NCLEX Male Reproductive Problems 2
(New 2026/ 2027 Update) Questions &
Answers {Grade A} 100% Correct (Verified
Solutions)
What is the effect of finasteride (Proscar) in the treatment of BPH?
a. A reduction in the size of the prostate gland
b. Relaxation of the smooth muscle of the urethra
c. Increased bladder tone that promotes bladder emptying
d. Relaxation of the bladder detrusor muscle promoting urine flow - Correct answer a.
Finasteride results in suppression of androgen formation by inhibiting the formation of
the testosterone metabolite dihydroxytestosterone, the principal prostatic androgen,
and results in a decrease in the size of the prostate gland. α-Adrenergic blockers are
used to cause smooth muscle relaxation in the prostate that improves urine flow.
Drugs affecting bladder tone are not indicated.
,On admission to the ambulatory surgical center, a patient with BPH informs the nurse
that he is going to have a laser treatment of his enlarged prostate. The nurse plans
patient teaching with the knowledge that the patient will need to know what?
a. The effects of general anesthesia
b. The possibility of short-term incontinence
c. Home management of an indwelling catheter
d. Monitoring for postoperative urinary retention - Correct answer c. Because of
edema, urinary retention, and delayed
sloughing of tissue that occurs with a laser prostatectomy, the patient will have
postprocedure catheterization for up to 7 days. The procedure is done under local
anesthetic, and incontinence or urinary retention is not usually a problem with laser
prostatectomy.
What is the most common screening intervention for detecting BPH in men over age
50?
a. PSA level
, b. Urinalysis
c. Cystoscopy
d. Digital rectal examination - Correct answer d. The prostate gland can be easily
palpated by rectal
examination and enlargement of the gland is detected early if yearly examinations are
performed. If symptoms of prostatic hyperplasia are present, further diagnostic
testing, including a urinalysis, prostate-specific antigen (PSA), and cystoscopy, may be
indicated.
Which treatment for BPH uses a low-wave radiofrequency to precisely destroy
prostate tissue?
a. Laser prostatectomy
b. Transurethral needle ablation (TUNA)
c. Transurethral microwave thermotherapy (TUMT)
d. Transurethral electrovaporization of prostate (TUVP) - Correct answer b. The
transurethral needle ablation (TUNA) uses lowwave radiofrequency to heat the
prostate, causing necrosis. Laser prostatectomy uses a laser beam. Transurethral
(New 2026/ 2027 Update) Questions &
Answers {Grade A} 100% Correct (Verified
Solutions)
What is the effect of finasteride (Proscar) in the treatment of BPH?
a. A reduction in the size of the prostate gland
b. Relaxation of the smooth muscle of the urethra
c. Increased bladder tone that promotes bladder emptying
d. Relaxation of the bladder detrusor muscle promoting urine flow - Correct answer a.
Finasteride results in suppression of androgen formation by inhibiting the formation of
the testosterone metabolite dihydroxytestosterone, the principal prostatic androgen,
and results in a decrease in the size of the prostate gland. α-Adrenergic blockers are
used to cause smooth muscle relaxation in the prostate that improves urine flow.
Drugs affecting bladder tone are not indicated.
,On admission to the ambulatory surgical center, a patient with BPH informs the nurse
that he is going to have a laser treatment of his enlarged prostate. The nurse plans
patient teaching with the knowledge that the patient will need to know what?
a. The effects of general anesthesia
b. The possibility of short-term incontinence
c. Home management of an indwelling catheter
d. Monitoring for postoperative urinary retention - Correct answer c. Because of
edema, urinary retention, and delayed
sloughing of tissue that occurs with a laser prostatectomy, the patient will have
postprocedure catheterization for up to 7 days. The procedure is done under local
anesthetic, and incontinence or urinary retention is not usually a problem with laser
prostatectomy.
What is the most common screening intervention for detecting BPH in men over age
50?
a. PSA level
, b. Urinalysis
c. Cystoscopy
d. Digital rectal examination - Correct answer d. The prostate gland can be easily
palpated by rectal
examination and enlargement of the gland is detected early if yearly examinations are
performed. If symptoms of prostatic hyperplasia are present, further diagnostic
testing, including a urinalysis, prostate-specific antigen (PSA), and cystoscopy, may be
indicated.
Which treatment for BPH uses a low-wave radiofrequency to precisely destroy
prostate tissue?
a. Laser prostatectomy
b. Transurethral needle ablation (TUNA)
c. Transurethral microwave thermotherapy (TUMT)
d. Transurethral electrovaporization of prostate (TUVP) - Correct answer b. The
transurethral needle ablation (TUNA) uses lowwave radiofrequency to heat the
prostate, causing necrosis. Laser prostatectomy uses a laser beam. Transurethral
