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Exam 24: Male Genitourinary System

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Question 21

Multiple Choice

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When performing a genital examination on a 25-year-old man,the nurse notices deeply pigmented,wrinkled scrotal skin with large sebaceous follicles.On the basis of this information,the nurse would:

A) Squeeze the glans to check for the presence of discharge.
B) Consider this finding as normal, and proceed with the examination.
C) Assess the testicles for the presence of masses or painless lumps.
D) Obtain a more detailed history, focusing on any scrotal abnormalities the patient has noticed.

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Question 22

Multiple Choice

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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?

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.

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Question 23

Multiple Choice

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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:

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

The nurse is aware of which statement to be true regarding the incidence of testicular cancer?

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 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.

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

During a health history,a patient tells the nurse that he has trouble in starting his urine stream.This problem is known as:

When performing a scrotal assessment,the nurse notices that the scrotal contents show a red glow with transillumination.On the basis of this finding the nurse would:

A 55-year-old man is in the clinic for a yearly checkup.He is worried because his father died of prostate cancer.The nurse knows which tests should be performed at this time? Select all that apply.

A 45-year-old mother of two children is seen at the clinic for complaints of "losing my urine when I sneeze." The nurse documents that she is experiencing:

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

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:

When the nurse is performing a testicular examination on a 25-year-old man,which finding is considered normal?

A 15-year-old boy is seen in the clinic for complaints of "dull pain and pulling" in the scrotal area.On examination,the nurse palpates a soft,irregular mass posterior to and above the testis on the left.This mass collapses when the patient is supine and refills when he is upright.This description is consistent with:

The nurse is performing a genital examination on a male patient and notices urethral drainage.When collecting urethral discharge for microscopic examination and culture,the nurse should:

Which of these statements is true regarding the penis?

A 2-year-old boy has been diagnosed with physiologic cryptorchidism.Considering this diagnosis,during assessment the nurse will most likely observe:

A 55-year-old man is experiencing severe pain of sudden onset in the scrotal area.It is somewhat relieved by elevation.On examination the nurse notices an enlarged,red scrotum that is very tender to palpation.Distinguishing the epididymis from the testis is difficult,and the scrotal skin is thick and edematous.This description is consistent with which of these?

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