and aggressive surgical treatment? Intravaginal testicular torsion Benign prostatic hyperplasia (BPH) Erectile dysfunction Spermatocele

Intravaginal testicular torsion

Ejaculation represents expulsion of sperm from the urethra. The nurse understands that which muscles are involved in this process? Hypogastric plexus and pelvis muscle at the base of the penis Ischiocavernosus and bulbospongiosus muscles at the tip of the penis Hypogastric plexus and pelvis muscle at the tip of the penis Ischiocavernosus and bulbospongiosus muscles at the base of the penis

Ischiocavernosus and bulbospongiosus muscles at the base of the penis

Which assessment finding is most clearly suggestive of initial genital herpes (herpes simplex virus, HSV) in a male client? Production of cloudy, foul-smelling urine Emergence of hard, painless nodules on the shaft of the penis Presence of purulent, whitish discharge from the penis Itching, pain, and the emergence of pustules on the penis

Itching, pain, and the emergence of pustules on the penis

The health care provider suspects a diagnosis of endometriosis. Which procedure provides a definitive diagnosis? Magnetic resonance imaging (MRI) Computed tomogrpahy (CT) scan Laparoscopy Loop electrosurgical excision procedure (LEEP)

Laparoscopy

Select the treatment of choice for syphilis. Long-acting penicillin in a single injection UV radiation to the genital area Oral amoxicillin for 10 days Topical clotrimazole cream

Long-acting penicillin in a single injection

A 12-year-old girl is experiencing an increase in her FSH and LH levels. This rise in hormone levels will have which effect on her reproductive system? A temporary decrease in progesterone levels Maturation of her follicles Hyperplasia of her corpus luteum Thickening of her fallopian tubes

Maturation of her follicles

The ovaries have a dual function. The nurse is able to explain to the client that any problems with the ovaries frequently cause which problem? Dyspareunia and headaches Menstrual and fertility problems Endocrine disorders and dyspareunia Menopause and fallopian tube failure

Menstrual and fertility problems

The nurse assessing for signs and symptoms of perimenopause in a woman should assess for: Decreased FSH level Elevated estrogen levels Menstrual irregularity Cessation of menstruation

Menstrual irregularity

What are the small bumps or projections on the areolar surface called? Climacteric glands Montgomery tubercles or glands Cowper cells Bartholin gland

Montgomery tubercles or glands

A client is diagnosed with vulvar carcinoma, which appears as an inconspicuous thickening of the skin resembling eczema or dermatitis and may produce few symptoms other than pruritus, local discomfort, and exudation. The nurse understands that the cancer metastasizes readily through which mode? Pores that are close together Multiple lymph channels Hair follicles Vaginal flora

Multiple lymph channels

Which physiologic process results from the synthesis and release of testosterone? Protein catabolism Prostatic hyperplasia Release of luteinizing hormone (LH) Musculoskeletal growth

Musculoskeletal growth

Which collection sites should be used for sampling to accurately diagnose gonorrhea? Select all that apply. Anal canal Urethra Nasal passages Oropharynx Uterine lining

Oropharynx Urethra Anal canal

A nurse is evaluating diagnostic tests for a client suspected of having prostate cancer. Which result requires further evaluation? Creatinine 1.0 mg/dL (88.4 µmol/L) Uroflow examination 12 mL/second BUN 20 mg/dL (7.14 mmol/L) Prostate-specific antigen (PSA) of 12 ng/mL (12 µg/L)

Prostate-specific antigen (PSA) of 12 ng/mL (12 µg/L)

A male client presents to the clinic with profuse, purulent urethral discharge with painful urination. Which information will be most important for the nurse to obtain? Sexual orientation Contraceptive use Recent sexual contacts Immunization history

Recent sexual contacts

Select the most reliable test to diagnose syphilis. Chest x-ray Urine culture Oral swab Serology

Serology

The nurse conducting a health promotion class for teenage boys on human reproduction determines that the participants are understanding the information when they state: Sperm in various stages of development are embedded in the corpora cavernosa. Spermatogenesis occurs in the prostate gland. Spermatogenesis begins during fetal development. Spermatogenesis continues throughout a man's reproductive years.

Spermatogenesis continues throughout a man's reproductive years.

The nurse explains that the ovaries have which functions? Select all that apply. Producing LH Producing female sex hormones Storing female germ cells Producing FSH

Storing female germ cells Producing female sex hormones

An older adult female has slowly developed dementia and loss of vision. She is being evaluated for nursing home placement. Routine admission blood work reveals that the client tested positive for which STI associated with her current symptoms? Human papillomavirus infection Gonorrhea Tertiary syphilis Chlamydia

Tertiary syphilis

A nurse is inspecting the scrotum and testes of a 43-year-old male client. Which finding requires additional evaluation? The left testicle hangs lower than the right testicle. The scrotal skin has folds. The skin on the scrotum is hard, taut, and shiny. The testes move close to the body in cold temperatures.

The skin on the scrotum is hard, taut, and shiny.

For which cancers is a client infected with human papillomavirus (HPV) at increased risk? Select all that apply. Vulvar Vaginal Ovarian Endometrial Cervical

Vulvar Cervical Vaginal

The primary reason genital herpes has reached epidemic proportions throughout the world relates to the fact that: the organism spreads upward to the prostate gland in males and fallopian tubes in females. a large percentage (70%) of those infected experience no symptoms of the disease. the lesions take a long time to incubate and the small papules are usually located inside the vagina. the lesions (LSILs) occur on the cervix and can only be detected by a Pap test.

a large percentage (70%) of those infected experience no symptoms of the disease.

A client who has a history of untreated cervicitis tells the nurse that she is concerned about the risk of experiencing problems with fertility. The nurse explains that problems may result from: ascending infection of the fallopian tubes. acute urinary tract infection. severe abdominal peritonitis. development of low back pain.

ascending infection of the fallopian tubes.

A client is admitted with a prolonged and painful erection that has lasted longer than 4 hours. The nurse knows that this is a true urologic emergency, and that the cause is: chronic inflammation of the glans penis. impaired blood flow in the corpora cavernosa of the penis. cardiovascular disease. poor hygiene.

impaired blood flow in the corpora cavernosa of the penis.

