Genitourinary and Genital Assessment: Identifying Common Findings and Abnormalities - Prof, Exams of Nursing

Download Genitourinary and Genital Assessment: Identifying Common Findings and Abnormalities - Prof and more Exams Nursing in PDF only on Docsity! NR 509 Week 6 Quiz 100% VERIFIED ANSWERS 2024/2025 CORRECT Grading Summary Date Taken: 6/xx/2016 Time Spent: 27 min , 20 secs Points Received: 50 / 50 (100%) Question Type: # Of Questions: # Correct: Multiple Choice 25 25 Grade Details - All Questions Question 1. Question : When performing a genitourinary assessment, the nurse notices that the urethral meatus is positioned ventrally. This finding is Student Answer: called hypospadias. the result of phimosis. probably due to a stricture. often associated with aging. Instructor Explanation: Normally, 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 inability to retract the foreskin. A stricture is a narrow opening of the meatus. Points Received: 2 of 2 Comments: Question 2. Question : When performing a genital assessment on a middle-aged man, the nurse notices multiple soft, moist, painless papules in the shape of cauliflower-like patches scattered across the shaft of the penis. These lesions are characteristic of Student Answer: carcinoma. syphilitic chancres. genital herpes. genital warts. Instructor Explanation: The lesions of genital warts are soft, pointed, moist, fleshy, painless papules that may be single or multiple in a cauliflower-like patch. They occur on the shaft of the penis, behind the corona, or around the anus, where they may grow into large grape-like clusters. See Table 24-4 for more information and for descriptions of the other options. Points Received: 2 of 2 Comments: Question 3. Question : When performing a scrotal assessment, the nurse notices that the scrotal contents transilluminate and show a red glow. On the basis of this finding the nurse would Student Answer: assess the patient for the presence of a hernia. suspect the presence of serous fluid in the scrotum. consider this normal and proceed with the examination. refer the patient for evaluation of a mass in the scrotum. Instructor Explanation: Normal scrotal contents do not transilluminate. Serous fluid does transilluminate and shows as a red glow. Neither a mass nor a hernia would transilluminate. Points Received: 2 of 2 Comments: Question 4. Question : When the nurse is performing a testicular examination on a 25-year- old man, which of these findings is considered normal? Student Answer: Nontender subcutaneous plaques A scrotal area that is dry, scaly, and nodular Testes that feel oval and movable and are slightly sensitive to compression A single, hard, circumscribed, movable mass, less than 1 cm under the surface of the testes Instructor Explanation: Testes normally feel oval, firm and rubbery, smooth, and equal bilaterally and are freely movable and slightly tender to moderate pressure. The scrotal skin should not be dry, scaly, or nodular or contain subcutaneous plaques. Any mass would be an abnormal finding. Points Received: 2 of 2 Comments: Question 5. Question : A 45-year-old mother of two children is seen at the clinic for complaints of “losing my urine when I sneeze.” The nurse documents that she is experiencing Student Answer: urinary frequency. enuresis. stress incontinence. urge incontinence. Instructor Explanation: Stress incontinence is involuntary urine loss with physical strain, sneezing, or coughing that occurs due to weakness of the pelvic floor. Urinary frequency is urinating more times than usual (more than 5 to 6 times per day). Enuresis is involuntary passage of urine a herpes infection. a syphilitic chancre. a carcinoma lesion. Instructor Explanation: This lesion indicates syphilitic chancre, which begins within 2 to 4 weeks of infection. See Table 24-4 for descriptions of the other options. Points Received: 2 of 2 Comments: Question 12. Question : Which of these statements is true regarding the penis? Student Answer: The urethral meatus is located on the ventral side of the penis. The prepuce is the fold of foreskin covering the shaft of the penis. The penis is composed of two cylindrical columns of erectile tissue. The corpus spongiosum expands into a cone of erectile tissue called the glans. Instructor Explanation: At the distal end of the shaft, the corpus spongiosum expands into a cone of erectile tissue, the glans. The penis is composed of three cylindrical columns of erectile tissue. The prepuce is skin that covers the glans of the penis. The urethral meatus forms at the tip of the glans. Points Received: 2 of 2 Comments: Question 13. Question : The nurse is inspecting the scrotum and testes of a 43-year-old man. Which finding would require additional follow-up and evaluation? Student Answer: The skin on the scrotum is taut. The left testicle hangs lower than the right testicle. The scrotal skin has yellowish 1-cm nodules that are firm and nontender. The testes move closer to the body in response to cold temperatures. Instructor Explanation: Scrotal swelling may cause the skin to be taut and to display pitting edema. Normal scrotal skin is