When teaching the patient about self-examination of the male genitalia, the nurse would include which instructions in the teaching plan?

Starts with palpation and then inspection

Should be performed yearly

Should be performed while bathing

Should be restricted to adults with a prior cryptorchidism

Answer and Explanation

The Correct Answer is C

Choice A reason: Genital self-examination begins with inspection to observe abnormalities like swelling or lesions, followed by palpation to assess texture or masses. Starting with palpation may miss visual cues, making this sequence incorrect for effective self-examination.

Choice B reason: Testicular self-examination should be performed monthly, not yearly, to detect early changes like lumps, which could indicate testicular cancer. Annual exams are insufficient for timely detection, making this frequency incorrect for the teaching plan.

Choice C reason: Performing testicular self-examination while bathing is ideal, as warm water relaxes the scrotum, making it easier to palpate for abnormalities. This enhances detection of masses or irregularities, making it a key instruction for effective self-examination.

Choice D reason: Testicular self-examination is recommended for all adult males, not just those with prior cryptorchidism, which increases cancer risk. Restricting it to this group excludes others who could benefit from early detection, making this an incorrect limitation.

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Free Nursing Study Resources

Correct Answer is ["A","B","D"]

Explanation

Choice A reason: Cranial Nerve VII (facial nerve) controls facial expression muscles. Asking the patient to smile tests the nerve’s motor function, specifically the zygomaticus muscles, which elevate the mouth corners, making this a correct assessment task for this nerve.

Choice B reason: Closing eyes tightly assesses Cranial Nerve VII’s motor function, specifically the orbicularis oculi muscle, which closes the eyelids. Weakness or asymmetry indicates potential facial nerve dysfunction, making this a correct task for evaluating this nerve.

Choice C reason: Shrugging shoulders tests Cranial Nerve XI (spinal accessory nerve), which innervates the trapezius and sternocleidomastoid muscles. This action is unrelated to Cranial Nerve VII’s facial motor functions, making it an incorrect choice for this assessment.

Choice D reason: Frowning assesses Cranial Nerve VII’s control over the corrugator supercilii and procerus muscles, which wrinkle the brow and depress the mouth. This task evaluates facial nerve function, making it a correct choice for the assessment.

Choice E reason: Smelling a flower tests Cranial Nerve I (olfactory nerve), responsible for smell sensation. This is unrelated to Cranial Nerve VII’s motor functions for facial expressions, making it an incorrect task for assessing this nerve.

A. Bronchophony B. Rhonchi C. Wheezes D. Crackles

Correct Answer is C

Explanation

Choice A reason: Bronchophony is a voice sound test, not an adventitious breath sound, and is unrelated to narrowed bronchioles in asthma. Wheezes are caused by air through constricted airways, making this incorrect for the described sound.

Choice B reason: Rhonchi are low-pitched sounds from mucus in larger airways, not typical in acute asthma’s narrowed bronchioles. Wheezes, high-pitched sounds from constriction, are characteristic, so this is not the correct adventitious sound.

Choice C reason: Wheezes are high-pitched, musical sounds produced by air passing through narrowed bronchioles, common in severe asthma due to bronchoconstriction. This matches the patient’s condition, making it the correct adventitious sound to expect.

Choice D reason: Crackles are fine or coarse sounds from fluid in alveoli, typical in conditions like pneumonia, not asthma’s airway narrowing. Wheezes are asthma-specific, so this is incorrect for the expected breath sound.

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When teaching the patient about self-examination of the male genitalia, the nurse would include which instructions in the teaching plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When the nurse assesses the Cranial Nerve VII, which would the nurse ask the patient to perform? (Select all that apply)

Correct Answer is ["A","B","D"]

Explanation

The nurse is listening to the breath sounds of a patient with severe asthma. Air passing through narrowed bronchioles would produce which of these adventitious sounds?

Correct Answer is C

Explanation

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