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NR 511 WEEK 7 WITH 100% ACCURATE
SOLUTIONS + RATIONALES 2026-2027
Question 1
pts
Regular testicular self-exams have not been studied enough to show if they lower the risk of dying from testicular
cancer. This is why the American Cancer Society and other agencies do not have a recommendation about
regular testicular self-exams for all men. Still, some practitioners do recommend that all men examine their
testicles monthly after reaching puberty. In teaching a patient how to do a testicular self-examination, which of
the following should the clinician advise?
“If you feel firmness above and behind the testicle, make an appointment.”
“Examine your testicles when you are cold because this makes them more sensitive.”
“Make sure your hands are dry to create friction.”
Correct!
“Make an appointment if you note any hard lumps directly on the testicle, regardless of whether they are
tender.”
If you advise men to perform a monthly testicular self-examination, instruct them to call if they notice any hard
lumps directly on the testicle, regardless of whether the lumps are tender. If parts of the testicle above and behind
feel rather firm, this is the epididymis and is normal. The spermatic cord, a small, round, movable tube, extends
up from the epididymis and also feels firm and smooth. Testicles should be examined with soapy hands when
taking a warm shower or bath to allow easy manipulation of the tissue.
Question 2
pts
A 15-year-old male comes to the clinic in acute distress with “belly pain.” When obtaining his history, the nurse
practitioner (NP) finds that he fell off his bike this morning and has vomited. Upon closer examination, the NP
determines the belly pain to be left-sided groin pain or pain in his left testicle. He is afebrile and reports no
dysuria. Which of the following diagnoses is most likely?
Epididymitis.
Varicocele.
Correct!
Testicular torsion.
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Hydrocele.
Testicular torsion is a condition in which the testis twists on the spermatic cord, thereby compromising blood flow
to the testicle. This is a surgical emergency. Examination usually reveals a tender scrotal mass high in the
hemiscrotum, and there is frequently a reactive hydrocele around the testis, obscuring anatomical detail. The
scrotum can become erythematous and edematous. The cremasteric reflex is frequently blunted on the side of
the torsion.
Question 3
pts
A patient’s chief complaint is pain and heaviness in the scrotum. The nurse practitioner notes swelling of the testes,
along with warm scrotal skin. Which of the following diagnoses is most probable?
Epididymitis.
Cryptorchidism.
Testicular torsion.
Correct!
Orchitis.
Orchitis refers to an acute, painful onset of swelling of the testicle accompanied by warm scrotal skin. The client
usually complains of a heavy feeling in the scrotum. It is typically unilateral but after 1 week may progress to the
other testicle.
Question 4
pts
A patient is being treated for erectile dysfunction. The patient is morbidly obese and is also being treated for a
coagulopathy. Which of the following medications would be contraindicated?
Correct!
Alprostadil (Caverject).
Topical testosterone (AndroGel).
Sildenafil (Viagra).
Subcutaneous pellet testosterone (Testopel).
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NR 511 WEEK 7 WITH 100% ACCURATE
SOLUTIONS + RATIONALES 2026-2027
Question 1
pts
Regular testicular self-exams have not been studied enough to show if they lower the risk of dying from testicular
cancer. This is why the American Cancer Society and other agencies do not have a recommendation about
regular testicular self-exams for all men. Still, some practitioners do recommend that all men examine their
testicles monthly after reaching puberty. In teaching a patient how to do a testicular self-examination, which of
the following should the clinician advise?
“If you feel firmness above and behind the testicle, make an appointment.”
“Examine your testicles when you are cold because this makes them more sensitive.”
“Make sure your hands are dry to create friction.”
Correct!
“Make an appointment if you note any hard lumps directly on the testicle, regardless of whether they are
tender.”
If you advise men to perform a monthly testicular self-examination, instruct them to call if they notice any hard
lumps directly on the testicle, regardless of whether the lumps are tender. If parts of the testicle above and behind
feel rather firm, this is the epididymis and is normal. The spermatic cord, a small, round, movable tube, extends
up from the epididymis and also feels firm and smooth. Testicles should be examined with soapy hands when
taking a warm shower or bath to allow easy manipulation of the tissue.
Question 2
pts
A 15-year-old male comes to the clinic in acute distress with “belly pain.” When obtaining his history, the nurse
practitioner (NP) finds that he fell off his bike this morning and has vomited. Upon closer examination, the NP
determines the belly pain to be left-sided groin pain or pain in his left testicle. He is afebrile and reports no
dysuria. Which of the following diagnoses is most likely?
Epididymitis.
Varicocele.
Correct!
Testicular torsion.
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, For more exams
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Hydrocele.
Testicular torsion is a condition in which the testis twists on the spermatic cord, thereby compromising blood flow
to the testicle. This is a surgical emergency. Examination usually reveals a tender scrotal mass high in the
hemiscrotum, and there is frequently a reactive hydrocele around the testis, obscuring anatomical detail. The
scrotum can become erythematous and edematous. The cremasteric reflex is frequently blunted on the side of
the torsion.
Question 3
pts
A patient’s chief complaint is pain and heaviness in the scrotum. The nurse practitioner notes swelling of the testes,
along with warm scrotal skin. Which of the following diagnoses is most probable?
Epididymitis.
Cryptorchidism.
Testicular torsion.
Correct!
Orchitis.
Orchitis refers to an acute, painful onset of swelling of the testicle accompanied by warm scrotal skin. The client
usually complains of a heavy feeling in the scrotum. It is typically unilateral but after 1 week may progress to the
other testicle.
Question 4
pts
A patient is being treated for erectile dysfunction. The patient is morbidly obese and is also being treated for a
coagulopathy. Which of the following medications would be contraindicated?
Correct!
Alprostadil (Caverject).
Topical testosterone (AndroGel).
Sildenafil (Viagra).
Subcutaneous pellet testosterone (Testopel).
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