It is important to test anyone who has had sex with an individual tests positive for gonorrhea within how many days of the diagnosis? 180 days 365 days 60 days 90 days

60 days

Progesterone maintains pregnancy but also has which local effects on the body? Select all that apply. Increase in secretion of aldosterone by the adrenal cortex Decrease in absorption of sodium Increase in basal body temperature Relaxation of smooth muscle

Increase in basal body temperature Increase in secretion of aldosterone by the adrenal cortex Relaxation of smooth muscle

A male client reports sudden pain and a bulging in the scrotal sac after lifting a heavy object. The swelling does not reduce when the client is supine and he begins to sweat profusely. What condition is the likely cause of these manifestations? Phimosis Inguinal hernia Benign prostatic hyperplasia HPV infection SUBMIT ANSWER

Inguinal hernia

Which clinical manifestations are characteristic for clients with Peyronie disease? Select all that apply. Thick, yellow discharge from the penis Papillary lesions on penis filled with serous-colored fluid Painful erection Thick, nonretractable foreskin of uncircumcised male Presence of a hard mass on the tunica albuginea of the penis

Painful erection Presence of a hard mass on the tunica albuginea of the penis

A client is complaining to the health care provider about several vague signs/symptoms. Which sign/symptom raises a "red flag" indicating the client may have developed endometrial cancer? Small, atrophied ovaries Lumps palpated in her breasts Difficulty emptying the bladder Painless abnormal bleeding

Painless abnormal bleeding

Which physiologic change would the nurse recognize as a normal change in an aging male? Select all that apply. Increased pubic hair Enlargement of prostate gland Increased rugae over the scrotum Small testes Decreased penis size

Small testes Enlargement of prostate gland Decreased penis size

Which client will the nurse determine is a candidate for continuous antiviral suppressive therapy for genital herpes? The client who wants to prevent contracting genital herpes The client who has just had a first outbreak The client with more than six outbreaks this year The client who has had a particularly painful outbreak

The client with more than six outbreaks this year

Which treatment intervention is recommended for infants who have a severe case of hypospadias? spliting of the foreskin application of topical steroids surgical repair immediate circumcision

surgical repair

Which clients are at high risk for developing priapism? Select all that apply. An uncircumcised male with poor hygiene habits A sixth-grade male returning to school following sickle cell crisis A teenage cocaine abuser who has been "high" for the past 72 hours A middle-aged adult male with recent history of myocardial infarction A college student with complete spinal cord injury at T12 level following auto accident

A sixth-grade male returning to school following sickle cell crisis A college student with complete spinal cord injury at T12 level following auto accident

A 29-year-old client had a Papanicolaou smear performed during her most recent visit to her primary care provider. This diagnostic procedure aims to identify: Atypical cervix cellular changes Lesions at the transformation zone Cervical polyps Human papillomavirus (HPV) antibodies

Atypical cervix cellular changes

A newly married female client reports to the nurse at a clinic that her first experience with intercourse was painful. What suggestion will help relieve the discomfort? Practice pelvic floor strengthening exercises. Avoid alcoholic beverages before sexual activity. Stretch the hymen using lubricating gel on the fingers. Take ibuprofen before engaging in coitus. SUBMIT ANSWER

Stretch the hymen using lubricating gel on the fingers.

In teaching a client about genital warts, which statement is correct for the nurse to say? "The infection will start about a day after you are exposed." "The incubation period is 6 weeks to 3 months." "The warts often never develop and you will not know if you are a carrier." "If you are infected, you will see warts right away."

"The incubation period is 6 weeks to 3 months."

Benign prostate hyperplasia (BPH) is caused by an overgrowth of: Glans penis Mucosal glands Seminal vesicles Prostatic uretha

Mucosal glands

A client presents with gonorrhea. Which of the following is a primary nursing action? Inserting a peripherally inserted central catheter Treating all members of the client's family Keeping the client hospitalized for treatment Reporting the case to the Centers for Disease Control and Prevention

Reporting the case to the Centers for Disease Control and Prevention

A male client is being prepared for a physical examination of his prostate gland. How will the nurse explain the location of the prostate gland? The prostate gland is located beneath the scrotal sac. The prostate gland is located in the pelvis, inferior to the bladder. The prostate gland is located in the inguinal canal. The prostate gland is located in the meatus of the penis.

The prostate gland is located in the pelvis, inferior to the bladder.

The nurse is discussing menstruation with a group of teenaged girls. One girl asks, "Do I ovulate every month that I have a period?" Which response by the nurse is most accurate? "It is not necessary for a woman to ovulate to menstruate." "Yes, you ovulate every month." "You can expect ovulation to follow every period." "We have no way of knowing that."

"It is not necessary for a woman to ovulate to menstruate."

A 41-year-old male client is planning on having a vasectomy. While explaining this surgery to the client, the health care worker will include which physiologic principle as the basis for this contraception technique? "The rete testis becomes inhospitable to sperm." "Spermatogenesis is inhibited because sex hormones no longer stimulate the Sertoli cells." "Sperm can no longer pass through the ductus deferens." "Spermatozoa can no longer reach the epididymis and do not survive."

"Sperm can no longer pass through the ductus deferens."

A 32-year-old is being treated for an abnormal menstrual cycle with excessive bleeding, endometrial hyperplasia, and fertility problems. Which is a possible cause of these symptoms? A granulosa cell tumor Follicular cyst Luteal cyst Sertoli-Leydig cell tumor

A granulosa cell tumor

A pregnant client asks the nurse what is causing her lower leg edema, nausea, and constipation that she is experiencing. What is the nurse's best response? "We need to monitor you carefully since you should not be experiencing these." "The decrease in estrogen levels is usually the cause of these discomforts." "These could be early warning signs of miscarriage." "The increase in progesterone during pregnancy is most likely the cause of these discomforts."

"The increase in progesterone during pregnancy is most likely the cause of these discomforts."

A client with vulvodynia tells the nurse, "This is not getting better. I just can't live like this." What is the best response by the nurse? "You may need an increase in your steroid dosage." "Has your partner complained about intimacy?" "What bothers you the most about your condition?" "Give the physical therapy a bit more time to help you."

"What bothers you the most about your condition?"

A male client is diagnosed with gonococcal urethritis. He tells the nurse he had recent sexual contact with a woman but states she did not appear to have any disease. What is the nurse's best response to the client? "A gonorrhea infection in women only affects the internal organs such as the ovaries; therefore, you would not have seen any signs of an active infection." "Women do not develop gonorrhea infections; but they can become carriers and spread the disease to males." "Women may not know they have gonorrhea because they may not have symptoms." "You may have acquired this infection from another route; it can also be spread in droplet form from coughing or sneezing."

"Women may not know they have gonorrhea because they may not have symptoms."

What is a primary intervention for the nurse to implement for a client with pelvic inflammatory disease ? Administer antibiotic therapy. Administer intravenous pain medication. Prepare the client for a hysterectomy. Prepare the client for laparoscopy.

Administer antibiotic therapy.

