BPH NCLEX EXAM
Cognitive Level: Application Text Reference: p. 1423
Nursing Process: Implementation NCLEX: Physiological Integrity
1. 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. - ANSWERS-Answer: A
Rationale: Pelvic floor muscle training (Kegel) exercises are recommended to
strengthen the pelvic floor muscles and improve urinary control. Belladonna and
opium suppositories are used to reduce bladder spasms after surgery.
Intermittent self-catheterization may be taught before surgery if the patient has
urinary retention, but it will not be useful in reducing incontinence after surgery.
The patient should have a daily oral intake of 2 to 3 L.
Cognitive Level: Application Text Reference: p. 1428
Nursing Process: Planning NCLEX: Physiological Integrity
, 2. 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." -
ANSWERS-Answer: B
Rationale: Incontinence is common for several weeks after a TURP. The other
patient statements indicate that the patient has a good understanding of post-
TURP instructions.
Cognitive Level: Application Text Reference: p. 1422
Nursing Process: Evaluation NCLEX: Physiological Integrity
3. A patient with benign prostatic hyperplasia (BPH) with mild obstruction tells
the nurse, "My symptoms have gotten a lot worse this week." Which response by
the nurse is most appropriate?
a. "The prostate gland normally changes slightly in size from day to day, and this
may be making your symptoms worse."
b. "Have you been taking any over-the-counter (OTC) medications recently?"
c. "Have you talked to the doctor about surgical procedures such as transurethral
resection of the prostate?"
Cognitive Level: Application Text Reference: p. 1423
Nursing Process: Implementation NCLEX: Physiological Integrity
1. 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. - ANSWERS-Answer: A
Rationale: Pelvic floor muscle training (Kegel) exercises are recommended to
strengthen the pelvic floor muscles and improve urinary control. Belladonna and
opium suppositories are used to reduce bladder spasms after surgery.
Intermittent self-catheterization may be taught before surgery if the patient has
urinary retention, but it will not be useful in reducing incontinence after surgery.
The patient should have a daily oral intake of 2 to 3 L.
Cognitive Level: Application Text Reference: p. 1428
Nursing Process: Planning NCLEX: Physiological Integrity
, 2. 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." -
ANSWERS-Answer: B
Rationale: Incontinence is common for several weeks after a TURP. The other
patient statements indicate that the patient has a good understanding of post-
TURP instructions.
Cognitive Level: Application Text Reference: p. 1422
Nursing Process: Evaluation NCLEX: Physiological Integrity
3. A patient with benign prostatic hyperplasia (BPH) with mild obstruction tells
the nurse, "My symptoms have gotten a lot worse this week." Which response by
the nurse is most appropriate?
a. "The prostate gland normally changes slightly in size from day to day, and this
may be making your symptoms worse."
b. "Have you been taking any over-the-counter (OTC) medications recently?"
c. "Have you talked to the doctor about surgical procedures such as transurethral
resection of the prostate?"
