NR 304 Exam 2 ACTUAL EXAM 2026/2027 COMPLETE
EXAM REAL TESTBANK 500 QUESTION AND CORRECT
ANSWERS + 200 MOST TESTED Q&A FROM PAST PAPERS
(VERIFIED ANSWERS BY KNOWN SOURCES)
Contents
NR 304 Exam 2..........................................................................................................................................1
MOST TESTED Q&A FROM PAST PAPERS ................................................................. 115
NR 304 Exam 2
QUESTION
During the health history interview, a male client reports that he experiences difficulty
initiating his urinary stream when he arrives at the toilet. This symptom is best described
by which of the following terms?
a. Urgency
b. Dribbling
c. Frequency
d. Hesitancy
Correct Answer: d. Hesitancy
Expert Rationale
Hesitancy is the term used to describe difficulty in initiating the flow of urine. The client
may report a delay or a need to strain before the stream begins. This symptom is
commonly associated with benign prostatic hyperplasia (BPH), which causes obstruction
of the urethra, but it can also be caused by urethral stricture, prostatitis, or medications
with anticholinergic effects. It is distinct from urgency (a), which is a sudden, compelling
,desire to void that is difficult to defer; dribbling (b), which is the leakage of urine after
voiding; and frequency (c), which is the need to void more often than usual. Therefore,
hesitancy is the correct term for the symptom described.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process Step:
Assessment MSC: NCLEX: Health Promotion and Maintenance (Male Reproductive
Health)
QUESTION
A parent who is raising three biological daughters and one 10-year-old adopted son asks
the nurse about the first physical sign of puberty in the male genitalia. What is the most
accurate response the nurse can provide?
a. Testes and scrotum begin to enlarge.
b. Penis enlarges and lengthens.
c. Dark coarse hair grows over the entire pubis.
d. Scrotal skin assumes the same pigmentation as the abdomen and thighs.
Correct Answer: a. Testes and scrotum begin to enlarge.
Expert Rationale
The first detectable sign of puberty in males is the enlargement of the testes and
scrotum. This typically occurs between the ages of 9 and 14 years, with a mean age of
approximately 11.5 years. This early change is often followed by the growth of pubic hair
(beginning as sparse, long, slightly pigmented hair at the base of the penis), and later,
the lengthening and enlargement of the penis. The development of coarse, adult-type
pubic hair and changes in scrotal pigmentation occur later in the Tanner staging
sequence. Therefore, the initial physical change is testicular and scrotal enlargement,
making option a the correct answer.
DIF: Cognitive Level: Knowledge TOP: Nursing Process Step: Assessment MSC: NCLEX:
Health Promotion and Maintenance (Growth and Development)
QUESTION
During a health history assessment, a 64-year-old man states that he "never has sex
anymore." The nurse recognizes that withdrawal from sexual activity in older men can be
multifactorial. Which of the following follow-up questions would be appropriate to
explore potential contributing factors? Select all that apply.
,a. "Have you been told about any side effects of your medications?"
b. "Let's ask your provider for a blood test to detect decreased sperm production."
c. "Would you say you have had feelings of depression in the last few months?"
d. "How many alcohol drinks do you have each day?"
e. "This is an expected outcome in aging men."
f. "Have you experienced the loss of your spouse or your partner?"
Correct Answer: a, c, d, f
Expert Rationale
Withdrawal from sexual activity in older adults is a complex issue that can be influenced
by a variety of physical, psychological, and social factors. Appropriate follow-up
questions should explore these domains. Medication side effects (a) are a common cause
of sexual dysfunction, including erectile dysfunction and decreased libido. Depression (c)
can significantly reduce sexual desire. Alcohol consumption (d) can impair erectile
function and libido. The loss of a spouse or partner (f) is a significant psychosocial event
that can affect sexual activity. Option b is incorrect; decreased sperm production does
not necessarily equate to a loss of sexual desire or function, and the question does not
indicate infertility concerns. Option e is a dismissive and inaccurate generalization; while
sexual activity may change with age, it is not an expected outcome for all aging men,
and such a response would shut down further exploration.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process Step: Assessment MSC:
NCLEX: Psychosocial Integrity (Sexual Health)
QUESTION
A mother and father in the seventh month of their first pregnancy ask the nurse about
the benefits of circumcising their expected baby boy. Which facts can the nurse
appropriately share to help them with their decision? Select all that apply.
a. In the United States, circumcising baby boys is a proven way to prevent HIV
transmission later in life.
b. Removal of the foreskin decreases the incidence of urinary tract infections in very
young infants.
c. Most surgical risks of infant circumcision are minor and treatable.
d. In the United States, circumcision protects against acquiring human papillomavirus
and syphilis later in life.
