NUR 210 (MED/SURG 2 - TEST 2) Study Notes Questions with
Correct Answers (Grade A+)
Question 1: Prostatitis
Answer: Inflammation of the prostate
Question 2: Prostatodynia
Answer: Symptoms of prostatitis but no evidence of inflammation or infection
Question 3: Benign prostatic hyperplasia (BPH)
Answer: Nonmalignant enlargement of the prostate that decreases the outflow of urine by obstructing the
urethra, ultimately resulting in difficult urination
Question 4: T/F: Hyperplasia of the prostatic cells occurs over a long period of time, which makes BPH
more common in older men
Answer: TRUE
Question 5: An increase in what sex hormone levels can contribute to prostatic hyperplasia?
Answer: Estrogen levels
Question 6: Urinary retention in men with benign prostatic hyperplasia (BPH) can be precipitated by
what over-the-counter medications?
Answer: Common cold medications such as decongestants
Question 7: What are the two main risk factors for developing benign prostatic hyperplasia (BPH)?
Answer: 1. Age 2. Presence/amount of testosterone
Question 8: Men of what race tend to develop early symptoms but may also have more severe
symptoms of benign prostatic hyperplasia (BPH)?
Answer: 1. African American 2. Hispanic
Question 9: Men of what race tend to develop late symptoms of benign prostatic hyperplasia (BPH)?
Answer: Asian
Page 1
,Question 10: What is the best advice to give to a patient for decreasing the risk of benign prostatic
hyperplasia (BPH) due to the possible connection between metabolic syndrome and BPH?
Answer: 1. Maintain healthy lifestyle 2. Control body weight within recommended range 3. Exercise daily
4. Maintain glucose levels with proper management of diet
Question 11: What are some clinical manifestations you may see due to urethral compression in
patients with benign prostatic hyperplasia (BPH)?
Answer: 1. Partial or complete obstruction 2. Increase resistance to urinary flow 3. Decreased bladder
capability 4. Bladder instability
Question 12: What are some clinical manifestations you may see during voiding in patients with benign
prostatic hyperplasia (BPH)?
Answer: 1. Weak urinary stream 2. Increased time to void 3. Hesitancy 4. Incomplete bladder emptying 5.
Post void dribbling
Question 13: What are some clinical manifestations you may see in regards to bladder storage of urine
in patients with benign prostatic hyperplasia (BPH)?
Answer: 1. Frequency 2. Urgency 3. Incontinence 4. Nocturia 5. Dysuria 6. Bladder pain
Question 14: What 2 clinical manifestation could you possibly see in a patient with benign prostatic
hyperplasia (BPH) if urinary retention becomes chronic?
Answer: 1. Overflow incontinence 2. Increased intra-abdominal pressure
Question 15: What complications could possibly occur in patients with benign prostatic hyperplasia
(BPH) if the mass is not reduced?
Answer: 1. Bladder distention 2. Diverticula 3. Infection (from retained urine/diverticula) 4. Hydroureter
(distended ureter) 5. Hydronephrosis
Question 16: Care of patients with benign prostatic hyperplasia (BPH) is focused on what 3 things?
Answer: 1. Diagnosing disorder 2. Correcting or minimizing urinary obstruction 3. Preventing or treating
complications
Question 17: What is the most common used diagnostic test for benign prostatic hyperplasia (BPH)?
Answer: Digital rectal examination (DRE)
Page 2
,Question 18: Why would a doctor perform a serum prostate-specific antigen (PSA) test in a patient
with benign prostatic hyperplasia (BPH)?
Answer: Rule out prostate cancer
Question 19: Patients with what 5 issues secondary to benign prostatic hyperplasia (BPH) are
candidates for surgical intervention?
Answer: 1. Urinary retention 2. Recurrent UTIs 3. Hematuria 4. Bladder stones 5. Renal insufficiency
Question 20: Which surgical procedure is used most often if surgical intervention is required in patients
with benign prostatic hyperplasia (BPH)?
Answer: Transurethral resection of the prostate (TURP)
Question 21: What are some potential postoperative complications that could be seen after a
Transurethral resection of the prostate (TURP) surgery in patients with benign prostatic hyperplasia
(BPH)?
Answer: 1. Hemorrhage 2. Clot retention (blood clot) 3. Inability to void 4. UTI
Question 22: What potential long-term complications could be seen after a Transurethral resection of
the prostate (TURP) surgery in patients with benign prostatic hyperplasia (BPH)?
Answer: 1. Incontinence 2. Impotence (Erectile dysfunction) 3. Retrograde ejaculation
Question 23: 5-Alpha reductase inhibitors used for benign prostatic hyperplasia (BPH):
Answer: Inhibit the conversion of testosterone to DHT which causes the enlarged prostate to shrink and the
serum PSA levels to decrease
Question 24: What two 5-Alpha reductase inhibitors are generally used to treat patients with benign
prostatic hyperplasia (BPH)?
Answer: 1. finasteride (Proscar) 2. dutasteride (Avodart)
Question 25: What are three potential side effects that could be seen with taking the drugs finasteride
(Proscar) or dutasteride (Avodart) for treatment of benign prostatic hyperplasia (BPH)?
