NSG 6001 ACTUAL EXAM 70 QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES 2026 LATEST EDITION
1. An older male patient reports urinary frequency, back pain, and nocturia. A dipstick
urinalysis reveals hematuria. What will the provider do next to evaluate this condition?
A. Treat for UTI
B. Prescribe diuretics
C. PSA and perform a digital rectal exam
D. Monitor symptoms at home
Answer: C
Rationale: Hematuria, back pain, and urinary symptoms in an older male warrant evaluation for
prostate pathology including PSA testing and digital rectal exam.
2. An older male patient has a screening PSA which is 12 ng/ml. What does this value
indicate?
A. Normal PSA
B. Mild BPH
C. Requires further evaluation for prostate malignancy
D. Indicative of UTI
Answer: C
Rationale: A PSA above 10 ng/ml is significantly elevated and suggests the need for further
evaluation for prostate cancer.
3. A male patient reports nocturia and daytime urinary frequency and urgency without
changes in the force of the urine stream. What is the likely cause of this?
A. BPH
B. Kidney stones
C. UTI
D. Prostate cancer
Answer: C
Rationale: Frequency, urgency, and nocturia without obstruction typically indicate a urinary tract
infection.
4. A 70-year-old male reports urinary hesitancy, post-void dribbling, and a diminished
urine stream. A digital rectal exam reveals an enlarged prostate gland that feels rubbery
and smooth. Which tests will the primary care provider order based on these findings?
A. Urinalysis and serum creatinine
B. Kidney ultrasound
C. PSA and urinalysis
D. MRI of the prostate
, Answer: A
Rationale: Evaluation of lower urinary tract symptoms in older men includes urinalysis to rule
out infection and serum creatinine to assess renal function.
5. The provider orders the oral phosphodiesterase type 5 inhibitor Sildenafil to treat
erectile dysfunction in a 65-year-old male patient. What will be included when teaching this
patient about taking this medication? (Select all that apply)
A. Take on a full stomach
B. Medication effects may last for 12 hours
C. Medication may be taken once daily
D. The medication effects may last for 24-36 hours
Answer: C, D
Rationale: Sildenafil is taken once daily as needed. Effects typically last 24-36 hours, and it
should be taken on an empty stomach for optimal absorption.
6. Hypoactive sexual desire in older men is related to:
A. Depression
B. Medication side effects
C. Sexual aversion
D. Diabetes
Answer: C
Rationale: Hypoactive sexual desire in older men is often associated with decreased sexual
interest or aversion rather than physical dysfunction.
7. A young adult male reports a dull pain in the scrotum and the provider notes a bluish
color showing through the skin on the affected side. Palpation reveals a "bag of worms" on
the proximal spermatic cord. What is an important next step in managing this patient?
A. Surgical removal
B. Antibiotic therapy
C. Referral to an emergency department for surgical consultation
D. Observation at home
Answer: C
Rationale: A "bag of worms" palpation is characteristic of a varicocele. Severe pain or
discoloration warrants urgent surgical evaluation to rule out testicular torsion or other
complications.
8. An adolescent male reports severe pain in one testicle. The examiner notes edema and
erythema of the scrotum on that side with a swollen, tender spermatic cord and absence of
ANSWERS WITH RATIONALES 2026 LATEST EDITION
1. An older male patient reports urinary frequency, back pain, and nocturia. A dipstick
urinalysis reveals hematuria. What will the provider do next to evaluate this condition?
A. Treat for UTI
B. Prescribe diuretics
C. PSA and perform a digital rectal exam
D. Monitor symptoms at home
Answer: C
Rationale: Hematuria, back pain, and urinary symptoms in an older male warrant evaluation for
prostate pathology including PSA testing and digital rectal exam.
2. An older male patient has a screening PSA which is 12 ng/ml. What does this value
indicate?
A. Normal PSA
B. Mild BPH
C. Requires further evaluation for prostate malignancy
D. Indicative of UTI
Answer: C
Rationale: A PSA above 10 ng/ml is significantly elevated and suggests the need for further
evaluation for prostate cancer.
3. A male patient reports nocturia and daytime urinary frequency and urgency without
changes in the force of the urine stream. What is the likely cause of this?
A. BPH
B. Kidney stones
C. UTI
D. Prostate cancer
Answer: C
Rationale: Frequency, urgency, and nocturia without obstruction typically indicate a urinary tract
infection.
4. A 70-year-old male reports urinary hesitancy, post-void dribbling, and a diminished
urine stream. A digital rectal exam reveals an enlarged prostate gland that feels rubbery
and smooth. Which tests will the primary care provider order based on these findings?
A. Urinalysis and serum creatinine
B. Kidney ultrasound
C. PSA and urinalysis
D. MRI of the prostate
, Answer: A
Rationale: Evaluation of lower urinary tract symptoms in older men includes urinalysis to rule
out infection and serum creatinine to assess renal function.
5. The provider orders the oral phosphodiesterase type 5 inhibitor Sildenafil to treat
erectile dysfunction in a 65-year-old male patient. What will be included when teaching this
patient about taking this medication? (Select all that apply)
A. Take on a full stomach
B. Medication effects may last for 12 hours
C. Medication may be taken once daily
D. The medication effects may last for 24-36 hours
Answer: C, D
Rationale: Sildenafil is taken once daily as needed. Effects typically last 24-36 hours, and it
should be taken on an empty stomach for optimal absorption.
6. Hypoactive sexual desire in older men is related to:
A. Depression
B. Medication side effects
C. Sexual aversion
D. Diabetes
Answer: C
Rationale: Hypoactive sexual desire in older men is often associated with decreased sexual
interest or aversion rather than physical dysfunction.
7. A young adult male reports a dull pain in the scrotum and the provider notes a bluish
color showing through the skin on the affected side. Palpation reveals a "bag of worms" on
the proximal spermatic cord. What is an important next step in managing this patient?
A. Surgical removal
B. Antibiotic therapy
C. Referral to an emergency department for surgical consultation
D. Observation at home
Answer: C
Rationale: A "bag of worms" palpation is characteristic of a varicocele. Severe pain or
discoloration warrants urgent surgical evaluation to rule out testicular torsion or other
complications.
8. An adolescent male reports severe pain in one testicle. The examiner notes edema and
erythema of the scrotum on that side with a swollen, tender spermatic cord and absence of