, Correct Answer: b, c
Expert Rationale
The American Academy of Pediatrics (AAP) states that the health benefits of newborn
male circumcision outweigh the risks, but the benefits are not great enough to
recommend routine circumcision for all male newborns. Therefore, the decision should
be left to the parents. The nurse can provide factual information to facilitate informed
decision-making. Circumcision has been shown to decrease the incidence of urinary tract
infections (UTIs) in the first year of life (b). Most surgical risks, such as bleeding and
infection, are minor and treatable (c). Option a is incorrect; while studies in Africa have
shown a reduction in HIV transmission in adult males, this is not a proven benefit
of newborn circumcision in the United States. Option d is incorrect; while circumcision
may reduce the risk of some sexually transmitted infections, the evidence for protection
against HPV and syphilis is not as established in the U.S. context as option b.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process Step:
Implementation MSC: NCLEX: Health Promotion and Maintenance (Newborn Care /
Circumcision)
QUESTION
A nurse performs a genital examination on a 48-year-old man and notes deeply
pigmented, wrinkled scrotal skin with multiple, yellowish, 1-cm, firm, nontender nodules.
What is the nurse's most appropriate next action?
a. Ask about any family history of testicular cancer in the father or brothers.
b. Consider these sebaceous follicles as an expected finding and proceed with the
examination.
c. Assess the scrotum using transillumination.
d. Obtain a detailed history focusing on any scrotal abnormalities the man has noticed.
Correct Answer: b. Consider these sebaceous follicles as an expected finding and
proceed with the examination.
Expert Rationale
The scrotal skin normally appears deeply pigmented, thicker, and coarser than the skin
on the penis. It is also commonly wrinkled and may have multiple sebaceous follicles
that appear as small, yellowish, firm, nontender nodules. These are normal anatomical
variants and are not pathological. They are sometimes referred to as sebaceous cysts or
EXAM REAL TESTBANK 500 QUESTION AND CORRECT
ANSWERS + 200 MOST TESTED Q&A FROM PAST PAPERS
(VERIFIED ANSWERS BY KNOWN SOURCES)
Contents
NR 304 Exam 2..........................................................................................................................................1
MOST TESTED Q&A FROM PAST PAPERS ................................................................. 115
NR 304 Exam 2
QUESTION
During the health history interview, a male client reports that he experiences difficulty
initiating his urinary stream when he arrives at the toilet. This symptom is best described
by which of the following terms?
a. Urgency
b. Dribbling
c. Frequency
d. Hesitancy
Correct Answer: d. Hesitancy
Expert Rationale
Hesitancy is the term used to describe difficulty in initiating the flow of urine. The client
may report a delay or a need to strain before the stream begins. This symptom is
commonly associated with benign prostatic hyperplasia (BPH), which causes obstruction
of the urethra, but it can also be caused by urethral stricture, prostatitis, or medications
with anticholinergic effects. It is distinct from urgency (a), which is a sudden, compelling
,desire to void that is difficult to defer; dribbling (b), which is the leakage of urine after
voiding; and frequency (c), which is the need to void more often than usual. Therefore,
hesitancy is the correct term for the symptom described.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process Step:
Assessment MSC: NCLEX: Health Promotion and Maintenance (Male Reproductive
Health)
QUESTION
A parent who is raising three biological daughters and one 10-year-old adopted son asks
the nurse about the first physical sign of puberty in the male genitalia. What is the most
accurate response the nurse can provide?
a. Testes and scrotum begin to enlarge.
b. Penis enlarges and lengthens.
c. Dark coarse hair grows over the entire pubis.
d. Scrotal skin assumes the same pigmentation as the abdomen and thighs.
Correct Answer: a. Testes and scrotum begin to enlarge.
