N125 Study Questions Solved 100%
Correct |Verified Answers
What are 5 things you should note if you find a mass in the scrotum? - ANSWER 1)
Is there any tenderness?
2) Is the mass distal or proximal to the testes?
3) Can you place your fingers over it?
4) Does it reduce when the person lies down?
5) Can you auscultate bowel sounds over it?
What objective data should be gathered in an assessment of the male
genitourinary system? (5 categories) - ANSWER 1) Penis - inspect and palpate
- Skin and pubic hair
- Glans
- Urethral meatus and discharge
- Shaft
2) Scrotum - inspect and
palpate - Skin
- Testes and spermatic
cord - Any masses
- Inguinal lymph nodes
3) Check for hernia - inspect and palpate
4) Teach testicular self-examination
5) Assess urinary function
What are normal and abnormal findings in an objective assessment of the penis? (Hint:
4 categories) - ANSWER 1) Skin and pubic hair
,- Normal: wrinkled, hairless, without lesions
- Abnormal: generalized swelling, inflammation, lesions (nodules, solitary
ulcers, chancre, grouped vesicles, superficial ulcers, wartlike papules)
2) Glans
- Normal: smooth and without lesions, uncircumcised foreskin should retract easily.
- Abnormal: foreskin is fixed and can't be retracted (phimosis), foreskin is retracted
and can't be returned to original position (paraphimosis)
3) Urethral meatus and discharge
- Normal: positioned just about centrally on the glans, edge of meatus is pink
and without discharge
- Abnormal: ventral location (hypospadias), dorsal location (epispadias), narrowed
opening (stricture), edges that are red, everted, and edematous with purulent
discharge (urethritis)
4) Shaft
- Normal: smooth, semi-firm, and nontender
- Abnormal: nodules, indurations, tenderness
What are normal and abnormal findings in an objective assessment of the
scrotum? (Hint: 4 categories) - ANSWER 1) Skin
- Normal: size varies with room temperature, left scrotal half lower than the right,
no lesions other than normal sebaceous cysts (1 cm, yellowish, firm, nontender)
- Abnormal: taut and pitting edema (heart failure, renal failure, local inflammation),
lesions, inflammation
2) Testis and spermatic cord
- Normal: ovular, firm, rubbery, smooth and symmetric, freely movable, slightly tender.
Epididymis is discrete, softer than the testes, smooth, and nontender, spermatic cord is
smooth and nontender
, - Abnormal: absent testis (temporary migration, cryptorchidism), atrophied testes,
fixed testes, nodules on testes or epididymides, marked tenderness, thickened
spermatic cord, spermatic cord that is soft, swollen, and torturous (varicocele).
3) Any masses
- Normal: no other scrotal contents other than testes and spermatic cord
- Abnormal: hernia, tumor, orchitis, epididymitis, hydrocele, spermatocele, varicocele
4) Inguinal lymph nodes
- Normal: sometimes you can palpate an isolated node, which should be small (<1 cm),
soft, discrete, and movable
- Abnormal: enlarged, hard, matted, fixed nodes
What are normal and abnormal findings when checking for a hernia in a male patient? -
ANSWER Normal: no bulge as the patient stands and strains down, external inguinal
ring may or may not admit finger, no change in external inguinal ring when person
bears down
Abnormal: bulge at external inguinal ring or femoral canal
What should be mentioned when teaching patients how to do a testicular self-
examination? - ANSWER T-timing: monthly
S-shower: warm, with warm hands
E-examination points: feel each testicle and epididymis. Tell doctor about any
hard, painless lumps, hard areas, or enlarged testicles
What should be covered in an assessment of urinary function? (3 things) - ANSWER 1)
Intake vs output (urine color, clarity, odor)
2) Labwork - urinalysis, BUN, creatinine
3) Drains/tubes
Correct |Verified Answers
What are 5 things you should note if you find a mass in the scrotum? - ANSWER 1)
Is there any tenderness?
2) Is the mass distal or proximal to the testes?
3) Can you place your fingers over it?
4) Does it reduce when the person lies down?
5) Can you auscultate bowel sounds over it?
What objective data should be gathered in an assessment of the male
genitourinary system? (5 categories) - ANSWER 1) Penis - inspect and palpate
- Skin and pubic hair
- Glans
- Urethral meatus and discharge
- Shaft
2) Scrotum - inspect and
palpate - Skin
- Testes and spermatic
cord - Any masses
- Inguinal lymph nodes
3) Check for hernia - inspect and palpate
4) Teach testicular self-examination
5) Assess urinary function
What are normal and abnormal findings in an objective assessment of the penis? (Hint:
4 categories) - ANSWER 1) Skin and pubic hair
,- Normal: wrinkled, hairless, without lesions
- Abnormal: generalized swelling, inflammation, lesions (nodules, solitary
ulcers, chancre, grouped vesicles, superficial ulcers, wartlike papules)
2) Glans
- Normal: smooth and without lesions, uncircumcised foreskin should retract easily.
- Abnormal: foreskin is fixed and can't be retracted (phimosis), foreskin is retracted
and can't be returned to original position (paraphimosis)
3) Urethral meatus and discharge
- Normal: positioned just about centrally on the glans, edge of meatus is pink
and without discharge
- Abnormal: ventral location (hypospadias), dorsal location (epispadias), narrowed
opening (stricture), edges that are red, everted, and edematous with purulent
discharge (urethritis)
4) Shaft
- Normal: smooth, semi-firm, and nontender
- Abnormal: nodules, indurations, tenderness
What are normal and abnormal findings in an objective assessment of the
scrotum? (Hint: 4 categories) - ANSWER 1) Skin
- Normal: size varies with room temperature, left scrotal half lower than the right,
no lesions other than normal sebaceous cysts (1 cm, yellowish, firm, nontender)
- Abnormal: taut and pitting edema (heart failure, renal failure, local inflammation),
lesions, inflammation
2) Testis and spermatic cord
- Normal: ovular, firm, rubbery, smooth and symmetric, freely movable, slightly tender.
Epididymis is discrete, softer than the testes, smooth, and nontender, spermatic cord is
smooth and nontender
, - Abnormal: absent testis (temporary migration, cryptorchidism), atrophied testes,
fixed testes, nodules on testes or epididymides, marked tenderness, thickened
spermatic cord, spermatic cord that is soft, swollen, and torturous (varicocele).
3) Any masses
- Normal: no other scrotal contents other than testes and spermatic cord
- Abnormal: hernia, tumor, orchitis, epididymitis, hydrocele, spermatocele, varicocele
4) Inguinal lymph nodes
- Normal: sometimes you can palpate an isolated node, which should be small (<1 cm),
soft, discrete, and movable
- Abnormal: enlarged, hard, matted, fixed nodes
What are normal and abnormal findings when checking for a hernia in a male patient? -
ANSWER Normal: no bulge as the patient stands and strains down, external inguinal
ring may or may not admit finger, no change in external inguinal ring when person
bears down
Abnormal: bulge at external inguinal ring or femoral canal
What should be mentioned when teaching patients how to do a testicular self-
examination? - ANSWER T-timing: monthly
S-shower: warm, with warm hands
E-examination points: feel each testicle and epididymis. Tell doctor about any
hard, painless lumps, hard areas, or enlarged testicles
What should be covered in an assessment of urinary function? (3 things) - ANSWER 1)
Intake vs output (urine color, clarity, odor)
2) Labwork - urinalysis, BUN, creatinine
3) Drains/tubes