Answer: 1. Impotence (Erectile dysfunction) 2. Decreased libido 3. Decreased ejaculate volume
Question 26: Which anticholinergic drug is generally used to block the effects of acetylcholine resulting
in decreased bladder contractions in patients with benign prostatic hyperplasia (BPH)?
Answer: tolterodine (Detrol)
Page 3
, Question 27: Which alpha blocker medications are generally used to relax the smooth muscle of the
prostate and bladder neck to relieve obstruction and increase the flow of urine in patients with benign
prostatic hyperplasia (BPH)?
Answer: 1. alfuzosin (Uroxatral) 2. doxazosin (Cardura) 3. tamsulosin (Flomax) 4. terazosin
Question 28: Why should pregnant woman not handle crushed tablets of 5-alpha inhibitors?
Answer: The drug can be absorbed through the skin and can cause harm to a male fetus
Question 29: T/F: Using a combination of anticholinergic and alpha-blocker drugs for benign prostatic
hyperplasia (BPH) cause the greatest reduction of symptoms
Answer: TRUE
Question 30: Due to the fact that alpha blocker medication used to treat benign prostatic hyperplasia
(BPH) cause orthostatic hypotension it is important for the nurse to teach the patient/family about what
3 things?
Answer: 1. Careful and slow position changes are needed to prevent dizziness and accidental falls 2. Taking
and recording daily blood pressures 3. Checking with the HCP before taking any medications for cough,
colds, or allergies
Question 31: What are some lifestyle changes that are appropriate for men with mild benign prostatic
hyperplasia (BPH)?
Answer: 1. Urinate at first urge 2. Avoid alcohol and caffeine 3. Drink small amounts of fluids spread
throughout the day 4. Avoid drinking fluids within 2 hours of bedtime 5. Avoid OTC cold and sinus
medications 6. Exercise regularly including pelvic floor exercises 7. Reduce stress
Question 32: The nurse who is caring for a patient with benign prostatic hyperplasia (BPH) must be
sensitive to what when providing education and support to the patient?
Answer: Fears and concerns
Question 33: Residual urine
Answer: Amount of urine remaining in the bladder after voiding **More than 100mL is considered HIGH
Question 34: During the planning process of a patient with benign prostatic hyperplasia (BPH) some
goals that the patient will be able to do include:
Answer: 1. List OTC medications to avoid 2. Use prescribed medications as directed 3. Realize a decrease
in lower urinary tract symptoms 4. Be fully continent within 6 months after TURP
Page 4
Correct Answers (Grade A+)
Question 1: Prostatitis
Answer: Inflammation of the prostate
Question 2: Prostatodynia
Answer: Symptoms of prostatitis but no evidence of inflammation or infection
Question 3: Benign prostatic hyperplasia (BPH)
Answer: Nonmalignant enlargement of the prostate that decreases the outflow of urine by obstructing the
urethra, ultimately resulting in difficult urination
Question 4: T/F: Hyperplasia of the prostatic cells occurs over a long period of time, which makes BPH
more common in older men
Answer: TRUE
Question 5: An increase in what sex hormone levels can contribute to prostatic hyperplasia?
Answer: Estrogen levels
Question 6: Urinary retention in men with benign prostatic hyperplasia (BPH) can be precipitated by
what over-the-counter medications?
Answer: Common cold medications such as decongestants
Question 7: What are the two main risk factors for developing benign prostatic hyperplasia (BPH)?
Answer: 1. Age 2. Presence/amount of testosterone
Question 8: Men of what race tend to develop early symptoms but may also have more severe
symptoms of benign prostatic hyperplasia (BPH)?
Answer: 1. African American 2. Hispanic
Question 9: Men of what race tend to develop late symptoms of benign prostatic hyperplasia (BPH)?
Answer: Asian
Page 1
,Question 10: What is the best advice to give to a patient for decreasing the risk of benign prostatic
hyperplasia (BPH) due to the possible connection between metabolic syndrome and BPH?
Answer: 1. Maintain healthy lifestyle 2. Control body weight within recommended range 3. Exercise daily
4. Maintain glucose levels with proper management of diet
Question 11: What are some clinical manifestations you may see due to urethral compression in
patients with benign prostatic hyperplasia (BPH)?
Answer: 1. Partial or complete obstruction 2. Increase resistance to urinary flow 3. Decreased bladder
capability 4. Bladder instability
Question 12: What are some clinical manifestations you may see during voiding in patients with benign
prostatic hyperplasia (BPH)?
Answer: 1. Weak urinary stream 2. Increased time to void 3. Hesitancy 4. Incomplete bladder emptying 5.
Post void dribbling
Question 13: What are some clinical manifestations you may see in regards to bladder storage of urine
in patients with benign prostatic hyperplasia (BPH)?
Answer: 1. Frequency 2. Urgency 3. Incontinence 4. Nocturia 5. Dysuria 6. Bladder pain
Question 14: What 2 clinical manifestation could you possibly see in a patient with benign prostatic
hyperplasia (BPH) if urinary retention becomes chronic?
