Question 1

When completing a health history with a patient,the nurse should encourage the patient to describe the symptoms in objective terms.Which of the following is a good example of the description of pain?

Accepted Answer

A)   "This spot seems to hurt more right here."
B)   "This pain is the worst pain in the world."
C)   "My pain reminds me of when I hurt my foot last year."
D)   "I would say my pain is a 5 on a scale from 1 to 10." D

Question 2

The nurse instructs the patient who is to have a semen analysis to:

Accepted Answer

A)   Collect specimen in a rubber condom.
B)   Keep the specimen at room temperature until given to the laboratory.
C)   Keep the specimen container in warm tap water.
D)   Bring the specimen to the laboratory within 4 hours.
E)   Abstain from sexual activity 3 to 5 days before the test. B,E

Question 3

The nurse must be sensitive when performing the initial assessment on a man with a reproductive disorder and should use interview techniques that:

Accepted Answer

A)   Use open-ended questions.
B)   Pin the patient down for truthful and specific information.
C)   Leave sensitive questions until later in the interview.
D)   Share her or his professional opinion.
E)   Start most questions with "why." A,C

Question 4

The nurse informs the 50-year-old patient who has been prescribed nilutamide (Nilandron),a testosterone blocker,that while on this drug he should expect:

Accepted Answer

A)   His urine will have a fishy odor.
B)   Liver functions will need to be monitored.
C)   Skin rash will appear on his face.
D)   Episodes of hypotension will occur.

Question 5

When a patient is placed on diethylstilbestrol (DES)for prostate cancer,the nurse explains the possible side effect of the medication might be:

Accepted Answer

A)   Gynecomastia
B)   Pruritus
C)   Constipation
D)   Tinnitus

Question 6

Men who have suffered spinal cord injuries with resultant ED can have sexual intercourse with the use of:

Accepted Answer

A)   Testosterone injections
B)   Papaverine penile injections
C)   Inflatable penile implants
D)   Oral sildenafil (Viagra)

Question 7

The nurse caring for a patient 2 hours after a transurethral resection (TUR)immediately reports to the charge nurse the presence of large clots in the catheter and drainage bag.The nurse anticipates that the physician will:

Accepted Answer

A)   Instill ice water into the bladder.
B)   Decrease the amount of fluid in the balloon of the indwelling catheter.
C)   Apply traction to the catheter by taping it to the patient's thigh.
D)   Order a potent vasoconstrictor to reduce hemorrhage.

Question 8

When conducting an initial assessment on a 65-year-old male patient,the nurse assesses a mass in the left testicle that on transillumination glows red.The nurse notes the presence of:

Accepted Answer

A)   Phimosis
B)   A hydrocele
C)   Smegma
D)   A hematocele

Question 9

The nurse takes into account in making a teaching plan for a patient with acute prostatitis that treatment will include a:

Accepted Answer

A)   2-week period with a temporary catheter and the instillation of antibiotics in the bladder
B)   4-week course of antibiotics and antiinflammatory drugs
C)   6-week course broad spectrum antibiotics, followed by a prostatectomy
D)   16-week protocol of Sitz baths and the use of a sturdy scrotal support

Question 10

After surgery to correct a testicular torsion,the nurse cautions the young patient that there is a:

Accepted Answer

A)   Probability of torsion reoccurring.
B)   Possibility of infertility.
C)   Probability of orchiditis.
D)   Significant risk of prostatic hypertrophy.

Question 11

A patient's home instructions after a vasectomy should include that:

Accepted Answer

A)   Postoperative care consists of warm Sitz baths.
B)   Vasectomies should be seen as usually permanent but sometimes reversible.
C)   Sexual intercourse should be delayed for up to 3 months.
D)   The surgical procedure may interfere with ejaculation.

Question 12

After an accident at a track meet,a young male runner is brought to the emergency department complaining of intense pain in his scrotum and nausea and vomiting.Based on these initial findings,the nurse suspects:

Accepted Answer

A)   Cryptorchidism
B)   Testicular torsion
C)   Varicocele
D)   Epididymitis

Question 13

The instruction that will increase the comfort of a patient who is recovering from prostatitis is to suggest that the patient:

Accepted Answer

A)   Avoid bathing for 2 days.
B)   Exercise.
C)   Take stool softeners.
D)   Limit fluid intake.

Question 14

When reviewing the drugs taken by the 50-year-old male patient,the nurse recognizes that the drug that is most probably causing erectile dysfunction (ED)is the:

Accepted Answer

A)   Vasodilator for hypertension
B)   Antibiotic for an upper respiratory infection
C)   Antihistamine for allergies
D)   Glucophage for type 2 diabetes

Question 15

A male student comes to the campus clinic complaining of painful scrotal edema,nausea,vomiting,chills,and fever.The nurse recognizes these signs and symptoms as being associated with:

Accepted Answer

A)   Orchitis
B)   Epididymitis
C)   Urethritis
D)   Cystitis

Question 16

The discharge teaching plan for a patient after undergoing a prostatectomy would include instructions relative to:

Accepted Answer

A)   Remedy for bladder spasm
B)   Catheter care
C)   Delay of sexual activity for 3 months
D)   Perineal exercises
E)   Avoidance of heavy lifting

Question 17

After the physician has left the room of a 30-year-old man who has been diagnosed with testicular cancer,the patient covers his face with both hands and sighs.The nurse's most therapeutic intervention at this time would be to:

Accepted Answer

A)   Ask the patient, "Do you want to talk about your cancer?"
B)   Leave the room, and pull the door closed.
C)   Go to the nurse's station, and call the patient's wife.
D)   Complete the patient care as quickly as possible.

Question 18

The nurse who is assessing a young man who is being treated for sterility will inquire whether the young man had any common childhood disease that may be the cause of sterility.Such diseases would include:

Accepted Answer

A)   Mumps
B)   Chicken pox
C)   Measles
D)   Scarlet fever

Question 19

When a significant elevation in the human chorionic gonadotropin (hCG)level is noted on the laboratory report,the nurse is aware that this is a marker for ____________________ cancer.

Accepted Answer

The answer of When a significant elevation in the human...

Question 20

The mother of a newborn with cryptorchidism asks if this condition will be permanent.The nurse's best response would be:

Accepted Answer

A)   "Yes, but your child can develop normally with hormone replacement therapy."
B)   "No, several medical and surgical remedies can be performed after your baby's first birthday."
C)   "Yes, but the undescended testicle is still able to function in a normal manner."
D)   "No, the process of sexual maturity will cause it to descend at puberty."

Exam 48: Male Reproductive Disorders