When performing a genitourinary assessment of an older male patient, the nurse notes that the urethral meatus is positioned dorsally. What is the most important concern the nurse identifies from their assessment?

Paraphimosis of prostate

Epispadias

Urethral stricture of bladder

Age related changes

Answer and Explanation

The Correct Answer is B

Choice A reason: Paraphimosis involves foreskin retraction, not meatal position, and isn’t prostate-related. Dorsal urethral meatus points to a congenital defect, not this acquired condition, making it an incorrect concern for this genitourinary finding entirely here fully.
Choice B reason: Epispadias is a congenital dorsal urethral opening, a key concern in males. This abnormal positioning may cause urinary issues or infertility, making it the most significant finding requiring attention in this assessment accurately and comprehensively here.
Choice C reason: Urethral stricture narrows the urethra, not shifting its position dorsally. This acquired issue isn’t bladder-specific, misaligning with the congenital anomaly observed, excluding it as the primary concern in this genitourinary exam fully here.
Choice D reason: Age doesn’t reposition the urethral meatus dorsally; this is congenital, not degenerative. Normal aging affects prostate size, not meatal anatomy, rendering this less critical than epispadias as the identified issue in this case entirely here.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: Ear candles are unsafe, risking burns or wax deeper in the canal. They don’t effectively remove cerumen and can perforate the eardrum, contradicting evidence-based hygiene practices for preventing ear infections or blockages entirely in this context.

Choice B reason: Irrigation with saline is for impacted cerumen, not routine hygiene. It’s a clinical procedure, not a daily prevention measure, and risks pushing wax further or damaging the canal if done improperly, making it less suitable here.

Choice C reason: Washing the pinna with a warm, moist washcloth safely cleans the outer ear, preventing debris buildup without risking the canal or eardrum. This simple, effective hygiene step aligns with illness prevention goals for routine ear care perfectly.

Choice D reason: Cotton swabs can push cerumen deeper, causing impaction or eardrum perforation. This unsafe practice increases infection risk, opposing hygiene goals, and is widely discouraged in favor of external cleaning for safe ear maintenance consistently.

A. Bell palsy B. Leukoplakia C. Nasal polyps D. Lesion of cranial nerve V

Correct Answer is C

Explanation

Choice A reason: Bell palsy affects cranial nerve VII, causing facial paralysis, not smell, which is cranial nerve I’s domain. A week of anosmia doesn’t align with this motor nerve issue, ruling it out as a cause of olfactory dysfunction here.

Choice B reason: Leukoplakia involves oral white patches, unrelated to smell, which cranial nerve I governs. It’s a mucosal condition, not nasal, missing the anatomical link to olfactory loss reported by the client over the past week entirely.

Choice C reason: Nasal polyps, benign growths in nasal passages, obstruct airflow, impairing cranial nerve I’s smell function. A week-long decrease fits this common cause, making it the priority to assess for physical blockage or inflammation in the nasal cavity accurately.

Choice D reason: Cranial nerve V (trigeminal) handles facial sensation, not smell, which is cranial nerve I’s role. A lesion here causes pain or numbness, not anosmia, excluding it as a relevant condition for this olfactory complaint specifically and fully.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

When performing a genitourinary assessment of an older male patient, the nurse notes that the urethral meatus is positioned dorsally. What is the most important concern the nurse identifies from their assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A health promotion teaching is focusing on hygiene and the prevention of illness. When instructing clients on how to clean their ears, what action should the nurse recommend?

Correct Answer is C

Explanation

The client reports a decreased sense of smell for the past week. Which condition would the nurse assess for?

Correct Answer is C

Explanation

An older adult client has been admitted due to decreased cognition. What assessment finding is most suggestive of delirium as the cause of the client's cognitive impairment?

While examining a client's mouth the nurse notes the presence of fasciculations, fine tremors of the client's tongue. How should the nurse best respond to the assessment finding?

A client has sought care because of a sudden increase in the size of his scrotum after a cough. The nurse's assessment reveals the presence of a large scrotal mass. How can the nurse best assess for a scrotal hernia?

A new client has been received into the emergency department following a pedestrian-automobile collision. The triage nurse recognizes which of the following as an emergency and correctly notifies the provider immediately?

The nurse is presenting a class to a group of high school students about sexually transmitted infections. What would the nurse include as a major risk factor for cervical cancer?

While inspecting the tympanic membrane the nurse notes a pearly gray and shiny appearance. What would this finding indicate?