When performing a genitourinary assessment on a 16-year-old male adolescent, the nurse notices a swelling in the scrotum that increases with increased intra-abdominal pressure and decreases when he is lying down.
The patient complains of pain when straining. The nurse knows that this description is most consistent with a(n) ______ hernia.
a.
Femoral
b.
Incisional
c.
Direct inguinal
d.
Indirect inguinal
Question 2A 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:
a.
Epididymitis.
b.
Spermatocele.
c.
Testicular torsion.
d.
Varicocele.
Question 3When 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:
a. Carcinoma.
b. Syphilitic chancres.
c. Genital herpes.
d. Genital warts.
Question 4During an examination of an aging man, the nurse recognizes that normal changes to expect would be:
a. Change in scrotal color.
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 5The nurse knows that a common assessment finding in a boy younger than 2 years old is:
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 6A 2-year-old boy has been diagnosed with physiologic cryptorchidism. Considering this diagnosis, during assessment the nurse will most likely observe:
a. Testes that are hard and painful to palpation.
b. Atrophic scrotum and a bilateral absence of the testis.
c. Absence of the testis in the scrotum, but the testis can be milked down.
d. Testes that migrate into the abdomen when the child squats or sits cross-legged.
Question 7A 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.
Question 8The nurse is describing how to perform a testicular self-examination to a patient. Which statement is most appropriate?
a. A good time to examine your testicles is just before you take a shower.
b. If you notice an enlarged testicle or a painless lump, call your health care provider.
c. The testicle is egg shaped and movable. It feels firm and has a lumpy consistency.
d. Perform a testicular examination at least once a week to detect the early stages of testicular cancer.
Question 9When assessing the scrotum of a male patient, the nurse notices the presence of multiple firm, nontender, yellow 1-cm nodules. The nurse knows that these nodules are most likely:
a. From urethritis.
b. Sebaceous cysts.
c. Subcutaneous plaques.
d. From an inflammation of the epididymis.
Question 10When 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. 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 a mass in the scrotum.
Question 11The nurse is aware of which statement to be true regarding the incidence of testicular cancer?
a. Testicular cancer is the most common cancer in men aged 30 to 50 years.
b. The early symptoms of testicular cancer are pain and induration.
c. Men with a history of cryptorchidism are at the greatest risk for the development of testicular cancer.
d. The cure rate for testicular cancer is low.
Question 12When the nurse is performing a genital examination on a male patient, which action is correct?
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 for a hernia on the right side
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