NSG 3280 Unit 8 STI & Male Reproductive Practice
Questions
1. A patient presents with signs of Benign Prostatic Hyperplasia (BPH). The
nurse understands that the mechanism leading to the characteristic urinary
symptoms in BPH is primarily related to which pathophysiological process?
A. Malignant cellular destruction of the prostate gland tissue.
B. Inflammation and resulting scar tissue formation within the prostate and urethra.
C. Increased number of cells in the prostate causing enlargement and urethral
compression.
D. An autoimmune response causing severe generalized prostate edema.
2. The nurse is reviewing the chart of a patient who recently underwent a
Nocturnal Penile Tumescence Test (NPTT). If the patient developed an erection
during sleep, what conclusion can the nurse draw regarding the primary cause
of the patient’s Erectile Dysfunction (ED)?
A. The ED is likely secondary to pituitary hormonal issues.
B. The ED is likely due to the patient's current beta-blocker medication regimen.
C. The cause of the ED is likely organic, requiring further vascular workup.
D. The cause of the ED is likely psychogenic.
3. A male patient is diagnosed with Gonorrhea. The nurse knows that if this
infection spreads via the lymphatic system, which of the following areas is
possible to become inflamed? (Select All That Apply)
A. Pharynx
B. Conjunctivae
C. Bartholin glands
D. Skene glands
E. Vas deferens
4. A patient is diagnosed with acute bacterial prostatitis. Which characteristic
symptom is most likely to be present in this patient but potentially absent in a
patient with chronic bacterial prostatitis?
A. Dysuria
B. Fever and chills
C. Low back pain
D. Perineal pain
,5. Which of the following risk factors specifically leads to an increased risk of
developing Penile Cancer due to the resulting chronic inflammation?
A. Cryptorchidism
B. Excessive ETOH abuse
C. Foreskin phimosis
D. Trauma related to catheterization
6. The nurse is caring for an adult male patient presenting with an enlarged,
red, tender scrotum and pain that radiates to the inguinal area. Which
additional finding might the nurse observe?
A. Hematuria
B. Cloudy urine
C. Painless chancre
D. Loss of acinar formation
7. A patient with long-standing, poorly managed diabetes is admitted with
scrotal pain and swelling, fever, and chills. The nurse recognizes that the
patient has an increased risk for an aggressive infection, potentially leading to
necrosis of the scrotum. This serious condition is known as:
A. Acute bacterial prostatitis.
B. Testicular cancer.
C. Epididymitis.
D. Fournier Gangrene.
8. Which of the following medications listed in the patient’s history could
indicate a potential secondary organic cause of Erectile Dysfunction? (Select
All That Apply)
A. Thiazides
B. ACE inhibitors
C. Warfarin
D. Beta-blockers
E. Antidepressants
, 9. The nurse reviews the diagnosis of Prostatitis for four patients. Which
patient most likely has nonbacterial prostatitis?
A. The patient whose culture is positive for E. coli.
B. The patient found to have inflammation incidentally on a biopsy.
C. The patient with localized pain and urinary symptoms but no positive urine culture.
D. The patient with relapsing infections due to the accumulation of pathogens.
10. A 22-year-old male is diagnosed with Testicular Cancer. The nurse knows
that the majority of testicular tumors originate from which tissue type?
A. Stromal cells of the testis (Nongerminal)
B. Leydig cells (Nongerminal)
C. Squamous cells (Penile origin)
D. Germinal cells (Germinal)
11. The presence of which complication in a patient with Benign Prostatic
Hyperplasia (BPH) indicates an urgent need for intervention due to risk for
impaired kidney function?
A. Urinary hesitancy
B. Weak urine stream
C. Chronic urinary tract infection
D. Acute urinary retention with hydronephrosis
12. The pathophysiology of urethral strictures involves a sequence of events
initiated by inflammation. Which sequence correctly describes this process?
A. Trauma -> stricture -> scar tissue formation
B. Inflammation-> scar tissue formation and fibrotic scarring -> stricture
C. Infection-> vasodilation -> fibrotic scarring
D. Fibrotic scarring -> urethral discharge-> inflammation
13. A patient's prostate biopsy reveals tumors characterized by indistinct cell
borders, large nuclei, and loss of acinar formation. The nurse interprets these
findings as indicative of:
A. Benign Prostatic Hyperplasia.
B. Chronic nonbacterial prostatitis.
C. An aggressive cancer tumor.
Questions
1. A patient presents with signs of Benign Prostatic Hyperplasia (BPH). The
nurse understands that the mechanism leading to the characteristic urinary
symptoms in BPH is primarily related to which pathophysiological process?
