BPH NCLEX ACTUAL FINAL EXAMS QUESTIONS
AND ANSWERS SURE A+
✔✔The health care provider orders a blood test for prostate-specific antigen (PSA)
when an enlarged prostate is palpated during a routine examination of a 56-year-old
man. When the patient asks the nurse the purpose of the test, the nurse's response is
based on the knowledge that
a. elevated levels of PSA are indicative of metastatic cancer of the prostate.
b. PSA testing is the "gold standard" for making a diagnosis of prostate cancer.
c. baseline PSA levels are necessary to determine whether treatment is effective.
d. PSA levels are usually elevated in patients with cancer of the prostate. - ✔✔D
✔✔A 64-year-old man undergoes a perineal radical prostatectomy for stage C prostatic
cancer. Postoperatively, the nurse establishes the nursing diagnosis of risk for infection
related to
a. urinary stasis.
b. urinary incontinence.
c. possible fecal contamination of the surgical wound.
d. placement of a suprapubic catheter into the bladder. - ✔✔C
, ✔✔Following a radical retropubic prostatectomy for prostate cancer, the patient is
incontinent of urine. An appropriate nursing intervention for this patient is to teach the
patient
a. pelvic floor muscle training.
b. the use of belladonna and opium suppositories.
c. how to perform intermittent self-catheterization.
d. to restrict oral fluid intake. - ✔✔A
✔✔Following discharge teaching for a patient who has had a transurethral
prostatectomy for benign prostatic hyperplasia (BPH), the nurse determines that
additional instruction is needed when the patient says,
a. "I will increase fiber and fluids in my diet to prevent constipation."
b. "I should call the doctor if I have any incontinence at home."
c. "I will avoid heavy lifting or driving until I get approval from my health care provider."
d. "I should continue to schedule yearly appointments for prostate exams." - ✔✔B
✔✔Leuprolide (Lupron) and bicalutamide (Casodex) are prescribed for a patient with
cancer of the prostate. In teaching the patient about these drugs, the nurse informs the
patient that side effects may include
a. low blood pressure.
b. decreased sexual drive.
c. urinary incontinence.
d. frequent infections. - ✔✔B
✔✔The nurse will teach the patient with chronic bacterial prostatitis that
a. PSA elevation indicates that he has concurrent prostate cancer.
b. Nonsteroidal antiinflammatory drugs (NSAIDs) usually provide adequate pain control.
c. sexual intercourse and masturbation will relieve symptoms.
d. antibiotics should be taken for 7 to 10 days. - ✔✔C
✔✔A couple is seen at the infertility clinic because they have not been able to conceive.
When performing a focused examination to determine any possible causes for infertility,
the nurse will check the man for the presence of
a. hydrocele.
b. varicocele.
c. epididymitis.
d. paraphimosis. - ✔✔B
✔✔In teaching a male patient to perform testicular self-examination, the nurse includes
the information that
AND ANSWERS SURE A+
✔✔The health care provider orders a blood test for prostate-specific antigen (PSA)
when an enlarged prostate is palpated during a routine examination of a 56-year-old
man. When the patient asks the nurse the purpose of the test, the nurse's response is
based on the knowledge that
a. elevated levels of PSA are indicative of metastatic cancer of the prostate.
b. PSA testing is the "gold standard" for making a diagnosis of prostate cancer.
c. baseline PSA levels are necessary to determine whether treatment is effective.
d. PSA levels are usually elevated in patients with cancer of the prostate. - ✔✔D
✔✔A 64-year-old man undergoes a perineal radical prostatectomy for stage C prostatic
cancer. Postoperatively, the nurse establishes the nursing diagnosis of risk for infection
related to
a. urinary stasis.
b. urinary incontinence.
c. possible fecal contamination of the surgical wound.
d. placement of a suprapubic catheter into the bladder. - ✔✔C
, ✔✔Following a radical retropubic prostatectomy for prostate cancer, the patient is
incontinent of urine. An appropriate nursing intervention for this patient is to teach the
patient
a. pelvic floor muscle training.
b. the use of belladonna and opium suppositories.
c. how to perform intermittent self-catheterization.
d. to restrict oral fluid intake. - ✔✔A
✔✔Following discharge teaching for a patient who has had a transurethral
prostatectomy for benign prostatic hyperplasia (BPH), the nurse determines that
additional instruction is needed when the patient says,
a. "I will increase fiber and fluids in my diet to prevent constipation."
b. "I should call the doctor if I have any incontinence at home."
c. "I will avoid heavy lifting or driving until I get approval from my health care provider."
d. "I should continue to schedule yearly appointments for prostate exams." - ✔✔B
✔✔Leuprolide (Lupron) and bicalutamide (Casodex) are prescribed for a patient with
cancer of the prostate. In teaching the patient about these drugs, the nurse informs the
patient that side effects may include
a. low blood pressure.
b. decreased sexual drive.
c. urinary incontinence.
d. frequent infections. - ✔✔B
✔✔The nurse will teach the patient with chronic bacterial prostatitis that
a. PSA elevation indicates that he has concurrent prostate cancer.
b. Nonsteroidal antiinflammatory drugs (NSAIDs) usually provide adequate pain control.
c. sexual intercourse and masturbation will relieve symptoms.
d. antibiotics should be taken for 7 to 10 days. - ✔✔C
✔✔A couple is seen at the infertility clinic because they have not been able to conceive.
When performing a focused examination to determine any possible causes for infertility,
the nurse will check the man for the presence of
a. hydrocele.
b. varicocele.
c. epididymitis.
d. paraphimosis. - ✔✔B
✔✔In teaching a male patient to perform testicular self-examination, the nurse includes
the information that
