PORTH ESSENTIALS OF
PATHOPHYSIOLOGY CHAPT 39 EXAM
QUESTIONS AND ANSWERS GRADED A+
2025/2026
Circumcision is avoided in infants who have hypospadias so that the foreskin can be used for
surgical repair. - ANS True
A 60-year-old man comes to the clinic and has been found to have a history of type 2 diabetes
mellitus and cardiovascular disease. The manifestations of these diseases will warrant the nurse
to assess the patient for which of the following problems? - ANS Erectile dysfunction
The nurse is assessing a client with a history of erectile dysfunction (ED) who is requesting a
prescription for treatment. When assessing for additional information related to causes of ED,
for which of these does the nurse question the client? - ANS Presence of arterial occlusive
disease
A nurse is evaluating diagnostic tests for a client suspected of having prostate cancer. Which of
the following results requires further evaluation? - ANS Prostate-specific antigen (PSA) of 12
ng/mL
A 54-year-old diabetic patient has come to the urology clinic complaining of erectile
dysfunction. His history includes obesity, coronary artery disease which required CABG three
years ago, hypertension, and gout. The nurse practitioner is reviewing his record in order to
prescribe medication. The practitioner is considering prescribing sildenafil (Viagra). Which of the
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, following home medications is contraindicated if taken concurrently with sildenofil? -
ANS Imdur (isosorbide mononitrate), a vasodilator
A male client reports sudden pain and a bulging in the scrotal sac after lifting a heavy object.
The swelling does not reduce when the client is supine and he begins to sweat profusely. What
condition is the likely cause of these manifestations? - ANS Inguinal hernia
A nurse suspects an elderly client is experiencing benign prostatic hyperplasia (BPH). Which of
the following questions should the nurse ask this client? - ANS "Has the force of your urinary
stream decreased?"
A male patient has experienced a forceful hit to the testes. The nurse expects that the sensory
nerves that transmit pain impulses are associated with which nervous system? -
ANS Autonomic nervous system
Benign prostatic hypertrophy (BPH) and prostatic adenocarcinomas presently differently. The
nurse is aware of which of the following differences? - ANS BPH is commonly located in the
periurethral zone of the prostate, while prostate cancers are commonly located in the
peripheral zones of the prostate.
A nurse is performing a genital examination on a male client who develops an erection. Which
of the following is the nurse's most appropriate intervention? - ANS reassure the client that
this is a normal response and continue with the examination
The gerontology nurse recognizes that aging male clients may enter a stage referred to as
andropause. Which of these does the nurse recognize as characteristic of this stage? -
ANS Decline in sexual function
Which of these complications does the nurse recognize may occur after illness with parotitis
(mumps)in young men? - ANS Orchitis with residual sterility
A nurse practitioner has a 30-year-old male patient presenting with fever/chills, urinary
frequency/urgency and pain with urination. A urine sample displays cloudy and foul-smelling
urine. During digital rectal exam of the prostate, the nurse notes a thick white discharge. A likely
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
PATHOPHYSIOLOGY CHAPT 39 EXAM
QUESTIONS AND ANSWERS GRADED A+
2025/2026
Circumcision is avoided in infants who have hypospadias so that the foreskin can be used for
surgical repair. - ANS True
A 60-year-old man comes to the clinic and has been found to have a history of type 2 diabetes
mellitus and cardiovascular disease. The manifestations of these diseases will warrant the nurse
to assess the patient for which of the following problems? - ANS Erectile dysfunction
The nurse is assessing a client with a history of erectile dysfunction (ED) who is requesting a
prescription for treatment. When assessing for additional information related to causes of ED,
for which of these does the nurse question the client? - ANS Presence of arterial occlusive
disease
A nurse is evaluating diagnostic tests for a client suspected of having prostate cancer. Which of
the following results requires further evaluation? - ANS Prostate-specific antigen (PSA) of 12
ng/mL
A 54-year-old diabetic patient has come to the urology clinic complaining of erectile
dysfunction. His history includes obesity, coronary artery disease which required CABG three
years ago, hypertension, and gout. The nurse practitioner is reviewing his record in order to
prescribe medication. The practitioner is considering prescribing sildenafil (Viagra). Which of the
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, following home medications is contraindicated if taken concurrently with sildenofil? -
ANS Imdur (isosorbide mononitrate), a vasodilator
A male client reports sudden pain and a bulging in the scrotal sac after lifting a heavy object.
The swelling does not reduce when the client is supine and he begins to sweat profusely. What
condition is the likely cause of these manifestations? - ANS Inguinal hernia
A nurse suspects an elderly client is experiencing benign prostatic hyperplasia (BPH). Which of
the following questions should the nurse ask this client? - ANS "Has the force of your urinary
stream decreased?"
A male patient has experienced a forceful hit to the testes. The nurse expects that the sensory
nerves that transmit pain impulses are associated with which nervous system? -
ANS Autonomic nervous system
Benign prostatic hypertrophy (BPH) and prostatic adenocarcinomas presently differently. The
nurse is aware of which of the following differences? - ANS BPH is commonly located in the
periurethral zone of the prostate, while prostate cancers are commonly located in the
peripheral zones of the prostate.
A nurse is performing a genital examination on a male client who develops an erection. Which
of the following is the nurse's most appropriate intervention? - ANS reassure the client that
this is a normal response and continue with the examination
The gerontology nurse recognizes that aging male clients may enter a stage referred to as
andropause. Which of these does the nurse recognize as characteristic of this stage? -
ANS Decline in sexual function
Which of these complications does the nurse recognize may occur after illness with parotitis
(mumps)in young men? - ANS Orchitis with residual sterility
A nurse practitioner has a 30-year-old male patient presenting with fever/chills, urinary
frequency/urgency and pain with urination. A urine sample displays cloudy and foul-smelling
urine. During digital rectal exam of the prostate, the nurse notes a thick white discharge. A likely
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