Benign prostatic hyperplasia (BPH) and prostatic adenocarcinomas present differently. The nurse is aware of which difference? BPH is commonly located in the peripheral zones of the prostate, and prostate cancers are commonly located in the periurethral zone of the prostate. BPH and prostate cancers are commonly multicentric and located in the peripheral zones of the prostate. BPH and prostate cancers are commonly discrete lesions in the periurethral region of the prostate. BPH is commonly located in the periurethral zone of the prostate, while prostate cancers are commonly located in the peripheral zones of the prostate.

BPH is commonly located in the periurethral zone of the prostate, while prostate cancers are commonly located in the peripheral zones of the prostate.

The prostate gland functions in the elimination of urine. The nurse knows that the prostate gland if enlarged can cause which dysfunction of the urinary system? Obstruction Filtration Drainage Atony

Obstruction

A female client presents to her primary care physician with a report of very heavy bleeding during menstrual cycles. Tests indicate the condition is not from a hormone imbalance. Which intervention option is least invasive? Dilatation and curettage (D&C) Endometrial ablation Vaginal hysterectomy Oral contraceptives

Oral contraceptives

An adult client reports persistent vaginal irritation and recurrent infections. In her history the physician notices that she recently has been prescribed antibiotics for a respiratory infection and concludes that it has affected her normal flora by: causing a loss of glycogen that provides energy to secretor cells of the vaginal wall. inhibiting the normal function of helper T cells. inhibiting the normal inflammatory response in her vaginal epithelium. causing the vaginal environment to be more alkaline than normal.

causing the vaginal environment to be more alkaline than normal.

The nurse is reinforcing information given to the client who is asking about screening for prostrate cancer. Which of these will be nurse teach the client about the prostate-specific antigen (PSA) test? The PSA test is not used as a screening device for prostate cancer. PSA levels decrease with age. A positive PSA test indicates the presence of cancer. An elevated score on a PSA test does not necessarily indicate the presence of cancer.

An elevated score on a PSA test does not necessarily indicate the presence of cancer.

The pediactric nurse is teaching the mother of a newborn with hypospadias about this disorder. Which of these does the nurse convey? Undescended testes are frequently associated with hypospadias. The foreskin of the penis is unable to be fully retracted. Medication will be given to correct this problem. The opening of the urethra is found on the underside of the penis.

The opening of the urethra is found on the underside of the penis.

A female client's assessment identifies symptoms of dyspareunia and burning. The nurse is aware that the client may have developed: Cystocele Adenomyosis Endometrial cancer Atrophic vaginitis

Atrophic vaginitis

Follicle-stimulating hormone (FSH) and luteinizing hormone (LH) produce profound effects on the ovaries. What do high levels of estrogen do to FSH and LH? ↑FSH and ↓LH ↑LH and ↓estradiol ↑FSH and ↓renin ↑LH and ↓FSH

↑LH and ↓FSH

A client diagnosed with endometriosis asks the nurse how it is that she did not know about this when she had it for so long. What is the nurse's best response? "There are no symptoms." "You needed to have surgery to diagnose it." "Its symptoms mimic those of other disorders " "It is a rare disease."

"Its symptoms mimic those of other disorders "

The nurse is caring for a 48-year-old female client who asks, "How do you know when you have reached menopause?" Which statement is an appropriate response by the nurse? "You are considered to be menopausal when you have not menstruated for a full year and your hemoglobin level does not fluctuate." "You are considered to be menopausal when you have not menstruated for a full year and the hormone that fluctuates with menstruation no longer fluctuates." "You are considered to be menopausal when you have not menstruated for 2 years." "You are considered to be menopausal when have not menstruated for 6 months and FSH levels fluctuate."

"You are considered to be menopausal when you have not menstruated for a full year and the hormone that fluctuates with menstruation no longer fluctuates."

After an office visit with her primary health provider, a female client with an elevated CA-125 test result asks the nurse if that means she has ovarian cancer. What is the nurse's bestresponse? "Don't worry about it. The test is too general to cause you to be alarmed." "The test is an accurate screening tool for early detection of ovarian cancer." "The test is not specific for ovarian cancer but suggests further evaluation to find the cause of the elevation." "You will need to ask your doctor to explain the test to you."

"The test is not specific for ovarian cancer but suggests further evaluation to find the cause of the elevation.

After an office visit with her primary health provider, a female client with an elevated CA-125 test result asks the nurse if that means she has ovarian cancer. What is the nurse's bestresponse? "You will need to ask your doctor to explain the test to you." "The test is an accurate screening tool for early detection of ovarian cancer." "The test is not specific for ovarian cancer but suggests further evaluation to find the cause of the elevation." "Don't worry about it. The test is too general to cause you to be alarmed."

"The test is not specific for ovarian cancer but suggests further evaluation to find the cause of the elevation."

A female college student is distressed at the recent appearance of genital warts, an assessment finding that her health care provider has confirmed as attributable to human papillomavirus (HPV) infection. Which information should the health care provider give the client? "Unfortunately, this is going to greatly increase your chance of developing pelvic inflammatory disease." "There is a chance that these will clear up on their own without any treatment." "It's important to start treatment soon, so I will prescribe you pills today." "I'd like to give you an HPV vaccination if that's okay with you."

"There is a chance that these will clear up on their own without any treatment."

A client asks the health care provider to, "Explain brachytherapy, which is recommended for my cervical cancer." Which response by the nurse is most accurate? "You will come to the radiation department daily for at least 4 weeks, where they will insert a device and shine a beam on your cervical cancer area, hoping for it to burn off the cancer." "They will insert a radioactive device into your vagina and position it next to the cervix, so that curative levels of radiation are directly on the cancer site." "The health care provider will take you to surgery, place your legs in the stirrups, and irrigate your entire vaginal cavity with radioactive water. Then the provider will pack your vagina with sterile packing." "You will go to the x-ray department where they will insert a device in your vagina until it touches the cervix and then turn on a laser."

"They will insert a radioactive device into your vagina and position it next to the cervix, so that curative levels of radiation are directly on the cancer site."

A nurse is attempting to culture a lesion to determine if a client has genital herpes. What is the nurse's best action? Wash the area well before attempting a culture. Wait until day 5 to attempt to culture a lesion. Culture a lesion first thing in the morning. Attempt to culture a lesion as soon as it develops.

Attempt to culture a lesion as soon as it develops.

When a woman asks the nurse at what age menopause usually occurs, what should the nurse respond? 68 years of age or older 35 to 47 years of age 48 to 55 years of age 56 to 68 years of age

48 to 55 years of age

After inoculation with HPV, genital warts may begin to grow. They usually manifest as soft, raised fleshy lesions on the external genitalia of either male or female. What is the incubation period for HPV-induced genital warts? 6 weeks to 8 weeks 6 months to 8 months 6 weeks to 8 months 6 days to 8 days SUBMIT ANSWER

6 weeks to 8 months

A nurse who works in a fertility clinic is conducting a program on options for various fertility issues. The nurse judges that the participants understand the education when they identify that donor eggs are the best option for which woman? A 38-year-old A 33-year-old A 28-year-old A 42-year-old

A 42-year-old

Which sexually active woman most likely faces the highest risk of developing an ectopic pregnancy? A 42-year-old who has decided to try to have one more child and has had her tubal ligation reversed A 22-year-old who has a history of anorexia nervosa and who has a body mass index (BMI) of 12.0 (normal BMI = 18.5-24.9) A 27-year-old who stopped using medroxyprogesterone contraceptive injection several months ago A 14-year-old who experienced menarche 2 years earlier

A 42-year-old who has decided to try to have one more child and has had her tubal ligation reversed

The nurse suspects which female client may be at risk for infertility? A truck driver A night-shift worker A waitress A long distance runner

A long distance runner

The nurse is caring for a female client who has a 2-year-old toddler. The client asks, "Is it normal for my breasts to still leak milk? I quit breast-feeding my baby 9 months ago." Which statement is an appropriate response by the nurse? "It is unusual to still leak milk that long after termination of breast-feeding." "If you are still having leakage, you should see your gynecologist." "Your breast may continue to leak for up to 5 years after termination of breast-feeding." "A woman may have breast leakage for 3 months to 1 year after the termination of breast-feeding."

A woman may have breast leakage for 3 months to 1 year after the termination of breast-feeding."

A 13-year-old client undergoing puberty is alarmed to find small, white bumps surrounding her areolae. The nurse reassures her that these are a normal sign of her sexual maturation and tells her that they are: Skene glands. Bartholin glands. Cooper ligaments. Montgomery tubercles.

Montgomery tubercles.

An 18-month-old boy is diagnosed with cryptorchidism. Based on this diagnosis, what does the nurse expect to observe during the physical assessment? Testes that migrate into the abdomen when the child squats Absence of the testis in the scrotum bilaterally Enlargement of the scrotum Testes that are hard and difficult to palpate

Absence of the testis in the scrotum bilaterally

What should the nurse do when a woman who stopped breast-feeding her infant 3 months ago complains of occasional milk leakage from her breasts? Encourage the woman to resume breast-feeding Advise the woman that this is a normal occurrence after stopping breast-feeding Encourage the woman to stimulate her nipples with gentle massage Communicate to the physician the woman's symptom of breast cancer

Advise the woman that this is a normal occurrence after stopping breast-feeding

A male client seeks treatment for erectile dysfunction. What factors contribute to this condition? Select all that apply. Antihypertensive medications Edentulous Cardiovascular disease Gastroesophageal reflux Age 65 years

Age 65 years Cardiovascular disease Antihypertensive medications

A client presents with signs and symptoms of candidiasis and is concerned about why this occurs after taking antibiotics. The most appropriate information for the nurse to provide would be: The inappropriate use of antibiotics will cause overgrowth of Candida. Antibiotics suppress the normal protective vaginal flora allowing overgrowth of C. albicans. The bacterium is found in the vagina and can overgrow due to poor vaginal hygiene. Antibiotics cause an increase in vaginal glycogen, which promotes candidiasis.

Antibiotics suppress the normal protective vaginal flora allowing overgrowth of C. albicans.

In assessing a client, the nurse notes a grayish discharge from the vaginal area accompanied by a foul odor. What is the nurse's best action? Flushing the area with an antibiotic wash Encouraging better hygiene Asking about other symptoms Applying an antifungal cream

Asking about other symptoms

A 60-year-old male client is informed by the health care provider that he has an overgrowth of mucosal glands of the prostate. Based solely on this finding, what diagnosis will the provider likely document in the health record? Cancer of the urinary system Benign prostatic hyperplasia (BPH) Cancer of the prostate Infection of the prostate

Benign prostatic hyperplasia (BPH)

A male client reports frequent urination, difficulty starting to urinate, and dribbling after he has finished urinating. Which diagnosis correlates with this client's manifestations? Urinary tract infection Bladder cancer Benign prostatic hyperplasia (BPH) Androgen deficiency

Benign prostatic hyperplasia (BPH)

The nurse in the urology office recognizes screening men at risk for prostate cancer includes which diagnostic measures? Pelvic ultrasound and x-ray of kidneys, ureter, and bladder Alpha fetoprotein and human chorionic gonadotropin (HCG) serum blood levels Blood level of prostate-specific antigen (PSA) and digital rectal exam Prostate biopsy and tissue cytology

Blood level of prostate-specific antigen (PSA) and digital rectal exam

What can a female client with a palpable breast lump expect as the next diagnostic step if the mass does not appear on mammography? Breast ultrasound Surgical excision Mastectomy MRI of the breast

Breast ultrasound

A client asks, "What gland is responsible for urethral lubrication during male sexual stimulation?" Which response by the health care provider would be the best reply? Bulbourethral glands Adrenal glands Thyroid gland Pituitary gland

Bulbourethral glands

There are many cancers of the female reproductive system. The nursing student knows that the most readily detected and most easily cured cancer—if detected early—is: Vaginal Vulvar Cervical Ovarian

Cervical

Which condition would the nurse expect a female client with human papillomavirus (HPV) to exhibit? Lichen simplex chronicus Infertility Adenomyosis Cervical intraepithelial neoplasia

Cervical intraepithelial neoplasia

Which physiologic changes result in menopause? Cessation of ovarian function and decreased estrogen levels Decreased levels of gonadotropin-releasing hormone (GnRH) Changes in anterior pituitary function that alter ovarian hormone production Gradual resistance of ovarian target cells to luteinizing hormone (LH) and follicle-stimulating hormone (FSH) stimulation

Cessation of ovarian function and decreased estrogen levels

Epididymitis can be sexually transmitted, or it can be caused by a variety of other reasons, including abnormalities in the genitourinary tract. What are the most common causes of epididymitis in young men without underlying genitourinary disease? Candida albicans and Escherichia coli Chlamydia trachomatis and Neisseria gonorrhoeae Escherichia coli and Neisseria gonorrhoeae Chlamydia trachomatis and Candida albicans

Chlamydia trachomatis and Neisseria gonorrhoeae

A nurse is performing a genital examination on a 25-year-old male client. The nurse notes pigmented, wrinkled scrotal skin. Based on this information, what should the nurse do next? Obtain a more detailed history focusing on any scrotal abnormalities the client has noticed. Notify the physician. Consider this a normal finding and proceed with the examination. Schedule the client for a scrotal ultrasound.

