NR304 EXAM 2 ACTUAL EXAM COMPLETE EXAM TEST BANK 100 QUESTIONS
AND CORRECT ANSWERS 2024-2025
1. The health history A male tells you that he has trouble initiating his flow once he
reaches the bathroom. This complaint is known as: a. Urgency. b. Dribbling. c.
Frequency. d. Hesitancy. -Answer d. Hesitancy.
2. A parent of three biologic daughters has a 10-year-old boy the family adopted at age 2
years. The parent is learning about raising boys and asks you the first physical sign of
puberty in the male genitalia:
a. Testes and scrotum begin to enlarge.
b. Penis enlarges and lengthens.
c. Dark coarse hair grows over entire pubis.
d. Scrotal skin assumes same pigment as the abdomen and thighs. -Answer a. Testes
and scrotum begin to enlarge.
3. During the health history, a 64-year-old man tells you he "never has sex anymore."
Check the following appropriate follow-up questions you could use that are associated
with withdrawal from sex. 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 felt the loss of your spouse or partner?" - Response a. "Have you been
informed of any medication side effects?"
c. "In the past few months, would you describe yourself as feeling depressed?"
d. "How many alcoholic drinks to you have per day?"
f. "Have you felt the loss of your spouse or partner?"
4. A mother and father in the 7th month of their first pregnancy ask you about the
,benefits of circumcising their expected baby boy. Check all the facts you can share to
help them with their decision.
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. - Answer 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.
5. You are performing an examination of the genitalia on a 48-year-old male and note
that the skin of the scrotum is deeply pigmented, wrinkled, and studded with
innumerable, yellowish firm, nontender nodules, 1 cm in diameter. The next most
appropriate action would be to:
A. Elicit any family history of testicular cancer from the patient's father and brothers.
B. Consider these sebaceous follicles as expected and continue the examination.
C. Transilluminate the scrotum.
d. Obtain a history of any changes in the scrotum that the man may have noted -Answer
b. Consider these as sebaceous follicles and a normal finding. Continue the
examination.
6. You are performing a genital examination on a 25 yr old male and upon palpation,
testes are ovoid and mobile but slightly tender to compression. The most likely course of
action now would be to:
a. Have another examiner to re-examine.
b. Look for painful subcutaneous plaques.
c. Ask the man if he has noticed anything unusual in his own exams.
d. Consider this an expected finding and proceed with the examination. -Answer d.
Consider this an expected finding and proceed with the examination.
,7. You are an advanced provider about to inspect and palpate a 55-year-old man for a
suspected inguinal hernia. What is your best instruction to prepare this man?
a. "Hold your breath and cough when I ask you to."
b. "I will ask you to bear down when my gloved finger is in the inguinal canal."
c. "I will ask you to turn you head and cough when my gloved finger is in the inguinal
canal."
d. "Please assume a lying-down position on the exam table for the hernia check." -
Answer b. "I will ask you to bear down when my gloved finger is in the inguinal canal."
8. You are going to examine the genitalia of a 93-year-old male who has an adhesion of
the prepuce of the head of the penis that renders the foreskin unretractable. You
identify this as:
a. Paraphimosis.
b. Phimosis.
c. Smegma.
d. Dyschezia. - Answer b. Phimosis.
9. During the examination of a newborn male, you note that the urethral meatus is on the
underside of the penis. The most appropriate action would be to: Select all that apply.
a. Note whether the penis is straight or curved.
b. Understand this as normal for uncircumcised infant males and proceed with the
examination.
c. Inform the parents that the circumcision, which is scheduled can be performed at this
time.
d. Ask a physician or AP to repeat the exam. -Answer a. Note whether the penis is
straight or curved.
and
d. Ask a physician or AP to repeat the exam.
10. A 1-month-old, uncircumcised male comes to your clinic for a well-baby visit. What
would you do to proceed with the genital exam?
, a. Elicit the cremasteric reflex.
b. Visualize the glans for redness or lesion.
c. Do not retract the foreskin.
d. Note any built up dirt or smegma under the foreskin. - c. Do not retract the foreskin.
11. You are teaching a 19-year-old how to perform a testicular self-examination. Which
of the following is your most correct statement?
a. "A good time to examine your testicles is just before you take a shower."
b. "If you notice an enlarged testicle or a firm lump, call your health care provider."
c. "The testicle is egg shaped, feels soft, and has a spongy consistency."
d. "Do testicular self-exam at least once a week." - Answer b. "If you find one testicle is
enlarged, or you find a firm lump, call your health care provider."
12. A 62-year-old male relates that his physician told him he has an "inguinal hernia." He
asks you to explain what a hernia is. Your best response is:
a. There is no need to worry because most men in his age group can be found with
hernias, but this is true when the counter measures are not taken on time. b. Hernia can
be developed from growth abnormalities developed during or even before his birth. c.
He is referred to his physician for further information since he was the one who made
the diagnosis first.
d. A hernia is a loop of bowel protruding through a weak spot in the belly muscles.
-Answer d. A hernia is a loop of bowel protruding through a weak spot in the belly
muscles.
13. You are caring for a person with jaundice from hepatitis. You expect the person's
urine to be:
a. Orange in color.
b. Red from blood in urine.
c. Normal, clear yellow.
d. Dark gray in color. - Answer a. Orange in color.
