Question 1

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

Testicular
An elevation in the hCG is a marker for testicular cancer.

Question 2

The patient who had a prostatectomy 1 year earlier now has elevations in serum alkaline phosphatase and calcium levels.The nurse is aware that these are indicators of:

Accepted Answer

A)   Reduction of cancer risk
B)   Orchiditis
C)   Testicular cancer
D)   Metastasis D

Question 3

A patient has been prescribed flutamide (Eulexin)for the treatment of prostate cancer.The nurse reminds the patient that a side effect might be:

Accepted Answer

A)   Incontinence
B)   Insomnia
C)   Weight loss
D)   Hot flashes D

Question 4

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 5

The discharge teaching plan for a patient after undergoing a prostatectomy would include instructions relative to: (Select all that apply.)

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 6

The statement by the patient that indicates he understands the teaching relative to how to perform a testicular self-examination is:

Accepted Answer

A)   "It's not necessary to feel the testes, just look at them in a mirror."
B)   "The best time to do a self-examination is after a shower, when my body is warm."
C)   "It doesn't really matter when I do it, just do it sometime."
D)   "The physician is really the best person to check this for me."

Question 7

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 8

A patient with a spinal cord injury complains to the nurse of the inability to experience an erection.The nurse explains,"The _______________ component of the nervous system has been affected by your injury."

Accepted Answer

A)   Sympathetic
B)   Somatic
C)   Parasympathetic
D)   Cerebral cortex

Question 9

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 10

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."

Question 11

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 12

A 60-year-old man who had a prostatectomy 3 weeks earlier asks if the ongoing incontinence will ever stop.The nurse's most helpful response would be based on the knowledge that the:

Accepted Answer

A)   Postprostatectomy incontinence is usually permanent.
B)   Postprostatectomy incontinence usually clears up in 6 months.
C)   Although the constant dribbling will stop, stress incontinence will continue.
D)   Postprostatectomy incontinence frequently requires a second surgery is to correct the problem.

Question 13

When giving instruction about taking sildenafil (Viagra),the nurse would include the instruction that:

Accepted Answer

A)   No more than two tablets should be taken in a 24-hour period.
B)   Erection occurs without stimulation.
C)   Nitrates should be taken at least 4 hours before taking Viagra.
D)   Tablet should be taken 1 hour before sexual activity.

Question 14

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 15

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 16

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 17

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."

Question 18

The nurse explains to a young man being treated for infertility that the semen analysis will:

Accepted Answer

A)   Determine the history of sexually transmitted infections.
B)   Evaluate the potential for genetic problems.
C)   Determine whether any urethral obstructions are present.
D)   Microscopically assess the sperm for number and motility.

Question 19

The nurse is aware that the elevation in the prostatic-specific antigen (PSA)level from 4 ng/L to 6 ng/L is cause to consider a(n):

Accepted Answer

A)   Possibility of prostatic cancer
B)   ED
C)   Probability of orchiditis
D)   Significant indication of Peyronie disease

Question 20

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

Exam 48: Male Reproductive Disorders

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.

The patient who had a prostatectomy 1 year earlier now has elevations in serum alkaline phosphatase and calcium levels.The nurse is aware that these are indicators of:

A patient has been prescribed flutamide (Eulexin) for the treatment of prostate cancer.The nurse reminds the patient that a side effect might be:

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

The discharge teaching plan for a patient after undergoing a prostatectomy would include instructions relative to: (Select all that apply.)

The statement by the patient that indicates he understands the teaching relative to how to perform a testicular self-examination is:

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:

A patient with a spinal cord injury complains to the nurse of the inability to experience an erection.The nurse explains,"The _______________ component of the nervous system has been affected by your injury."

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:

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?

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:

A 60-year-old man who had a prostatectomy 3 weeks earlier asks if the ongoing incontinence will ever stop.The nurse's most helpful response would be based on the knowledge that the:

When giving instruction about taking sildenafil (Viagra) ,the nurse would include the instruction that:

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:

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

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:

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

The nurse explains to a young man being treated for infertility that the semen analysis will:

The nurse is aware that the elevation in the prostatic-specific antigen (PSA) level from 4 ng/L to 6 ng/L is cause to consider a(n) :

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