The nurse knows that which of the following is a normal finding when examining the glans?
Fine hair is present.
The dorsal vein may be visible.
The skin is wrinkled and without lesions.
Smegma may be present under the foreskin of an uncircumcised male.
The Correct Answer is D
A. Fine hair is present: Hair is not normally found on the glans penis. Hair growth is typically limited to the pubic area and the base of the penis, so its presence on the glans would be abnormal.
B. The dorsal vein may be visible: The dorsal vein is located along the shaft of the penis, not on the glans. Its visibility is a normal finding on the shaft but not specifically on the glans itself.
C. The skin is wrinkled and without lesions: The skin of the glans penis is typically smooth and soft, not wrinkled. Wrinkled skin is characteristic of the scrotum, not the glans. The glans should be without lesions, but the skin texture is wrong.
D. Smegma may be present under the foreskin of an uncircumcised male: Smegma, a whitish secretion composed of dead skin cells and oils, is a normal finding beneath the foreskin in uncircumcised males and can be gently cleaned during hygiene.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Pulled in at the base of the cone of light: Retraction of the tympanic membrane, where it appears pulled inward, often indicates eustachian tube dysfunction or negative middle ear pressure. This is not considered a normal finding during ear examination.
B. Pearly grey and slightly concave: A normal tympanic membrane is pearly gray in color, translucent, and positioned slightly concave with the cone of light visible. This appearance indicates a healthy ear with no evidence of infection or fluid buildup.
C. Light pink with a slight bulge: A tympanic membrane that appears pink and bulging is usually associated with otitis media or fluid accumulation. This finding suggests infection or inflammation, not a normal ear examination result.
D. Whitish, with a small fleck of light in the superior portion: A whitish tympanic membrane often indicates scarring or tympanosclerosis, which results from repeated infections or trauma. This would not be considered a normal finding in an otherwise healthy ear.
Correct Answer is A
Explanation
A. Report the findings immediately: A bruit heard in the upper abdomen just left of the midline may indicate turbulent blood flow through the abdominal aorta, suggesting an aneurysm or vascular stenosis. This finding is potentially life-threatening and must be reported promptly for further evaluation.
B. Document the findings as normal: Bruits are not normal findings during abdominal auscultation. Documenting without notifying the healthcare provider could delay necessary diagnostic testing and intervention, increasing the patient’s risk.
C. Assess for rebound tenderness: Rebound tenderness is used to evaluate for peritoneal irritation or appendicitis. It is not an appropriate follow-up when a vascular bruit is detected and would not provide useful information in this context.
D. Palpate the area: Palpation should be avoided when a bruit is auscultated over the abdomen because it could indicate an abdominal aortic aneurysm. Pressure on the area could increase the risk of rupture.
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