NUR 114 FINAL STUDY QUESTIONS
WITH CORRECT ANSWERS
A nn71-year-old nnpatient nnwho nnhas nnbenign nnprostatic nnhyperplasia nn(BPH) nnwith
nnurinary nnretention nnis nnadmitted nnto nnthe nnhospital nnwith nnelevated nnblood nnurea
nnnitrogen nn(BUN) nnand nncreatinine. nnWhich nnprescribed nntherapy nnshould nnthe
nnnurse nnimplement nnfirst?
a. nnInfuse nnnormal nnsaline nnat nn50 nnmL/hr.
b. nnInsert nna nnurinary nnretention nncatheter.
c. nnDraw nnblood nnfor nna nncomplete nnblood nncount.
d. nnSchedule nna nnpelvic nncomputed nntomography nn(CT) nnscan. nn- nnAnswer nnB
The nnnurse nnwill nnplan nnto nnteach nnthe nnpatient nnscheduled nnfor nnphotovaporization
nnof nnthe nnprostate nn(PVP)
a. nnthat nnurine nnwill nnappear nnbloody nnfor nnseveral nndays.
b. nnhow nnto nncare nnfor nnan nnindwelling nnurinary nncatheter.
c. nnthat nnsymptom nnimprovement nntakes nn2 nnto nn3 nnweeks.
d. nnabout nncomplications nnassociated nnwith nnurethral nnstenting. nn- nnAnswer nnB
To nndetermine nnthe nnseverity nnof nnthe nnsymptoms nnfor nna nn68-year-old nnpatient
nnwith nnbenign nnprostatic nnhyperplasia nn(BPH) nnthe nnnurse nnwill nnask nnthe nnpatient
nnabout
a. nnblood nnin nnthe nnurine.
b. nnlower nnback nnor nnhip nnpain.
c. nnerectile nndysfunction nn(ED).
d. nnforce nnof nnthe nnurinary nnstream. nn- nnAnswer nnD
The nnfollowing nnmale nnpatients nnrecently nnarrived nnin nnthe nnemergency nndepartment.
nnWhich nnone nnshould nnthe nnnurse nnassess nnfirst?
a. nn19-year-old nnwho nnis nncomplaining nnof nnsevere nnscrotal nnpain
b. nn60-year-old nnwith nna nnnontender nnulceration nnof nnthe nnglans nnpenis
c. nn22-year-old nnwho nnhas nnpurulent nnurethral nndrainage nnand nnback nnpain
d. nn64-year-old nnwho nnhas nndysuria nnafter nnbrachytherapy nnfor nnprostate nncancer nn-
nnAnswer nnA
A nnpatient nnreturning nnfrom nnsurgery nnfor nna nnperineal nnradical nnprostatectomy nnwill
nnhave nna nnnursing nndiagnosis nnof nnrisk nnfor nninfection nnrelated nnto
a. nnurinary nnincontinence.
b. nnprolonged nnurinary nnstasis.
c. nnpossible nnfecal nnwound nncontamination.
d. nnplacement nnof nna nnsuprapubic nnbladder nncatheter. nn- nnAnswer nnC
, The nnnurse nntaking nna nnfocused nnhealth nnhistory nnfor nna nnpatient nnwith nnpossible
nntesticular nncancer nnwill nnask nnthe nnpatient nnabout nna nnhistory nnof
a. nntesticular nntorsion.
b. nntesticular nntrauma.
c. nnundescended nntesticles.
d. nnsexually nntransmitted nninfection nn(STI). nn- nnAnswer nnANS: nnC
Cryptorchidism nnis nna nnrisk nnfactor nnfor nntesticular nncancer nnif nnit nnis nnnot nncorrected
nnbefore nnpuberty. nnSTI, nntesticular nntorsion, nnand nntesticular nntrauma nnare nnrisk
nnfactors nnfor nnother nntesticular nnconditions nnbut nnnot nnfor nntesticular nncancer.
After nna nntransurethral nnresection nnof nnthe nnprostate nn(TURP), nna nn64-year-old
nnpatient nnwith nncontinuous nnbladder nnirrigation nncomplains nnof nnpainful nnbladder
nnspasms. nnThe nnnurse nnobserves nnclots nnin nnthe nnurine. nnWhich nnaction nnshould
nnthe nnnurse nntake nnfirst?
a. nnIncrease nnthe nnflow nnrate nnof nnthe nnbladder nnirrigation.
b. nnAdminister nnthe nnprescribed nnIV nnmorphine nnsulfate.
c. nnGive nnthe nnpatient nnthe nnprescribed nnbelladonna nnand nnopium nnsuppository.
d. nnManually nninstill nnand nnthen nnwithdraw nn50 nnmL nnof nnsaline nninto nnthe nncatheter.
