Assessing Male Genitalia and Rectum

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? 1. Chronic bacterial prostatitis (CBP) 2. Benign prostatic hyperplasia (BPH) 3. Orchitis 4. Epididymitis

2. Benign prostatic hyperplasia (BPH)

Prostate cancer is the leading cancer diagnosed in men in the United States. To increase knowledge of risk factors, the nurse would teach men that (Select all that apply.) 1. each decade after age 50 increases the risk 2. it occurs earlier and is more advanced in African American men 3. 15% have an affected first-degree relative 4. testicular self-examinations can reduce the risk by 50% 5. symptoms are often undetectable

1. each decade after age 50 increases the risk 2. it occurs earlier and is more advanced in African American men 3. 15% have an affected first-degree relative

The corpora spongiosum extends distally to form the acorn-shaped 1. glans. 2. frenulum. 3. corona. 4. scrotum.

1. glans.

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? 1. prolapse 2. Rectal polyps 3. shelf 4. cancer

1. prolapse

Which of the following would the nurse expect to be done to assess the size of the prostate? 1. Digital rectal examination 2. Transillumination 3. Pelvic examination 4. Bladder percussion

1. Digital rectal examination

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? 1. Acute prostatitis 2. Benign prostatic hypertrophy 3. Hydrocele 4. Prostate cancer

4. Prostate cancer

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 1. uses a condom on a regular basis. 2. has multiple female partners. 3. smokes marijuana occasionally. 4. has anal intercourse with other males.

4. has anal intercourse with other males.

Which of the following recommendations would a nurse advocate during infancy and childhood to help reduce potential adult complications such as orchitis? 1. Ensure immunizations against infectious diseases such as mumps. 2. Engage in activities and exercises that minimize heavy lifting. 3. Encourage the consumption of foods that are rich in fat and starch. 4. Urge the limited intake of foods and fluids containing caffeine.

1. Ensure immunizations against infectious diseases such as mumps.

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. 1. Stand in front of a mirror 2.Perform the examination one a month 3. Complete the examination after a warm bath or shower 4. Apply lotion to the hands before beginning the examination 5. Use the thumb, and index and middle finger for the examination

1. Stand in front of a mirror 2.Perform the examination one a month 3. Complete the examination after a warm bath or shower 5. Use the thumb, and index and middle finger for the examination

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? 1. To assess risk for erectile dysfunction 2. To refer the client to a pulmonologist 3. To assess risk for limited range of motion 4. To determine the need for involvement from an internist

1. 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? 1. Torsion of the spermatic cord 2. Spermatocele 3. Orchitis 4. Varicocele

1. Torsion of the spermatic cord

A male infant is born with the urethral meatus opening on the underside of the penis. When providing information to the parents, what is the correct terminology to use for this condition? 1. Phimosis 2. Hypospadias 3. Epispadias 4. Paraphimosis

2. Hypospadias

A client presents to the health care clinic with reports of clay-colored stool. The nurse recognizes that this finding is most likely a result of which of the following? 1. Gastrointestinal bleeding 2. Lack of bile pigment 3. Increased fat content 4. Cancer of the colon

2. Lack of bile pigment

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? 1. External hemorrhoid 2. Pilonidal cyst 3. Anal fissure 4. Perianal abscess

2. Pilonidal cyst

While assessing an adult male client, the nurse detects pimple-like lesions on the client's glans. The nurse explains the need for a referral to the client. The nurse determines that the client has understood the instructions when the client says he may have 1. venereal warts. 2. herpes infection. 3. syphilis. 4. gonorrhea.

2. herpes infection.

Which of the following groups has the highest incidence of prostate cancer? 1. Caucasian men 2. Native American men 3. African American men 4. Asian American men

3. African American men

How should a nurse proceed with palpation of the anus to best facilitate the exam without causing the client undo discomfort? 1. Use the fingertips of one hand because they are the smallest part of the finger 2. Use gentle but firm force to push past the sphincter into the anal canal 3. Ask the client to bear down and place the lubricated finger on the anal opening 4. Spread the gluteal folds with the hands and attempt to visualize the anal opening

3. Ask the client to bear down and place the lubricated finger on the anal opening

A client has undergone a digital rectal examination. This assessment will allow the clinician to diagnose which of the following? 1. Urinary incontinence 2. ED 3. BPH 4. Testicular cancer

3. 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? 1. Cryptorchidism 2. Orchitis 3. Hydrocele 4. Prostatism

3. Hydrocele

A nurse prepares a male client for a physical assessment of the external genitalia. Which instruction is appropriate for the nurse to give the client before the examination? 1. Ask the client to not empty the bladder before the examination 2. Explain that he may need to lie supine 3. Reassure him that it is not unusual to have an erection during the examination 4. Request that the client avoid talking

3. Reassure him that it is not unusual to have an erection during the examination

Francis is a middle-aged man who noted right sided lower abdominal pain after straining with yardwork. Which of the following findings would make a hernia a more likely diagnosis? 1. Absence of pain with straining 2. Absence of bowel sounds in the scrotum 3. Absence of a varicocele 4. Absence of symmetry of the inguinal areas with straining

4. Absence of symmetry of the inguinal areas with straining

A tender painful swelling of the scrotum should suggest which of the following? 1. Acute epididymitis 2. Strangulated inguinal hernia 3. Torsion of the spermatic cord 4. Any of the above

4. Any of the above

All of the following symptoms are potential indicators of testicular disorders except: 1. Scrotal discomfort 2. Heaviness in the groin 3. Painless testicular swelling 4. Dull ache in the lower abdomen

4. Dull ache in the lower abdomen

The nurse is preparing a presentation for a local community group about prostate cancer and possible dietary risk factors. Which of the following would the nurse most likely include? 1. High-iron 2. High-calorie 3. High fiber 4. High-fat diet

4. High-fat diet

Which of the following should nurses teach all men, especially those who have had cryptorchidism? 1. Need for blood tests to measure serum acid phosphate levels. 2. Importance of regular monitoring of prostate-specific antigen (PSA) levels. 3. Need to undergo a baseline and follow up lymph node biopsies. 4. How to perform a testicular self-examination.

4. How to perform a testicular self-examination.