Nursing Health Assessment 3rd Edition By Dillon – Test Bank

Chapter 11: Assessing the Male Genitourinary System

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. The nurse is preparing to conduct an assessment of the male genitourinary system. Which position should the nurse ask the patient to assume?
1) Prone
2) Supine
3) Standing
4) Sitting

____ 2. The nurse is preparing to conduct a male genitourinary assessment. Which approach is least likely to be used during this process?
1) Percussion
2) Palpation
3) Inspection
4) Auscultation

____ 3. Which is a primary function of the male genitourinary system?
1) Protecting the ova
2) Regulating estrogen production
3) Secreting insulin
4) Manufacturing sperm

____ 4. The nurse is assessing the genitourinary system for a premature infant. Which is an expected finding?
1) Descended testes
2) Scrotal edema
3) Ecchymosis
4) Few rugae

____ 5. The nurse is conducting a male genitourinary assessment. Which hormone often decreases after the age of 50 years?
1) Testosterone
2) Progesterone
3) Growth-stimulating hormone
4) Luteinizing hormone

____ 6. Spermatogenesis occurs for the male patient until which age?
1) 50 years
2) 60 years
3) 70 years
4) 80 years

____ 7. Which is the term used to describe a soft, nontender, and enlarged prostate gland?
1) Prostatectomy
2) Prostatitis
3) Prostate cancer
4) Benign prostatic hyperplasia (BPH)

____ 8. Which cultural group practices circumcision of the penis as part of their religious value system?
1) Hispanics
2) Muslims
3) Greeks
4) Native Americans

____ 9. The nurse is assessing the patient for an inguinal hernia. To palpate for a hernia at the external inguinal ring, the nurse inserts the right index finger into which location?
1) Rectum
2) Femoral area
3) Scrotal sac above the testicles
4) None of the above

____ 10. Structures that are assessed when palpating both sides of the scrotum include the testicle and which other structures?
1) Prostate gland and seminal vesicles
2) Vas deferens and penis
3) Epididymis and spermatic cord
4) All of the above

MULTIPLE CHOICE

1. ANS: 3
Chapter number and title: 11, Assessing the Male Genitourinary System
Chapter/learning objective: N/A
Chapter page reference: 305
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive Level: Knowledge (Remembering)
Concept: Male Reproduction, Assessment
Difficulty: Easy
Feedback
1 A prone position is not commonly used during an assessment of the male reproductive system.
2 A supine position is not commonly used during an assessment of the male reproductive system.
3 The nurse will ask the patient to stand during an assessment of the male reproductive system.
4 A sitting position is not commonly used during an assessment of the male reproductive system.

PTS: 1 CON: Male Reproduction | Assessment

2. ANS: 1
Chapter number and title: 11, Assessing the Male Genitourinary System
Chapter/learning objective: N/A
Chapter page reference: 305
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive Level: Comprehension (Understanding)
Concept: Male Reproduction
Difficulty: Easy
Feedback
1 Percussion is not a physical assessment approach that is routinely used during the male genitourinary assessment.
2 Palpation is a physical assessment approach that is routinely used during the male genitourinary assessment.
3 Inspection is a physical assessment approach that is routinely used during the male genitourinary assessment.
4 Auscultation is a physical assessment approach that is routinely used during the male genitourinary assessment.

PTS: 1 CON: Male Reproduction

3. ANS: 4
Chapter number and title: 11, Assessing the Male Genitourinary System
Chapter/learning objective: N/A
Chapter page reference: 297
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive Level: Knowledge (Remembering)
Concept: Male Reproduction
Difficulty: Easy
Feedback
1 Protecting the ova is a primary function of the female genitourinary system.
2 Although the male genitourinary system does regulate male hormones, estrogen is not a primary male hormone.
3 Insulin is not secreted by the male genitourinary system.
4 Manufacturing sperm is a primary function of the male genitourinary system.

PTS: 1 CON: Male Reproduction

4. ANS: 4
Chapter number and title: 11, Assessing the Male Genitourinary System
Chapter/learning objective: N/A
Chapter page reference: 297
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive Level: Comprehension (Understanding)
Concept: Male Reproduction, Development
Difficulty: Easy
Feedback
1 The premature infant often has undescended testes.
2 Scrotal edema often occurs in breech-delivered infants, not premature infants.
3 Ecchymosis often occurs in a breech-delivered infant, not a premature infant.
4 The premature infant often has few rugae. This is an expected assessment finding.