nn- nnAnswer nnANS: nnD
The nnassessment nnsuggests nnthat nnobstruction nnby nna nnclot nnis nncausing nnthe
nnbladder nnspasms, nnand nnthe nnnurse's nnfirst nnaction nnshould nnbe nnto nnirrigate nnthe
nncatheter nnmanually nnand nnto nntry nnto nnremove nnthe nnclots. nnIV nnmorphine nnwill nnnot
nndecrease nnthe nnspasm, nnalthough nnpain nnmay nnbe nnreduced. nnIncreasing nnthe
nnflow nnrate nnof nnthe nnirrigation nnwill nnfurther nndistend nnthe nnbladder nnand nnmay
nnincrease nnspasms. nnThe nnbelladonna nnand nnopium nnsuppository nnwill nndecrease
nnbladder nnspasms nnbut nnwill nnnot nnremove nnthe nnobstructing nnblood nnclot.
The nnnurse nnin nnthe nnclinic nnnotes nnelevated nnprostate nnspecific nnantigen nn(PSA)
nnlevels nnin nnthe nnlaboratory nnresults nnof nnthese nnpatients. nnWhich nnpatient's nnPSA
nnresult nnis nnmost nnimportant nnto nnreport nnto nnthe nnhealth nncare nnprovider?
a. nnA nn38-year-old nnwho nnis nnbeing nntreated nnfor nnacute nnprostatitis
b. nnA nn48-year-old nnwhose nnfather nndied nnof nnmetastatic nnprostate nncancer
c. nnA nn52-year-old nnwho nngoes nnon nnlong nnbicycle nnrides nnevery nnweekend
d. nnA nn75-year-old nnwho nnuses nnsaw nnpalmetto nnto nntreat nnbenign nnprostatic
nnhyperplasia nn(BPH) nn- nnAnswer nnB
A nn57-year-old nnpatient nnis nnincontinent nnof nnurine nnfollowing nna nnradical nnretropubic
nnprostatectomy. nnThe nnnurse nnwill nnplan nnto nnteach nnthe nnpatient
a. nnto nnrestrict nnoral nnfluid nnintake.
b. nnpelvic nnfloor nnmuscle nnexercises.
c. nnto nnperform nnintermittent nnself-catheterization.
d. nnthe nnuse nnof nnbelladonna nnand nnopium nnsuppositories. nn- nnAnswer nnB
WITH CORRECT ANSWERS
A nn71-year-old nnpatient nnwho nnhas nnbenign nnprostatic nnhyperplasia nn(BPH) nnwith
nnurinary nnretention nnis nnadmitted nnto nnthe nnhospital nnwith nnelevated nnblood nnurea
nnnitrogen nn(BUN) nnand nncreatinine. nnWhich nnprescribed nntherapy nnshould nnthe
nnnurse nnimplement nnfirst?
a. nnInfuse nnnormal nnsaline nnat nn50 nnmL/hr.
b. nnInsert nna nnurinary nnretention nncatheter.
c. nnDraw nnblood nnfor nna nncomplete nnblood nncount.
d. nnSchedule nna nnpelvic nncomputed nntomography nn(CT) nnscan. nn- nnAnswer nnB
The nnnurse nnwill nnplan nnto nnteach nnthe nnpatient nnscheduled nnfor nnphotovaporization
nnof nnthe nnprostate nn(PVP)
a. nnthat nnurine nnwill nnappear nnbloody nnfor nnseveral nndays.
b. nnhow nnto nncare nnfor nnan nnindwelling nnurinary nncatheter.
c. nnthat nnsymptom nnimprovement nntakes nn2 nnto nn3 nnweeks.
d. nnabout nncomplications nnassociated nnwith nnurethral nnstenting. nn- nnAnswer nnB
To nndetermine nnthe nnseverity nnof nnthe nnsymptoms nnfor nna nn68-year-old nnpatient
nnwith nnbenign nnprostatic nnhyperplasia nn(BPH) nnthe nnnurse nnwill nnask nnthe nnpatient
nnabout
a. nnblood nnin nnthe nnurine.
b. nnlower nnback nnor nnhip nnpain.
c. nnerectile nndysfunction nn(ED).
d. nnforce nnof nnthe nnurinary nnstream. nn- nnAnswer nnD
The nnfollowing nnmale nnpatients nnrecently nnarrived nnin nnthe nnemergency nndepartment.
nnWhich nnone nnshould nnthe nnnurse nnassess nnfirst?