Answer: 1. Overflow incontinence 2. Increased intra-abdominal pressure
Question 15: What complications could possibly occur in patients with benign prostatic hyperplasia
(BPH) if the mass is not reduced?
Answer: 1. Bladder distention 2. Diverticula 3. Infection (from retained urine/diverticula) 4. Hydroureter
(distended ureter) 5. Hydronephrosis
Question 16: Care of patients with benign prostatic hyperplasia (BPH) is focused on what 3 things?
Answer: 1. Diagnosing disorder 2. Correcting or minimizing urinary obstruction 3. Preventing or treating
complications
Question 17: What is the most common used diagnostic test for benign prostatic hyperplasia (BPH)?
Answer: Digital rectal examination (DRE)
Page 2
,Question 18: Why would a doctor perform a serum prostate-specific antigen (PSA) test in a patient
with benign prostatic hyperplasia (BPH)?
Answer: Rule out prostate cancer
Question 19: Patients with what 5 issues secondary to benign prostatic hyperplasia (BPH) are
candidates for surgical intervention?
Answer: 1. Urinary retention 2. Recurrent UTIs 3. Hematuria 4. Bladder stones 5. Renal insufficiency
Question 20: Which surgical procedure is used most often if surgical intervention is required in patients
with benign prostatic hyperplasia (BPH)?
Answer: Transurethral resection of the prostate (TURP)
Question 21: What are some potential postoperative complications that could be seen after a
Transurethral resection of the prostate (TURP) surgery in patients with benign prostatic hyperplasia
(BPH)?
Answer: 1. Hemorrhage 2. Clot retention (blood clot) 3. Inability to void 4. UTI
Question 22: What potential long-term complications could be seen after a Transurethral resection of
the prostate (TURP) surgery in patients with benign prostatic hyperplasia (BPH)?
Answer: 1. Incontinence 2. Impotence (Erectile dysfunction) 3. Retrograde ejaculation
Question 23: 5-Alpha reductase inhibitors used for benign prostatic hyperplasia (BPH):
Answer: Inhibit the conversion of testosterone to DHT which causes the enlarged prostate to shrink and the
serum PSA levels to decrease
Question 24: What two 5-Alpha reductase inhibitors are generally used to treat patients with benign
prostatic hyperplasia (BPH)?
Answer: 1. finasteride (Proscar) 2. dutasteride (Avodart)
Question 25: What are three potential side effects that could be seen with taking the drugs finasteride
(Proscar) or dutasteride (Avodart) for treatment of benign prostatic hyperplasia (BPH)?
Answer: 1. Impotence (Erectile dysfunction) 2. Decreased libido 3. Decreased ejaculate volume
Question 26: Which anticholinergic drug is generally used to block the effects of acetylcholine resulting
in decreased bladder contractions in patients with benign prostatic hyperplasia (BPH)?
Answer: tolterodine (Detrol)
Page 3
, Question 27: Which alpha blocker medications are generally used to relax the smooth muscle of the
prostate and bladder neck to relieve obstruction and increase the flow of urine in patients with benign
prostatic hyperplasia (BPH)?
Answer: 1. alfuzosin (Uroxatral) 2. doxazosin (Cardura) 3. tamsulosin (Flomax) 4. terazosin
Question 28: Why should pregnant woman not handle crushed tablets of 5-alpha inhibitors?
Answer: The drug can be absorbed through the skin and can cause harm to a male fetus
Question 29: T/F: Using a combination of anticholinergic and alpha-blocker drugs for benign prostatic
hyperplasia (BPH) cause the greatest reduction of symptoms
Answer: TRUE
Question 30: Due to the fact that alpha blocker medication used to treat benign prostatic hyperplasia
(BPH) cause orthostatic hypotension it is important for the nurse to teach the patient/family about what
3 things?
Answer: 1. Careful and slow position changes are needed to prevent dizziness and accidental falls 2. Taking
and recording daily blood pressures 3. Checking with the HCP before taking any medications for cough,
colds, or allergies
Question 31: What are some lifestyle changes that are appropriate for men with mild benign prostatic
hyperplasia (BPH)?
Answer: 1. Urinate at first urge 2. Avoid alcohol and caffeine 3. Drink small amounts of fluids spread
throughout the day 4. Avoid drinking fluids within 2 hours of bedtime 5. Avoid OTC cold and sinus
medications 6. Exercise regularly including pelvic floor exercises 7. Reduce stress
Question 32: The nurse who is caring for a patient with benign prostatic hyperplasia (BPH) must be
sensitive to what when providing education and support to the patient?
Answer: Fears and concerns
Question 33: Residual urine
Answer: Amount of urine remaining in the bladder after voiding **More than 100mL is considered HIGH
Question 34: During the planning process of a patient with benign prostatic hyperplasia (BPH) some
goals that the patient will be able to do include:
Answer: 1. List OTC medications to avoid 2. Use prescribed medications as directed 3. Realize a decrease
in lower urinary tract symptoms 4. Be fully continent within 6 months after TURP
Page 4
