CERTIFICATION EVALUATION 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥ A nurse is caring for an infant who has a hydrocele. Which of the
following actions should the nurse take?
A. Prepare the child for surgery.
B. Explain to the parents that the issue will self-resolve.
C. Retract the foreskin and cleanse several times daily.
D. Refer the family for genetic counseling. Answer: A. Hydroceles are
surgically repaired if they have not resolved spontaneously in 1 year.
B. Hydrocele is fluid in the scrotum and resolves spontaneously in
the majority of cases.
C. Retracting foreskin and cleansing several times each day is done
when an infant has phimosis.
D. A referral for genetic counseling is recommended for families who
have an infant with ambiguous genitalia.
,NCLEX® Connection: Reduction of Risk Potential, Therapeutic
Procedures
CHAPTER 25 STRUCTURAL DISORDERS OF THE
GENITOURINARY TRACT AND REPRODUCTIVE SySTEM
⩥ A nurse is caring for a male infant who has an epispadias. Which of
the following findings should the nurse expect? (Select all that apply.)
A. Bladder exstrophy
B. Inability to retract foreskin
C. Widened pubic symphysis
D. Urethral opening on the dorsal side of the penis.
E. Pain. Answer: A. Bladder exstrophy is a possible expected finding
of a male infant who has epispadias.
B. Inability to retract foreskin is a manifestation of phimosis.
C. Widened pubic symphysis is an expected finding for a male infant
who has epispadias.
D. Presence of the urethral opening on
the dorsal side of the penis is an expected finding
for a male infant who has epispadias.
,E. Pain is a manifestation of testicular torsion,
varicocele, and hydrocele.
NCLEX® Connection: Physiological Adaptation,
PathophysiologyCHAPTER 25 STRUCTURAL DISORDERS OF THE
Genitourinary TRACT AND REPRODUCTIVE system
⩥ A nurse is caring for an infant who has ambiguous genitalia. Which of
the following actions should the nurse take? (Select all that apply.)
A. Prepare the child for surgery.
B. Test the child's infant's function.
C. Cover the genitals with a sterile dressing.
D. Refer the family for genetic counseling.
E. Explain the need for a chromosomal analysis.. Answer: A. Infants
who have ambiguous genitalia will need surgery. Preparing the family
for surgery is an appropriate action for the nurse to take.
B. Plan to test the infant's adrenal function to rule out adrenal
insufficiency.
C. Cover the bladder with a sterile dressing for bladder exstrophy.
, D. Families with an infant who has ambiguous genitalia will need
ongoing support. Referring to genetic counseling is an appropriate action
for the nurse to take.
E. Chromosomal analysis is used for sex assignment, and is therefore
an appropriate action for the nurse to take.
NCLEX® Connection: Health Promotion and Maintenance, Aging
ProcessCHAPTER 25 STRUCTURAL DISORDERS OF THE
Genitourinary TRACT AND REPRODUCTIVE system
⩥ A nurse is caring for an infant who has obstructive uropathy. Which of
the following findings should the nurse expect? (Select all that apply.)
A. Decreased urine flow
B. Urinary tract infection
C. Intrauterine polyhydramnios
D. Concentrated urine
E. Hydronephrosis. Answer: A. Increased urine flow is a manifestation
of obstructive uropathy.
B. Urinary tract infection is a manifestation of obstructive uropathy.