NR 304 Exam 2 || A+ Verified Already.
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 answers 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 answers 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?" correct answers 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 answers 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
answers 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. correct answers 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 answers
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 answers 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. correct answers a. Notice if the
penis is straight or curved.
and
d. Ask a physician or AP provider to repeat the examination.
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 answers 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 answers 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?" correct answers 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 answers 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
answers 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. correct answers 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 answers
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 answers 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. correct answers a. Notice if the
penis is straight or curved.
and
d. Ask a physician or AP provider to repeat the examination.
