RN Ati Med-Surg Urologic & Reproductive.
1. What term describes a condition in which there is excessive fluid in the scrotal sac?
Varicocele
Hydrocele
Epididymitis
Hydroitis
2. A patient with prostatitis asks the nurse, "why do I need to take a stool softener? The problem is
with my urine, not my bowels!" The nurse would provide which explanation to the patient? "
Being constipated puts you at more risk for developing complications of prostatitis"
"This will help you avoid constipation because straining is painful with prostatitis"
"This will keep the bowel free of feces, which will decrease the swelling inside"
"This is standard prescription for anyone with an abdominal problem"
3. A patient is sent home with a catheter after a prostatectomy. What teaching by the nurse is least
important?
"Notify us if your bleeding increases
"Keep the drainage bag below the level of your bladder at all times"
"Wash around the meatus with soap and water each day" "
Apply antibiotic ointment to the meatus twice a day"
4. A patient experiencing benign prostatic hyperplasia is prescribed finasteride, hormonal agent to
reduce symptoms. What side effect should the nurse be alert for?
Decreased blood pressure
Loss of libido
Dry mouth
Visual disturbance
5. The nurse is explaining the surgery transurethral resection of the prostate (TURP) to a 60-year-old
patient scheduled for the operation. Which of the following accurately describes this procedure?
It is the least commonly used of all procedures for prostatectomy
, It has a shorter recovery time than other forms of prostatectomy
It produces a smaller incision than other types of prostatectomies
It is not recommended for those who are old or a poor surgical risk
6. A 68-year-old patient undergoes suprapubic prostatectomy. He returns to the unit with an
indwelling urinary catheter in his urethra and a cystostomy tube in his abdomen, attached to
irrigation. What nursing prescription is most appropriate to add to the patient's initial postoperative
plan of care?
Connect the cystostomy tube to a leg bag for drainage
Ensure that the cystostomy tube is unclamped at all times
Clamp the indwelling catheter when the cystostomy tube is irrigated
Secure the cystostomy tube to the patient's thigh
7. When a patient with a transurethral resection of the prostate reports bladder discomfort and a
feeling or urgency to void, what nursing action is best to take first?
Change the patient to a semi-fowler position
Check that the urinary drainage catheter is patent
Administer a prescribed analgesic as soon as possible
Get the patient out of bed to ambulate for a while
8. A 28-year-old male is undergoing testing for infertility. He says, "I can't believe I have to stop
wearing tight jeans. What on earth could that have to do with anything." Which response by the nurse
is best?
"It's not the tight jeans, but the way they make you sit that causes the problem"
"The pressure, on your scrotum, from tight jeans can lead to permanent damage to the testes"
"Tight jeans hold your scrotum too close to your body, where the heat can inhibit sperm production"
"Tight jeans do not cause infertility. That is a false statement"
9. Which nursing intervention is included in the care of a patient with benign prostatic hyperplasia
who complains of voiding symptoms, including urge incontinence and dribbling?
Time voiding three times per day
Continuous bladder irrigation
1. What term describes a condition in which there is excessive fluid in the scrotal sac?
Varicocele
Hydrocele
Epididymitis
Hydroitis
2. A patient with prostatitis asks the nurse, "why do I need to take a stool softener? The problem is
with my urine, not my bowels!" The nurse would provide which explanation to the patient? "
Being constipated puts you at more risk for developing complications of prostatitis"
"This will help you avoid constipation because straining is painful with prostatitis"
"This will keep the bowel free of feces, which will decrease the swelling inside"
"This is standard prescription for anyone with an abdominal problem"
3. A patient is sent home with a catheter after a prostatectomy. What teaching by the nurse is least
important?
"Notify us if your bleeding increases
"Keep the drainage bag below the level of your bladder at all times"
"Wash around the meatus with soap and water each day" "
Apply antibiotic ointment to the meatus twice a day"
4. A patient experiencing benign prostatic hyperplasia is prescribed finasteride, hormonal agent to
reduce symptoms. What side effect should the nurse be alert for?
Decreased blood pressure
Loss of libido
Dry mouth
Visual disturbance
5. The nurse is explaining the surgery transurethral resection of the prostate (TURP) to a 60-year-old
patient scheduled for the operation. Which of the following accurately describes this procedure?
It is the least commonly used of all procedures for prostatectomy
, It has a shorter recovery time than other forms of prostatectomy
It produces a smaller incision than other types of prostatectomies
It is not recommended for those who are old or a poor surgical risk
6. A 68-year-old patient undergoes suprapubic prostatectomy. He returns to the unit with an
indwelling urinary catheter in his urethra and a cystostomy tube in his abdomen, attached to
irrigation. What nursing prescription is most appropriate to add to the patient's initial postoperative
plan of care?
Connect the cystostomy tube to a leg bag for drainage
Ensure that the cystostomy tube is unclamped at all times
Clamp the indwelling catheter when the cystostomy tube is irrigated
Secure the cystostomy tube to the patient's thigh
7. When a patient with a transurethral resection of the prostate reports bladder discomfort and a
feeling or urgency to void, what nursing action is best to take first?
Change the patient to a semi-fowler position
Check that the urinary drainage catheter is patent
Administer a prescribed analgesic as soon as possible
Get the patient out of bed to ambulate for a while
8. A 28-year-old male is undergoing testing for infertility. He says, "I can't believe I have to stop
wearing tight jeans. What on earth could that have to do with anything." Which response by the nurse
is best?
"It's not the tight jeans, but the way they make you sit that causes the problem"
"The pressure, on your scrotum, from tight jeans can lead to permanent damage to the testes"
"Tight jeans hold your scrotum too close to your body, where the heat can inhibit sperm production"
"Tight jeans do not cause infertility. That is a false statement"
9. Which nursing intervention is included in the care of a patient with benign prostatic hyperplasia
who complains of voiding symptoms, including urge incontinence and dribbling?
Time voiding three times per day
Continuous bladder irrigation
