GENITALIA AND INGUINAL Flashcards
(10 cards)
During a male genital assessment, the nurse palpates a soft mass in the inguinal canal that disappears when the client lies down. What does this most likely indicate?
A. Varicocele
B. Inguinal hernia
C. Hydrocele
D. Epididymitis
B. Inguinal hernia
Rationale: A reducible inguinal hernia is a soft mass that may disappear when the client lies down or with gentle pressure.
Which of the following findings is normal during inspection of the female external genitalia?
A. Swelling of the labia minora with a foul odor
B. Clear or white vaginal discharge without irritation
C. Thick, green discharge
D. Open lesions on the vulva
B. Clear or white vaginal discharge without irritation
Rationale: Physiological vaginal discharge is typically clear to white and odorless or mildly musky.
The nurse is teaching a male adolescent about testicular self-exam (TSE). Which statement indicates correct understanding?
A. “I should do this before going to bed.”
B. “It’s best to perform it after a warm shower.”
C. “I only need to do this once a year.”
D. “I should press hard to feel any lumps.”
B. “It’s best to perform it after a warm shower.”
Rationale: Warmth relaxes the scrotum, making it easier to palpate for abnormalities.
Which is the correct position for the client during a female pelvic examination?
A. Lithotomy
B. Prone
C. Sims’
D. Supine with knees extended
A. Lithotomy
Rationale: The lithotomy position allows optimal access for examining the external and internal female genitalia.
The nurse is assessing a male client and finds a non-tender, fluid-filled mass in the scrotum that transilluminates. What is the most likely cause?
A. Testicular torsion
B. Epididymitis
C. Hydrocele
D. Hernia
C. Hydrocele
Rationale: A hydrocele is a painless accumulation of serous fluid in the scrotum that transilluminates.
Which instruction is appropriate when preparing a female client for a Pap smear?
A. “Avoid douching for at least 48 hours before the exam.”
B. “Empty your bladder after the exam.”
C. “Take a laxative the night before.”
D. “Eat a heavy meal before your appointment.”
A. “Avoid douching for at least 48 hours before the exam.”
Rationale: Douching, intercourse, and using vaginal products can alter results and should be avoided before a Pap smear.
The nurse notes bulging in the groin area when a male client coughs. This finding is consistent with:
A. Hydrocele
B. Inguinal hernia
C. Varicocele
D. Orchitis
B. Inguinal hernia
Rationale: A bulge that becomes more prominent when coughing typically suggests an inguinal hernia.
What is a normal finding when palpating the testes of an adult male?
A. Firm, smooth, and oval in shape
B. Tender and nodular
C. Soft and irregular
D. Painful on palpation
A. Firm, smooth, and oval in shape
Rationale: Normal testes are firm, smooth, rubbery, and oval. Tenderness, nodules, or irregularity are abnormal.
Which of the following is an expected age-related change in the female reproductive system?
A. Increased vaginal lubrication
B. Thinning of the vaginal wall
C. Increased estrogen levels
D. Enlargement of the ovaries
B. Thinning of the vaginal wall
Rationale: With menopause, estrogen decreases, causing vaginal atrophy and thinning of the walls.
A nurse is examining a male client and notes a “bag of worms” appearance above the left testicle. What is this finding associated with?
A. Epididymitis
B. Varicocele
C. Testicular cancer
D. Spermatocele
B. Varicocele
Rationale: A varicocele is a collection of dilated veins in the scrotum, often described as feeling like a “bag of worms.”
