BPH NCLEX UPDATED FINALS PAPER QUESTIONS
AND ANSWERS SURE A+
✔✔A 32-year-old man scheduled for a unilateral orchiectomy for testicular cancer is
admitted to the hospital the morning of surgery. He is accompanied by his wife but does
not talk to her and does not initiate interaction with the nurse. The most appropriate
action by the nurse is to
a. ask the patient if he has any questions or concerns about the diagnosis and
treatment.
b. tell the patient's wife that concerns about sexual function are common with this
diagnosis.
c. teach the patient that impotence is rarely a problem after unilateral orchiectomy.
d. document the patient's lack of communication on the chart and continue preoperative
care. - ✔✔A
✔✔When performing discharge teaching for a patient who has undergone a vasectomy
in the health care provider's office, the nurse instructs the patient that
a. he may have temporary erectile dysfunction (ED) because of postoperative swelling.
b. he should not have sexual intercourse until his 6-week follow-up visit.
c. he should continue the use of other methods of birth control for 6 weeks.
d. he will notice a decrease in the appearance and volume of his ejaculate. - ✔✔C
, ✔✔A 22-year-old man tells the nurse at the health clinic that he has recently become
unable to achieve an erection. When assessing for possible etiologic factors, which
question should the nurse ask first?
a. "Have you been experiencing an unusual amount of stress?"
b. "Do you have any history of an erection that lasted for 6 hours or more?"
c. "Are you using any recreational drugs or drinking a lot of alcohol?"
d. "Do you have any chronic diseases, such as diabetes mellitus?" - ✔✔C
✔✔A 53-year-old man tells the nurse he has not been able to function sexually for
several years but is now interested in using Viagra (sildenafil). In responding to the
patient's interest, the nurse
a. questions the patient about any prescription drugs he is taking.
b. tells the patient that Viagra is an appropriate treatment for only a few types of ED.
c. asks the patient about any previous treatment for hydrocele.
d. reassures the patient that a gradual decline in erectile function is common with aging.
- ✔✔A
✔✔A 46-year-old man has had erectile dysfunction (ED) for about 3 years when he
finally seeks help for the problem. He tells the nurse that he decided to seek help
because his wife "is losing patience with the situation." The most appropriate nursing
diagnosis for the patient is
a. risk for anxiety related to inability to perform sexually.
b. situational low self-esteem related to loss of satisfying sexual activity.
c. ineffective sexuality patterns related to ED.
d. ineffective role performance related to effects of ED. - ✔✔D
✔✔The nurse working in a health clinic receives calls from all these patients. Which
patient should be seen by the doctor first?
a. A 23-year-old man who states he had difficulty maintaining an erection last night
b. A 44-year-old man who has perineal pain and a temperature of 100.4° F
c. A 62-year-old man who has light pink urine after having a TURP 3 days ago
d. A 66-year-old man who has a painful erection that has lasted over 9 hours - ✔✔D
✔✔The doctor is considering whether to prescribe testosterone replacement therapy for
a 62-year-old man who is concerned about a gradual decrease in sexual performance.
Which information obtained by the nurse is most important to communicate to the
doctor?
a. The patient states that he has noticed a decrease in energy level for a few years.
b. The patient has had a gradual decrease in the force of his urinary stream.
c. The patient has been using sildenafil (Viagra) several times every week.
AND ANSWERS SURE A+
✔✔A 32-year-old man scheduled for a unilateral orchiectomy for testicular cancer is
admitted to the hospital the morning of surgery. He is accompanied by his wife but does
not talk to her and does not initiate interaction with the nurse. The most appropriate
action by the nurse is to
a. ask the patient if he has any questions or concerns about the diagnosis and
treatment.
b. tell the patient's wife that concerns about sexual function are common with this
diagnosis.
c. teach the patient that impotence is rarely a problem after unilateral orchiectomy.
d. document the patient's lack of communication on the chart and continue preoperative
care. - ✔✔A
✔✔When performing discharge teaching for a patient who has undergone a vasectomy
in the health care provider's office, the nurse instructs the patient that
a. he may have temporary erectile dysfunction (ED) because of postoperative swelling.
b. he should not have sexual intercourse until his 6-week follow-up visit.
c. he should continue the use of other methods of birth control for 6 weeks.
d. he will notice a decrease in the appearance and volume of his ejaculate. - ✔✔C
, ✔✔A 22-year-old man tells the nurse at the health clinic that he has recently become
unable to achieve an erection. When assessing for possible etiologic factors, which
question should the nurse ask first?
a. "Have you been experiencing an unusual amount of stress?"
b. "Do you have any history of an erection that lasted for 6 hours or more?"
c. "Are you using any recreational drugs or drinking a lot of alcohol?"
d. "Do you have any chronic diseases, such as diabetes mellitus?" - ✔✔C
✔✔A 53-year-old man tells the nurse he has not been able to function sexually for
several years but is now interested in using Viagra (sildenafil). In responding to the
patient's interest, the nurse
a. questions the patient about any prescription drugs he is taking.
b. tells the patient that Viagra is an appropriate treatment for only a few types of ED.
c. asks the patient about any previous treatment for hydrocele.
d. reassures the patient that a gradual decline in erectile function is common with aging.
- ✔✔A
✔✔A 46-year-old man has had erectile dysfunction (ED) for about 3 years when he
finally seeks help for the problem. He tells the nurse that he decided to seek help
because his wife "is losing patience with the situation." The most appropriate nursing
diagnosis for the patient is
a. risk for anxiety related to inability to perform sexually.
b. situational low self-esteem related to loss of satisfying sexual activity.
c. ineffective sexuality patterns related to ED.
d. ineffective role performance related to effects of ED. - ✔✔D
✔✔The nurse working in a health clinic receives calls from all these patients. Which
patient should be seen by the doctor first?
a. A 23-year-old man who states he had difficulty maintaining an erection last night
b. A 44-year-old man who has perineal pain and a temperature of 100.4° F
c. A 62-year-old man who has light pink urine after having a TURP 3 days ago
d. A 66-year-old man who has a painful erection that has lasted over 9 hours - ✔✔D
✔✔The doctor is considering whether to prescribe testosterone replacement therapy for
a 62-year-old man who is concerned about a gradual decrease in sexual performance.
Which information obtained by the nurse is most important to communicate to the
doctor?
a. The patient states that he has noticed a decrease in energy level for a few years.
b. The patient has had a gradual decrease in the force of his urinary stream.
c. The patient has been using sildenafil (Viagra) several times every week.
