The nurse practitioner is unable to palpate the right testicle of a 4-month-old male. This finding could be suggestive of:
a hydrocele.
epispadias.
phimosis.
cryptorchidism.
The Correct Answer is D
Rationale:
A. A hydrocele is a fluid collection around the testicle, which typically allows the testicle to still be palpable and may even transilluminate.
B. Epispadias is a congenital malformation of the urethra and penis, not related to testicular palpation.
C. Phimosis is the inability to retract the foreskin in uncircumcised males and does not affect testicular position.
D. Cryptorchidism refers to an undescended testicle, which may not be palpable in the scrotum. This condition is common in infants and requires monitoring or surgical intervention to prevent future complications such as infertility or malignancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Penicillin G benzathine is the treatment for confirmed syphilis, but treatment should not be initiated solely on a reactive RPR without confirmation.
B. Discussing safe sexual practices is important but does not confirm or treat the infection.
C. Vaginal culture is not used to diagnose syphilis.
D. A fluorescent Treponema pallidum antibody-absorption (FTA-ABS) test is used to confirm a positive RPR. The RPR is a non-treponemal screening test that can yield false positives, so confirmation with a treponemal-specific test like FTA-ABS is required before initiating treatment.
Correct Answer is A
Explanation
Rationale:
A. Inability to retract a previously retractable prepuce (paraphimosis or recurrent phimosis) after treatment may indicate an underlying structural problem and warrants referral to a urologist.
B. Difficulty maintaining hygiene is common in uncircumcised adolescents and can often be managed with education on proper cleaning techniques.
C. Desire for circumcision alone is not an urgent indication for urology referral; it can be elective.
D. Nocturnal erections are a normal physiological process in adolescent males and do not necessitate referral.
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