C HAPTER 13: M ALE G ENITALIA AND H ERNIAS
MULTIPLE CHOICE
1. Which of these statements is most appropriate when the nurse is obtaining
a genitourinary history from an older man?
a. Do you need to get up at night to urinate?
b. Do you experience nocturnal emissions, or wet dr eams?
c. Do you know how to perform a testicular self -examination?
d. Has anyone ever touched your genitals when you did not want them
to?
ANS: A
The older male patient should be asked abou t the presence of nocturia.
Awaking at night to urinate may be attributable to a diuretic
medication, fluid retention from mild heart failure or varicose veins, or
fluid ingestion 3 hours before bedtime, especiall y coffee and alcohol.
The other questions are more appropriate for younger men.
DIF: Cognitive Level: Anal yzing (Anal ysis) REF: p. 699
MSC: Client Needs: Health Promotion and Maintenance
2. When the nurse is performing a genital examination on a male patient, the
patient has an erection. The nurses mo st appropriate action or response is
to:
a. Ask the patient if he would like someone else to examine him.
b. Continue with the examination as though nothing has happened.
, c. Stop the examination, leave the room while stating that the
examination will resume at a later time.
d. Reassure the patient that this is a normal response and continue with
the examination.
ANS: D
When the male patient has an erection, the nurse should reassure the
patient that this is a normal physiologic response to touch and proceed
with the rest of the examination. The other responses are not correct
and may be perceived as judgmental.
DIF: Cognitive Level: Appl ying (Application) REF: p. 699
MSC: Client Needs: Psychosocial Integrity
3. The nurse is examining the glans and knows which f inding is normal for
this area?
a. The meatus may have a slight discharge when the glans is
compressed.
b. Hair is without pest in habitants.
c. The skin is wrinkled and without lesions.
d. Smegma may be present under the foreskin of an uncircumcised
male.
ANS: D
The glans looks smooth and without lesions and does not have hair.
The meatus should not have any discharge when the glans is
compressed. Some cheesy smegma may have collected under the
foreskin of an uncircumcise d male.
, DIF: Cognitive Level: Understanding (Comprehension) REF: p. 701
MSC: Client Needs: Safe and Effective Care Environment:
Management of Care
4. When performing a genitourinary assessment, the nurse notices that the
urethral meatus is ventrall y positione d. This finding is:
a. Called hypospadias.
b. A result of phimosis.
c. Probabl y due to a stricture.
d. Often associated with a ging.
ANS: A
Normall y, the urethral meatus is positioned just about centrally.
Hypospadias is the ventral location of the urethral meatus. The position
of the meatus does not change with aging. Phimosis is the inabilit y to
retract the foreskin. A stricture is a narrow opening of the meatus.
DIF: Cognitive Level: Appl ying (Application) REF: p. 700 MSC:
Client Needs: Safe and Effective Care Environment: Management of
Care
5. The nurse is performing a genital examination on a male patient and
notices urethral drainage. When collecting urethral discharge for
microscopic examination and culture, the nurse should:
a. Ask the patient to urinate into a sterile cup.
b. Ask the patient to obtain a specimen of semen.
c. Insert a cotton -tipped applicator into the urethra.
MULTIPLE CHOICE
1. Which of these statements is most appropriate when the nurse is obtaining
a genitourinary history from an older man?
a. Do you need to get up at night to urinate?
b. Do you experience nocturnal emissions, or wet dr eams?
c. Do you know how to perform a testicular self -examination?
d. Has anyone ever touched your genitals when you did not want them
to?
ANS: A
The older male patient should be asked abou t the presence of nocturia.
Awaking at night to urinate may be attributable to a diuretic
medication, fluid retention from mild heart failure or varicose veins, or
fluid ingestion 3 hours before bedtime, especiall y coffee and alcohol.
The other questions are more appropriate for younger men.
DIF: Cognitive Level: Anal yzing (Anal ysis) REF: p. 699
MSC: Client Needs: Health Promotion and Maintenance
2. When the nurse is performing a genital examination on a male patient, the
patient has an erection. The nurses mo st appropriate action or response is
to:
a. Ask the patient if he would like someone else to examine him.
b. Continue with the examination as though nothing has happened.
, c. Stop the examination, leave the room while stating that the
examination will resume at a later time.
d. Reassure the patient that this is a normal response and continue with
the examination.
ANS: D
When the male patient has an erection, the nurse should reassure the
patient that this is a normal physiologic response to touch and proceed
with the rest of the examination. The other responses are not correct
and may be perceived as judgmental.
DIF: Cognitive Level: Appl ying (Application) REF: p. 699
MSC: Client Needs: Psychosocial Integrity
3. The nurse is examining the glans and knows which f inding is normal for
this area?
a. The meatus may have a slight discharge when the glans is
compressed.
b. Hair is without pest in habitants.
c. The skin is wrinkled and without lesions.
d. Smegma may be present under the foreskin of an uncircumcised
male.
ANS: D
The glans looks smooth and without lesions and does not have hair.
The meatus should not have any discharge when the glans is
compressed. Some cheesy smegma may have collected under the
foreskin of an uncircumcise d male.
, DIF: Cognitive Level: Understanding (Comprehension) REF: p. 701
MSC: Client Needs: Safe and Effective Care Environment:
Management of Care
4. When performing a genitourinary assessment, the nurse notices that the
urethral meatus is ventrall y positione d. This finding is:
a. Called hypospadias.
b. A result of phimosis.
c. Probabl y due to a stricture.
d. Often associated with a ging.
ANS: A
Normall y, the urethral meatus is positioned just about centrally.
Hypospadias is the ventral location of the urethral meatus. The position
of the meatus does not change with aging. Phimosis is the inabilit y to
retract the foreskin. A stricture is a narrow opening of the meatus.
DIF: Cognitive Level: Appl ying (Application) REF: p. 700 MSC:
Client Needs: Safe and Effective Care Environment: Management of
Care
5. The nurse is performing a genital examination on a male patient and
notices urethral drainage. When collecting urethral discharge for
microscopic examination and culture, the nurse should:
a. Ask the patient to urinate into a sterile cup.
b. Ask the patient to obtain a specimen of semen.
c. Insert a cotton -tipped applicator into the urethra.
