Chapter 26: Assessing Male Genitalia and Rectum

Question 1

The corpora spongiosum extends distally to form the acorn-shaped

a. glans.
b. frenulum.
c. corona.
d. scrotum.

Answer 1

a. glans.

Question 2

If a male client is uncircumcised, the glans of the penis is covered by the

a. epididymis.
b. frenulum.
c. corona.
d. foreskin.

Answer 2

d. foreskin.

Question 3

The testes in the male scrotum are

a. joined with the ejaculatory duct.
b. suspended by the spermatic cord.
c. able to produce progesterone.
d. the location of the vas deferens.

Answer 3

b. suspended by the spermatic cord.

Question 4

The inguinal canal in a male client is located

a. just above and parallel to the inguinal ligament.
b. anteriorly above the symphysis pubis.
c. anterior to the external inguinal ring.
d. posterior to the superior iliac ring.

Answer 4

a. just above and parallel to the inguinal ligament.

Question 5

Retracted foreskin that cannot be returned to cover the glans

a. Corona
b. Hernia
c. Chancres
d. Phimosis
e. Paraphimosis
f. Hypospadias
g. Epispadias
h. Cryptorchidism
i. Pilonidal cyst
j. Hemorrhoids

Answer 5

e. Paraphimosis

Question 6

Displacement of the urinary meatus to the dorsal surface of the penis

a. Corona
b. Hernia
c. Chancres
d. Phimosis
e. Paraphimosis
f. Hypospadias
g. Epispadias
h. Cryptorchidism
i. Pilonidal cyst
j. Hemorrhoids

Answer 6

g. Epispadias

Question 7

Base of the glans

a. Corona
b. Hernia
c. Chancres
d. Phimosis
e. Paraphimosis
f. Hypospadias
g. Epispadias
h. Cryptorchidism
i. Pilonidal cyst
j. Hemorrhoids

Answer 7

a. Corona

Question 8

Undescended testicle

a. Corona
b. Hernia
c. Chancres
d. Phimosis
e. Paraphimosis
f. Hypospadias
g. Epispadias
h. Cryptorchidism
i. Pilonidal cyst
j. Hemorrhoids

Answer 8

h. Cryptorchidism

Question 9

Protrusion of bowel through weakened muscles

a. Corona
b. Hernia
c. Chancres
d. Phimosis
e. Paraphimosis
f. Hypospadias
g. Epispadias
h. Cryptorchidism
i. Pilonidal cyst
j. Hemorrhoids

Answer 9

b. Hernia

Question 10

A tight foreskin that cannot be retracted

a. Corona
b. Hernia
c. Chancres
d. Phimosis
e. Paraphimosis
f. Hypospadias
g. Epispadias
h. Cryptorchidism
i. Pilonidal cyst
j. Hemorrhoids

Answer 10

d. Phimosis

Question 11

Red oval ulcerations caused by syphilis

a. Corona
b. Hernia
c. Chancres
d. Phimosis
e. Paraphimosis
f. Hypospadias
g. Epispadias
h. Cryptorchidism
i. Pilonidal cyst
j. Hemorrhoids

Answer 11

c. Chancres

Question 12

Displacement of the urinary meatus to the ventral surface of the penis

a. Corona
b. Hernia
c. Chancres
d. Phimosis
e. Paraphimosis
f. Hypospadias
g. Epispadias
h. Cryptorchidism
i. Pilonidal cyst
j. Hemorrhoids

Answer 12

f. Hypospadias

Question 13

Painless flabby papules due to varicose veins; two types, external or internal

a. Corona
b. Hernia
c. Chancres
d. Phimosis
e. Paraphimosis
f. Hypospadias
g. Epispadias
h. Cryptorchidism
i. Pilonidal cyst
j. Hemorrhoids

Answer 13

j. Hemorrhoids

Question 14

A hair-containing cyst located in the midline over the coccyx or lower sacrum

a. Corona
b. Hernia
c. Chancres
d. Phimosis
e. Paraphimosis
f. Hypospadias
g. Epispadias
h. Cryptorchidism
i. Pilonidal cyst
j. Hemorrhoids

Answer 14

i. Pilonidal cyst

Question 15

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 15

d. prostate enlargement.

Question 16

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 every

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

Answer 16

c. during his general physical exam.

Question 17

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.
d. inguinal hernias have been associated with transient impotence.

Answer 17

a. transient periods of erectile dysfunction are common.

Question 18

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 18

c. inguinal hernia.

Question 19

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 19

d. has anal intercourse with other males.

Question 20

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 20

d. continue the examination in an unhurried manner.

Question 21

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 21

a. ask the client to empty his bladder.

Question 22

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 22

b. herpes infection.

Question 23

While inspecting the genitalia of a male client, the nurse observes a chancre 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 chancre lesions are associated with

a. herpes virus.
b. syphilis.
c. papilloma virus.
d. gonorrhea.

Answer 23

b. syphilis.

Question 24

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 24

a. urethritis.

Question 25

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 25

c. cryptorchidism.

Question 26

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 26

c. epididymitis.

Question 27

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 27

d. varicocele.

Question 28

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 28

d. bowel sounds at the bulge.

Question 29

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 29

a. refer the client to an emergency room.