BPH NCLEX 2026 FINAL REVIEW PACK
COMPLETE QUESTION SET AND CORE
CONCEPT SUMMARY
◉ The nurse initiates a physical examination to further investigate
the client's symptoms. Which assessment finding would indicate
that the client is experiencing urinary retention related to BPH?
(Select all that apply.)
A. Presence of a bruit auscultated over the renal artery.
B. Complaints of flank pain on gentle palpation.
C. Observance of bladder distention.
D. Dullness heard on percussion below the umbilicus.
E. Observance of dribbling after voiding. Answer: C. Observance of
bladder distention.
D. Dullness heard on percussion below the umbilicus.
E. Observance of dribbling after voiding.
Rationale: Bladder distention is an assessment finding in urinary
retention. A distended bladder will sound dull upon percussion. This
is a symptom of urinary retention.
, ◉ The client tells the nurse that he will have cut back on drinking
fluids to reduce their symptoms. Which instruction is most
important for the nurse to provide to the client?
A. Restrict fluid intake until test results are back.
B. Increase the intake of diuretic-type fluids, such as coffee or tea, to
increase urine flow.
C. Consider taking an over the counter (OTC) herbal supplement.
D. Decrease fluid intake to increase the risk of developing a urinary
tract infection. Answer: D. Decrease fluid intake to increase the risk
of developing a urinary tract infection.
Rationale: Clients with BPH often restrict fluid intake to reduce
symptoms, but this should be discouraged because it increases the
risk for urinary tract infection.
◉ Diagnostic Tests: The client is scheduled for a digital rectal exam,
serum prostate-specific antigen (PSA) level, urinalysis, serum
creatinine, and blood urea nitrogen (BUN). The client states that he
has had the rectal exam and PSA levels done before for prostate
screening. He asks why the other lab tests (creatinine and BUN
levels) are necessary.
Which information is most important for the nurse to include when
explaining the need for these tests? (Select all that apply.)
COMPLETE QUESTION SET AND CORE
CONCEPT SUMMARY
◉ The nurse initiates a physical examination to further investigate
the client's symptoms. Which assessment finding would indicate
that the client is experiencing urinary retention related to BPH?
(Select all that apply.)
A. Presence of a bruit auscultated over the renal artery.
B. Complaints of flank pain on gentle palpation.
C. Observance of bladder distention.
D. Dullness heard on percussion below the umbilicus.
E. Observance of dribbling after voiding. Answer: C. Observance of
bladder distention.
D. Dullness heard on percussion below the umbilicus.
E. Observance of dribbling after voiding.
Rationale: Bladder distention is an assessment finding in urinary
retention. A distended bladder will sound dull upon percussion. This
is a symptom of urinary retention.
, ◉ The client tells the nurse that he will have cut back on drinking
fluids to reduce their symptoms. Which instruction is most
important for the nurse to provide to the client?
A. Restrict fluid intake until test results are back.
B. Increase the intake of diuretic-type fluids, such as coffee or tea, to
increase urine flow.
C. Consider taking an over the counter (OTC) herbal supplement.
D. Decrease fluid intake to increase the risk of developing a urinary
tract infection. Answer: D. Decrease fluid intake to increase the risk
of developing a urinary tract infection.
Rationale: Clients with BPH often restrict fluid intake to reduce
symptoms, but this should be discouraged because it increases the
risk for urinary tract infection.
◉ Diagnostic Tests: The client is scheduled for a digital rectal exam,
serum prostate-specific antigen (PSA) level, urinalysis, serum
creatinine, and blood urea nitrogen (BUN). The client states that he
has had the rectal exam and PSA levels done before for prostate
screening. He asks why the other lab tests (creatinine and BUN
levels) are necessary.
Which information is most important for the nurse to include when
explaining the need for these tests? (Select all that apply.)
