Sherpath Chapter 25 Male Genitourinary
System Exam Study Guide
Which action would the female nurse take during a genitalia examination of a male
patient?
Engage in friendly talk and then proceed
use a confidant, relaxed, business-like approach
defer the physical assessment and record that the patient refused
discuss genitourinary history while performing the examination - ANSWER use a
confidant, relaxed, business-like approach
At which time would the nurse obtain a patient's sexual history in relation to the genital
examination?
Before
During
After
Does not matter - ANSWER After
Which genitourinary assessment would the nurse observe in a patient who has
urethritis?
Red edematous meatus with purulent discharge
Unretractable foreskin
Circumscribed collection of serous fluid around testis
Undescended testes - ANSWER Red edematous meatus with purulent discharge
If the meatus is red in color and edematous, with purulent discharge, it indicates the
patient has urethritis. The urethral meatus is located centrally at the tip of the glans.
Normally, the edge of the meatus appears pink and smooth, without any discharge. If
the patient is unable to retract the foreskin, it indicates that the patient has phimosis, not
urethritis. A cystic, circumscribed collection of serous fluid in the tunica vaginalis
surrounding the testis is known as hydrocele, not urethritis. Undescended testes
indicate cryptorchidism, not urethritis.
,p. 704
Which laboratory result would the nurse monitor to best determine a patient's kidney
function?
Presence of urine glucose
Blood urea nitrogen (BUN)
Serum creatinine
White blood cells in urine - ANSWER Serum creatinine
Serum creatinine is the best measurement of kidney function because its levels are
fairly constant from day to day, and it is a reflection of the glomerular filtration rate. The
presence of urine glucose indicates glycosuria, suggesting hyperglycemia occurring
with diabetes, but it is not as specific for detecting kidney functioning. BUN is not as
specific as creatinine for kidney functioning because BUN rises with dehydration or an
increase in protein intake. White blood cells in urine are not as specific to indicate
kidney functioning but can suggest a urinary tract infection. A high count of white blood
cells in the urine is associated with urinary tract infections.
p. 698
Which condition would a 20-year-old Caucasian male with a history of cryptorchidism be
at high risk for developing?
Varicocele
Bladder cancer
Testicular cancer
Sexually transmitted infections - ANSWER Testicular cancer
A history of undescended testes (cryptorchidism) is the most important risk factor for
testicular cancer. Testicular cancer is also more common in Caucasian males between
the ages of 18 and 35. Cryptorchidism is not a risk factor for a varicocele. A varicocele
is a dilation of varicose veins in the spermatic cord, and occurs in 15% by age 15 years.
Undescended testes are not a risk factor for bladder cancer; smoking and certain
occupations are risk factors for bladder cancer. Sexually transmitted infections can
occur in a sexually active patient who practices unsafe sex but is not associated with
cryptorchidism.
p. 709
Which initial finding indicates the male has entered puberty?
Pubic hair appears.
Penis size increases.
Testes enlarge.
Vellus hair grows. - ANSWER Testes enlarge
, The first sign of puberty is enlargement of the testes. Next pubic hair appears, and then
penis size increases. Vellus hair, the fine body hair on the abdomen, is a sign of
prepuberty, not puberty.
p. 685
Which symptom would the nurse expect patients having acute cystitis, prostatitis, or
urethritis to have in common?
Dysuria
Polyuria
Nocturia
Oliguria - ANSWER Dysuria
In conditions such as acute cystitis, prostatitis, and urethritis, there is inflammation of
the urinary tract that results in dysuria. Thus the nurse would expect dysuria to be
common among patients with acute cystitis, prostatitis, or urethritis. Dysuria refers to
pain, burning, and discomfort during urination. Polyuria refers to an increased frequency
of urination because of the excessive production of urine, which may occur in patients
with diabetes mellitus. Nocturia is not a common symptom among patients with acute
cystitis, prostatitis, or urethritis. Nocturia refers to the urgency and increased frequency
of urination during night hours from diuretic medication, certain urinary tract disorders,
and cardiovascular diseases. Oliguria is not a common symptom among patients with
acute cystitis, prostatitis, or urethritis. Oliguria refers to a diminished quantity of urine
because of decreased fluid intake or renal failure.
p. 688
Upon palpation, how would a normal epididymis feel in a male patient?
Rough
Tender
Firm and rubbery
Softer than the testes - ANSWER Softer than the testes
A normal epididymis is softer than the testis and feels discrete. The epididymis is not
rough but feels smooth on palpation. Although the testes may be slightly tender with
palpation, the epididymis is nontender. The testes will feel firm and rubbery, but the
epididymis will not.
p. 694
Which question would the nurse ask to determine hesitancy during urination?
"How often do you awaken in the night to urinate?"
"Are you urinating more often than usual?"
