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?

Auscultate the scrotum for bowel sounds

Inspect the femoral hernia while the patient coughs

Ask the client to stand up to see if the mass disappears

Palpate the abdomen for pain

Answer and Explanation

The Correct Answer is A

Choice A reason: Auscultating for bowel sounds in the scrotum detects an inguinal hernia, where intestines protrude after coughing. This confirms the mass’s nature, making it the best method to assess this sudden scrotal enlargement accurately and directly here.
Choice B reason: Inspecting femoral hernia focuses on the thigh, not scrotum. Scrotal masses from coughing suggest inguinal hernia, misaligning this with the primary site, rendering it less effective for this specific assessment entirely and fully here.
Choice C reason: Standing may reduce some hernias, but disappearance isn’t diagnostic. Cough-induced scrotal mass needs auscultation for bowel sounds to confirm hernia, making this less precise than listening for intestinal presence comprehensively here fully.
Choice D reason: Abdominal palpation for pain assesses tenderness, not hernia type. Scrotal mass from coughing points to inguinal hernia, where auscultation directly identifies bowel, making this less specific for the scrotal finding entirely here fully.

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Correct Answer is B

Explanation

Choice A reason: Chronic rhinitis affects nasal passages, not oral cancer risk, which ties to tobacco, alcohol, or HPV. This question targets sinus issues, missing key carcinogenic exposures or immunosuppression linked to squamous cell carcinoma in the mouth entirely here.

Choice B reason: Immunosuppressive therapy, like post-transplant drugs, raises oral cancer risk by impairing immune surveillance against HPV or malignant cells. This directly identifies a major risk factor, aligning with health promotion goals to detect oral cancer precursors effectively and accurately.

Choice C reason: Dental visit frequency reflects care access, not specific oral cancer risks like smoking. It’s indirect, missing direct links to immunosuppression or carcinogens, making it less effective for pinpointing etiology in a health promotion context fully here.

Choice D reason: Chewing or swallowing difficulty may signal advanced cancer, not risk factors. It’s a symptom, not a preventive focus, unlike immunosuppression, which precedes disease, reducing its utility for early identification in this educational assessment entirely and clearly.

A. VIII B. XII C. VI D. III

Correct Answer is B

Explanation

Choice A reason: Cranial nerve VIII (vestibulocochlear) governs hearing and balance, not tongue strength. A deficit here causes vertigo or deafness, not motor weakness in the tongue, making it unrelated to the observed decrease in muscle power during examination.
Choice B reason: Cranial nerve XII (hypoglossal) controls tongue movement and strength. Weakness here, as noted, suggests nerve damage, like in stroke or ALS, impairing the tongue’s ability to push against resistance, directly explaining the finding accurately.
Choice C reason: Cranial nerve VI (abducens) moves the eye laterally, not the tongue. A problem here causes diplopia, not tongue weakness, disconnecting it from the motor function loss observed in the client’s oral examination entirely here.
Choice D reason: Cranial nerve III (oculomotor) controls eye movement and pupil response, not tongue strength. Its dysfunction leads to ptosis or eye deviation, irrelevant to the tongue’s motor impairment noted in this neurological assessment fully.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is integrating health promotion education into the assessment of a client's mouth, nose and throat. What interview question is most likely to identify a risk factor for oral cancer?

Correct Answer is B

Explanation

A decrease in tongue strength is noted on examination of a client. The nurse interprets this as indicating a problem with which cranial nerve?

Correct Answer is B

Explanation

The nurse is assessing cranial nerve 5 (the trigeminal nerve) in a newly admitted client. What instruction should the nurse provide to the client during this phase of the assessment?

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