NURS 309 Quiz 6 Male Reproductive Exam Questions and Correct Answers
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Course
NUR 309
Institution
NUR 309
A patient tells the nurse that he was diagnosed with benign prostatic hyperplasia. Based on this diagnosis, which symptom is the patient most likely to report? A. Pain in the scrotum B. Trouble passing urine C. Erectile dysfunction D. Constipation B. Trouble passing urine
The nurse teaches a patie...
NURS 309 Quiz 6 Male Reproductive
Exam Questions and Correct Answers
A patient tells the nurse that he was diagnosed with benign prostatic hyperplasia. Based
on this diagnosis, which symptom is the patient most likely to report?
A. Pain in the scrotum
B. Trouble passing urine
C. Erectile dysfunction
D. Constipation ✅B. Trouble passing urine
The nurse teaches a patient with benign prostatic hyperplasia to follow which
instructions? SATA
A. Take diuretics
B. Avoid sexual intercourse
C. Avoid antihistamine
D. Avoid caffeine
E. Avoid drinking large amounts of fluid in a short time
F. Void when the urge occurs ✅C. Avoid antihistamine
D. Avoid caffeine
E. Avoid drinking large amounts of fluid in a short time
F. Void when the urge occurs
The nurse is talking with an older patient who has benign prostatic hyperplasia. Which
report by the patient requires emergent care?
A. "I leak and dribble urine."
B. "I have to get up at night to pee."
C. "I can't pass my urine today."
D. "I am passing dark yellow urine." ✅C. "I can't pass my urine today."
The nurse is preparing to assess an obese patient who reports subjective symptoms
and urinary patterns associated with benign prostatic hyperplasia. Which technique
does the nurse use to preform the physical assessment?
A. Instruct the patient to undress from the waist down, then inspect and palpate the
bladder
B. Have the patient drink several large glasses of water and percuss the bladder
C. Apply gentle pressure to the bladder to elicit urgency, then instruct the patient to void
D. Instruct the patient to void and then use the bedside ultrasound bladder scanner
✅D. Instruct the patient to void and then use the bedside ultrasound bladder scanner
The nurse is interviewing a patient to determine the presence of lower urinary tract
symptoms associated with benign prostatic hyperplasia. Which questions would the
nurse ask? SATA
A. "Do you have difficulty starting and continuing urination?"
,B. "Have you ever had a testicular infection?"
C. "Do you have reduced force and size of the urinary stream?"
D. "Have you noticed dribbling or leaking after urinating?"
E. "How many times do you have to get up during the night to urinate?"
F. "Have you noticed blood at the start or at the end of urinating?" ✅A. "Do you have
difficulty starting and continuing urination?"
C. "Do you have reduced force and size of the urinary stream?"
D. "Have you noticed dribbling or leaking after urinating?"
E. "How many times do you have to get up during the night to urinate?"
F. "Have you noticed blood at the start or at the end of urinating?"
The advanced-practice nurse is preparing to examine a patient's prostate gland. Before
the exam, what does the nurse tell the patient?
A. He may feel the urge to defecate or faint as the prostate is palpated
B. He should lie supine with knees bent in a fully flexed position
C. The examination is very painful, but it only lasts a few seconds
D. The gland will be massaged to obtain a fluid sample for possible prostatitis ✅D. The
gland will be massaged to obtain a fluid sample for possible prostatitis
The nurse is reviewing the laboratory results from a patient being evaluated for lower
urinary tract symptoms. What does an elevated prostate-specific antigen (PSA) level
and serum acid phosphatase level in this patient indicate?
A. Infection
B. Prostate cancer
C. Benign prostatic hyperplasia
D. Infertility ✅B. Prostate cancer
The nurse sees that the patient is taking tamsulosin. Which question would the nurse
ask to determine if the medication is achieving the desired therapeutic effect?
A. "Are you still having trouble passing urine?"
B. "Does your urine have a strong odor or appear cloudy?"
C. "Are you having any problems with achieving an erection?"
D. "Have you had a green or yellow discharge from your penis?" ✅A. "Are you still
having trouble passing urine?"
The nurse is using the International Prostate Symptom Score to assess a patient. Which
data does the nurse intend to obtain through the use of this assessment tool?