"Is there any pain when you urinate?"
System Exam Study Guide
Which action would the female nurse take during a genitalia examination of a male
patient?
Engage in friendly talk and then proceed
use a confidant, relaxed, business-like approach
defer the physical assessment and record that the patient refused
discuss genitourinary history while performing the examination - ANSWER use a
confidant, relaxed, business-like approach
At which time would the nurse obtain a patient's sexual history in relation to the genital
examination?
Before
During
After
Does not matter - ANSWER After
Which genitourinary assessment would the nurse observe in a patient who has
urethritis?
Red edematous meatus with purulent discharge
Unretractable foreskin
Circumscribed collection of serous fluid around testis
Undescended testes - ANSWER Red edematous meatus with purulent discharge
If the meatus is red in color and edematous, with purulent discharge, it indicates the
patient has urethritis. The urethral meatus is located centrally at the tip of the glans.
Normally, the edge of the meatus appears pink and smooth, without any discharge. If
the patient is unable to retract the foreskin, it indicates that the patient has phimosis, not
urethritis. A cystic, circumscribed collection of serous fluid in the tunica vaginalis
surrounding the testis is known as hydrocele, not urethritis. Undescended testes
indicate cryptorchidism, not urethritis.
,p. 704
Which laboratory result would the nurse monitor to best determine a patient's kidney
function?
Presence of urine glucose
Blood urea nitrogen (BUN)
Serum creatinine
White blood cells in urine - ANSWER Serum creatinine
Serum creatinine is the best measurement of kidney function because its levels are
fairly constant from day to day, and it is a reflection of the glomerular filtration rate. The
presence of urine glucose indicates glycosuria, suggesting hyperglycemia occurring
with diabetes, but it is not as specific for detecting kidney functioning. BUN is not as
specific as creatinine for kidney functioning because BUN rises with dehydration or an
increase in protein intake. White blood cells in urine are not as specific to indicate
kidney functioning but can suggest a urinary tract infection. A high count of white blood
cells in the urine is associated with urinary tract infections.
p. 698
Which condition would a 20-year-old Caucasian male with a history of cryptorchidism be
at high risk for developing?
Varicocele
Bladder cancer
Testicular cancer
Sexually transmitted infections - ANSWER Testicular cancer
A history of undescended testes (cryptorchidism) is the most important risk factor for
testicular cancer. Testicular cancer is also more common in Caucasian males between
the ages of 18 and 35. Cryptorchidism is not a risk factor for a varicocele. A varicocele
is a dilation of varicose veins in the spermatic cord, and occurs in 15% by age 15 years.
Undescended testes are not a risk factor for bladder cancer; smoking and certain
occupations are risk factors for bladder cancer. Sexually transmitted infections can
occur in a sexually active patient who practices unsafe sex but is not associated with
cryptorchidism.
p. 709
Which initial finding indicates the male has entered puberty?
Pubic hair appears.
Penis size increases.
Testes enlarge.
Vellus hair grows. - ANSWER Testes enlarge
, The first sign of puberty is enlargement of the testes. Next pubic hair appears, and then
penis size increases. Vellus hair, the fine body hair on the abdomen, is a sign of
prepuberty, not puberty.
p. 685
Which symptom would the nurse expect patients having acute cystitis, prostatitis, or
urethritis to have in common?
Dysuria
Polyuria
Nocturia
Oliguria - ANSWER Dysuria
In conditions such as acute cystitis, prostatitis, and urethritis, there is inflammation of
the urinary tract that results in dysuria. Thus the nurse would expect dysuria to be
common among patients with acute cystitis, prostatitis, or urethritis. Dysuria refers to
pain, burning, and discomfort during urination. Polyuria refers to an increased frequency
of urination because of the excessive production of urine, which may occur in patients
with diabetes mellitus. Nocturia is not a common symptom among patients with acute
cystitis, prostatitis, or urethritis. Nocturia refers to the urgency and increased frequency
of urination during night hours from diuretic medication, certain urinary tract disorders,
and cardiovascular diseases. Oliguria is not a common symptom among patients with
acute cystitis, prostatitis, or urethritis. Oliguria refers to a diminished quantity of urine
because of decreased fluid intake or renal failure.
p. 688
Upon palpation, how would a normal epididymis feel in a male patient?
Rough
Tender
Firm and rubbery
Softer than the testes - ANSWER Softer than the testes
A normal epididymis is softer than the testis and feels discrete. The epididymis is not
rough but feels smooth on palpation. Although the testes may be slightly tender with
palpation, the epididymis is nontender. The testes will feel firm and rubbery, but the
epididymis will not.
p. 694
Which question would the nurse ask to determine hesitancy during urination?
"How often do you awaken in the night to urinate?"
"Are you urinating more often than usual?"
"Is there any pain when you urinate?"
