NR 304 Exam 2 Questions With Correct
Answers.
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. - 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. - 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."
f. "Have you experienced the loss of your spouse or your partner?" - 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. - 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. -
ANS b. Consider these sebaceous follicles an expected finding and proceed with
the examination.
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. - ANS d.
Consider this an expected finding and proceed with the examination.
Answers.
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. - 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. - 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."
f. "Have you experienced the loss of your spouse or your partner?" - 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. - 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. -
ANS b. Consider these sebaceous follicles an expected finding and proceed with
the examination.
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. - ANS d.
Consider this an expected finding and proceed with the examination.