A. Patient's attitudes and beliefs about prostate surgery
B. Pattern of growth of prostate and correlation with symptoms
C. Data in aggregate that can be used for prostate research
D. Effect of urinary symptoms on the quality of life ✅D. Effect of urinary symptoms on
the quality of life
A patient has an enlarged prostate. Which procedure does the nurse anticipate that the
health care provider will order to test for bladder outlet obstruction?
A. Urodynamic pressure-flow study
,B. Bladder scan
C. Transrectal ultrasound
D. Computer tomography scan ✅A. Urodynamic pressure-flow study
A nurse is designing a teaching plan for a patient with an enlarged prostate with
obstructive symptoms. What action could the patient preform that might help to relieve
the obstruction?
A. Increase frequency of sexual intercourse
B. Void before going to bed and upon waking
C. Urinate forcefully after drinking fluids
D. Spread fluid intake throughout the day ✅A. Increase frequency of sexual
intercourse
Which conditions meet the criteria for having a surgical intervention for benign prostatic
hyperplasia? SATA
A. Acute urinary retention
B. Hydronephrosis
C. Acute urinary tract infection that does not respond to first-line antibiotics
D. Recurrent kidney stones
E. Hematuria
F. Chronic urinary tract infections secondary to residual urine in the bladder ✅A. Acute
urinary retention
B. Hydronephrosis
E. Hematuria
F. Chronic urinary tract infections secondary to residual urine in the bladder
An older adult patient had a transurethral resection of the prostate at 0800. At 1500, the
nurse assess the patient. Which findings does the nurse report to the health care
provider?
A. Patient reports a continuous urge to void
B. Patient keeps attempting to void around catheter
C. Patient wants to get out of bed
D. Patient keeps moving and ketchup-like urine output is noted ✅D. Patient keeps
moving and ketchup-like urine output is noted
An older patient is scheduled for an annual physical including a prostate-specific
antigen (PSA) and a digital rectal examination (DRE). How are these two tests
scheduled for the patient?
A. PSA is drawn before the DRE is performed
B. DRE is done several weeks before the PSA
C. PSA is reviewed first because DRE may be unnecessary
D. Both tests can be done at the convenience of the patient ✅A. PSA is drawn before
the DRE is performed
, A patient had a transurethral resection of the prostate and has a three-way urinary
catheter taped to the left thigh. What does the nurse instruct about the position of the
left leg?
A. Maintain slight abduction
B. Maintain slight flexion of the hip
C. Keep the leg elevated
D. Keep the leg straight ✅D. Keep the leg straight
The nurse notes bright-red blood with numerous colts in the urinary drainage bag for a
patient who had a transurethral resection of the prostate. Besides notifying the surgeon,
what is the nurse's best action?
A. Irrigate the catheter with normal saline per protocol
B. Remove the urinary catheter and save the tip to culture
C. Start an IV infusion and draw blood for type and cross
D. Empty the drainage bag and record the appearance of output ✅A. Irrigate the
catheter with normal saline per protocol
The nurse is giving discharge instructions to a patient who had a transurethral resection
of the prostate. What does the nurse include in the instructions?
A. Reassurance that loss of control of urination or dribbling of urine is temporary
B. Instructions about how to apply a condom catheter and monitor for skin breakdown
C. Advice about how to control bleeding and passage of blood clots
D. Information about the side effects related to aminocaproic acid ✅A. Reassurance
that loss of control of urination or dribbling of urine is temporary
The nurse is giving instructions to unlicensed assistive personnel (UAP) about hygienic
care for an older adult patient who is uncircumcised. What does the nurse instruct the
UAP to do?
A. Defer cleaning the penis because of patient embarrassment
B. Replace the foreskin over the penis after bathing
C. Observe the penis and the foreskin for redness or odor
D. Avoid touching the foreskin because of hypersensitivity ✅B. Replace the foreskin
over the penis after bathing
An older patient reports that he has an enlarged prostate with chronic urinary retention
but declines to seek treatment because "it's been that way for a long time." The nurse
would encourage a follow-up appointment to prevent which complication of this chronic
condition?
A. Prostate cancer
B. Erectile dysfunction
C. Hydronephrosis
D. Testicular cancer ✅C. Hydronephrosis
The patient had several diagnostic tests to evaluate lower urinary tract symptoms.
Which finding suggests that the patient may have kidney disease?
A. Elevated white blood cell count
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