A. Malignant cellular destruction of the prostate gland tissue.
B. Inflammation and resulting scar tissue formation within the prostate and urethra.
C. Increased number of cells in the prostate causing enlargement and urethral
compression.
D. An autoimmune response causing severe generalized prostate edema.
2. The nurse is reviewing the chart of a patient who recently underwent a
Nocturnal Penile Tumescence Test (NPTT). If the patient developed an erection
during sleep, what conclusion can the nurse draw regarding the primary cause
of the patient’s Erectile Dysfunction (ED)?
A. The ED is likely secondary to pituitary hormonal issues.
B. The ED is likely due to the patient's current beta-blocker medication regimen.
C. The cause of the ED is likely organic, requiring further vascular workup.
D. The cause of the ED is likely psychogenic.
3. A male patient is diagnosed with Gonorrhea. The nurse knows that if this
infection spreads via the lymphatic system, which of the following areas is
possible to become inflamed? (Select All That Apply)
A. Pharynx
B. Conjunctivae
C. Bartholin glands
D. Skene glands
E. Vas deferens
4. A patient is diagnosed with acute bacterial prostatitis. Which characteristic
symptom is most likely to be present in this patient but potentially absent in a
patient with chronic bacterial prostatitis?
A. Dysuria
B. Fever and chills
C. Low back pain
D. Perineal pain
,5. Which of the following risk factors specifically leads to an increased risk of
developing Penile Cancer due to the resulting chronic inflammation?
A. Cryptorchidism
B. Excessive ETOH abuse
C. Foreskin phimosis
D. Trauma related to catheterization
6. The nurse is caring for an adult male patient presenting with an enlarged,
red, tender scrotum and pain that radiates to the inguinal area. Which
additional finding might the nurse observe?
A. Hematuria
B. Cloudy urine
C. Painless chancre
D. Loss of acinar formation
7. A patient with long-standing, poorly managed diabetes is admitted with
scrotal pain and swelling, fever, and chills. The nurse recognizes that the
patient has an increased risk for an aggressive infection, potentially leading to
necrosis of the scrotum. This serious condition is known as:
A. Acute bacterial prostatitis.
B. Testicular cancer.
C. Epididymitis.
D. Fournier Gangrene.
8. Which of the following medications listed in the patient’s history could
indicate a potential secondary organic cause of Erectile Dysfunction? (Select
All That Apply)
A. Thiazides
B. ACE inhibitors
C. Warfarin
D. Beta-blockers
E. Antidepressants
, 9. The nurse reviews the diagnosis of Prostatitis for four patients. Which
patient most likely has nonbacterial prostatitis?
A. The patient whose culture is positive for E. coli.
B. The patient found to have inflammation incidentally on a biopsy.
C. The patient with localized pain and urinary symptoms but no positive urine culture.
D. The patient with relapsing infections due to the accumulation of pathogens.
10. A 22-year-old male is diagnosed with Testicular Cancer. The nurse knows
that the majority of testicular tumors originate from which tissue type?
A. Stromal cells of the testis (Nongerminal)
B. Leydig cells (Nongerminal)
C. Squamous cells (Penile origin)
D. Germinal cells (Germinal)
11. The presence of which complication in a patient with Benign Prostatic
Hyperplasia (BPH) indicates an urgent need for intervention due to risk for
impaired kidney function?
A. Urinary hesitancy
B. Weak urine stream
C. Chronic urinary tract infection
D. Acute urinary retention with hydronephrosis
12. The pathophysiology of urethral strictures involves a sequence of events
initiated by inflammation. Which sequence correctly describes this process?
A. Trauma -> stricture -> scar tissue formation
B. Inflammation-> scar tissue formation and fibrotic scarring -> stricture
C. Infection-> vasodilation -> fibrotic scarring
D. Fibrotic scarring -> urethral discharge-> inflammation
13. A patient's prostate biopsy reveals tumors characterized by indistinct cell
borders, large nuclei, and loss of acinar formation. The nurse interprets these
findings as indicative of:
A. Benign Prostatic Hyperplasia.
B. Chronic nonbacterial prostatitis.
C. An aggressive cancer tumor.
