NR 304 FINAL EXAM
NR 304 Exam 2 All 150 Questions and
Correct Detailed Answers Top Graded A
2025
1. During the health history, a man tells you he has trouble in starting his urine stream
when he arrives at the toilet. This symptom is known as:
a. Urgency.
b. Dribbling.
c. Frequency.
d. Hesitancy. - Correct Ans-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. - Correct Ans-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."
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,NR 304 FINAL EXAM
f. "Have you experienced the loss of your spouse or your partner?" - Correct Ans-a.
"Have you been told about any side effects of your medications?"
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?"
f. "Have you experienced the loss of your spouse or your 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. - Correct Ans-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 perform a genital examination on a 48-year-old man and note deeply pigmented
wrinkled scrotal skin, with multiple, yellowish, 1-cm, firm, nontender nodules. What
would be your next most appropriate action?
a. Ask about any family history of testicular cancer in the father or brothers.
b. Consider these sebaceous follicles 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 Ans-b. Consider these sebaceous follicles an expected finding and proceed with
the examination.
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,NR 304 FINAL EXAM
6. You perform a genital examination on a 25-year-old man and palpate testes that feel
ovoid and movable yet somewhat sensitive to compression. What is your next most
appropriate action?
a. Ask another examiner to repeat the examination.
b. Search for subcutaneous plaques that may be painful.
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. - Correct Ans-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." -
Correct Ans-b. "I will ask you to bear down when my gloved finger is in the inguinal
canal."
8. You are about to examine the genitalia of a 93-year-old man who has an adhesion of
the prepuce of the head of the penis, making the foreskin impossible to retract. You
recognize this as:
a. Paraphimosis.
b. Phimosis.
c. Smegma.
d. Dyschezia. - Correct Ans-b. Phimosis.
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, NR 304 FINAL EXAM
9. During assessment of a newborn baby boy, you note the urethral meatus is positioned
ventrally, on the underside of the penis. Your next best action is to: Select all that apply.
a. Notice if the penis is straight or curved.
b. Note that this is consistent with uncircumcised baby boys and proceed with the exam.
c. Assure the parents that they can proceed with the planned circumcision at this time.
d. Ask a physician or AP provider to repeat the examination. - Correct Ans-a. Notice if the
penis is straight or curved.
and
d. Ask a physician or AP provider to repeat the examination.
10. A 1-month-old, uncircumcised boy comes to your clinic for a well-baby check-up.
How would you proceed with the genital exam?
a. Elicit the cremasteric reflex.
b. Assess the glans for redness or lesions.
c. Avoid retracting the foreskin.
d. Note any dirt or smegma that has collected under the foreskin. - Correct Ans-c. Avoid
retracting the foreskin.
11. You are teaching a 19-year-old how to perform a testicular self-examination. Which
of the following statements is your most appropriate?
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. "Perform testicular self-exam at least once a week." - Correct Ans-b. "If you notice an
enlarged testicle or a firm lump, call your health care provider."
12. A 62-year-old man states his doctor told him he has an "inguinal hernia." He asks you
to explain what a hernia is. Your best response is:
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NR 304 Exam 2 All 150 Questions and
Correct Detailed Answers Top Graded A
2025
1. During the health history, a man tells you he has trouble in starting his urine stream
when he arrives at the toilet. This symptom is known as:
a. Urgency.
b. Dribbling.
c. Frequency.
d. Hesitancy. - Correct Ans-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. - Correct Ans-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."
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,NR 304 FINAL EXAM
f. "Have you experienced the loss of your spouse or your partner?" - Correct Ans-a.
"Have you been told about any side effects of your medications?"
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?"
f. "Have you experienced the loss of your spouse or your 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. - Correct Ans-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 perform a genital examination on a 48-year-old man and note deeply pigmented
wrinkled scrotal skin, with multiple, yellowish, 1-cm, firm, nontender nodules. What
would be your next most appropriate action?
a. Ask about any family history of testicular cancer in the father or brothers.
b. Consider these sebaceous follicles 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 Ans-b. Consider these sebaceous follicles an expected finding and proceed with
the examination.
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,NR 304 FINAL EXAM
6. You perform a genital examination on a 25-year-old man and palpate testes that feel
ovoid and movable yet somewhat sensitive to compression. What is your next most
appropriate action?
a. Ask another examiner to repeat the examination.
b. Search for subcutaneous plaques that may be painful.
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. - Correct Ans-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." -
Correct Ans-b. "I will ask you to bear down when my gloved finger is in the inguinal
canal."
8. You are about to examine the genitalia of a 93-year-old man who has an adhesion of
the prepuce of the head of the penis, making the foreskin impossible to retract. You
recognize this as:
a. Paraphimosis.
b. Phimosis.
c. Smegma.
d. Dyschezia. - Correct Ans-b. Phimosis.
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, NR 304 FINAL EXAM
9. During assessment of a newborn baby boy, you note the urethral meatus is positioned
ventrally, on the underside of the penis. Your next best action is to: Select all that apply.
a. Notice if the penis is straight or curved.
b. Note that this is consistent with uncircumcised baby boys and proceed with the exam.
c. Assure the parents that they can proceed with the planned circumcision at this time.
d. Ask a physician or AP provider to repeat the examination. - Correct Ans-a. Notice if the
penis is straight or curved.
and
d. Ask a physician or AP provider to repeat the examination.
10. A 1-month-old, uncircumcised boy comes to your clinic for a well-baby check-up.
How would you proceed with the genital exam?
a. Elicit the cremasteric reflex.
b. Assess the glans for redness or lesions.
c. Avoid retracting the foreskin.
d. Note any dirt or smegma that has collected under the foreskin. - Correct Ans-c. Avoid
retracting the foreskin.
11. You are teaching a 19-year-old how to perform a testicular self-examination. Which
of the following statements is your most appropriate?
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. "Perform testicular self-exam at least once a week." - Correct Ans-b. "If you notice an
enlarged testicle or a firm lump, call your health care provider."
12. A 62-year-old man states his doctor told him he has an "inguinal hernia." He asks you
to explain what a hernia is. Your best response is:
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