NUR 114 Final Study Questions And Answers With
Verified Study Updates
A 71-year-old patient who has benign prostatic hyperplasia (BPH) with urinary retention is admitted to the
hospital with elevated blood urea nitrogen (BUN) and creatinine. Which prescribed therapy should the nurse
implement first?
a. Infuse normal saline at 50 mL/hr.
b. Insert a urinary retention catheter.
c. Draw blood for a complete blood count.
d. Schedule a pelvic computed tomography (CT) scan. ANS B
The nurse will plan to teach the patient scheduled for photo vaporization of the prostate (PVP)
a. that urine will appear bloody for several days.
b. how to care for an indwelling urinary catheter.
c. that symptom improvement takes 2 to 3 weeks.
d. about complications associated with urethral stenting. ANS B
To determine the severity of the symptoms for a 68-year-old patient with benign prostatic hyperplasia (BPH)
the nurse will ask the patient about
a. blood in the urine.
b. lower back or hip pain.
c. erectile dysfunction (ED).
d. force of the urinary stream. ANS D
The following male patients recently arrived in the emergency department. Which one should the nurse assess
first?
a. 19-year-old who is complaining of severe scrotal pain
b. 60-year-old with a nontender ulceration of the glans penis
c. 22-year-old who has purulent urethral drainage and back pain
d. 64-year-old who has dysuria after brachytherapy for prostate cancer ANS A
A patient returning from surgery for a perineal radical prostatectomy will have a nursing diagnosis of risk for
infection related to
, a. urinary incontinence.
b. prolonged urinary stasis.
c. possible fecal wound contamination.
d. placement of a suprapubic bladder catheter. ANS C
The nurse taking a focused health history for a patient with possible testicular cancer will ask the patient about
a history of
a. testicular torsion.
b. testicular trauma.
c. undescended testicles.
d. sexually transmitted infection (STI). ANS ANS: C
Cryptorchidism is a risk factor for testicular cancer if it is not corrected before puberty. STI, testicular torsion,
and testicular trauma are risk factors for other testicular conditions but not for testicular cancer.
After a transurethral resection of the prostate (TURP), a 64-year-old patient with continuous bladder irrigation
complains of painful bladder spasms. The nurse observes clots in the urine. Which action should the nurse take
first?
a. Increase the flow rate of the bladder irrigation.
b. Administer the prescribed IV morphine sulfate.
c. Give the patient the prescribed belladonna and opium suppository.
d. Manually instill and then withdraw 50 mL of saline into the catheter. ANS ANS: D
The assessment suggests that obstruction by a clot is causing the bladder spasms, and the nurse's first action
should be to irrigate the catheter manually and to try to remove the clots. IV morphine will not decrease the
spasm, although pain may be reduced. Increasing the flow rate of the irrigation will further distend the bladder
and may increase spasms. The belladonna and opium suppository will decrease bladder spasms but will not
remove the obstructing blood clot.
The nurse in the clinic notes elevated prostate specific antigen (PSA) levels in the laboratory results of these
patients. Which patient's PSA result is most important to report to the health care provider?
a. A 38-year-old who is being treated for acute prostatitis
b. A 48-year-old whose father died of metastatic prostate cancer
c. A 52-year-old who goes on long bicycle rides every weekend
d. A 75-year-old who uses saw palmetto to treat benign prostatic hyperplasia (BPH) ANS B
Verified Study Updates
A 71-year-old patient who has benign prostatic hyperplasia (BPH) with urinary retention is admitted to the
hospital with elevated blood urea nitrogen (BUN) and creatinine. Which prescribed therapy should the nurse
implement first?
a. Infuse normal saline at 50 mL/hr.
b. Insert a urinary retention catheter.
c. Draw blood for a complete blood count.
d. Schedule a pelvic computed tomography (CT) scan. ANS B
The nurse will plan to teach the patient scheduled for photo vaporization of the prostate (PVP)
a. that urine will appear bloody for several days.
b. how to care for an indwelling urinary catheter.
c. that symptom improvement takes 2 to 3 weeks.
d. about complications associated with urethral stenting. ANS B
To determine the severity of the symptoms for a 68-year-old patient with benign prostatic hyperplasia (BPH)
the nurse will ask the patient about
a. blood in the urine.
b. lower back or hip pain.
c. erectile dysfunction (ED).
d. force of the urinary stream. ANS D
The following male patients recently arrived in the emergency department. Which one should the nurse assess
first?
a. 19-year-old who is complaining of severe scrotal pain
b. 60-year-old with a nontender ulceration of the glans penis
c. 22-year-old who has purulent urethral drainage and back pain
d. 64-year-old who has dysuria after brachytherapy for prostate cancer ANS A
A patient returning from surgery for a perineal radical prostatectomy will have a nursing diagnosis of risk for
infection related to
, a. urinary incontinence.
b. prolonged urinary stasis.
c. possible fecal wound contamination.
d. placement of a suprapubic bladder catheter. ANS C
The nurse taking a focused health history for a patient with possible testicular cancer will ask the patient about
a history of
a. testicular torsion.
b. testicular trauma.
c. undescended testicles.
d. sexually transmitted infection (STI). ANS ANS: C
Cryptorchidism is a risk factor for testicular cancer if it is not corrected before puberty. STI, testicular torsion,
and testicular trauma are risk factors for other testicular conditions but not for testicular cancer.
After a transurethral resection of the prostate (TURP), a 64-year-old patient with continuous bladder irrigation
complains of painful bladder spasms. The nurse observes clots in the urine. Which action should the nurse take
first?
a. Increase the flow rate of the bladder irrigation.
b. Administer the prescribed IV morphine sulfate.
c. Give the patient the prescribed belladonna and opium suppository.
d. Manually instill and then withdraw 50 mL of saline into the catheter. ANS ANS: D
The assessment suggests that obstruction by a clot is causing the bladder spasms, and the nurse's first action
should be to irrigate the catheter manually and to try to remove the clots. IV morphine will not decrease the
spasm, although pain may be reduced. Increasing the flow rate of the irrigation will further distend the bladder
and may increase spasms. The belladonna and opium suppository will decrease bladder spasms but will not
remove the obstructing blood clot.
The nurse in the clinic notes elevated prostate specific antigen (PSA) levels in the laboratory results of these
patients. Which patient's PSA result is most important to report to the health care provider?
a. A 38-year-old who is being treated for acute prostatitis
b. A 48-year-old whose father died of metastatic prostate cancer
c. A 52-year-old who goes on long bicycle rides every weekend
d. A 75-year-old who uses saw palmetto to treat benign prostatic hyperplasia (BPH) ANS B
