Male And Female Repro

Question 1

During assessment of an elderly male client, the client tells the nurse that he has had difficulty urinating for the past few weeks. The nurse should refer the client to the physician for possible

a. inguinal hernia.
b. sexually transmitted disease.
c. impotence.
d. prostate enlargement.

Answer 1

D

Question 2

2. A 25-year-old client asks the nurse how often he should have a testicular examination. After instructing the client about the American Cancer Society’s guidelines, the nurse determines that the client has understood the instructions when he says he should have a testicular examination

a. yearly.
b. only if he has symptoms.
c. during his general physical exam.
d. every 4 years.

Answer 2

C

Question 3

3. A 45-year-old male client tells the nurse that he has had problems in having an erection for the last couple of weeks but is “doing better now.” The nurse should explain to the client that

a. transient periods of erectile dysfunction are common.
b. impotence in males should be investigated.
c. transient impotence may be indicative of prostate enlargement.

Answer 3

A

Question 4

4. A male client tells the nurse that his occupation requires heavy lifting and a great deal of strenuous activity. The nurse should assess the client for

a. signs and symptoms of prostate enlargement.
b. erectile dysfunction.
c. inguinal hernia.
d. urinary tract infection.

Answer 4

C

Question 5

5. During assessment of an adult client, which of the following lifestyle practices would indicate to the nurse that the client may be at high risk for HIV/AIDS? A client who

a. uses a condom on a regular basis.
b. has multiple female partners.
c. smokes marijuana occasionally.
d. has anal intercourse with other males.

Answer 5

D

Question 6

6. During assessment of the genitalia of an adult male, the client has an erection. The nurse should
   a. explain to the client that this often happens during an examination.
   b. cover the client’s genitals and discontinue the examination.
   c. allow the client time to rest before proceeding with the examination.
   d. continue the examination in an unhurried manner.

Answer 6

D

Question 7

7. Before beginning the examination of the genitalia of an adult male client, the nurse should
   a. ask the client to empty his bladder.
   b. tell the client that he will remain in a supine position.
   c. ask the client to leave his shirt in place.
   d. tell the client that he may leave his underwear in place.

Answer 7

A

Question 8

8. While assessing an adult male client, the nurse detects pimple-like lesions on the client’s glans. The nurse explains the need for a referral to the client. The nurse determines that the client has understood the instructions when the client says he may have
   a. venereal warts.
   b. herpes infection.
   c. syphilis.
   d. gonorrhea.

Answer 8

B

Question 9

9. While inspecting the genitalia of a male client, the nurse observes a chance lesion under the foreskin.
   The nurse has explained this observation to the client. The nurse determines that the client understands the need for a referral when the client says that chance lesions are associated with
   a. herpes virus.
   b. syphilis.
   c. papilloma virus.
   d. gonorrhea.

Answer 9

B

Question 10

10. A male client visits the clinic and tells the nurse that he has had a white discharge from his penis for the
    past few days. The nurse should refer the client to a physician for possible
    a. urethritis.
    b. gonorrhea.
    c. herpes infection.
    d. syphilis.

Answer 10

A

Question 11

11. The nurse has assessed a male client and determines that one of the testes is absent. The nurse should explain to the client that this condition is termed
    a. hypospadias:
    b. hematocele.
    c. cryptorchidism.
    d. orchitis.

Answer 11

C

Question 12

12. The nurse is assessing the genitalia of an adult male client when he tells the nurse that his testes are swollen and painful. The nurse should refer the client to a physician for possible
    a. cancer.
    b. hydrocele.
    c. epididymitis.
    d. hematocele.

Answer 12

C

Question 13

13. While transilluminating the scrotal contents in a male adult client, the nurse does not detect a red glow.
    The nurse should refer the client to a physician for possible.
    a. spermatocele.
    b. orchitis.
    c. hydrocele.
    d. varicocele.

Answer 13

D

Question 14

14. The nurse suspects that a male client may have a hernia. The nurse should further assess the client for
    a. bruising at the site.
    b. urinary tract infection.
    c. cysts at the spermatic cord.
    d. bowel sounds at the bulge.

Answer 14

D

Question 15

15. A male client tells the nurse that he has received a diagnosis of hernia. He visits the clinic because he is
    nauseated and has extreme tenderness on the left side. The nurse should
    a. refer the client to an emergency room.
    b. try to push the mass into the abdomen.
    c. assess for a mass on the right side.
    d. assess the client’s vital signs.

Answer 15

A

Question 16

1. A female client tells the nurse that she may be experiencing premenstrual syndrome. An appropriate question for the nurse to ask the client is
   a. “How often are your menstrual periods?”
   b. “Do you experience mood swings or bloating?”
   c. “Are you experiencing regular menstrual cycles?”
   d. “How old were you when you began to menstruate?”

Answer 16

B

Question 17

A 53 year old client tells the nurse that she thinks she is starting the menopausal stage in life. The nurse should tell the client that she id experiencing
a. hot flashes.
b. increased appetite.
c. vaginal discharge.
d. urinary frequency.

Answer 17

A

Question 18

3. During assessment of the vaginal area of an adult client, the client tells the nurse that she has had pain in her vaginal area. The nurse should further assess the client for
   a. trauma.
   b. cancer.
   c. pregnancy.
   d. infection.

Answer 18

D

Question 19

4. A female client tells the nurse that she has pain while urinating. Besides obtaining a urinalysis, the
   nurse should assess the client for
   a. kidney trauma.
   b. sexually transmitted disease.
   c. tumors.
   d. infestation.

Answer 19

B

Question 20

5. An older adult client visits the clinic complaining of urinary incontinence. The nurse should explain to the client that this is often due to
   a. decreased urethral elasticity.
   b. atrophy of the vaginal mucosa.
   c. change in the vaginal pH.
   d. decreased estrogen production.

Answer 20

A

Question 21

6. A female client has scheduled a physical examination, including a Pap smear. The nurse should instruct the client to
   a. refrain from douching 48 hours before the examination.
   b. bring in a urine sample for testing.
   c. drink a large volume of fluid before the examination.
   d. refrain from using talcum powder after her shower.

Answer 21

A

Question 22

7. The nurse is preparing to perform a speculum examination on an adult woman. To lubricate the speculum before insertion, the nurse should use
   a. sterile water.
   b. K-Y jelly.
   c. warm tap water.
   d. petroleum jelly.

Answer 22

B

Question 23

The nurse is assessing genitalia of female and detects bulging anterior wall in vagina
The nurse should plan to refer the client to a physician for
a. stress incontinence.
b. rectocele.
c. tumor of the vagina.
d. cystocele.

Answer 23

D

Question 24

The nurse is assessing genitalia of female and detects bulging anterior wall in vagina
The nurse should plan to refer the client to a physician for
a. stress incontinence.
b. rectocele.
c. tumor of the vagina.
d. cystocele.

Answer 24

D

Question 25

10. An older adult client visits the clinic for a gynecologic examination. The client tells the nurse that she has been told that she has uterine prolapse. The nurse should further assess the client for

a. stress incontinence.
b. cystocele.
c. a retroverted uterus.
d. diastasis recti.

Answer 25

A