NSG 3280 Final Exam: 2026/2027 Questions and
Verified Answers 100% Accuracy
OVERVIEW:
NSG 3280 Final Exam covers male and female reproductive disorders, STIs, and
age-related physiological changes. Topics include HPV risk, phimosis,
paraphimosis, erectile dysfunction, epididymitis, testicular and prostate cancer,
BPH, gonorrhea, chlamydia, syphilis, PID, and neonatal conjunctivitis. Female
topics include cystocele, rectocele, prolapse, vulvovaginitis, leiomyoma,
endometriosis, ovarian, cervical, and breast cancer, BRCA mutations. Aging focus
includes vascular stiffness, baroreceptors, pulmonary, renal, musculoskeletal,
and skin changes with emphasis on safe nursing assessment.
Correct answer highlighted in bold Green + rationales.
1. A nurse is educating a group of young adults on risk factors for HPV infection. Which
individual is at greatest risk?
A. A 30-year-old woman in a monogamous marriage
B. A 22-year-old with multiple sexual partners
C. A 40-year-old man with no sexual history
D. A 19-year-old abstinent college student
Rationale: The highest prevalence of HPV is in individuals ages 16–25 who have multiple
sexual partners. Option A is lower risk due to a monogamous relationship. Option C is unlikely
given no reported sexual history. Option D is at very low risk due to abstinence.
2. A patient presents with inability to retract the foreskin over the glans penis. The nurse
identifies this condition as:
A. Phimosis
B. Paraphimosis
C. Priapism
D. Peyronie’s disease
,Rationale: Phimosis is the inability to retract the foreskin, which can predispose to penile
cancer. Paraphimosis is when the foreskin is retracted and cannot be returned, creating a
urologic emergency. Priapism is a prolonged painful erection. Peyronie’s disease involves
fibrous plaques in the penis causing curvature.
3. Which genital condition is considered a urological emergency due to risk of vascular
compromise?
A. Phimosis
B. Paraphimosis
C. Balanitis
D. Hydrocele
Rationale: Paraphimosis causes venous congestion, swelling, and edema of the glans, making
it a urologic emergency. Phimosis is not emergent unless recurrent infections occur. Balanitis
is inflammation of the glans and foreskin. Hydrocele is a fluid-filled sac around the testis, not
emergent.
4. Erectile dysfunction can result from decreased secretion of which hormone?
A. Testosterone
B. Luteinizing hormone
C. Estrogen
D. Progesterone
Rationale: Low luteinizing hormone leads to decreased stimulation of testosterone
production, contributing to erectile dysfunction. Testosterone is the end hormone affected,
not the root cause. Estrogen and progesterone are not primary factors in male erectile
function.
5. A penile tumescence test evaluates for which disorder?
A. Testicular torsion
B. Erectile dysfunction
C. Prostate cancer
D. Varicocele
Rationale: The penile tumescence test monitors nocturnal erections to distinguish
psychogenic from organic erectile dysfunction. Testicular torsion is diagnosed with Doppler
, ultrasound. Prostate cancer requires PSA or biopsy. Varicocele is identified by physical exam
or ultrasound.
6. What cellular damage contributes to erectile dysfunction development?
A. Damage to osteoblasts
B. Damage to vascular endothelial cells
C. Damage to fibroblasts
D. Damage to Schwann cells
Rationale: Erectile dysfunction is strongly linked to vascular endothelial cell damage, leading
to impaired nitric oxide and vasodilation. Osteoblasts are for bone formation. Fibroblasts
produce connective tissue. Schwann cells affect peripheral nerve myelination.
7. A hallmark sign of epididymitis is:
A. Scrotal erythema with itching
B. Tenderness along posterior testis
C. Fluid-filled sac around testis
D. Pain relieved by scrotal elevation
Rationale: Epididymitis presents with tenderness of the epididymis along the posterior and
superior aspects of the testis. Hydrocele is a fluid-filled sac. Scrotal erythema and itching may
suggest fungal infection. Pain relief with elevation (Prehn’s sign) may be supportive but
tenderness is hallmark.
8. A patient with scrotal pain should first be evaluated with which diagnostic test?
A. CBC
B. Urinalysis
C. Scrotal ultrasound
D. CT scan
Rationale: Urinalysis is the first test to identify infection in scrotal pain. Scrotal ultrasound
may follow if torsion is suspected. CBC helps identify systemic infection but not the first
choice. CT scan is not standard for scrotal evaluation.