Circumcision

The mother requests that a circumcision be performed on a newborn with hypospadias. Which information related to treatment of hypospadias should the nurse convey? The child should not leave the hospital until undescended testes are ruled out. Circumcision may be performed during discharge and the repair of hypospadias delayed until adolescence. Circumcision is avoided as the foreskin will be used to repair the urinary opening. Genetic screening must be done prior to discharge.

Circumcision is avoided as the foreskin will be used to repair the urinary opening.

When caring for a group of clients, the nurse recognizes which of these individuals has increased risk for balanitis? Client with a congenital genitourinary disorder Individual with a thyroid disorder Client with a sexually transmitted infection Individual with epispadias

Client with a sexually transmitted infection

Which statement is true concerning genital herpes? Clients can have recurrent infections. Clients never test positive without symptoms. Herpes lesions do not itch. The first episode is never painful.

Clients can have recurrent infections.

The vulva area is especially prone to skin infections. The nurse knows that this occurs because of: Shearing and friction Dryness Type of clothing worn Constant exposure to secretions and moisture

Constant exposure to secretions and moisture

A 45-year-old client reports "needing to bear down with urination," frequency, and occasional loss of urine when coughing. Based on symptoms, which diagnosis is most appropriate for this client? Rectocele Spermatocele Cystocele Enterocele

Cystocele

The gerontology nurse recognizes that aging male clients may enter a stage referred to as andropause. Which of these does the nurse recognize as characteristic of this stage? Decrease in urinary output Prostate cancer Decline in sexual function Weight gain

Decline in sexual function

A client is admitted with primary hypogonadism. The nurse understands that the diagnosis of primary hypogonadism refers to which of the following? Select all that apply. Subfertility or infertility Decrease in testicular function Facial hair growth Originates in the testes Increase in muscle mass

Decrease in testicular function Originates in the testes Subfertility or infertility

Erectile dysfunction is the inability to achieve and maintain an erection sufficient to permit satisfactory sexual intercourse. The nurse knows that there may be many causes of erectile dysfunction, and a psychogenic cause would include which of the following? Decrease in androgen levels Cigarette smoking Depression Hypertension

Depression

Which assessment is most likely to reveal a potential exacerbation in a 70-year-old client's diagnosis of benign prostatic hyperplasia (BPH)? Digital rectal examination Urine testing for microalbuminuria Blood test for white blood cells and differential Sperm morphology testing

Digital rectal examination

A 33-year-old client has sought care because her premenstrual symptoms have been having a negative effect on her quality of life, to the extent that she describes herself as being "unable to function" for several days each month. Which interventions are known to benefit this client's condition? Select all that apply. Regular exercise, as tolerated Reduction in sugar intake Clustering activities in the early morning and late evening Eating several small meals each day rather than three larger meals Diuretic medications

Diuretic medications Reduction in sugar intake Regular exercise, as tolerated

A female client reports a grayish-green nipple discharge in one breast. Which additional manifestation corresponds with a diagnosis of ductal ectasia? Tender, fluid-filled sac Multiple nodules in the breast Ductal inflammation with thickening Firm, fixed, irregular nodule

Ductal inflammation with thickening

A client has been diagnosed with endometriosis. What assessment finding does the nurse expect? Select all that apply. Pelvic pain Referred chest pain Increased fertility Premenstrual pain Back pain

Premenstrual pain Back pain Pelvic pain

A female client informs the nurse that she had intercourse yesterday evening and is wondering if she could become pregnant. She asks the nurse where the fertilization (implantation) currently would be located if she was indeed pregnant. What should the nurse tell the client? The sperm and egg are probably still in the cervical opening. There is no way of determining where implantation takes place during this time period. Fertilization normally occurs in the middle to outer portion of the Fallopian tube. Fertilization normally occurs in the ovary.

Fertilization normally occurs in the middle to outer portion of the Fallopian tube.

The fallopian tubes are narrow tubes that attach bilaterally to the uterus. Within the fallopian tube, fertilization of the ovum takes place. The end of the fallopian tube nearest the ovary is funnel-like. What are the fringed, finger-like projections around the funnel-shaped opening of the fallopian tube called? Cilia Oviducts Fallopian fingers Fimbriae

Fimbriae

In assessing a client with a fibroadenoma of the breast, what will the nurse find? Hard masses Firm, rubbery masses Extreme pain during menstruation Unmovable masses

Firm, rubbery masses

The nursing students are studying about testosterone and androgens and the role they play in the male. The student correctly identifies which scenario to be a situation where hormone replacement is recommended? For athletes who want to increase athletic ability For bodybuilders who want bigger muscles For teenagers who want to get big "faster" For aging men with low androgen levels

For aging men with low androgen levels

A client has just become pregnant and there is a consequent increase in secretions from the columnar epithelium of her endocervix. What effect will this have? A sharp increase in the pH of the vaginal environment Formation of a mucoid plug to protect her uterus Inhibition of ripening of multiple oocytes Inhibition of FSH synthesis

Formation of a mucoid plug to protect her uterus

Which event is associated with the primary stage of syphilis? Development of gummas Genital chancres Development of central nervous system lesions Palmar rash

Genital chancres

A 22-year-old female client states she has vaginal itching with pain and small vesicles that appear on the vagina when she is stressed. The health care provider suspects the client most likely is experiencing which condition? Molluscum contagiosum infection Genital warts Chlamydia trachomatis infection Genital herpes

Genital herpes

The nurse in the urology clinic is reviewing the chart of a client with erectile dysfunction. Which factor in the client's history does the nurse recognize is a hormone-based condition that may contribute to erectile dysfunction? Hypogonadism Hyperthyroidism Anxiety Spinal cord injury

Hypogonadism

The nurse is performing a newborn assessment on a 2-day-old male infant. Assessment reveals the presence of the urethral opening on the ventral side of the penis. The nurse would document this finding as being: Epispadias Phimosis Balanitis Hypospadias

Hypospadias

An older male client complains of inhibited sexual functioning. The nurse knows which nursing diagnosis could be a priority for his inhibited sexual function? Impaired self-esteem Impaired comfort Noncompliance Ineffective childbearing process

Impaired self-esteem

An adult male has been diagnosed with mumps orchitis. The nurse should educate the client regarding which complication associated with mumps orchitis? Erectile dysfunction Hematocele formation Impaired spermatogenesis Penile atrophy

Impaired spermatogenesis

A female client with blocked fallopian tubes seeks assistance at a fertility clinic. Which assisted reproductive technology will bring the greatest chance for conception? Artificial insemination In vitro fertilization (IVF) Zygote intrafallopian transfer (ZIFT) Gamete intrafallopian transfer (GIFT)

