Chamberlain University
2 MAXE 403 RN
★ ★
College of Nursing & Public Health
C
C A R E • CO M P E T E N C E • CO N F I D E N C E
EST. 1889
NR 304 — Health Assessment II
E X A M 2 : M A L E G E N I TO U R I N A R Y, N E U R O LO G I C , M U S CU LO S K E L E TA L & ST R O K E
A SS E SS M E N T
INSTITUTION Chamberlain University — COURSE NR 304 – Health Assessment II
College of Nursing & Public
Health
EXAM VERSION Latest Update TOTAL QUESTIONS 42 Q&A with Clinical Rationale
FORMAT Multiple Choice – Select the GRADE A – 100% Correct Verified
Single Best Answer Answers
EXAM 2 STUDY GUIDE
▸ This document contains verified Q&A for NR 304 Health Assessment II Exam 2 (2026/2027 Update).
▸ Covers male genitourinary assessment (hesitancy, puberty signs, sexual withdrawal causes, circumcision benefits,
scrotal nodules, testicular sensitivity, inguinal hernia exam, phimosis, hypospadias, infant foreskin care, testicular
self-exam, jaundice urine, STI prevention), neurologic assessment (Babinski reflex, hypothalamus, stereognosis,
Romberg test, parkinsonism speech, biceps reflex, essential tremor, Jendrassik maneuver, plantar reflex, DTRs in
coma, GCS components), musculoskeletal assessment (rheumatoid arthritis findings, spinal curvature
development, osteoporosis education, rotator cuff tear, neurovascular assessment, scoliosis screening), and
stroke assessment (BEFAST, tPA window, stroke risk factors, prioritization, failure to rescue).
▸ Each answer includes clinical rationale based on evidence-based practice and Chamberlain University nursing
curriculum standards.
▸ Use this guide to prepare for Exam 2 and for clinical application in health assessment practice.
SECTION I — MALE GENITOURINARY ASSESSMENT Q1–Q15
1. During the health history, a man tells you he has trouble starting his urine stream when he arrives at
the toilet. This symptom is known as:
CORRECT ANSWER: d. Hesitancy
RATIONALE: Hesitancy is difficulty initiating urination. Often associated with BPH, urethral stricture, or medications.
2. A parent asks you the first physical sign of puberty in the male genitalia.
CORRECT ANSWER: a. Testes and scrotum begin to enlarge
RATIONALE: Testicular enlargement is the first sign of puberty in males (Tanner Stage 2). Occurs typically between
ages 9-14.
, 3. A 64-year-old man tells you he "never has sex anymore." Appropriate follow-up questions include:
(Select all that apply)
CORRECT ANSWER: a, c, d, f
RATIONALE: Medications (antidepressants, antihypertensives) can cause ED. Depression, alcohol use, and loss of
partner are common causes of decreased sexual activity.
4. Benefits of circumcision to share with expecting parents: (Select all that apply)
CORRECT ANSWER: b, c
RATIONALE: Circumcision reduces UTI risk in first year of life. Complications are rare and minor (bleeding, infection).
AAP states benefits outweigh risks but not universally recommended.
5. A 48-year-old man has deeply pigmented wrinkled scrotal skin with multiple yellowish, 1-cm, firm,
nontender nodules. Next most appropriate action?
CORRECT ANSWER: b. Consider these sebaceous follicles an expected finding and proceed
RATIONALE: Sebaceous follicles on scrotum are normal. They are small, yellowish, firm, nontender nodules.
6. A 25-year-old man has testes that feel ovoid and movable yet somewhat sensitive to compression.
Next most appropriate action?
CORRECT ANSWER: d. Consider this an expected finding and proceed
RATIONALE: Normal testes are ovoid, firm, and somewhat tender to compression. Sensitivity is normal; enlargement
or lump would be abnormal.
7. Best instruction to prepare a 55-year-old man for inguinal hernia examination?
CORRECT ANSWER: b. "I will ask you to bear down when my gloved finger is in the inguinal canal."
RATIONALE: Valsalva maneuver (bearing down) increases intra-abdominal pressure. Helps detect hernia that may
not be palpable at rest.
8. A 93-year-old man has adhesion of the prepuce making the foreskin impossible to retract. This is
called:
CORRECT ANSWER: b. Phimosis
RATIONALE: Phimosis = foreskin cannot be retracted over glans. Paraphimosis = retracted foreskin cannot be
returned → medical emergency.
