BPH NCLEX PRACTICE QUESTIONS AND ANSWERS |
UPDATED 2025–2026 | MULTIPLE CHOICE WITH
RATIONALES | GRADED A+
1. To assess the severity of benign prostatic hyperplasia
(BPH), which question should the nurse ask?
a. Any blood in your urine?
b. Any erectile issues?
c. Do you notice a weak urine stream?
d. Any hip or lower back pain?
Rationale: The AUA symptom score focuses on urination patterns—flow, frequency, nocturia.
Blood, ED, and back pain are not part of the symptom scale.
2. A patient scheduled for a TURP worries the surgery will
affect sex. What should the nurse say?
a. Erections are usually not affected, but retrograde ejaculation can occur.
b. We can discuss penile implants if needed.
c. There are many ways to be intimate without intercourse.
d. You won’t be sterile after this surgery.
Rationale: Retrograde ejaculation is common after TURP; erectile function usually remains
intact.
3. A 41-year-old man asks how to reduce his risk of BPH.
What should the nurse tell him?
a. Cycling increases PSA and risk.
b. Nothing prevents it since it’s part of aging.
c. Cutting down on saturated fats and eating more fruit may help.
d. Vitamin E reduces prostate size.
, Rationale: Diets high in saturated fat increase BPH risk; fruits and vegetables help. Vitamin E
doesn’t shrink the prostate.
4. A patient with a BPH score of 12 is prescribed
finasteride. What teaching is correct?
a. Your interest in sex may go down while on this medication.
b. Stand up slowly to avoid dizziness.
c. Symptoms improve within 2 weeks.
d. Monitor your blood pressure regularly.
Rationale: Finasteride can lower libido. Obstructive symptoms take months to improve.
5. A patient has enlarged prostate on DRE and elevated
PSA. What test should the nurse expect to explain?
a. Uroflowmetry
b. Cystourethroscopy
c. Transrectal ultrasound (TRUS)
d. MRI
Rationale: TRUS helps distinguish BPH from prostate cancer in early evaluation.
6. After TURP, a patient has a 3-way catheter with
irrigation. Output slows, urine is bright red with clots, and
he has spasms. What should the nurse do first?
a. Give IV morphine
b. Increase irrigation rate
c. Give belladonna–opium suppository
d. Manually irrigate with 50 ml saline to remove clots
Rationale: Clots are likely blocking the catheter. Manual irrigation is the first action.
7. The spouse asks why continuous bladder irrigation is
needed after TURP. Best reply?
UPDATED 2025–2026 | MULTIPLE CHOICE WITH
RATIONALES | GRADED A+
1. To assess the severity of benign prostatic hyperplasia
(BPH), which question should the nurse ask?
a. Any blood in your urine?
b. Any erectile issues?
c. Do you notice a weak urine stream?
d. Any hip or lower back pain?
Rationale: The AUA symptom score focuses on urination patterns—flow, frequency, nocturia.
Blood, ED, and back pain are not part of the symptom scale.
2. A patient scheduled for a TURP worries the surgery will
affect sex. What should the nurse say?
a. Erections are usually not affected, but retrograde ejaculation can occur.
b. We can discuss penile implants if needed.
c. There are many ways to be intimate without intercourse.
d. You won’t be sterile after this surgery.
Rationale: Retrograde ejaculation is common after TURP; erectile function usually remains
intact.
3. A 41-year-old man asks how to reduce his risk of BPH.
What should the nurse tell him?
a. Cycling increases PSA and risk.
b. Nothing prevents it since it’s part of aging.
c. Cutting down on saturated fats and eating more fruit may help.
d. Vitamin E reduces prostate size.
, Rationale: Diets high in saturated fat increase BPH risk; fruits and vegetables help. Vitamin E
doesn’t shrink the prostate.
4. A patient with a BPH score of 12 is prescribed
finasteride. What teaching is correct?
a. Your interest in sex may go down while on this medication.
b. Stand up slowly to avoid dizziness.
c. Symptoms improve within 2 weeks.
d. Monitor your blood pressure regularly.
Rationale: Finasteride can lower libido. Obstructive symptoms take months to improve.
5. A patient has enlarged prostate on DRE and elevated
PSA. What test should the nurse expect to explain?
a. Uroflowmetry
b. Cystourethroscopy
c. Transrectal ultrasound (TRUS)
d. MRI
Rationale: TRUS helps distinguish BPH from prostate cancer in early evaluation.
6. After TURP, a patient has a 3-way catheter with
irrigation. Output slows, urine is bright red with clots, and
he has spasms. What should the nurse do first?
a. Give IV morphine
b. Increase irrigation rate
c. Give belladonna–opium suppository
d. Manually irrigate with 50 ml saline to remove clots
Rationale: Clots are likely blocking the catheter. Manual irrigation is the first action.
7. The spouse asks why continuous bladder irrigation is
needed after TURP. Best reply?