Expert Rationale
The first detectable sign of puberty in males is the enlargement of the testes and
scrotum. This typically occurs between the ages of 9 and 14 years, with a mean age of
approximately 11.5 years. This early change is often followed by the growth of pubic hair
(beginning as sparse, long, slightly pigmented hair at the base of the penis), and later,
the lengthening and enlargement of the penis. The development of coarse, adult-type
pubic hair and changes in scrotal pigmentation occur later in the Tanner staging
sequence. Therefore, the initial physical change is testicular and scrotal enlargement,
making option a the correct answer.
DIF: Cognitive Level: Knowledge TOP: Nursing Process Step: Assessment MSC: NCLEX:
Health Promotion and Maintenance (Growth and Development)
QUESTION
During a health history assessment, a 64-year-old man states that he "never has sex
anymore." The nurse recognizes that withdrawal from sexual activity in older men can be
multifactorial. Which of the following follow-up questions would be appropriate to
explore potential contributing factors? Select all that apply.
,a. "Have you been told about any side effects of your medications?"
b. "Let's ask your provider for a blood test to detect decreased sperm production."
c. "Would you say you have had feelings of depression in the last few months?"
d. "How many alcohol drinks do you have each day?"
e. "This is an expected outcome in aging men."
f. "Have you experienced the loss of your spouse or your partner?"
Correct Answer: a, c, d, f
Expert Rationale
Withdrawal from sexual activity in older adults is a complex issue that can be influenced
by a variety of physical, psychological, and social factors. Appropriate follow-up
questions should explore these domains. Medication side effects (a) are a common cause
of sexual dysfunction, including erectile dysfunction and decreased libido. Depression (c)
can significantly reduce sexual desire. Alcohol consumption (d) can impair erectile
function and libido. The loss of a spouse or partner (f) is a significant psychosocial event
that can affect sexual activity. Option b is incorrect; decreased sperm production does
not necessarily equate to a loss of sexual desire or function, and the question does not
indicate infertility concerns. Option e is a dismissive and inaccurate generalization; while
sexual activity may change with age, it is not an expected outcome for all aging men,
and such a response would shut down further exploration.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process Step: Assessment MSC:
NCLEX: Psychosocial Integrity (Sexual Health)
QUESTION
A mother and father in the seventh month of their first pregnancy ask the nurse about
the benefits of circumcising their expected baby boy. Which facts can the nurse
appropriately share to help them with their decision? Select all that apply.
a. In the United States, circumcising baby boys is a proven way to prevent HIV
transmission later in life.
b. Removal of the foreskin decreases the incidence of urinary tract infections in very
young infants.
c. Most surgical risks of infant circumcision are minor and treatable.
d. In the United States, circumcision protects against acquiring human papillomavirus
and syphilis later in life.
, Correct Answer: b, c
Expert Rationale
The American Academy of Pediatrics (AAP) states that the health benefits of newborn
male circumcision outweigh the risks, but the benefits are not great enough to
recommend routine circumcision for all male newborns. Therefore, the decision should
be left to the parents. The nurse can provide factual information to facilitate informed
decision-making. Circumcision has been shown to decrease the incidence of urinary tract
infections (UTIs) in the first year of life (b). Most surgical risks, such as bleeding and
infection, are minor and treatable (c). Option a is incorrect; while studies in Africa have
shown a reduction in HIV transmission in adult males, this is not a proven benefit
of newborn circumcision in the United States. Option d is incorrect; while circumcision
may reduce the risk of some sexually transmitted infections, the evidence for protection
against HPV and syphilis is not as established in the U.S. context as option b.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process Step:
Implementation MSC: NCLEX: Health Promotion and Maintenance (Newborn Care /
Circumcision)
QUESTION
A nurse performs a genital examination on a 48-year-old man and notes deeply
pigmented, wrinkled scrotal skin with multiple, yellowish, 1-cm, firm, nontender nodules.
What is the nurse's most appropriate next action?
a. Ask about any family history of testicular cancer in the father or brothers.
b. Consider these sebaceous follicles as an expected finding and proceed with the
examination.
c. Assess the scrotum using transillumination.
d. Obtain a detailed history focusing on any scrotal abnormalities the man has noticed.
Correct Answer: b. Consider these sebaceous follicles as an expected finding and
proceed with the examination.
Expert Rationale
The scrotal skin normally appears deeply pigmented, thicker, and coarser than the skin
on the penis. It is also commonly wrinkled and may have multiple sebaceous follicles
that appear as small, yellowish, firm, nontender nodules. These are normal anatomical
variants and are not pathological. They are sometimes referred to as sebaceous cysts or