9. The peak incidence of testicular cancer occurs in:
Verified Answers 100% Accuracy
OVERVIEW:
NSG 3280 Final Exam covers male and female reproductive disorders, STIs, and
age-related physiological changes. Topics include HPV risk, phimosis,
paraphimosis, erectile dysfunction, epididymitis, testicular and prostate cancer,
BPH, gonorrhea, chlamydia, syphilis, PID, and neonatal conjunctivitis. Female
topics include cystocele, rectocele, prolapse, vulvovaginitis, leiomyoma,
endometriosis, ovarian, cervical, and breast cancer, BRCA mutations. Aging focus
includes vascular stiffness, baroreceptors, pulmonary, renal, musculoskeletal,
and skin changes with emphasis on safe nursing assessment.
Correct answer highlighted in bold Green + rationales.
1. A nurse is educating a group of young adults on risk factors for HPV infection. Which
individual is at greatest risk?
A. A 30-year-old woman in a monogamous marriage
B. A 22-year-old with multiple sexual partners
C. A 40-year-old man with no sexual history
D. A 19-year-old abstinent college student
Rationale: The highest prevalence of HPV is in individuals ages 16–25 who have multiple
sexual partners. Option A is lower risk due to a monogamous relationship. Option C is unlikely
given no reported sexual history. Option D is at very low risk due to abstinence.
2. A patient presents with inability to retract the foreskin over the glans penis. The nurse
identifies this condition as:
A. Phimosis
B. Paraphimosis
C. Priapism
D. Peyronie’s disease
,Rationale: Phimosis is the inability to retract the foreskin, which can predispose to penile
cancer. Paraphimosis is when the foreskin is retracted and cannot be returned, creating a
urologic emergency. Priapism is a prolonged painful erection. Peyronie’s disease involves
fibrous plaques in the penis causing curvature.
3. Which genital condition is considered a urological emergency due to risk of vascular
compromise?
A. Phimosis
B. Paraphimosis
C. Balanitis
D. Hydrocele
Rationale: Paraphimosis causes venous congestion, swelling, and edema of the glans, making
it a urologic emergency. Phimosis is not emergent unless recurrent infections occur. Balanitis
is inflammation of the glans and foreskin. Hydrocele is a fluid-filled sac around the testis, not
emergent.
4. Erectile dysfunction can result from decreased secretion of which hormone?
A. Testosterone
B. Luteinizing hormone
C. Estrogen
D. Progesterone
Rationale: Low luteinizing hormone leads to decreased stimulation of testosterone
production, contributing to erectile dysfunction. Testosterone is the end hormone affected,
not the root cause. Estrogen and progesterone are not primary factors in male erectile
function.
5. A penile tumescence test evaluates for which disorder?
A. Testicular torsion
B. Erectile dysfunction
C. Prostate cancer
D. Varicocele
Rationale: The penile tumescence test monitors nocturnal erections to distinguish
psychogenic from organic erectile dysfunction. Testicular torsion is diagnosed with Doppler
, ultrasound. Prostate cancer requires PSA or biopsy. Varicocele is identified by physical exam
or ultrasound.
6. What cellular damage contributes to erectile dysfunction development?
A. Damage to osteoblasts
B. Damage to vascular endothelial cells
C. Damage to fibroblasts
D. Damage to Schwann cells
Rationale: Erectile dysfunction is strongly linked to vascular endothelial cell damage, leading
to impaired nitric oxide and vasodilation. Osteoblasts are for bone formation. Fibroblasts
produce connective tissue. Schwann cells affect peripheral nerve myelination.
7. A hallmark sign of epididymitis is:
A. Scrotal erythema with itching
B. Tenderness along posterior testis
C. Fluid-filled sac around testis
D. Pain relieved by scrotal elevation
Rationale: Epididymitis presents with tenderness of the epididymis along the posterior and
superior aspects of the testis. Hydrocele is a fluid-filled sac. Scrotal erythema and itching may
suggest fungal infection. Pain relief with elevation (Prehn’s sign) may be supportive but
tenderness is hallmark.
8. A patient with scrotal pain should first be evaluated with which diagnostic test?
A. CBC
B. Urinalysis
C. Scrotal ultrasound
D. CT scan
Rationale: Urinalysis is the first test to identify infection in scrotal pain. Scrotal ultrasound
may follow if torsion is suspected. CBC helps identify systemic infection but not the first
choice. CT scan is not standard for scrotal evaluation.
9. The peak incidence of testicular cancer occurs in:
