1|Page
BPH NCLEX EXAM || MOST RECENT EXAM ACTUAL
COMPLETE REAL VERIFIED EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ | GUARANTEED SUCCESS!!
NEWEST EXAM!!!
3. A 41-year-old man asks the nurse what he can do to
decrease the risk of BPH. The nurse explains that
a. riding a bicycle raises prostate specific antigen levels
and may increase BPH risk.
b. prevention is not possible because prostatic
enlargement occurs with normal aging.
c. decreasing butter and margarine and increasing fruits in
the diet may help.
d. taking a daily vitamin E supplement has reduced
prostate size in some men. - Answer-Answer: C
Rationale: A diet high in saturated fats, found in foods like
butter, is associated with an increased risk for BPH.
Individuals who eat more fruits and vegetables may be at
lower risk. Riding a bicycle does increase prostate-specific
antigen (PSA) levels, but this is not associated with
development of BPH. Dietary changes and increased
exercise do appear to help prevent BPH. Vitamin E
supplements do not decrease prostate size.
,2|Page
Cognitive Level: Comprehension Text Reference: p. 1415
Nursing Process: Implementation NCLEX: Physiological
Integrity
4. The health care provider prescribes finasteride
(Proscar) for a 56-year-old male patient who has a BPH
symptom score of 12 on the AUA Symptom Index. When
teaching the patient about the drug, the nurse informs him
that
a. his interest in sexual activity may decrease while he is
taking the medication.
b. he should change position from lying to standing slowly
to avoid dizziness.
c. improvement in the obstructive symptoms should occur
within about 2 weeks.
d. he will need to monitor his blood pressure frequently to
assess for hypertension. - Answer-Answer: A
Rationale: A decrease in libido is a side effect of
finasteride because of the androgen suppression that
occurs with the drug. Orthostatic hypotension is a side
effect of the α-blocking agents. Improvement in symptoms
of obstruction takes 3 to 6 months. The medication does
not cause hypertension.
,3|Page
Cognitive Level: Application Text Reference: p. 1417
Nursing Process: Implementation NCLEX: Physiological
Integrity
5. A patient with irritative and obstructive bladder
symptoms has an enlarged prostate on digital rectal
examination (DRE) and an elevated PSA level. The nurse
will anticipate that the patient will need teaching about
a. uroflometry studies.
b. cystourethroscopy.
c. transrectal ultrasonography (TRUS).
d. magnetic resonance imaging (MRI). - Answer-Answer:
C
Rationale: In a patient with an abnormal DRE and
elevated PSA, transrectal ultrasound is used to help
differentiate BPH from prostatic cancer. Uroflowmetry
studies will help determine the extent of urine blockage
and treatment, but a differential diagnosis will be obtained
first. Cystourethroscopy may be used after TRUS if the
diagnosis is still uncertain. MRI is used to determine
whether prostatic cancer has metastasized but would not
be ordered at this stage of the diagnostic process.
, 4|Page
Cognitive Level: Application Text Reference: p. 1416
Nursing Process: Planning NCLEX: Physiological Integrity
1. To determine the severity of the symptoms for a patient
with benign prostatic hyperplasia (BPH), the nurse will ask
the patient about
a. the presence of blood in the urine.
b. any erectile dysfunction (ED).
c. occurrence of a weak urinary stream.
d. lower back and hip pain. - Answer-Answer: C
Rationale: The American Urological Association (AUA)
Symptom Index for a patient with BPH asks questions
about the force and frequency of urination, nocturia, etc.
Blood in the urine, ED, and back or hip pain are not typical
symptoms with BPH.
Cognitive Level: Application Text Reference: pp. 1415-
1416
Nursing Process: Assessment NCLEX: Physiological
Integrity
BPH NCLEX EXAM || MOST RECENT EXAM ACTUAL
COMPLETE REAL VERIFIED EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ | GUARANTEED SUCCESS!!
NEWEST EXAM!!!
3. A 41-year-old man asks the nurse what he can do to
decrease the risk of BPH. The nurse explains that
a. riding a bicycle raises prostate specific antigen levels
and may increase BPH risk.
b. prevention is not possible because prostatic
enlargement occurs with normal aging.
c. decreasing butter and margarine and increasing fruits in
the diet may help.
d. taking a daily vitamin E supplement has reduced
prostate size in some men. - Answer-Answer: C
Rationale: A diet high in saturated fats, found in foods like
butter, is associated with an increased risk for BPH.
Individuals who eat more fruits and vegetables may be at
lower risk. Riding a bicycle does increase prostate-specific
antigen (PSA) levels, but this is not associated with
development of BPH. Dietary changes and increased
exercise do appear to help prevent BPH. Vitamin E
supplements do not decrease prostate size.
,2|Page
Cognitive Level: Comprehension Text Reference: p. 1415
Nursing Process: Implementation NCLEX: Physiological
Integrity
4. The health care provider prescribes finasteride
(Proscar) for a 56-year-old male patient who has a BPH
symptom score of 12 on the AUA Symptom Index. When
teaching the patient about the drug, the nurse informs him
that
a. his interest in sexual activity may decrease while he is
taking the medication.
b. he should change position from lying to standing slowly
to avoid dizziness.
c. improvement in the obstructive symptoms should occur
within about 2 weeks.
d. he will need to monitor his blood pressure frequently to
assess for hypertension. - Answer-Answer: A
Rationale: A decrease in libido is a side effect of
finasteride because of the androgen suppression that
occurs with the drug. Orthostatic hypotension is a side
effect of the α-blocking agents. Improvement in symptoms
of obstruction takes 3 to 6 months. The medication does
not cause hypertension.
,3|Page
Cognitive Level: Application Text Reference: p. 1417
Nursing Process: Implementation NCLEX: Physiological
Integrity
5. A patient with irritative and obstructive bladder
symptoms has an enlarged prostate on digital rectal
examination (DRE) and an elevated PSA level. The nurse
will anticipate that the patient will need teaching about
a. uroflometry studies.
b. cystourethroscopy.
c. transrectal ultrasonography (TRUS).
d. magnetic resonance imaging (MRI). - Answer-Answer:
C
Rationale: In a patient with an abnormal DRE and
elevated PSA, transrectal ultrasound is used to help
differentiate BPH from prostatic cancer. Uroflowmetry
studies will help determine the extent of urine blockage
and treatment, but a differential diagnosis will be obtained
first. Cystourethroscopy may be used after TRUS if the
diagnosis is still uncertain. MRI is used to determine
whether prostatic cancer has metastasized but would not
be ordered at this stage of the diagnostic process.
, 4|Page
Cognitive Level: Application Text Reference: p. 1416
Nursing Process: Planning NCLEX: Physiological Integrity
1. To determine the severity of the symptoms for a patient
with benign prostatic hyperplasia (BPH), the nurse will ask
the patient about
a. the presence of blood in the urine.
b. any erectile dysfunction (ED).
c. occurrence of a weak urinary stream.
d. lower back and hip pain. - Answer-Answer: C
Rationale: The American Urological Association (AUA)
Symptom Index for a patient with BPH asks questions
about the force and frequency of urination, nocturia, etc.
Blood in the urine, ED, and back or hip pain are not typical
symptoms with BPH.
Cognitive Level: Application Text Reference: pp. 1415-
1416
Nursing Process: Assessment NCLEX: Physiological
Integrity