rugae, and asymmetry is normal with the left scrotal half usually lower than the right. The testes may move closer to the body in response to cold temperatures. Points Received: 2 of 2 Comments: Question 14. Question : While performing a rectal examination, the nurse notices a firm, irregularly shaped mass. What should the nurse do next? Student Answer: Continue with the examination and document the finding in the chart. Instruct patient to return for repeat assessment in 1 month. Tell the patient that a mass was felt but it is nothing to worry about. Report the finding and refer the patient to a specialist for further examination. Instructor Explanation: A firm or hard mass with irregular shape or rolled edges may signify carcinoma. Promptly report any mass that is discovered for further examination. The other responses are not correct. Points Received: 2 of 2 Comments: Question 15. Question : During an assessment of the newborn, the nurse expects to see which finding when the anal area is slightly stroked? Student Answer: A jerking of the legs Flexion of the knees A quick contraction of the sphincter Relaxation of the external sphincter Instructor Explanation: To assess sphincter tone, the nurse should check the anal reflex by gently stroking the anal area and noticing a quick contraction of the sphincter. The other responses are not correct. Points Received: 2 of 2 Comments: Question 16. Question : During an examination, the nurse asks the patient to perform the Valsalva maneuver and notices that the patient has a moist, red, doughnut-shaped protrusion from the anus. The nurse knows that this would be consistent with Student Answer: a rectal polyp. hemorrhoids. a rectal fissure. rectal prolapse. Instructor Explanation: In rectal prolapse, the rectal mucous membrane protrudes through the anus, appearing as a moist, red doughnut with radiating lines. It occurs following a Valsalva maneuver, such as straining at stool, or with exercise. See Table 25-1. For a description of rectal polyps, see Table 25-2. See Table 25-1 for descriptions of rectal fissure and hemorrhoids. Points Received: 2 of 2 Comments: Question 17. Question : During the assessment of an 18-month-old child, the mother expresses concern to the nurse about the infant’s inability to toilet train. What would be the nurse’s best response? Student Answer: “Some children are just more difficult to train, so I wouldn’t worry about it yet.” “Have you considered reading any of the books on toilet training? They can be very helpful.” “This could mean there is a problem in your baby’s development. We’ll watch her closely for the next few months.” “The nerves that will allow your baby to have control over the passing of stools are not developed until at least 18 to 24 months of age.” Instructor Explanation: The infant passes stools by reflex. Voluntary control of the external anal sphincter cannot occur until the nerves supplying the area have become fully myelinated, usually around 1 1/2 to 2 years of age. Toilet training usually starts after the age of 2. Points Received: 2 of 2 Comments: Question 18. Question : The nurse is examining only the rectal area of a woman and should place the woman in what position? Student Answer: Lithotomy position Prone position Left lateral decubitus position Bending over the table while standing Instructor Explanation: The nurse should place the female patient in lithotomy position if examining genitalia as well; use the left lateral decubitus position for the rectal area alone. Points Received: 0 of 2 Comments: Question 19. Question : The nurse notices that a patient has had a pale, yellow, greasy stool, or steatorrhea, and recalls that this is caused by Student Answer: occult bleeding. absent bile pigment. increased fat content. ingestion of bismuth preparations. Instructor Explanation: Steatorrhea (pale, yellow, greasy stool) is caused by increased fat content in the stools, as in malabsorption syndrome. Occult bleeding and ingestion of bismuth products cause black stool, and absent bile pigment causes gray, tan stool. Points Received: 2 of 2 Comments: Question 20. Question : A 70-year-old man is visiting the clinic for difficulty in passing urine. In the history, he indicates he has to urinate frequently, especially at night. He has burning when he urinates and has noticed pain in his back. Given this history, what might the nurse expect to find during the physical assessment? Student Answer: Asymmetric, hard, fixed prostate gland Occult blood and perianal pain to palpation Symmetrically enlarged, soft prostate gland A soft nodule protruding from rectal mucosa Instructor Explanation: Subjective symptoms of carcinoma of the prostate include frequency, nocturia, hematuria, weak stream, hesitancy, pain or burning on urination, and continuous pain in lower back, pelvis, and thighs. Objective symptoms of carcinoma of the prostate include a malignant neoplasm often starts as a single hard nodule on the posterior surface, producing asymmetry and a change in consistency. As it invades normal tissue, multiple hard nodules appear, or the entire gland feels stone hard and fixed.