NR 304 EXAM 1 ALL QUESTIONS
WITH CORRECT ANSWERS
1. 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.
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
2. 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.
d. Hesitancy.
3. 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.
,a. Testes and scrotum begin to enlarge.
4. 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?"
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?"
.
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.
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.
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."
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.
b. Phimosis.
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.
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.
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."
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:
a. Tell him not to worry and that most men his age develop hernias.
b. Explain that a hernia is often the result of growth abnormalities that
developed before he was born.
c. Refer him to his physician for additional information because they made the
initial diagnosis.
d. Explain that a hernia is a loop of bowel protruding through a weak spot in
the belly muscles.
d. Explain that 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.
a. Orange in color.
WITH CORRECT ANSWERS
1. 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.
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
2. 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.
d. Hesitancy.
3. 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.
,a. Testes and scrotum begin to enlarge.
4. 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?"
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?"
.
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.
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.
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."
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.
b. Phimosis.
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.
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.
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."
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:
a. Tell him not to worry and that most men his age develop hernias.
b. Explain that a hernia is often the result of growth abnormalities that
developed before he was born.
c. Refer him to his physician for additional information because they made the
initial diagnosis.
d. Explain that a hernia is a loop of bowel protruding through a weak spot in
the belly muscles.
d. Explain that 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.
a. Orange in color.
