NSG 6020 3P EXAM COMPREHENSIVE REVIEW
2026 QUESTIONS AND DETAILED SOLUTIONS
◉ A 15-year-old high school football player is brought to your office
by his mother. He is complaining of severe testicular pain since
exactly 8:00 this morning. He denies any sexual activity and states
that he hurts so bad he can't even urinate. He is nauseated and is
throwing up. He denies any recent illness or fever. His past medical
history is unremarkable. He denies any tobacco, alcohol, or drug use.
His parents are both in good health. On examination, you see a
young teenager lying on the bed with an emesis basin. He is very
uncomfortable and keeps shifting his position. His blood pressure is
150/100, his pulse is 110, and his respirations are 24. On
visualization of the penis, he is circumcised and there are no lesions
and no discharge from the meatus. His scrotal skin is tense and red.
Palpation of the left testicle causes severe pain and the patient
begins to cry. His prostate examination is unremarkable. His Answer:
Torsion of the spermatic cord
◉ Which is true of prostate cancer? Answer: Ethnicity is a risk factor.
◉ Which of the following conditions involves a tight prepuce which,
once retracted, cannot be returned? Answer: Paraphimosis
,◉ A 12-year-old is brought to your clinic by his father. He was taught
in his health class at school to do monthly testicular self-
examinations. Yesterday, when he felt his left testicle, it was enlarged
and tender. He isn't sure if he has had burning with urination and he
says he has never had sexual intercourse. He has had a sore throat,
cough, and runny nose for the last three days. His past medical
history is significant for a tonsillectomy as a small child. His father
has high blood pressure and his mother is healthy. On examination,
you see a child in no acute distress. His temperature is 100.8 and his
blood pressure and pulse are unremarkable. On visualization of his
penis, he is uncircumcised and has no lesions or discharge. His
scrotum is red and tense on the left and normal appearing on the
right. Palpating his left testicle reveals a mildly sore swollen testicle.
The right testicle is unremarkable. An examin Answer: Acute orchitis
◉ The most common cause of cancer deaths in males is: Answer:
Colon cancer
◉ Important techniques in performing the rectal examination
include which of the following? Answer: All of the above
◉ Jim is a 47-year-old man who is having difficulties with sexual
function. He is recently separated from his wife of 20 years. He notes
that he has early morning erections but otherwise cannot function.
Which of the following is a likely cause for his problem? Answer:
Psychological issues
, ◉ Which of the following is true of human papilloma virus (HPV)
infection? Answer: It commonly resolves spontaneously in one to
two years.
◉ Which of the following is the most effective pattern of palpation
for breast cancer? Answer: Beginning at the nipple, make an ever-
enlarging spiral.
◉ A 14-year-old junior high school student is brought in by his
mother and father because he seems to be developing breasts. The
mother is upset because she read on the Internet that smoking
marijuana leads to breast enlargement in males. The young man
adamantly denies using any tobacco, alcohol, or drugs. He has
recently noticed changes in his penis, testicles, and pubic hair
pattern. Otherwise, his past medical history is unremarkable. His
parents are both in good health. He has two older brothers who
never had this problem. On examination, you see a mildly
overweight teenager with enlarged breast tissue that is slightly
tender on both sides. Otherwise, his examination is normal. He is
agreeable to taking a drug test. What is the most likely cause of his
gynecomastia? Answer: Imbalance of hormones of puberty
◉ Which of the following represents metrorrhagia? Answer:
Bleeding between periods
◉ What does a KOH (potassium hydroxide) prep help the nurse
practitioner diagnose? Answer: Yeast infections
2026 QUESTIONS AND DETAILED SOLUTIONS
◉ A 15-year-old high school football player is brought to your office
by his mother. He is complaining of severe testicular pain since
exactly 8:00 this morning. He denies any sexual activity and states
that he hurts so bad he can't even urinate. He is nauseated and is
throwing up. He denies any recent illness or fever. His past medical
history is unremarkable. He denies any tobacco, alcohol, or drug use.
His parents are both in good health. On examination, you see a
young teenager lying on the bed with an emesis basin. He is very
uncomfortable and keeps shifting his position. His blood pressure is
150/100, his pulse is 110, and his respirations are 24. On
visualization of the penis, he is circumcised and there are no lesions
and no discharge from the meatus. His scrotal skin is tense and red.
Palpation of the left testicle causes severe pain and the patient
begins to cry. His prostate examination is unremarkable. His Answer:
Torsion of the spermatic cord
◉ Which is true of prostate cancer? Answer: Ethnicity is a risk factor.
◉ Which of the following conditions involves a tight prepuce which,
once retracted, cannot be returned? Answer: Paraphimosis
,◉ A 12-year-old is brought to your clinic by his father. He was taught
in his health class at school to do monthly testicular self-
examinations. Yesterday, when he felt his left testicle, it was enlarged
and tender. He isn't sure if he has had burning with urination and he
says he has never had sexual intercourse. He has had a sore throat,
cough, and runny nose for the last three days. His past medical
history is significant for a tonsillectomy as a small child. His father
has high blood pressure and his mother is healthy. On examination,
you see a child in no acute distress. His temperature is 100.8 and his
blood pressure and pulse are unremarkable. On visualization of his
penis, he is uncircumcised and has no lesions or discharge. His
scrotum is red and tense on the left and normal appearing on the
right. Palpating his left testicle reveals a mildly sore swollen testicle.
The right testicle is unremarkable. An examin Answer: Acute orchitis
◉ The most common cause of cancer deaths in males is: Answer:
Colon cancer
◉ Important techniques in performing the rectal examination
include which of the following? Answer: All of the above
◉ Jim is a 47-year-old man who is having difficulties with sexual
function. He is recently separated from his wife of 20 years. He notes
that he has early morning erections but otherwise cannot function.
Which of the following is a likely cause for his problem? Answer:
Psychological issues
, ◉ Which of the following is true of human papilloma virus (HPV)
infection? Answer: It commonly resolves spontaneously in one to
two years.
◉ Which of the following is the most effective pattern of palpation
for breast cancer? Answer: Beginning at the nipple, make an ever-
enlarging spiral.
◉ A 14-year-old junior high school student is brought in by his
mother and father because he seems to be developing breasts. The
mother is upset because she read on the Internet that smoking
marijuana leads to breast enlargement in males. The young man
adamantly denies using any tobacco, alcohol, or drugs. He has
recently noticed changes in his penis, testicles, and pubic hair
pattern. Otherwise, his past medical history is unremarkable. His
parents are both in good health. He has two older brothers who
never had this problem. On examination, you see a mildly
overweight teenager with enlarged breast tissue that is slightly
tender on both sides. Otherwise, his examination is normal. He is
agreeable to taking a drug test. What is the most likely cause of his
gynecomastia? Answer: Imbalance of hormones of puberty
◉ Which of the following represents metrorrhagia? Answer:
Bleeding between periods
◉ What does a KOH (potassium hydroxide) prep help the nurse
practitioner diagnose? Answer: Yeast infections