a. nn19-year-old nnwho nnis nncomplaining nnof nnsevere nnscrotal nnpain
b. nn60-year-old nnwith nna nnnontender nnulceration nnof nnthe nnglans nnpenis
c. nn22-year-old nnwho nnhas nnpurulent nnurethral nndrainage nnand nnback nnpain
d. nn64-year-old nnwho nnhas nndysuria nnafter nnbrachytherapy nnfor nnprostate nncancer nn-
nnAnswer nnA
A nnpatient nnreturning nnfrom nnsurgery nnfor nna nnperineal nnradical nnprostatectomy nnwill
nnhave nna nnnursing nndiagnosis nnof nnrisk nnfor nninfection nnrelated nnto
a. nnurinary nnincontinence.
b. nnprolonged nnurinary nnstasis.
c. nnpossible nnfecal nnwound nncontamination.
d. nnplacement nnof nna nnsuprapubic nnbladder nncatheter. nn- nnAnswer nnC
, The nnnurse nntaking nna nnfocused nnhealth nnhistory nnfor nna nnpatient nnwith nnpossible
nntesticular nncancer nnwill nnask nnthe nnpatient nnabout nna nnhistory nnof
a. nntesticular nntorsion.
b. nntesticular nntrauma.
c. nnundescended nntesticles.
d. nnsexually nntransmitted nninfection nn(STI). nn- nnAnswer nnANS: nnC
Cryptorchidism nnis nna nnrisk nnfactor nnfor nntesticular nncancer nnif nnit nnis nnnot nncorrected
nnbefore nnpuberty. nnSTI, nntesticular nntorsion, nnand nntesticular nntrauma nnare nnrisk
nnfactors nnfor nnother nntesticular nnconditions nnbut nnnot nnfor nntesticular nncancer.
After nna nntransurethral nnresection nnof nnthe nnprostate nn(TURP), nna nn64-year-old
nnpatient nnwith nncontinuous nnbladder nnirrigation nncomplains nnof nnpainful nnbladder
nnspasms. nnThe nnnurse nnobserves nnclots nnin nnthe nnurine. nnWhich nnaction nnshould
nnthe nnnurse nntake nnfirst?
a. nnIncrease nnthe nnflow nnrate nnof nnthe nnbladder nnirrigation.
b. nnAdminister nnthe nnprescribed nnIV nnmorphine nnsulfate.
c. nnGive nnthe nnpatient nnthe nnprescribed nnbelladonna nnand nnopium nnsuppository.
d. nnManually nninstill nnand nnthen nnwithdraw nn50 nnmL nnof nnsaline nninto nnthe nncatheter.
nn- nnAnswer nnANS: nnD
The nnassessment nnsuggests nnthat nnobstruction nnby nna nnclot nnis nncausing nnthe
nnbladder nnspasms, nnand nnthe nnnurse's nnfirst nnaction nnshould nnbe nnto nnirrigate nnthe
nncatheter nnmanually nnand nnto nntry nnto nnremove nnthe nnclots. nnIV nnmorphine nnwill nnnot
nndecrease nnthe nnspasm, nnalthough nnpain nnmay nnbe nnreduced. nnIncreasing nnthe
nnflow nnrate nnof nnthe nnirrigation nnwill nnfurther nndistend nnthe nnbladder nnand nnmay
nnincrease nnspasms. nnThe nnbelladonna nnand nnopium nnsuppository nnwill nndecrease
nnbladder nnspasms nnbut nnwill nnnot nnremove nnthe nnobstructing nnblood nnclot.
The nnnurse nnin nnthe nnclinic nnnotes nnelevated nnprostate nnspecific nnantigen nn(PSA)
nnlevels nnin nnthe nnlaboratory nnresults nnof nnthese nnpatients. nnWhich nnpatient's nnPSA
nnresult nnis nnmost nnimportant nnto nnreport nnto nnthe nnhealth nncare nnprovider?
a. nnA nn38-year-old nnwho nnis nnbeing nntreated nnfor nnacute nnprostatitis
b. nnA nn48-year-old nnwhose nnfather nndied nnof nnmetastatic nnprostate nncancer
c. nnA nn52-year-old nnwho nngoes nnon nnlong nnbicycle nnrides nnevery nnweekend
d. nnA nn75-year-old nnwho nnuses nnsaw nnpalmetto nnto nntreat nnbenign nnprostatic
nnhyperplasia nn(BPH) nn- nnAnswer nnB
A nn57-year-old nnpatient nnis nnincontinent nnof nnurine nnfollowing nna nnradical nnretropubic
nnprostatectomy. nnThe nnnurse nnwill nnplan nnto nnteach nnthe nnpatient
a. nnto nnrestrict nnoral nnfluid nnintake.
b. nnpelvic nnfloor nnmuscle nnexercises.
c. nnto nnperform nnintermittent nnself-catheterization.
d. nnthe nnuse nnof nnbelladonna nnand nnopium nnsuppositories. nn- nnAnswer nnB
