ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 59 : Assessment and Management of Patients With Male Reproductive Disorders Questions
Question 1 of 5
A nurse is providing an educational event to a local mens group about prostate cancer. The nurse should cite an increased risk of prostate cancer in what ethnic group?
Correct Answer: C
Rationale: African American men have a higher incidence and mortality rate from prostate cancer compared to other ethnic groups, making them a high-risk population.
Question 2 of 5
A man tells the nurse that his father died of prostate cancer and he is concerned about his own risk of developing the disease, having heard that prostate cancer has a genetic link. What aspect of the pathophysiology of prostate cancer would underlie the nurses response?
Correct Answer: A
Rationale: BRCA-2 mutations are associated with an increased risk of prostate cancer, particularly in men with a family history. HNPCC relates to colon cancer, TP53 is linked to breast cancer, and genetics, not just lifestyle, contribute to prostate cancer risk.
Question 3 of 5
A nurse is performing an admission assessment on a 40-year-old man who has been admitted for outpatient surgery on his right knee. While taking the patients family history, he states, My father died of prostate cancer at age 48. The nurse should instruct him on which of the following health promotion activities?
Correct Answer: C
Rationale: A family history of prostate cancer at age 48 warrants regular PSA screening starting earlier than age 55, typically around age 40-45, to monitor for early signs. CDH1/STK11 genes are not linked to prostate cancer, and alcohol limitation is less specific.
Question 4 of 5
A 35-year-old father of three tells the nurse that he wants information on a vasectomy. What would the nurse tell him about ejaculate after a vasectomy?
Correct Answer: B
Rationale: Vasectomy does not significantly reduce ejaculate volume (only a 3% decrease) as seminal fluid is produced by the prostate and seminal vesicles, unaffected by the procedure. Viscosity remains unchanged, and orgasm potential is preserved.
Question 5 of 5
A 76-year-old with a diagnosis of penile cancer has been admitted to the medical floor. Because the incidence of penile cancer is so low, the staff educator has been asked to teach about penile cancer. What risk factors should the educator cite in this presentation? Select all that apply.
Correct Answer: A,D,E
Rationale: Risk factors for penile cancer include phimosis, increasing age (most cases in men over 65), and lack of circumcision, which can lead to poor hygiene and HPV exposure. Priapism and herpes simplex are not established risk factors.