NUR 509 - FNP Adults st.thomas
University Final Exam Questions and
Correct Answers | Latest Update
2026/2027 | Graded A+ | 100%
Correct.
Male Reproductive System & Prostate Health
Q1. A male client asks the nurse about the purpose of the prostate gland. The
nurse should respond that it is a structure that:
A. secretes an alkaline substance that neutralizes residual acidic urine in the
urethra
B. provides a milky alkaline substance that neutralizes the acidity of the male
urethra and the female vagina
C. secretes a fluid for the health and nutrition of sperm
D. propels sperm into the ejaculatory duct
Correct ,,,,ANSWER,,,: B
Detailed Rationale: The prostate gland provides a milky alkaline substance that
neutralizes the acidity of the male urethra and the female vagina, creating a more
favorable environment for sperm survival and motility. The alkalinity protects sperm
,from the acidic environments of both the male urethra (residual urine) and the
female reproductive tract .
Q2. A 50-year-old male client has had a prostate-specific antigen (PSA) test.
The nurse realizes that the normal range for this test would be:
A. 1.0 to 2 ng/mL
B. 2.0 to 3 ng/mL
C. 3.0 to 4 ng/mL
D. 4.0 to 5 ng/mL
Correct ,,,,ANSWER,,,: C
Detailed Rationale: The normal reference range for PSA is generally 0 to 4 ng/mL,
though many laboratories use an upper limit of 2.5 to 3.5 ng/mL depending on age
and race. Levels above 4.0 ng/mL warrant further investigation, though PSA is not
diagnostic for cancer alone .
Q3. A male client, having difficulty voiding, tells the nurse that he thinks
something is wrong with his penis. The nurse reviews the structures of the
penis with the client and explains that the structure that surrounds the urethra
is the:
A. corpus cavernosa
B. corpus spongiosum
C. glans penis
D. prepuce
,Correct ,,,,ANSWER,,,: B
Detailed Rationale: The corpus spongiosum is the erectile tissue that surrounds
the urethra and expands distally to form the glans penis. The two corpora
cavernosa lie dorsally and are primarily responsible for erection rigidity .
Q4. The nurse is preparing to discuss the male reproductive system with a
group of adolescent school students. Which of the following would the nurse
NOT include as a primary function of the male reproductive system?
A. Frequent erectile functioning and increased libido
B. Production of sperm
C. Secretion of testosterone
D. Transportation and depositing of sperm
Correct ,,,,ANSWER,,,: A
Detailed Rationale: Frequent erectile functioning and increased libido are not
considered primary reproductive functions; they are secondary sexual
characteristics or behavioral outcomes. The primary functions are
spermatogenesis (sperm production), hormone secretion (testosterone), and
transportation/deposition of sperm .
Q5. A male client is diagnosed as being infertile. The nurse realizes which of the
following structures of the client's reproductive system is affected?
A. Epididymis
B. Rete testes
, C. Seminal vesicles
D. Seminiferous tubules
Correct ,,,,ANSWER,,,: D
Detailed Rationale: The seminiferous tubules are the site of spermatogenesis
(sperm production). Damage or dysfunction of these tubules directly impairs sperm
production, leading to infertility. The epididymis stores sperm; seminal vesicles
contribute seminal fluid .
Q6. During the examination of the male testes, the nurse should instruct the
client on:
A. the importance of having an annual prostate examination
B. monthly testicular self-examinations
C. why a colonoscopy is important every 10 years after the age of 50
D. how a condom prevents the spread of sexually transmitted infections
Correct ,,,,ANSWER,,,: B
Detailed Rationale: Monthly testicular self-examination (TSE) is recommended for
early detection of testicular cancer, which is most common in young men aged 15-
35. TSE should be performed after a warm bath or shower when the scrotal skin is
relaxed .
