📝 NCLEX-Style Practice Questions
1. A 68-year-old male presents to the clinic complaining of difficulty initiating urination,
a weak stream, and dribbling after urination. He denies fever or flank pain. Based on
these symptoms, the nurse suspects which condition?
A. Urinary tract infection (UTI)
B. Renal calculi
C. Benign prostatic hyperplasia (BPH)
D. Acute kidney injury (AKI)
2. A nurse is reviewing the health history of a male patient at risk for BPH. Which of the
following findings would increase his risk? (Select all that apply)
A. Sedentary lifestyle
B. High intake of red meat
C. History of smoking
D. Low-protein diet
E. Type 2 diabetes
3. The nurse is caring for a patient post-op day 1 after a TURP. The patient has a
three-way Foley catheter with continuous bladder irrigation (CBI). Which of the
following findings should be reported to the healthcare provider immediately?
A. Light pink urine output
B. Small blood clots in urine
C. Clear urine with no output in the last hour
D. Urine that turns from pink to orange-tinged
4. A patient newly diagnosed with BPH is prescribed tamsulosin (Flomax). The nurse
explains that this medication works primarily by:
A. Shrinking the prostate over time
B. Increasing bladder contractions
C. Relaxing smooth muscle in the urethra
D. Stimulating urinary output through the kidneys
5. A nurse is teaching a patient with newly diagnosed BPH about potential complications
of untreated urinary retention. Which of the following should be included in the
teaching?
A. Retrograde ejaculation
B. Hydronephrosis
C. Erectile dysfunction
D. Urge incontinence
, 1. A 65-year-old male patient reports nocturia and a weak urine stream. Which condition
is the nurse most likely to suspect?
A. Urinary tract infection
B. Benign prostatic hyperplasia
C. Renal calculi
D. Neurogenic bladder
2. Which of the following is an obstructive symptom of BPH?
A. Nocturia
B. Dysuria
C. Difficulty initiating urination
D. Urgency
3. A patient with BPH has been prescribed tamsulosin (Flomax). What is the primary
mechanism of this medication?
A. Decreases prostate size
B. Stimulates detrusor muscle contraction
C. Relaxes smooth muscle in the prostatic urethra
D. Reduces inflammation in the bladder
4. A patient is receiving continuous bladder irrigation (CBI) following a TURP. Which
finding should the nurse report to the provider immediately?
A. Light pink urine
B. Occasional small clots
C. Bright red urine with increased output
D. Urine output that matches irrigation input
5. What is the most common initial symptom of BPH?
A. Dysuria
B. Nocturia
C. Incontinence
D. Bladder pain
6. Which condition is a potential complication of untreated BPH?
A. Appendicitis
B. Kidney stones
C. Hydronephrosis
D. Diverticulitis
1. A 68-year-old male presents to the clinic complaining of difficulty initiating urination,
a weak stream, and dribbling after urination. He denies fever or flank pain. Based on
these symptoms, the nurse suspects which condition?
A. Urinary tract infection (UTI)
B. Renal calculi
C. Benign prostatic hyperplasia (BPH)
D. Acute kidney injury (AKI)
2. A nurse is reviewing the health history of a male patient at risk for BPH. Which of the
following findings would increase his risk? (Select all that apply)
A. Sedentary lifestyle
B. High intake of red meat
C. History of smoking
D. Low-protein diet
E. Type 2 diabetes
3. The nurse is caring for a patient post-op day 1 after a TURP. The patient has a
three-way Foley catheter with continuous bladder irrigation (CBI). Which of the
following findings should be reported to the healthcare provider immediately?
A. Light pink urine output
B. Small blood clots in urine
C. Clear urine with no output in the last hour
D. Urine that turns from pink to orange-tinged
4. A patient newly diagnosed with BPH is prescribed tamsulosin (Flomax). The nurse
explains that this medication works primarily by:
A. Shrinking the prostate over time
B. Increasing bladder contractions
C. Relaxing smooth muscle in the urethra
D. Stimulating urinary output through the kidneys
5. A nurse is teaching a patient with newly diagnosed BPH about potential complications
of untreated urinary retention. Which of the following should be included in the
teaching?
A. Retrograde ejaculation
B. Hydronephrosis
C. Erectile dysfunction
D. Urge incontinence
, 1. A 65-year-old male patient reports nocturia and a weak urine stream. Which condition
is the nurse most likely to suspect?
A. Urinary tract infection
B. Benign prostatic hyperplasia
C. Renal calculi
D. Neurogenic bladder
2. Which of the following is an obstructive symptom of BPH?
A. Nocturia
B. Dysuria
C. Difficulty initiating urination
D. Urgency
3. A patient with BPH has been prescribed tamsulosin (Flomax). What is the primary
mechanism of this medication?
A. Decreases prostate size
B. Stimulates detrusor muscle contraction
C. Relaxes smooth muscle in the prostatic urethra
D. Reduces inflammation in the bladder
4. A patient is receiving continuous bladder irrigation (CBI) following a TURP. Which
finding should the nurse report to the provider immediately?
A. Light pink urine
B. Occasional small clots
C. Bright red urine with increased output
D. Urine output that matches irrigation input
5. What is the most common initial symptom of BPH?
A. Dysuria
B. Nocturia
C. Incontinence
D. Bladder pain
6. Which condition is a potential complication of untreated BPH?
A. Appendicitis
B. Kidney stones
C. Hydronephrosis
D. Diverticulitis