2 MAXE 403 RN
★ ★
College of Nursing & Public Health
C
C A R E • CO M P E T E N C E • CO N F I D E N C E
EST. 1889
NR 304 — Health Assessment II
E X A M 2 : M A L E G E N I TO U R I N A R Y, N E U R O LO G I C , M U S CU LO S K E L E TA L & ST R O K E
A SS E SS M E N T
INSTITUTION Chamberlain University — COURSE NR 304 – Health Assessment II
College of Nursing & Public
Health
EXAM VERSION Latest Update TOTAL QUESTIONS 42 Q&A with Clinical Rationale
FORMAT Multiple Choice – Select the GRADE A – 100% Correct Verified
Single Best Answer Answers
EXAM 2 STUDY GUIDE
▸ This document contains verified Q&A for NR 304 Health Assessment II Exam 2 (2026/2027 Update).
▸ Covers male genitourinary assessment (hesitancy, puberty signs, sexual withdrawal causes, circumcision benefits,
scrotal nodules, testicular sensitivity, inguinal hernia exam, phimosis, hypospadias, infant foreskin care, testicular
self-exam, jaundice urine, STI prevention), neurologic assessment (Babinski reflex, hypothalamus, stereognosis,
Romberg test, parkinsonism speech, biceps reflex, essential tremor, Jendrassik maneuver, plantar reflex, DTRs in
coma, GCS components), musculoskeletal assessment (rheumatoid arthritis findings, spinal curvature
development, osteoporosis education, rotator cuff tear, neurovascular assessment, scoliosis screening), and
stroke assessment (BEFAST, tPA window, stroke risk factors, prioritization, failure to rescue).
▸ Each answer includes clinical rationale based on evidence-based practice and Chamberlain University nursing
curriculum standards.
▸ Use this guide to prepare for Exam 2 and for clinical application in health assessment practice.
SECTION I — MALE GENITOURINARY ASSESSMENT Q1–Q15
1. During the health history, a man tells you he has trouble starting his urine stream when he arrives at
the toilet. This symptom is known as:
CORRECT ANSWER: d. Hesitancy
RATIONALE: Hesitancy is difficulty initiating urination. Often associated with BPH, urethral stricture, or medications.
2. A parent asks you the first physical sign of puberty in the male genitalia.
CORRECT ANSWER: a. Testes and scrotum begin to enlarge
RATIONALE: Testicular enlargement is the first sign of puberty in males (Tanner Stage 2). Occurs typically between
ages 9-14.
, 3. A 64-year-old man tells you he "never has sex anymore." Appropriate follow-up questions include:
(Select all that apply)
CORRECT ANSWER: a, c, d, f
RATIONALE: Medications (antidepressants, antihypertensives) can cause ED. Depression, alcohol use, and loss of
partner are common causes of decreased sexual activity.
4. Benefits of circumcision to share with expecting parents: (Select all that apply)
CORRECT ANSWER: b, c
RATIONALE: Circumcision reduces UTI risk in first year of life. Complications are rare and minor (bleeding, infection).
AAP states benefits outweigh risks but not universally recommended.
5. A 48-year-old man has deeply pigmented wrinkled scrotal skin with multiple yellowish, 1-cm, firm,
nontender nodules. Next most appropriate action?
CORRECT ANSWER: b. Consider these sebaceous follicles an expected finding and proceed
RATIONALE: Sebaceous follicles on scrotum are normal. They are small, yellowish, firm, nontender nodules.
6. A 25-year-old man has testes that feel ovoid and movable yet somewhat sensitive to compression.
Next most appropriate action?
CORRECT ANSWER: d. Consider this an expected finding and proceed
RATIONALE: Normal testes are ovoid, firm, and somewhat tender to compression. Sensitivity is normal; enlargement
or lump would be abnormal.
7. Best instruction to prepare a 55-year-old man for inguinal hernia examination?
CORRECT ANSWER: b. "I will ask you to bear down when my gloved finger is in the inguinal canal."
RATIONALE: Valsalva maneuver (bearing down) increases intra-abdominal pressure. Helps detect hernia that may
not be palpable at rest.
8. A 93-year-old man has adhesion of the prepuce making the foreskin impossible to retract. This is
called:
CORRECT ANSWER: b. Phimosis
RATIONALE: Phimosis = foreskin cannot be retracted over glans. Paraphimosis = retracted foreskin cannot be
returned → medical emergency.
