NR 304 FINAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES|ALREADY GRADED A+|
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.
The nurse is assessing several clients who had surgery the previous day. Which
assessment finding would require the nurse to call the primary health-care
provider?
1. Slightly elevated temperature
2. Urinary output of 20 mL/hour
3. Serous drainage on the surgical dressing
4. Soreness and pain around the incision site - ANS -2. Urinary output of 20
mL/hour
Amnosia - ANS -sense of smell is lost
Issues with: Cranial nerve 1 Olefactory
ataxia - ANS -lack of muscle coordination/coordinated movements
Tandem walking - ANS -Assess balance by asking person to walk a straight line in a
heel-to-toe fashion.
This decreases the base of support and will accentuate any problem with
coordination.
Normal Finding: The person can walk straight and stay balanced.
Romburg test - ANS -balance test with eyes closed (Stand close to the patient).
Slight sway may occur.
Positive Romber Sign- Lost balance
,SAFETY CONCERN: FALL RISK
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.
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." -
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. - ANS -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. - 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. - 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." - 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:
a. Tell him not to worry and that most men his age develop hernias.
ANSWERS WITH RATIONALES|ALREADY GRADED A+|
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.
The nurse is assessing several clients who had surgery the previous day. Which
assessment finding would require the nurse to call the primary health-care
provider?
1. Slightly elevated temperature
2. Urinary output of 20 mL/hour
3. Serous drainage on the surgical dressing
4. Soreness and pain around the incision site - ANS -2. Urinary output of 20
mL/hour
Amnosia - ANS -sense of smell is lost
Issues with: Cranial nerve 1 Olefactory
ataxia - ANS -lack of muscle coordination/coordinated movements
Tandem walking - ANS -Assess balance by asking person to walk a straight line in a
heel-to-toe fashion.
This decreases the base of support and will accentuate any problem with
coordination.
Normal Finding: The person can walk straight and stay balanced.
Romburg test - ANS -balance test with eyes closed (Stand close to the patient).
Slight sway may occur.
Positive Romber Sign- Lost balance
,SAFETY CONCERN: FALL RISK
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.
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." -
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. - ANS -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. - 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. - 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." - 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:
a. Tell him not to worry and that most men his age develop hernias.
