Question 1

A 45-year-old male client asks the nurse when they need to begin screening for prostate cancer. Which response should the nurse provide the client?

Accepted Answer

A)   "You can start with either the prostate specific antigen screening or the digital rectal exam."
B)   "PSA screening tests should be performed once you reach 50 years of age."
C)   "When you turn 50, you can discuss this with the healthcare provider to determine a recommendation."
D)   "Unless you are at an increased risk for the development of prostate cancer, no additional screening is indicated." C

Question 2

The nurse is interviewing a male client with an elevated prostate specific antigen level (PSA). In order to determine other risk factors for this client, which questions are appropriate for the nurse to include in the assessment process? Select all that apply.

Accepted Answer

A)   "Do you have a positive family history for prostate cancer?"
B)   "Do you masturbate?"
C)   "How frequently do you have sexual intercourse?"
D)   "Do you smoke?"
E)   "Do you have a history of urinary tract infections?" A,D

Question 3

The nurse is reviewing the records of a child diagnosed with cryptorchidism. Which assessment finding should the nurse anticipate?

Accepted Answer

A)   Inflamed testicle.
B)   Small testicle.
C)   Absent testicle.
D)   Herniated testicle. C

Question 4

A couple is seeking infertility information from the nurse. Which statement made by the couple indicates the need for further intervention?

Accepted Answer

A)   "We have been to two doctors already."
B)   "We have intercourse at least three times a week."
C)   "We are using temperature tracking for ovulation prediction."
D)   "We have been trying to conceive for a year."

Question 5

The nurse is preparing a presentation on testicular cancer to target the age group most frequently affected. Which settings would provide the nurse with audiences at an increased risk for this disease process? Select all that apply.

Accepted Answer

A)   Elementary schools.
B)   Colleges.
C)   Cub Scout groups.
D)   High schools.
E)   Senior assisted living facilities.

Question 6

The nurse is caring for a client with chronic alcoholism. Which effect does this condition have on the client's genitourinary system?

Accepted Answer

A)   Testicular cancer.
B)   Impotence.
C)   Prostate enlargement.
D)   Sperm abnormalities.

Question 7

The nurse is examining a male client and notes small clusters of vesicular lesions on the glans penis. The client states that the areas are painful and often are reddened. Based on this data, which does the nurse anticipate?

Accepted Answer

A)   Carcinoma.
B)   Genital warts.
C)   Syphilis.
D)   Genital herpes.

Question 8

A client expresses a feeling of pain during the palpation of the scrotum. The nurse notes that when the scrotum is lifted, the pain is relieved. Which condition should the nurse suspect?

Accepted Answer

A)   Orchitis.
B)   Testicular tumor.
C)   Epididymitis.
D)   Pilonidal cyst.

Question 9

The nurse is examining a male client's genitalia and notes that the scrotum is asymmetric. The left side hangs lower than the right side. Based on this data, which action by the nurse is the most appropriate?

Accepted Answer

A)   Reassess after increasing the temperature in the room.
B)   Report the finding to the healthcare provider.
C)   Consider this a normal finding and proceed with palpation of the scrotum.
D)   Ask if the client has noticed this before.

Question 10

The nurse is caring for a client who has hypospadias. When assessing this client, where does the nurse anticipate to find the urinary meatus?

Accepted Answer

A)   Underside of the penis.
B)   Lateral side of the penis.
C)   Anterior side of the penis.
D)   Dorsal side of the penis.

Question 11

A couple seeking infertility treatments has just received the results of a semen analysis, which shows a diminished sperm count. Which question is most appropriate for the nurse to address to the male partner at this time?

Accepted Answer

A)   "How often do you masturbate?"
B)   "Do you smoke?"
C)   "How old is your present house?"
D)   "Do you still want to have children?"

Question 12

The nurse is examining a male adolescent with suspected spermatic cord torsion. Which is the priority intervention for this client?

Accepted Answer

A)   Medicate for pain with narcotics.
B)   Prepare for surgery.
C)   Elevate the scrotum.
D)   Administer anti-inflammatory medications.

Question 13

The nurse is preparing to inspect a client's penis. Which information should the nurse include in the documentation?

Accepted Answer

A)   Size.
B)   Location of the dorsal vein.
C)   Glans.
D)   Pigmentation.
E)   Hair distribution.

Question 14

The nurse is preparing to examine the reproductive system for a male client recently admitted to the medical unit. Which techniques does the nurse plan to incorporate into this physical assessment? Select all that apply.

Accepted Answer

A)   Inspection.
B)   Palpation.
C)   Percussion.
D)   Auscultation.
E)   Aspiration.

Question 15

During the examination of an adult male, the nurse notes thick, curly hair over the pubis area, a pear-shaped scrotum, and slightly darkened skin on the penis. Based on this data, which action is appropriate?

Accepted Answer

A)   Ask the client about recent illnesses.
B)   Ask the client about sexual practices.
C)   Notify the healthcare provider the findings.
D)   Document the findings as normal.

Question 16

During the examination of an older adult male client, the nurse notes thin, gray pubic hairs and a scrotal sac that hangs significantly lower than the penis. Which action by the nurse is the most appropriate?

Accepted Answer

A)   Document the findings as normal.
B)   Inform the client that he is no longer fertile.
C)   Notify the healthcare provider of the findings.
D)   Ask the client about his sexual practices.

Question 17

The nurse has completed teaching a client about testicular self-examination. Which client statements indicate understanding of the content presented? Select all that apply.

Accepted Answer

A)   "I will feel hardened areas where the testicles and epididymis are located."
B)   "I should perform this exam monthly."
C)   "I should be in a warm room or the shower to perform this exam."
D)   "I should apply gentle pressure to each testicle to feel the area."
E)   "It is normal to feel testicular pain during this exam."

Question 18

The nurse is preparing to assess the genitourinary system of a client with epispadias. Which assessment finding should the nurse anticipate?

Accepted Answer

A)   Pinpoint appearance of the urinary meatus.
B)   Urinary meatus located on the upper side of the glans.
C)   Urinary meatus located on the underside of the glans.
D)   Urinary meatus that is under a foreskin that cannot be retracted.

Question 19

During the examination of a male client's scrotum, the nurse detects a hardened area in the right side of the scrotal sac. Which is the priority nursing action based on this finding?

Accepted Answer

A)   Ask the client about voiding patterns.
B)   Notify the healthcare provider of this finding.
C)   Use a light to perform transillumination.
D)   Ask the client about sexual practices.

Question 20

During the focused interview, a male client describes his erection and ejaculate in terms that are less than professional. Which action by the nurse is the most appropriate?

Accepted Answer

A)   Ask the client to refrain from using the terms.
B)   Ask the client to define the terms.
C)   Document the client's responses in the terms used.
D)   Find another nurse to complete the assessment.

Exam 21: Male Genitourinary System