BPH NCLEX 2026 EXAM PREPARATION PACK
KEY UROLOGY PATHOPHYSIOLOGY AND
SAMPLE QUESTIONS WITH EXPLANATIONS
◉ Fluid intake monitoring. Answer: An assessment that may be
relevant but is not the priority in clients with BPH.
◉ Hydration status evaluation. Answer: An assessment that may be
relevant but is not the priority in clients with BPH.
◉ Bladder overactivity. Answer: A condition that may be considered
but is not indicated by a PVR of 200 mL.
◉ Severe bladder obstruction. Answer: A condition indicated by a
PVR of 200 mL, which is significant urinary retention.
◉ Kidney dysfunction. Answer: A potential complication of BPH-
related urinary retention indicated by elevated BUN and creatinine.
◉ Urinary retention. Answer: A condition that can lead to
complications such as kidney dysfunction in BPH patients.
, ◉ Tamsulosin. Answer: An alpha-blocker that improves urine flow
by relaxing smooth muscles in the prostate and bladder neck.
◉ Finasteride. Answer: A medication that works by reducing
prostate size, but symptom improvement takes 3-6 months.
◉ Retrograde ejaculation. Answer: A common side effect of alpha-
blockers like tamsulosin, where semen enters the bladder.
◉ Combination for severe BPH symptoms. Answer: Tamsulosin and
finasteride are often used together for severe BPH.
◉ Contraindication for tadalafil. Answer: Tadalafil cannot be used
with nitrates because of the risk of severe hypotension.
◉ TURP. Answer: Transurethral resection of the prostate, performed
to relieve urinary obstruction caused by BPH.
◉ Bright red blood in urine with clots after TURP. Answer: Indicates
bleeding; increasing the irrigation flow can help flush the clots and
prevent obstruction.
KEY UROLOGY PATHOPHYSIOLOGY AND
SAMPLE QUESTIONS WITH EXPLANATIONS
◉ Fluid intake monitoring. Answer: An assessment that may be
relevant but is not the priority in clients with BPH.
◉ Hydration status evaluation. Answer: An assessment that may be
relevant but is not the priority in clients with BPH.
◉ Bladder overactivity. Answer: A condition that may be considered
but is not indicated by a PVR of 200 mL.
◉ Severe bladder obstruction. Answer: A condition indicated by a
PVR of 200 mL, which is significant urinary retention.
◉ Kidney dysfunction. Answer: A potential complication of BPH-
related urinary retention indicated by elevated BUN and creatinine.
◉ Urinary retention. Answer: A condition that can lead to
complications such as kidney dysfunction in BPH patients.
, ◉ Tamsulosin. Answer: An alpha-blocker that improves urine flow
by relaxing smooth muscles in the prostate and bladder neck.
◉ Finasteride. Answer: A medication that works by reducing
prostate size, but symptom improvement takes 3-6 months.
◉ Retrograde ejaculation. Answer: A common side effect of alpha-
blockers like tamsulosin, where semen enters the bladder.
◉ Combination for severe BPH symptoms. Answer: Tamsulosin and
finasteride are often used together for severe BPH.
◉ Contraindication for tadalafil. Answer: Tadalafil cannot be used
with nitrates because of the risk of severe hypotension.
◉ TURP. Answer: Transurethral resection of the prostate, performed
to relieve urinary obstruction caused by BPH.
◉ Bright red blood in urine with clots after TURP. Answer: Indicates
bleeding; increasing the irrigation flow can help flush the clots and
prevent obstruction.
