Chapter 19 Genitourinary Problems in Patients With a Penis or Prostate Gland
MULTIPLE CHOICE
1. The external male genital structures include the:
a. Testis.
b. Scrotum.
c. Epididymis.
d. Vas deferens.
ANS: B
The external male genital structures include the penis and scrotum. The testis, epididymis, and
vas deferens are internal structures.
2. An accessory glandular structure for the male genital organs is the:
a. Testis.
b. Scrotum.
c. Prostate.
d. Vas deferens.
ANS: C
Glandular structures accessory to the male genital organs are the prostate, seminal vesicles, and
bulbourethral glands.
MSC: Client Needs: General
3. Which of these statements is true regarding the penis?
a. The urethral meatus is located on the ventral side of the penis.
b. The prepuce is the fold of foreskin covering the shaft of the penis.
c. The penis is made up of two cylindrical columns of erectile tissue.
d. The corpus spongiosum expands into a cone of erectile tissue called the glans.
ANS: D
At the distal end of the shaft, the corpus spongiosum expands into a cone of erectile tissue, the
glans. The penis is made up of three cylindrical columns of erectile tissue. The skin that covers
the glans of the penis is the prepuce. The urethral meatus forms at the tip of the glans.
MSC: Client Needs: General
4. When performing a genital examination on a 25-year-old man, the nurse notices deeply
pigmented, wrinkled scrotal skin with large sebaceous follicles. On the basis of
this information, the nurse would:
a. Squeeze the glans to check for the presence of discharge.
b. Consider this finding as normal, and proceed with the examination.
c. Assess the testicles for the presence of masses or painless lumps.
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, d. Obtain a more detailed history, focusing on any scrotal abnormalities the patient has noti
ANS: B
After adolescence, the scrotal skin is deeply pigmented and has large sebaceous follicles and
appears corrugated.
MSC: Client Needs: Health Promotion and Maintenance
5. Which statement concerning the testes is true?
a. The lymphatic vessels of the testes drain into the abdominal lymph nodes.
b. The vas deferens is located along the inferior portion of each testis.
c. The right testis is lower than the left because the right spermatic cord is longer.
d. The cremaster muscle contracts in response to cold and draws the testicles closer to the b
ANS: D
When it is cold, the cremaster muscle contracts, which raises the scrotal sac and brings the testes
closer to the body to absorb heat necessary for sperm viability. The lymphatic vessels of the
testes drain into the inguinal lymph nodes. The vas deferens is located along the upper portion of
each testis. The left testis is lower than the right because the left spermatic cord is longer.
6. A male patient with possible fertility problems asks the nurse where sperm is
produced. The nurse knows that sperm production occurs in the:
a. Testes.
b. Prostate.
c. Epididymis.
d. Vas deferens.
ANS: A
Sperm production occurs in the testes, not in the other structures listed.
7. A 62-year-old man states that his physician told him that he has an inguinal hernia.
He asks the nurse to explain what a hernia is. The nurse should:
a. Tell him not to worry and that most men his age develop hernias.
b. Explain that a hernia is often the result of prenatal growth abnormalities.
Refer him to his physician for additional consultation because the physician made the ini
c. diagnosis.
Explain that a hernia is a loop of bowel protruding through a weak spot in the abdominal
d. ANS: D muscles.
A hernia is a loop of bowel protruding through a weak spot in the musculature. The
other options are not correct responses to the patients question.
8. The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty. The
nurse should reply by saying:
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MULTIPLE CHOICE
1. The external male genital structures include the:
a. Testis.
b. Scrotum.
c. Epididymis.
d. Vas deferens.
ANS: B
The external male genital structures include the penis and scrotum. The testis, epididymis, and
vas deferens are internal structures.
2. An accessory glandular structure for the male genital organs is the:
a. Testis.
b. Scrotum.
c. Prostate.
d. Vas deferens.
ANS: C
Glandular structures accessory to the male genital organs are the prostate, seminal vesicles, and
bulbourethral glands.
MSC: Client Needs: General
3. Which of these statements is true regarding the penis?
a. The urethral meatus is located on the ventral side of the penis.
b. The prepuce is the fold of foreskin covering the shaft of the penis.
c. The penis is made up of two cylindrical columns of erectile tissue.
d. The corpus spongiosum expands into a cone of erectile tissue called the glans.
ANS: D
At the distal end of the shaft, the corpus spongiosum expands into a cone of erectile tissue, the
glans. The penis is made up of three cylindrical columns of erectile tissue. The skin that covers
the glans of the penis is the prepuce. The urethral meatus forms at the tip of the glans.
MSC: Client Needs: General
4. When performing a genital examination on a 25-year-old man, the nurse notices deeply
pigmented, wrinkled scrotal skin with large sebaceous follicles. On the basis of
this information, the nurse would:
a. Squeeze the glans to check for the presence of discharge.
b. Consider this finding as normal, and proceed with the examination.
c. Assess the testicles for the presence of masses or painless lumps.
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, d. Obtain a more detailed history, focusing on any scrotal abnormalities the patient has noti
ANS: B
After adolescence, the scrotal skin is deeply pigmented and has large sebaceous follicles and
appears corrugated.
MSC: Client Needs: Health Promotion and Maintenance
5. Which statement concerning the testes is true?
a. The lymphatic vessels of the testes drain into the abdominal lymph nodes.
b. The vas deferens is located along the inferior portion of each testis.
c. The right testis is lower than the left because the right spermatic cord is longer.
d. The cremaster muscle contracts in response to cold and draws the testicles closer to the b
ANS: D
When it is cold, the cremaster muscle contracts, which raises the scrotal sac and brings the testes
closer to the body to absorb heat necessary for sperm viability. The lymphatic vessels of the
testes drain into the inguinal lymph nodes. The vas deferens is located along the upper portion of
each testis. The left testis is lower than the right because the left spermatic cord is longer.
6. A male patient with possible fertility problems asks the nurse where sperm is
produced. The nurse knows that sperm production occurs in the:
a. Testes.
b. Prostate.
c. Epididymis.
d. Vas deferens.
ANS: A
Sperm production occurs in the testes, not in the other structures listed.
7. A 62-year-old man states that his physician told him that he has an inguinal hernia.
He asks the nurse to explain what a hernia is. The nurse should:
a. Tell him not to worry and that most men his age develop hernias.
b. Explain that a hernia is often the result of prenatal growth abnormalities.
Refer him to his physician for additional consultation because the physician made the ini
c. diagnosis.
Explain that a hernia is a loop of bowel protruding through a weak spot in the abdominal
d. ANS: D muscles.
A hernia is a loop of bowel protruding through a weak spot in the musculature. The
other options are not correct responses to the patients question.
8. The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty. The
nurse should reply by saying:
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