PTS: 1 CON: Male Reproduction | Development

5. ANS: 1
Chapter number and title: 11, Assessing the Male Genitourinary System
Chapter/learning objective: N/A
Chapter page reference: 299
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive Level: Comprehension (Understanding)
Concept: Male Reproduction
Difficulty: Easy
Feedback
1 Testosterone is responsible for the development of secondary sexual characteristics and reproductive capacity. Reduction in testosterone levels occurs by the age of 50 years.
2 Progesterone and luteinizing hormone are female hormones.
3 Growth-stimulating hormone is not a hormone that decreases after the age of 50 years.
4 Progesterone and luteinizing hormone are female hormones.

PTS: 1 CON: Male Reproduction

6. ANS: 3
Chapter number and title: 11, Assessing the Male Genitourinary System
Chapter/learning objective: N/A
Chapter page reference: 299
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive Level: Knowledge (Remembering)
Concept: Male Reproduction
Difficulty: Easy
Feedback
1 Normal spermatogenesis is present in most men at 50 years of age.
2 Normal spermatogenesis is present in most men at 60 years of age.
3 Although sperm output may be decreased, normal spermatogenesis is present in most men until age 70 years.
4 By the age of 80 years, spermatogenesis is typically not present.

PTS: 1 CON: Male Reproduction

7. ANS: 4
Chapter number and title: 11, Assessing the Male Genitourinary System
Chapter/learning objective: N/A
Chapter page reference: 313
Integrated Processes: Nursing Process: Assessment
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Knowledge (Remembering)
Concept: Male Reproduction
Difficulty: Easy
Feedback
1 A prostatectomy is the term used to describe the removal of the prostate gland.
2 Prostatitis is the term used to describe inflammation of the prostate gland.
3 Prostate cancer is not the term used to describe a soft, nontender, and enlarged prostate gland.
4 BPH is the term used to describe a soft, nontender, and enlarged prostate gland.

PTS: 1 CON: Male Reproduction

8. ANS: 2
Chapter number and title: 11, Assessing the Male Genitourinary System
Chapter/learning objective: N/A
Chapter page reference: 299
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive Level: Comprehension (Understanding)
Concept: Diversity
Difficulty: Easy
Feedback
1 Circumcision is not a religious practice for Hispanics.
2 Circumcision is a religious practice for Jews and Muslims.
3 Circumcision is not a religious practice for Greeks.
4 Circumcision is not a religious practice for Native Americans.

PTS: 1 CON: Diversity

9. ANS: 3
Chapter number and title: 11, Assessing the Male Genitourinary System
Chapter/learning objective: N/A
Chapter page reference: 311
Integrated Processes: Nursing Process: Assessment
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Application (Applying)
Concept: Male Reproduction
Difficulty: Moderate
Feedback
1 The right index finger is not placed in the rectum when assessing for an inguinal hernia.
2 The femoral area is not palpated to assess for an inguinal hernia.
3 To palpate for inguinal hernias, ask the patient to bear down while the nurse palpates the inguinal area. Place the dominant index finger in the patient’s scrotal sac above the testicle and invaginate the scrotal skin.
4 One of the answer choices is correct.

PTS: 1 CON: Male Reproduction

10. ANS: 3
Chapter number and title: 11, Assessing the Male Genitourinary System
Chapter/learning objective: N/A
Chapter page reference: 311
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive Level: Application (Applying)
Concept: Male Reproduction
Difficulty: Moderate
Feedback
1 The prostate gland is assessed by rectal exam. The seminal vesicles are not palpable.
2 The vas deferens is not palpable. The penis is readily palpable.
3 The scrotum contains a testicle and an epididymis on each side. Testicles should be firm but not hard, oval, smooth, equal in size, and sensitive to pressure but not tender. The epididymis is comma shaped, distinguishable from the testicle, and insensitive to pressure. The spermatic cord is smooth and round.
4 Not all of these structures are palpable with this assessment technique.