Male Reproductive Practice Questions
With Already Passed Solutions.
Which noninvasive technique is available to destroy excess prostate tissue in patients with benign
prostatic hyperplasia (BPH) who do not experience a relief of urinary symptoms with drug therapy?
Select all that apply. One, some, or all responses may be correct.
1. Contact laser prostatectomy
2. Transurethral needle ablation
3. Transurethral microwave therapy
4. Electrovaporization of the prostate
5. Transurethral resection of the prostate
6. Holmium laser enucleation of the prostate - Answer 1. 2. 3. 4
Noninvasive techniques available to destroy excess prostate tissue include transurethral microwave
therapy, transurethral needle ablation, electrovaporization of the prostate, and contact laser
prostatectomy. Transurethral resection of the prostate is a surgical technique involving the endoscopic
removal of the enlarged portion of prostate tissue. Holmium laser enucleation of the prostate is a
minimally invasive technique.
A patient is scheduled for a transurethral resection of the prostate (TURP) for benign prostatic
hyperplasia. Which preoperative information must the patient understand?
1
Permanent incontinence occurs after TURP.
2
Sexual function is not usually affected with TURP.
3
Blood-tinged urine after the procedure must be reported.
4
General anesthesia will be administered during the surgery. - Answer 2.
,Sexual function is usually not affected with TURP, although retrograde ejaculation may occur. Permanent
urinary incontinence does not occur after TURP. While the catheter is in place and immediately after its
removal, there may be small blood clots and tissue debris in the urine; it is therefore normal for the
urine to be blood-tinged after surgery. Epidural or spinal anesthesia is preferred over general anesthesia
during TURP because it is easier to monitor for water retention or fluid overload during the procedure
when the patient is awake.
Which issue is often foremost in the minds of men who have been diagnosed with prostate cancer and
must be addressed by the nurse?
1
Mobility after treatment
2
Sexual function after treatment
3
Comfort because of surgical pain
4
Nutrition because of radiation side effects - Answer 2.
Altered sexual function is one of the biggest concerns of men after cancer treatment. Comfort, mobility,
and nutrition are important but are typically not the foremost concern in the minds of men with prostate
cancer.
Which symptom is common for testicular cancer?
1
Hard, painful mass
2
Hard, painless mass
3
Scrotal swelling and pain
4
Epididymis that is easily palpated - Answer 2.
, Malignant testicular tumors are not painful and are not fluid-filled swellings, although a swelling may be
present. The epididymis is not easily palpated with testicular cancer.
The potential problem of grief is most relevant to a patient after which procedure?
1
Cystoscopy
2
Sperm banking
3
Radical prostatectomy
4
Transurethral microwave therapy - Answer 3.
A radical prostatectomy may lead to erectile dysfunction, which could present a potential problem of
grief at loss of function. Cystoscopy—a test to view the interior of the bladder, the bladder neck, and the
urethra—does not affect sexuality. Transurethral microwave therapy is a minimally invasive procedure
involving high temperatures that heat and destroy excess prostate tissue. It does not affect sexuality. The
process of sperm banking would not result in a diagnosis of altered self-image; however, the diagnosis
leading to the necessity of sperm banking might cause this.
Which risk factor in a patient's health history is associated with testicular cancer? Select all that apply.
One, some, or all responses may be correct.
1
History of cryptorchidism
2
Frequent chlamydial infection
3
Infection with human immune deficiency virus (HIV)
4
Family history of testicular cancer in a close male relative
5
With Already Passed Solutions.
Which noninvasive technique is available to destroy excess prostate tissue in patients with benign
prostatic hyperplasia (BPH) who do not experience a relief of urinary symptoms with drug therapy?
Select all that apply. One, some, or all responses may be correct.
1. Contact laser prostatectomy
2. Transurethral needle ablation
3. Transurethral microwave therapy
4. Electrovaporization of the prostate
5. Transurethral resection of the prostate
6. Holmium laser enucleation of the prostate - Answer 1. 2. 3. 4
Noninvasive techniques available to destroy excess prostate tissue include transurethral microwave
therapy, transurethral needle ablation, electrovaporization of the prostate, and contact laser
prostatectomy. Transurethral resection of the prostate is a surgical technique involving the endoscopic
removal of the enlarged portion of prostate tissue. Holmium laser enucleation of the prostate is a
minimally invasive technique.
A patient is scheduled for a transurethral resection of the prostate (TURP) for benign prostatic
hyperplasia. Which preoperative information must the patient understand?
1
Permanent incontinence occurs after TURP.
2
Sexual function is not usually affected with TURP.
3
Blood-tinged urine after the procedure must be reported.
4
General anesthesia will be administered during the surgery. - Answer 2.
,Sexual function is usually not affected with TURP, although retrograde ejaculation may occur. Permanent
urinary incontinence does not occur after TURP. While the catheter is in place and immediately after its
removal, there may be small blood clots and tissue debris in the urine; it is therefore normal for the
urine to be blood-tinged after surgery. Epidural or spinal anesthesia is preferred over general anesthesia
during TURP because it is easier to monitor for water retention or fluid overload during the procedure
when the patient is awake.
Which issue is often foremost in the minds of men who have been diagnosed with prostate cancer and
must be addressed by the nurse?
1
Mobility after treatment
2
Sexual function after treatment
3
Comfort because of surgical pain
4
Nutrition because of radiation side effects - Answer 2.
Altered sexual function is one of the biggest concerns of men after cancer treatment. Comfort, mobility,
and nutrition are important but are typically not the foremost concern in the minds of men with prostate
cancer.
Which symptom is common for testicular cancer?
1
Hard, painful mass
2
Hard, painless mass
3
Scrotal swelling and pain
4
Epididymis that is easily palpated - Answer 2.
, Malignant testicular tumors are not painful and are not fluid-filled swellings, although a swelling may be
present. The epididymis is not easily palpated with testicular cancer.
The potential problem of grief is most relevant to a patient after which procedure?
1
Cystoscopy
2
Sperm banking
3
Radical prostatectomy
4
Transurethral microwave therapy - Answer 3.
A radical prostatectomy may lead to erectile dysfunction, which could present a potential problem of
grief at loss of function. Cystoscopy—a test to view the interior of the bladder, the bladder neck, and the
urethra—does not affect sexuality. Transurethral microwave therapy is a minimally invasive procedure
involving high temperatures that heat and destroy excess prostate tissue. It does not affect sexuality. The
process of sperm banking would not result in a diagnosis of altered self-image; however, the diagnosis
leading to the necessity of sperm banking might cause this.
Which risk factor in a patient's health history is associated with testicular cancer? Select all that apply.
One, some, or all responses may be correct.
1
History of cryptorchidism
2
Frequent chlamydial infection
3
Infection with human immune deficiency virus (HIV)
4
Family history of testicular cancer in a close male relative
5
