Question 1

When performing a genitourinary assessment, the nurse notices that the urethral meatus is ventrally positioned.This finding is:

Accepted Answer

A) Known as hypospadias 
B) A result of phimosis 
C) Probably caused by a stricture 
D) Often associated with aging

Question 2

The nurse knows that a common assessment finding in a boy younger than 2 years of age is:

Accepted Answer

A) Inflamed and tender spermatic cord 
B) Presence of a hernia in the scrotum 
C) Penis that looks large in relation to the scrotum 
D) Presence of a hydrocele, or fluid in the scrotum

Question 3

A 2-month-old uncircumcised infant has been brought to the clinic for a well-baby checkup.How would the nurse proceed with the genital examination?

Accepted Answer

A) Eliciting the cremasteric reflex is recommended. 
B) The glans is assessed for redness or lesions. 
C) Retracting the foreskin should be avoided until the infant is 3 months old. 
D) Any dirt or smegma that has collected under the foreskin should be noted.

Question 4

When performing a genital assessment on a middle-aged man, the nurse notices multiple soft, moist, painless papules in the shape of cauliflower-like patches scattered across the shaft of the penis.These lesions are characteristic of:

Accepted Answer

A) Carcinoma 
B) Syphilitic chancres 
C) Genital herpes 
D) Genital warts

Question 5

During a physical examination, the nurse finds that a male patient's foreskin is fixed and tight and will not retract over the glans.The nurse recognizes that this condition is:

Accepted Answer

A) Phimosis 
B) Epispadias 
C) Urethral stricture 
D) Peyronie's disease

Question 6

During a genital examination, the nurse notices that a male patient has clusters of small vesicles on the glans, surrounded by erythema.The nurse recognizes that these lesions are:

Accepted Answer

A) Peyronie's disease 
B) Genital warts 
C) Genital herpes 
D) Syphilitic cancer

Question 7

During the health history interview with an 18 year-old male patient, the patient expresses concern that his "private parts seem to move closer to his body when it is cold out." The nurse explains that:

Accepted Answer

A) The lymphatic vessels of the testes drain into the abdominal lymph nodes 
B) The vas deferens is located along the inferior portion of each testis 
C) The right testis is lower than the left one because the right spermatic cord is longer 
D) The cremaster muscle contracts in response to cold and draws the testicles closer to the body

Question 8

A 16-year-old boy is brought to the clinic for a problem that he refused to let his mother see.The nurse examines him and finds that he has scrotal swelling on the left side.He had had the mumps the previous week, and the nurse suspects that he has orchitis.Which of the following assessment findings support this diagnosis? (Select all that apply.)

Accepted Answer

A) Swollen testis 
B) Mass that is transilluminated 
C) Mass that is not transilluminated 
D) Scrotum that is nontender on palpation 
E) Scrotum that is tender on palpation
F)Scrotal skin that is reddened

Question 9

When the nurse is performing a genital examination on a male patient, which action is correct?

Accepted Answer

A) Auscultating for the presence of a bruit over the scrotum 
B) Palpating for the vertical chain of lymph nodes along the groin, inferior to the inguinal ligament 
C) Palpating the inguinal canal only if a bulge is present in the inguinal region during inspection 
D) Having the patient shift his weight onto the left (unexamined) leg when palpating the right inguinal canal for a mass

Question 10

During an examination of an older adult male, the nurse recognizes that normal changes to expect would be:

Accepted Answer

A) Change in scrotal colour 
B) Decrease in the size of the penis 
C) Enlargement of the testes and scrotum 
D) Increase in the number of rugae over the scrotal sac

Question 11

A baby boy is about to have a circumcision.The nurse knows that the reasons for circumcision include:

Accepted Answer

A) Cultural and religious beliefs 
B) Prevention of testicular cancer 
C) Improving the sperm count later in life 
D) Prevention of dysuria

Question 12

During a scrotal assessment, the nurse palpates a mass and notices that the scrotal contents show a red glow with transillumination.On the basis of these findings, the nurse would:

Accepted Answer

A) Assess the patient for the presence of a hernia 
B) Suspect the presence of serous fluid in the scrotum 
C) Consider this finding normal and proceed with the examination 
D) Refer the patient for evaluation of the mass in the scrotum

Question 13

The nurse is teaching a sex education class for a group of 10-year-old boys, who are curious about why the penis looks different in some boys.The nurse explains that some boys are circumcised and that circumcision involves:

Accepted Answer

A) The ventral placement of the urethral meatus 
B) The placement of the prepuce covering the shaft of the penis 
C) Surgery of the two cylindrical columns of erectile tissue 
D) The surgical removal of the foreskin shortly after birth

Question 14

The mother of a 10-year-old boy asks the nurse to explain the onset of puberty.The nurse should reply by saying:

Accepted Answer

A) "Puberty usually begins around 15 years of age." 
B) "The first sign of puberty is an enlargement of the testes." 
C) "The penis size does not increase until about 16 years of age." 
D) "The development of pubic hair precedes enlargement of the testicles or penis."

Question 15

The nurse is teaching a class of 5-year-olds the correct terminology for male genitalia and explains that the external structures include the:

Accepted Answer

A) Testis 
B) Scrotum 
C) Epididymis 
D) Vas deferens

Question 16

A 70-year-old man is in for his annual checkup.He has noticed some changes he is concerned about as he is aging.The nurse explains what normal changes he should expect including: (Select all that apply.)

Accepted Answer

A) Scrotum hanging lower 
B) Decrease in the size of the testes 
C) Increase in the amount of pubic hair 
D) Decrease in the size of the penis 
E) Scrotum shrinking in size

Question 17

An older man is concerned about his sexual performance.The nurse knows that in the absence of disease, a man may withdraw from sexual activity later in life because of:

Accepted Answer

A) Side effects of medications 
B) Decreased libido with aging 
C) Decreased sperm production 
D) Decreased pleasure from sexual intercourse

Question 18

When the nurse is conducting sexual history interview with a male adolescent, which statement would be most appropriate to use at the beginning of the interview?

Accepted Answer

A) "Do you use condoms?" 
B) "You don't masturbate, do you?" 
C) "Have you had sex in the past 6 months?" 
D) "Often adolescents your age have questions about sexual activity."

Question 19

The nurse is describing to a patient how to perform TSE.Which statement is most appropriate?

Accepted Answer

A) "A good time to examine your testicles is just before you take a shower." 
B) "An enlarged testicle or a painless lump is not unusual." 
C) "The healthy testicle is egg shaped and movable.It should feel firm and have a lumpy consistency." 
D) "Perform TSE at least once a week to detect testicular cancer in the early stage."

Question 20

The nurse is inspecting the scrotum and testes of a 43-year-old man.Which finding would require additional follow-up and evaluation?

Accepted Answer

A) Skin on the scrotum is taut. 
B) Left testicle hangs lower than the right testicle. 
C) Scrotal skin has yellowish, 1-cm nodules that are firm and nontender. 
D) Testes move closer to the body in response to cold temperatures.

Exam 26: Male Genitourinary System