During a school health fair, a nurse teaches testicular self-exam to adolescent boys.
What is the most important teaching point?
Perform weekly while lying down.
Use fingertips and check for pain.
Only perform if there is a family history of cancer.
Perform monthly after a warm shower.
The Correct Answer is D
Choice A rationale
Performing a testicular self-exam weekly is too frequent and unnecessary. The recommended frequency is monthly. While lying down might be acceptable, performing it after a warm shower is generally preferred due to muscle relaxation. Checking for pain is part of the examination, but the emphasis is on identifying changes rather than just pain.
Choice B rationale
Using fingertips and checking for pain are indeed components of the testicular self-exam; however, these are not the *most important* teaching points. The primary goal is to become familiar with the normal consistency and feel of the testicles to detect any subtle changes, not just to check for pain, which might only be present in symptomatic conditions.
Choice C rationale
This statement is incorrect and misleading. Testicular self-exams are recommended for *all* adolescent boys, regardless of family history of cancer. Early detection through regular self-examination significantly improves prognosis for testicular cancer, which can occur without any prior family history.
Choice D rationale
Performing the exam monthly after a warm shower is the most important teaching point. The warm shower relaxes the scrotal sac, making it easier to palpate the testicles and detect any abnormalities. Monthly performance ensures consistency and allows for early identification of any changes from the baseline normal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Providing a calm, structured environment with consistent routines helps children with ADHD regulate their behavior and attention. Predictable schedules and clear expectations reduce sensory overload and provide a framework for self-management, thereby promoting focus and minimizing disruptive behaviors by optimizing neurological processing.
Choice B rationale
Removing the child from the classroom as a primary intervention is counterproductive. While a brief cool-down period might sometimes be useful, consistent removal can isolate the child, disrupt their learning, and prevent them from developing coping mechanisms within the regular classroom setting, hindering social and academic integration.
Choice C rationale
Punishing a child with ADHD each time rules are broken is generally ineffective and can be detrimental. ADHD is a neurodevelopmental disorder affecting impulse control and attention; punishment alone does not address the underlying neurological differences. It can lead to increased anxiety, defiance, and a negative self-concept.
Choice D rationale
Recommending home schooling for a child with ADHD should not be the most appropriate first intervention. While home schooling can be an option for some families, it removes the child from valuable social learning experiences and peer interaction crucial for development. Classroom interventions and support should be exhausted first.
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale
Contractions that increase in intensity are a hallmark of true labor. In true labor, uterine contractions become stronger, more regular, and longer in duration due to increasing myometrial activity and prostaglandin release, which contribute to cervical effacement and dilation. This differs from Braxton Hicks contractions, which typically remain mild.
Choice B rationale
Leakage of fluid from the vagina, often referred to as rupture of membranes, signifies the spontaneous breaking of the amniotic sac. This event can occur before or during true labor and increases the risk of infection and cord prolapse. It is a definitive sign that the labor process has begun or is imminent.
Choice C rationale
Increased bladder pressure is a common discomfort experienced by pregnant clients due to the growing uterus compressing the bladder. However, it is not a specific indicator of true labor. It can occur throughout the third trimester as the fetal head descends into the pelvis, regardless of labor onset.
Choice D rationale
Blood-tinged vaginal mucus, also known as "bloody show," results from the softening and effacement of the cervix, causing capillaries to rupture and release a small amount of blood mixed with mucus. This is a common sign indicating that the cervix is undergoing changes in preparation for labor.
Choice E rationale
Uterine contractions that decrease with rest are characteristic of Braxton Hicks contractions, or "false labor.”. True labor contractions, in contrast, persist and often intensify with activity and do not diminish with rest or changes in position, reflecting progressive physiological changes of labor.
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