Q7. A male client has a prostate specific antigen level of 22 nanograms. The
nurse realizes that this client will most likely be scheduled for a(n):
University Final Exam Questions and
Correct Answers | Latest Update
2026/2027 | Graded A+ | 100%
Correct.
Male Reproductive System & Prostate Health
Q1. A male client asks the nurse about the purpose of the prostate gland. The
nurse should respond that it is a structure that:
A. secretes an alkaline substance that neutralizes residual acidic urine in the
urethra
B. provides a milky alkaline substance that neutralizes the acidity of the male
urethra and the female vagina
C. secretes a fluid for the health and nutrition of sperm
D. propels sperm into the ejaculatory duct
Correct ,,,,ANSWER,,,: B
Detailed Rationale: The prostate gland provides a milky alkaline substance that
neutralizes the acidity of the male urethra and the female vagina, creating a more
favorable environment for sperm survival and motility. The alkalinity protects sperm
,from the acidic environments of both the male urethra (residual urine) and the
female reproductive tract .
Q2. A 50-year-old male client has had a prostate-specific antigen (PSA) test.
The nurse realizes that the normal range for this test would be:
A. 1.0 to 2 ng/mL
B. 2.0 to 3 ng/mL
C. 3.0 to 4 ng/mL
D. 4.0 to 5 ng/mL
Correct ,,,,ANSWER,,,: C
Detailed Rationale: The normal reference range for PSA is generally 0 to 4 ng/mL,
though many laboratories use an upper limit of 2.5 to 3.5 ng/mL depending on age
and race. Levels above 4.0 ng/mL warrant further investigation, though PSA is not
diagnostic for cancer alone .
Q3. A male client, having difficulty voiding, tells the nurse that he thinks
something is wrong with his penis. The nurse reviews the structures of the
penis with the client and explains that the structure that surrounds the urethra
is the:
A. corpus cavernosa
B. corpus spongiosum
C. glans penis
D. prepuce
,Correct ,,,,ANSWER,,,: B
Detailed Rationale: The corpus spongiosum is the erectile tissue that surrounds
the urethra and expands distally to form the glans penis. The two corpora
cavernosa lie dorsally and are primarily responsible for erection rigidity .
Q4. The nurse is preparing to discuss the male reproductive system with a
group of adolescent school students. Which of the following would the nurse
NOT include as a primary function of the male reproductive system?
A. Frequent erectile functioning and increased libido
B. Production of sperm
C. Secretion of testosterone
D. Transportation and depositing of sperm
Correct ,,,,ANSWER,,,: A
Detailed Rationale: Frequent erectile functioning and increased libido are not
considered primary reproductive functions; they are secondary sexual
characteristics or behavioral outcomes. The primary functions are
spermatogenesis (sperm production), hormone secretion (testosterone), and
transportation/deposition of sperm .
Q5. A male client is diagnosed as being infertile. The nurse realizes which of the
following structures of the client's reproductive system is affected?
A. Epididymis
B. Rete testes
, C. Seminal vesicles
D. Seminiferous tubules
Correct ,,,,ANSWER,,,: D
Detailed Rationale: The seminiferous tubules are the site of spermatogenesis
(sperm production). Damage or dysfunction of these tubules directly impairs sperm
production, leading to infertility. The epididymis stores sperm; seminal vesicles
contribute seminal fluid .
Q6. During the examination of the male testes, the nurse should instruct the
client on:
A. the importance of having an annual prostate examination
B. monthly testicular self-examinations
C. why a colonoscopy is important every 10 years after the age of 50
D. how a condom prevents the spread of sexually transmitted infections
Correct ,,,,ANSWER,,,: B
Detailed Rationale: Monthly testicular self-examination (TSE) is recommended for
early detection of testicular cancer, which is most common in young men aged 15-
35. TSE should be performed after a warm bath or shower when the scrotal skin is
relaxed .
Q7. A male client has a prostate specific antigen level of 22 nanograms. The
nurse realizes that this client will most likely be scheduled for a(n):