In vitro fertilization (IVF)

The ovaries secrete both estrogen and progesterone. What is one function of progesterone in the body? Enhances the coagulability of blood Causes moderate retention of sodium and water Reduces levels of renin Increases body temperature at ovulation

Increases body temperature at ovulation

Which hormone is responsible for breast development and the increase in body temperature that occurs with ovulation? Progesterone Testosterone Prolactin Androgen

Progesterone

If not treated urgently, testicular torsion can result in which complication? Cancer of the scrotum Loss of testicular perfusion Dartos muscle atrophy Inguinal herniation

Loss of testicular perfusion

A woman reports to the primary healthcare provider that she experiences monthly changes before her menstrual cycle. Which statement demonstrates understanding of premenstrual disorders? Many women report premenstrual emotional or physical changes. Premenstrual dysphoric disorder (PMDD) in young women is managed with modification of dietary habits. Women with premenstrual molimina require initial hospitalization. Premenstrual syndrome (PMS) is often the result of emotional instability in older women.

Many women report premenstrual emotional or physical changes.

The nurse is caring for a client with recurrent balanoposthitis. The nurse should teach the client about what possible complications of this condition? Select all that apply. Urinary incontinence Narrowing of the urethra Penile cancer Sexual dysfunction Prostate cancer SUBMIT ANSWER

Narrowing of the urethra Penile cancer Sexual dysfunction

With aging, the physiologic efficiency of male reproductive function gradually declines. Which body systems are involved? Endocrine Respiratory Neuromuscular Circulatory Urinary

Neuromuscular Circulatory Endocrine

Menopause signals the end of the menstrual cycle. It is caused by the end of ovarian function and the decreased levels of estrogen this brings to the body. What problems can arise from the onset of menopause? Select all that apply. Urinary retention Nocturia Vaginitis Upper respiratory infection Urinary stress incontinence

Nocturia Urinary stress incontinence Vaginitis

A newly pregnant woman reports to the nurse that her breasts are excessively tender and that her areolae and nipples are becoming darker and more prominent. The nurse should describe which cause of these changes? Possible pathology due to increased levels of progesterone Normal changes of pregnancy due to increased levels of estrogen and progesterone Hormonal changes that will disappear by the end of the second trimester The effects of increased levels of hCG and follicle-stimulating hormone

Normal changes of pregnancy due to increased levels of estrogen and progesterone

The nurse is reviewing the laboratory results of a client who has non-inflammatory prostatitis. The nurse would expect the results to include: Increased PSA level Normal leukocyte count Positive urine culture for bacteria Pain radiating down the inner thighs

Normal leukocyte count

A female client is being seen in the ED with complaints of lower abdominal pain, dyspareunia, back pain, purulent cervical discharge, and the presence of adnexal tenderness and painful cervix on bimanual pelvic examination. The nurse suspects the client has pelvic inflammatory disease (PID), and will assess the client for: Number of sexual partners Use of oral contraceptives Toileting habits Dietary habits

Number of sexual partners

A client with herpes simplex virus (HSV) states, "I can stop taking my drugs because I'm cured. My lesions are gone." Knowing the pathophysiology behind the disappearance of HSV symptoms, the health care provider suspects the client is experiencing which phase of infection? Inhibition of cell-mediated immunity Replication of the squamous epithelium Production of exotoxins Periods of latency in the nervous system

Periods of latency in the nervous system

A 75-year-old man presents at the clinic complaining of pain during intercourse and an upward bowing of his penis during erection. The client's history mentions an inflammation of the penis that was treated 3 months ago. The physician's physical examination of the client notes beads of scar tissue along the dorsal midline of the penile shaft. What would be the suspected diagnosis of this client? Peyronie disease Cavernosa disease Paraphimosis disease Balanitic disease

Peyronie disease

Sperm begin their life in the Sertoli cells. What factor functions in releasing mature spermatozoa from the Sertoli cells? Plasminogen activator Androgen-binding protein Prostate secretions Testosterone

Plasminogen activator

A nurse who works on a urology-gynecology ward of a hospital is coming on shift and will be caring for a 34-year-old woman who has been admitted overnight for the treatment of endometriosis. Which interventions should the nurse most realistically anticipate providing over the course of the shift and the next several days? Administration of packed red blood cells to compensate for low hemoglobin; administering hormone therapy Administration of male androgens to minimize endometrial hyperplasia; facilitating a dilation and curettage Assisting with a Pap smear; administration of high-dose corticosteroids Providing pain control; preparing the client for a laparoscopic procedure or hysterectomy

Providing pain control; preparing the client for a laparoscopic procedure or hysterectomy

A 52-year-old male diagnosed with erectile dysfunction (ED) asks the nurse what will be implemented as a first option for treatment. The best response would be: Psychosexual counseling and PDE-5 inhibitor medications Intravenous administration of a PDE-5 inhibitor Catheterization and increased fluids to increase vascular flow Surgical placement of a penile prosthesis

Psychosexual counseling and PDE-5 inhibitor medications

A nurse is assessing a male who is reporting nonspecific symptoms of prostate and periurethral gland pain. Which characteristic discharge makes the nurse suspect gonorrhea? Purulent exudates Painful small vesicles Cauliflower-shaped lesions Persistent perianal itching

Purulent exudates

The lactating mother of a 3-month-old infant reports to the nurse that she experiences milk leakage if she hears the child cry when it has been more than 2 hours since the last feeding. How should the nurse respond? Encourage the mother to feed the infant every 2 hours. Arrange a mammogram appointment to screen for abnormalities. Offer a consultation with a lactation specialist. Reassure her that this is a normal physiologic response.

Reassure her that this is a normal physiologic response.

A nurse is performing a genital examination on a male client who develops an erection. What is the nurse's most appropriate intervention? Ignore the erection and continue with the examination Ask the client if he would prefer someone else to perform the examination Stop examining the client and leave the room Reassure the client that this is a normal response and continue with the examination

Reassure the client that this is a normal response and continue with the examination

The nurse is caring for a client with acute superficial balanoposthitis. The nurse assesses for which of these signs or symptoms consistent with the diagnosis? Penile distortion of the erect penis Painful erection lasting more than 4 hours Pus or bacteria in the urine Redness of the glans penis and malodorous discharge

Redness of the glans penis and malodorous discharge

Which assessment finding helps the nurse confirm that the client has genital warts? Soft, raised lesions on external genitalia Hard white lesions with dark centers Dark brown or black papules on external genitalia Dark red, hard lesions on external genitalia

Soft, raised lesions on external genitalia

A client presents with a rash on the palms of his hands, mucous membranes, and stomach. He is reporting a sore throat and nausea. Which conditions is the nurse concerned about? Bacterial vaginitis Syphilis Gonorrhea Chlamydia

Syphilis

A female client presents to the clinic with a rash on the palms of her hands, symptoms of hair loss, and the development of elevated, red-brown lesions that have begun to ulcerate and produce a foul discharge. Based on these symptoms, the nurse plans to test the client for which sexually transmitted infection? Gonorrhea Chlamydia Genital herpes Syphilis

Syphilis

What is the most important discharge instruction for a female client with pelvic inflammatory disease (PID)? Drink plenty of fluids Get adequate rest Take all of the antibiotic Eat a balanced diet

Take all of the antibiotic

A young woman is almost ready to deliver, and she has an outbreak of genital herpes. What is the nurse's best action? Apply topical anesthetics generously as delivery will be painful. Wash the area vigorously prior to delivery to decrease the risk of transmission to the baby. Make certain the woman takes pain medication prior to delivering. Tell the woman about a cesarean section.

