NR304 HEALTH ASSESSMENT 2 EXAM REVIEW
ACTUAL PRACTICE QUESTIONS AND
ANSWERS GRADED A+
◉ 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.
Answer: 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?"
Answer: 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. Answer: 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. Answer: 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. Answer: 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." Answer: 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. Answer: 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.
ACTUAL PRACTICE QUESTIONS AND
ANSWERS GRADED A+
◉ 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.
Answer: 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?"
Answer: 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. Answer: 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. Answer: 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. Answer: 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." Answer: 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. Answer: 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.
