NCLEX Prostate Cancer Questions with Correct Answers 100% Verified| Guaranteed Success
Prostate cancer pt has been placed on an LHRH agonist (luteinizing hormone releasing
hormone) therapy. Which statement indicates that the pt understands the treatment?
1. I will be able to function sexually, as always.
2. I may have hot flashes while taking this drug.
3. This medication will cure the prostate cancer.
4. There are no side effects with these medications. 1. No, he won't.
2. Correct. Hot flashes are caused by drugs causing increased hypothalamic activity which
stimulates thermogregulation centers.
3. and 4. can be eliminated because of promises of cure and no SE.
The pt is dagnosed with metastatic prostate cancer to the bones. Which intervention should
nurse implement?
1. Prepare for transurethral resection of the prostate.
2. Keep foot of bed elevated at all times.
3. Place pt on a scheduled bowel regimen.
4. Discuss the pt's altered sexual functioning. 1. Wrong. This addresses prostate cancer, but
not the bone involvement.
2. Wrong. No reason to keep foot of bed elevated.
3. Correct. Bone metastasis is very painful, so pt will be on pain meds which reduce peristalsis
and lead to constipation.
4. Wrong. Irrelevant.
Which could be a complication of cryotherapy surgery for prostate cancer?
1. The urethra could become scarred and cause retention.
2. The pt could have ejaculation difficulties and be impotent.
3. Bone marrow depression could occur from chemo.
, 4. Chronic vomiting and diarrhea causing electrolyte imbalance may occur. 1. Cryotherapy
involves placing freezing probes into the prostate to freeze the cancer cells. An indwelling
catheter is placed into the urethra, and warm water is circulated through the catheter to try to
prevent the urethra from freezing. If the urethra scares, then the lumen will constrict, causing
retention of urine.
2. Wrong. Ejaculation difficulties are caused by tumor growth & obstruction.
3. Bone marrow suppression is caused by radiation and chemo.
4. Cryotherapy does not cause V and D.
The pt is 8 hrs post-transurethral prostatectomy for cancer of the prostate. Which nursing
intervention is the priority?
1. Control post op pain.
2. Assess abdominal dressing.
3. Encourage early ambulation to prevent DVT.
4. Monitor F/E balance. 1. Wrong. Pain is not a priority over F/E.
2. Wrong. No dressing for this. Entry is through penis.
3. Wrong. Not priority.
4. Correct. With irrigation of the surgical site through the indwelling 3-way catheter to prevent
blood clots, fluids may be absorbed through the open surgical site and be retained. This can
lead to fluid volume overload and hyponatremia.
The pt diagnosed with prostate cancer tells the nurse, "I was promiscuous when I was young
and now I have to pay for my sins." Which statement is best response?
1. Why would you think prostate cancer is caused by sex?
2. Do you feel guilty about some of your actions when you were young?
3. Well, there is nothing you can do about your behavior now.
4. Have you told the HCP and been checked for AIDS? 2. Restate and clarify. Therapeutic.
The nurse is preparing a care plan for a 45 y.o. pt who has had a radical prostatectomy. Which
psychosocial and physiological problem should be included in the plan?
Prostate cancer pt has been placed on an LHRH agonist (luteinizing hormone releasing
hormone) therapy. Which statement indicates that the pt understands the treatment?
1. I will be able to function sexually, as always.
2. I may have hot flashes while taking this drug.
3. This medication will cure the prostate cancer.
4. There are no side effects with these medications. 1. No, he won't.
2. Correct. Hot flashes are caused by drugs causing increased hypothalamic activity which
stimulates thermogregulation centers.
3. and 4. can be eliminated because of promises of cure and no SE.
The pt is dagnosed with metastatic prostate cancer to the bones. Which intervention should
nurse implement?
1. Prepare for transurethral resection of the prostate.
2. Keep foot of bed elevated at all times.
3. Place pt on a scheduled bowel regimen.
4. Discuss the pt's altered sexual functioning. 1. Wrong. This addresses prostate cancer, but
not the bone involvement.
2. Wrong. No reason to keep foot of bed elevated.
3. Correct. Bone metastasis is very painful, so pt will be on pain meds which reduce peristalsis
and lead to constipation.
4. Wrong. Irrelevant.
Which could be a complication of cryotherapy surgery for prostate cancer?
1. The urethra could become scarred and cause retention.
2. The pt could have ejaculation difficulties and be impotent.
3. Bone marrow depression could occur from chemo.
, 4. Chronic vomiting and diarrhea causing electrolyte imbalance may occur. 1. Cryotherapy
involves placing freezing probes into the prostate to freeze the cancer cells. An indwelling
catheter is placed into the urethra, and warm water is circulated through the catheter to try to
prevent the urethra from freezing. If the urethra scares, then the lumen will constrict, causing
retention of urine.
2. Wrong. Ejaculation difficulties are caused by tumor growth & obstruction.
3. Bone marrow suppression is caused by radiation and chemo.
4. Cryotherapy does not cause V and D.
The pt is 8 hrs post-transurethral prostatectomy for cancer of the prostate. Which nursing
intervention is the priority?
1. Control post op pain.
2. Assess abdominal dressing.
3. Encourage early ambulation to prevent DVT.
4. Monitor F/E balance. 1. Wrong. Pain is not a priority over F/E.
2. Wrong. No dressing for this. Entry is through penis.
3. Wrong. Not priority.
4. Correct. With irrigation of the surgical site through the indwelling 3-way catheter to prevent
blood clots, fluids may be absorbed through the open surgical site and be retained. This can
lead to fluid volume overload and hyponatremia.
The pt diagnosed with prostate cancer tells the nurse, "I was promiscuous when I was young
and now I have to pay for my sins." Which statement is best response?
1. Why would you think prostate cancer is caused by sex?
2. Do you feel guilty about some of your actions when you were young?
3. Well, there is nothing you can do about your behavior now.
4. Have you told the HCP and been checked for AIDS? 2. Restate and clarify. Therapeutic.
The nurse is preparing a care plan for a 45 y.o. pt who has had a radical prostatectomy. Which
psychosocial and physiological problem should be included in the plan?