Tell the woman about a cesarean section.

A client arrives in the emergency department complaining of severe testicular pain associated with nausea and vomiting. His pulse rate is 120 beats/min. Physical exam reveals an enlarged testis that is painful to palpation. The nurse suspects: Testicular aneurysm Cancer of the scrotum Testicular torsion Inguinal hernia

Testicular torsion

A male client is receiving testosterone for primary hypogonadism. What assessment would indicate successful treatment? Elevated gonadotropin-releasing hormone Testosterone level increases Sperm count 10 million/mL LH and FSH levels are low

Testosterone level increases

A nursing student is studying pathophysiology as part of the nursing curriculum. Which statement made by the student indicates a need for further instruction? The male testes are located inside the abdominal cavity. The male testes are are also known as gonads. The male testes are located outside the abdominal cavity. The testes are egg-shaped structures in the scrotum.

The male testes are located inside the abdominal cavity.

The nurse is caring for a client with significant benign prostatic hyperplasia (BPH) and hydronephrosis who is fearful of having corrective surgery. Which information is important for the nurse to convey? The obstruction is causing urine to flow backward and cause kidney dysfunction. If not treated promptly, this condition may become cancerous. Medications which shrink prostate tissue will begin to work in a week or so. Herbal preparations can be helpful and are free from side effects.

The obstruction is causing urine to flow backward and cause kidney dysfunction.

The nurse is discussing ovulation with a female client and notes an indication of ovulation is spinnbarkeit. What is an accurate description of spinnbarkeit? A slight elevation of body temperature during ovulation Spotting of blood that occurs during ovulation The pain of ovulation often felt on the woman's right or left lower abdomen The stretchy consistency of cervical mucus during ovulation

The stretchy consistency of cervical mucus during ovulation

A client has been diagnosed with candidiasis. Which symptom was present to diagnose this condition? Urinary retention Thick white secretions Severely painful lesions Pustules

Thick white secretions

A client has been diagnosed with candidiasis. Which symptom was present to diagnose this condition? Thick, white secretions Severely painful lesions Urinary retention Pustules

Thick, white secretions

The nurse is caring for a baby with phimosis. Which of these does the nurse explain to the mother is the key feature of this disorder? Undescended testes Tightening of the foreskin preventing full retraction over the penis The bladder located outside the child's abdomen A precancerous process that must be monitored closely

Tightening of the foreskin preventing full retraction over the penis

The client presents with symptoms consistent with hypogonadism. For a diagnosis of hypogonadism, the nurse expects which diagnostic test to be ordered? Thyroid stimulating hormone level Growth releasing hormone level Nitric oxide level Total testosterone levels

Total testosterone levels

The nurse is performing a health history of a client being evaluated for erectile dysfunction. Which disorder places the client at highest risk for the erectile dysfunction? Bell's palsy Asthma Venous stasis Type 2 diabetes

Type 2 diabetes

Which factor places a male client at risk for balanitis? Multiple sexual partners Uncircumcised penis Androgen deficiency Chronic prostatitis

Uncircumcised penis

The nursing student who is studying pathophysiology of the male genitourinary system correctly identifies which of these as functions of the penis? Select all that apply. Urine elimination Production of androgens Sexual function Production of sex hormones

Urine elimination Sexual function

Which complication is associated with prostatic hyperplasia? Scrotal edema Urine retention Testicular cancer Hypospadias

Urine retention

The nurse is reviewing the history of an older adult female client who was recently diagnosed with coronary heart disease. What factors are known to contribute to this condition? Select all that apply. No use of alcoholic beverages Has hypertension for 15 years Used hormone therapy for 5 years Smoked 1 pack/day for 20 years Has two grown children

Used hormone therapy for 5 years Smoked 1 pack/day for 20 years Has hypertension for 15 years

Which clinical manifestation is most likely to accompany a diagnosis of vulvodynia? Urinary incontinence Open lesions on the surface of the vulva Purulent discharge Vulvar pain

Vulvar pain

A client is experiencing oligomenorrhea. The nurse interprets this as: heavy bleeding between and during menstrual cycles. bleeding that occurs between menstrual cycles. frequent menstruation with periods less than 21 days apart. infrequent menstruation with periods more than 35 days apart.

infrequent menstruation with periods more than 35 days apart.

During a visit to the health care provider, a client complains of swelling in the scrotum. The health care worker suspects a hydrocele and performs an exam by shining a light through the scrotum. If the hydrocele is dense, the health care worker should: gently try to express the fluid out of the scrotal sac. order an ultrasound or biopsy to rule out testicular cancer. prescribe diuretics like furosemide to help remove excess fluid. continue to monitor the client every 6 months to see if there is a change in size.

order an ultrasound or biopsy to rule out testicular cancer.

The nurse in the urology unit is teaching about medication to treat erectile dysfunction. The mechanism of action of most of these medications is that the medication: promotes arousal by eliminating depression or other psychological factors. promotes increase in blood flow to the corpora cavernosa. promotes nerve signaling to penile vessels. promotes trapping of blood in the corpora cavernosa.

promotes increase in blood flow to the corpora cavernosa.

An older adult female comes in to the clinic for her yearly gynecologic appointment and informs the nurse that she is having pain when having intercourse with her spouse. The client has been postmenopausal for at least 5 years. What is the nurse's best response? "That is really a shame since you won't be able to enjoy sex anymore." "This is caused by the superficial layer of the endometrium shedding." "This is caused by a decrease in estrogen levels, but there are things that you may be able to use to help." "The cause of this is an increase in progesterone levels and you will have to take hormone replacement to control this." SUBMIT ANSWER

"This is caused by a decrease in estrogen levels, but there are things that you may be able to use to help."