AND CORRECT ANSWERS 2024-2025
1. The health history A male tells you that he has trouble initiating his flow once he
reaches the bathroom. This complaint is known as: a. Urgency. b. Dribbling. c.
Frequency. d. Hesitancy. -Answer d. Hesitancy.
2. A parent of three biologic daughters has a 10-year-old boy the family adopted at age 2
years. The parent is learning about raising boys and asks you the first physical sign of
puberty in the male genitalia:
a. Testes and scrotum begin to enlarge.
b. Penis enlarges and lengthens.
c. Dark coarse hair grows over entire pubis.
d. Scrotal skin assumes same pigment as the abdomen and thighs. -Answer a. Testes
and scrotum begin to enlarge.
3. During the health history, a 64-year-old man tells you he "never has sex anymore."
Check the following appropriate follow-up questions you could use that are associated
with withdrawal from sex. 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 felt the loss of your spouse or partner?" - Response a. "Have you been
informed of any medication side effects?"
c. "In the past few months, would you describe yourself as feeling depressed?"
d. "How many alcoholic drinks to you have per day?"
f. "Have you felt the loss of your spouse or partner?"
4. A mother and father in the 7th month of their first pregnancy ask you about the
,benefits of circumcising their expected baby boy. Check all the facts you can share to
help them with their decision.
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. - Answer 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.
5. You are performing an examination of the genitalia on a 48-year-old male and note
that the skin of the scrotum is deeply pigmented, wrinkled, and studded with
innumerable, yellowish firm, nontender nodules, 1 cm in diameter. The next most
appropriate action would be to:
A. Elicit any family history of testicular cancer from the patient's father and brothers.
B. Consider these sebaceous follicles as expected and continue the examination.
C. Transilluminate the scrotum.
d. Obtain a history of any changes in the scrotum that the man may have noted -Answer
b. Consider these as sebaceous follicles and a normal finding. Continue the
examination.
6. You are performing a genital examination on a 25 yr old male and upon palpation,
testes are ovoid and mobile but slightly tender to compression. The most likely course of
action now would be to:
a. Have another examiner to re-examine.
b. Look for painful subcutaneous plaques.
c. Ask the man if he has noticed anything unusual in his own exams.
d. Consider this an expected finding and proceed with the examination. -Answer d.
Consider this an expected finding and proceed with the examination.
,7. You are an advanced provider about to inspect and palpate a 55-year-old man for a
suspected inguinal hernia. What is your best instruction to prepare this man?
a. "Hold your breath and cough when I ask you to."
b. "I will ask you to bear down when my gloved finger is in the inguinal canal."
c. "I will ask you to turn you head and cough when my gloved finger is in the inguinal
canal."
d. "Please assume a lying-down position on the exam table for the hernia check." -
Answer b. "I will ask you to bear down when my gloved finger is in the inguinal canal."
8. You are going to examine the genitalia of a 93-year-old male who has an adhesion of
the prepuce of the head of the penis that renders the foreskin unretractable. You
identify this as:
a. Paraphimosis.
b. Phimosis.
c. Smegma.
d. Dyschezia. - Answer b. Phimosis.
9. During the examination of a newborn male, you note that the urethral meatus is on the
underside of the penis. The most appropriate action would be to: Select all that apply.
a. Note whether the penis is straight or curved.
b. Understand this as normal for uncircumcised infant males and proceed with the
examination.
c. Inform the parents that the circumcision, which is scheduled can be performed at this
time.
d. Ask a physician or AP to repeat the exam. -Answer a. Note whether the penis is
straight or curved.
and
d. Ask a physician or AP to repeat the exam.
10. A 1-month-old, uncircumcised male comes to your clinic for a well-baby visit. What
would you do to proceed with the genital exam?
, a. Elicit the cremasteric reflex.
b. Visualize the glans for redness or lesion.
c. Do not retract the foreskin.
d. Note any built up dirt or smegma under the foreskin. - c. Do not retract the foreskin.
11. You are teaching a 19-year-old how to perform a testicular self-examination. Which
of the following is your most correct statement?
a. "A good time to examine your testicles is just before you take a shower."
b. "If you notice an enlarged testicle or a firm lump, call your health care provider."
c. "The testicle is egg shaped, feels soft, and has a spongy consistency."
d. "Do testicular self-exam at least once a week." - Answer b. "If you find one testicle is
enlarged, or you find a firm lump, call your health care provider."
12. A 62-year-old male relates that his physician told him he has an "inguinal hernia." He
asks you to explain what a hernia is. Your best response is:
a. There is no need to worry because most men in his age group can be found with
hernias, but this is true when the counter measures are not taken on time. b. Hernia can
be developed from growth abnormalities developed during or even before his birth. c.
He is referred to his physician for further information since he was the one who made
the diagnosis first.
d. A hernia is a loop of bowel protruding through a weak spot in the belly muscles.
-Answer d. A hernia is a loop of bowel protruding through a weak spot in the belly
muscles.
13. You are caring for a person with jaundice from hepatitis. You expect the person's
urine to be:
a. Orange in color.
b. Red from blood in urine.
c. Normal, clear yellow.
d. Dark gray in color. - Answer a. Orange in color.
