Which finding from the nurse’s physical assessment of a 42-yr-old male patient should be reported to the health care provider?

Correct Answer: D

Rationale: The correct answer is D because palpable inguinal lymph nodes could indicate an underlying infection or malignancy, requiring further evaluation by the healthcare provider. This finding is concerning and needs attention. A: One testis hanging lower than the other is a normal variation and does not typically require reporting. B: Genital hair distribution being diamond-shaped is a common pattern and is not an abnormal finding that necessitates reporting. C: Clear discharge at the penile meatus could be normal or due to benign conditions such as urethral irritation, so it may not require immediate reporting unless other concerning symptoms are present.

Correct Answer: D

Rationale: The correct answer is D: 92 chromatids. In mitosis, each chromosome consists of two sister chromatids. Since the cell begins with 46 chromosomes, there are a total of 92 chromatids present. This is because each chromosome duplicates during the S phase of interphase, resulting in two identical sister chromatids held together by a centromere. Therefore, the total number of chromatids in the cell at the beginning of mitosis is twice the number of chromosomes. Choices A, B, and C are incorrect because they do not account for the duplication of chromatids that occurs during the cell cycle.

Correct Answer: D

Rationale: The correct answer is D because the pulsation of the uterine artery can indeed be palpated at the posterior fornix of the vagina. This is an important anatomical landmark used in gynecological examinations. A: The ovarian vessels are located in the suspensory ligament of the ovary, not the ovarian ligament. B: The normal position of the uterus is anteverted and anteflexed. C: The Pouch of Douglas is a potential space between the uterus and rectum, not a structure that physically separates them.

Correct Answer: A

Rationale: The correct answer is A: Pyosalpinx. Salpingitis is inflammation of the fallopian tubes, which can lead to the accumulation of pus within the tube, known as pyosalpinx. This is a common complication of salpingitis due to the infection causing the tubes to become blocked and filled with pus. Peritonitis (B) is inflammation of the peritoneum, not directly related to salpingitis. Endometriosis (C) is a separate condition where endometrial tissue grows outside the uterus. Infertility (D) can be a complication of salpingitis, but pyosalpinx is a more direct and immediate consequence.

Correct Answer: D

Rationale: The correct answer is D: cryptorchidism. This is because cryptorchidism specifically refers to the failure of one or both testes to descend into the scrotum. It is a common condition in newborns and can lead to complications if not treated. A: Inguinal hernia is the protrusion of abdominal contents through the inguinal canal, not related to testes descent. B: Strangulated hernia occurs when the blood supply to the herniated tissue is cut off, not related to testes descent. C: Vaginal process is a structure involved in testicular descent but does not describe the failure of testes descent itself. Summary: Cryptorchidism is the correct term for undescended testes, while the other options are unrelated conditions.