Where is the final site for sperm maturation? Bulbourethral gland Bladder Epididymis Urethra

Epididymis

A 60-year-old man comes to the clinic and has been found to have a history of type 2 diabetes mellitus and cardiovascular disease. The manifestations of these diseases will warrant the nurse to assess the client for which problem? Detrusor muscle failure Increased sperm production Fatigue Erectile dysfunction

Erectile dysfunction

In the complex interaction of the sexual act in males, the nurse is aware that there are four stages involved. Which stage involves shunting of blood into the corpus cavernosum? Ejaculation Detumescence Erection Emission

Erection

The nurse is teaching a health class to a group of adolescents. Which cell develops into sperm? Sertoli cells Interstitial cells Leydig cells Germ cells

Germ cells

The nurse is caring for a client with lichen simplex chronicus. What assessment finding does the nurse expect? Painful urination Black patches of skin Bleeding Gray-white plaques with an irregular surface

Gray-white plaques with an irregular surface

Bacterial vaginosis is the most common vaginal infection seen by health care providers. What is the predominant symptom of bacterial vaginosis? Thick, cottage cheese-like discharge with a fishy odor Small, painless papules Painless chancres Grayish white discharge with a fishy odor

Grayish white discharge with a fishy odor

When educating a teenager diagnosed with genital herpes (herpes simplex virus type 2, HSV-2), the health care provider needs to inform the teen of the importance of careful follow-up to prevent future development of which complication? Urinary tract infection HIV transmission Cervical cancer Localized necrosis

HIV transmission

A client comes to the clinic and informs the nurse that he was playing soccer and was kicked in the scrotal area on the right side. The nurse observes that the scrotal skin on the right side is dark red. What should the nurse suspect this client may have? Hematocele Hydrocele Spermatocele Varicocele

Hematocele

A 38-year-old woman with proliferative breast changes of papilloma asks the nurse about her risk for breast cancer. Which statement of risk is correct? Lower as a result of your exercising Higher because of your papilloma Low unless other relatives have cancer High due to your increasing age

Higher because of your papilloma

Which of these complications does the nurse recognize may occur after illness with parotitis (mumps) in young men? Cancer of the seminiferous tubules Feminization Orchitis with residual sterility Glomerulonephritis

Orchitis with residual sterility

the nurse providing teaching about the female reproductive system includes which principle? Ovaries physically disintegrate after the childbearing years. Ovaries are responsible for ovulation and hormone production. Continued production of ova takes place monthly in the ovaries. Ovaries regenerate to form new ovaries each month.

Ovaries are responsible for ovulation and hormone production.

The nurse on the urology unit teaches the nursing student that which test assists in detecting a recurrence of prostate cancer after prostatectomy? Human chorionic gonadotropin (HCG) level White blood cell count Alpha fetoprotein serum level PSA level SUBMIT ANSWER

PSA level

A client has been diagnosed with a Bartholin gland cyst. The nurse expects the client may experience which symptoms if this becomes infected? Pain, dysphagia, and tenderness Distention, hyperthermia, and dyspnea Pain, erythema, and dystonia Pain, tenderness, and dyspareunia

Pain, tenderness, and dyspareunia

The nurse inserts a Foley catheter in an uncircumcised male client for the treatment of urinary retention and does not place the foreskin back over the glans penis. Several hours later, the client complains of severe pain at the catheter site and, when assessed, the nurse is unable to retract the foreskin. Which problem does the nurse know has occurred? Hypospadias Balanitis Paraphimosis Phimosis

Paraphimosis

Which physiologic process is caused by estrogens? Increased release of gonadotropin-releasing hormone (GnRH) Progesterone synthesis Stimulation of lactation in the postpartum period Promotion of ovarian follicle growth

Promotion of ovarian follicle growth

A 23-year-old diagnosed with syphilis presents with palmar rash, sore throat, fever, and a red-brown lesion on the genital area. The symptoms have been present for 3 weeks. Select the stage of syphilis this client is currently in. Tertiary Primary Latent Secondary

Secondary

A female client experiencing hot flashes during perimenopause asks the nurse about hormone therapy (HT). What is the appropriate response by the nurse? High-dose HT will be needed. SSRIs are a more effective treatment than HT. HT can't be used until menses ceases. Short term HT can be used to reduce symptoms.

Short term HT can be used to reduce symptoms.

For males between 5 and 10 years of age, which cause of priapism is most common? Sickle cell anemia Renal failure Accidental trauma Spinal cord injury

Sickle cell anemia

The nurse is instructing a group of young adult male clients about the importance of monthly testicular self-examination. What information does the nurse include? Select all that apply. Testicular cancer can metastasize early in development. Delaying diagnosis results in developing prostate cancer. Early detection can prevent the need for orchiectomy. Testicular cancer is highly responsive to treatment. Other signs of testicular cancer are vague in presentation.

Testicular cancer can metastasize early in development. Testicular cancer is highly responsive to treatment. Other signs of testicular cancer are vague in presentation.

An obstetrician is explaining the differentiation of embryonic tissue into a fetus to an aspiring class of nursing students. Which hormone is primarily responsible for the development of male sex characteristics? Dihydrotestosterone Testosterone Androstenedione Dehydroepiandrosterone

Testosterone

The nursing instructor is teaching the class about the male hormone testosterone. Which statement made by a student indicates a need for further instruction? Testosterone is necessary for the descent of the testes in the fetus. Testosterone does not affect development of increased musculature during puberty. Testosterone is secreted by the testes. Testosterone is essential for the appropriate differentiation of the internal and external genitalia.

Testosterone does not affect development of increased musculature during puberty.

The parents of a baby born with hypospadias ask the nurse if the baby can be circumcised. Which response by the nurse is most accurate? "The condition can be treated with topical medication; circumcision is not needed." "The circumcision will not be done now; the foreskin is needed for surgical repair." "The circumcision can be performed now." "The circumcision will be done when the child reaches puberty."

The circumcision will not be done now; the foreskin is needed for surgical repair."

The nurse is performing urinary catheterization on a 13-year-old girl and notices the girl's hymen is intact. What is the most accurate way to document this finding? The client may have been sexually molested. The client will need surgical intervention before her first period. The client is a virgin. The client exhibits normal findings.

The client exhibits normal findings.

The nurse is discussing the menstrual cycle with a female client. The client asks, "Why does my side hurt halfway through my monthly cycle almost every month? The nurse suspects the cause of the pain may be: The client is likely to be constipated. The client demonstrates signs of urinary tract infection. The client's uterus is rejecting a fertilized ovum. The client has a leakage of blood onto the peritoneal surface after ovulation has occurred.

The client has a leakage of blood onto the peritoneal surface after ovulation has occurred.