Lewis’s Medical-Surgical, Chapter 59:Advanced Assessment and
Management of Male Reproductive Health: Benign Prostatic Hyperplasia,
Prostate Cancer, Testicular Neoplasms, Erectile Dysfunction, Prostatitis,
Urinary Diversions, Renal Cell Carcinoma, Bladder Cancer, Pharmacologic
Interventions, Surgical Procedures, Diagnostic Studies, Postoperative Care,
Complications, Screening, Risk Factors, Hormonal Therapies, Androgen
Deprivation, 5α-Reductase Inhibitors, Alpha-Adrenergic Blockers,
Erectogenic Agents, Transurethral Resection of the Prostate, Continuous
Bladder Irrigation, Retrograde Ejaculation, Kegel Exercises, Patient
Education, Self-Examination, Orchiectomy, Cryotherapy, Radiation Therapy,
Active Surveillance, Urinary Catheter Management Exam Questions Verified
and Provided with Complete A+ Graded Rationales Latest Updated 2026
1. What will the nurse ask the patient about to determine the severity of benign prostatic hyperplasia
(BPH) symptoms?
a. Blood in the urine
b. Lower back or hip pain
c. Force of urinary stream
d. Erectile dysfunction (ED)
c. Force of urinary stream
Rationale; The American Urological Association Symptom Index for a patient with BPH asks questions
such as the force and frequency of urination and nocturia. Blood in the urine, ED, and back or hip pain
are not typical symptoms of BPH.
2. A patient who was recently diagnosed with benign prostatic hyperplasia (BPH) tells the nurse that he
does not want to have a transurethral resection of the prostate (TURP) because it might affect his ability
to have sexual intercourse. Which action would the nurse take?
a. Discuss alternative methods of sexual expression.
,b. Teach about medication for erectile dysfunction (ED).
c. Explain that TURP may cause retrograde ejaculation.
d. Offer reassurance that fertility is not affected by TURP.
c. Explain that TURP may cause retrograde ejaculation.
Rationale; ED is not a concern with TURP, although retrograde ejaculation is likely, and the nurse should
discuss this with the patient. Erectile function is not usually affected by a TURP, so the patient will not
need information about penile implants or reassurance that other forms of sexual expression may be
used. Because the patient has not asked about fertility, reassurance about fertility does not address his
concerns.
The health care provider prescribes finasteride (Proscar) for a patient who has benign prostatic
hyperplasia (BPH). Which information would the nurse provide about the drug?
a. He should change position from lying to standing slowly to avoid dizziness.
b. His interest in sexual activity may decrease while he is taking the medication.
c. Improvement in the obstructive symptoms should occur within about 2 weeks.
d. He will need to monitor his blood pressure frequently to assess for hypertension.
b. His interest in sexual activity may decrease while he is taking the medication.
Rationale; A decrease in libido is a side effect of finasteride because of the androgen suppression that
occurs with the drug. Although orthostatic hypotension may occur if the patient is also taking a
medication for erectile dysfunction, it should not occur with finasteride alone. Improvement
in symptoms of obstruction takes about 6 months. The medication does not cause hypertension.
Which test will the nurse plan to explain to a 61-yr-old patient who has an enlarged prostate detected
by digital rectal examination (DRE) and an elevated prostate-specific antigen (PSA) level?
a. Cystourethroscopy
b. Uroflowmetry studies
, c. Magnetic resonance imaging (MRI)
d. Transrectal ultrasonography (TRUS)
d. Transrectal ultrasonography (TRUS)
Rationale; In a patient with an abnormal DRE and elevated PSA, transrectal ultrasound is used to
visualize the prostate for biopsy. Uroflowmetry studies help determine the extent of urine blockage and
treatment, but there is no indication that this is a problem for this patient. Cystoscopy may be used
before prostatectomy but will not be done until after the TRUS and biopsy. MRI is used to determine
whether prostatic cancer has metastasized but would not be ordered at this stage of the diagnostic
process.
Which information about continuous bladder irrigation will the nurse teach to a patient who is being
admitted for a transurethral resection of the prostate (TURP)?
a. Bladder irrigation decreases the risk of postoperative bleeding.
b. Hydration and urine output are maintained by bladder irrigation.
c. Antibiotics are infused continuously through the bladder irrigation.
d. Bladder irrigation prevents obstruction of the catheter after surgery.
d. Bladder irrigation prevents obstruction of the catheter after surgery.
Rationale; The purpose of bladder irrigation is to remove clots from the bladder and prevent obstruction
of the catheter by clots. The irrigation does not decrease bleeding or improve hydration. Antibiotics are
given by the IV route, not through the bladder irrigation.
A 50-yr-old male is scheduled for an annual physical examination. Which diagnostic test will the nurse
plan to explain to the patient?
a. Urinalysis collection
b. Uroflowmetry studies
c. Prostate-specific antigen (PSA)
Management of Male Reproductive Health: Benign Prostatic Hyperplasia,
Prostate Cancer, Testicular Neoplasms, Erectile Dysfunction, Prostatitis,
Urinary Diversions, Renal Cell Carcinoma, Bladder Cancer, Pharmacologic
Interventions, Surgical Procedures, Diagnostic Studies, Postoperative Care,
Complications, Screening, Risk Factors, Hormonal Therapies, Androgen
Deprivation, 5α-Reductase Inhibitors, Alpha-Adrenergic Blockers,
Erectogenic Agents, Transurethral Resection of the Prostate, Continuous
Bladder Irrigation, Retrograde Ejaculation, Kegel Exercises, Patient
Education, Self-Examination, Orchiectomy, Cryotherapy, Radiation Therapy,
Active Surveillance, Urinary Catheter Management Exam Questions Verified
and Provided with Complete A+ Graded Rationales Latest Updated 2026
1. What will the nurse ask the patient about to determine the severity of benign prostatic hyperplasia
(BPH) symptoms?
a. Blood in the urine
b. Lower back or hip pain
c. Force of urinary stream
d. Erectile dysfunction (ED)
c. Force of urinary stream
Rationale; The American Urological Association Symptom Index for a patient with BPH asks questions
such as the force and frequency of urination and nocturia. Blood in the urine, ED, and back or hip pain
are not typical symptoms of BPH.
2. A patient who was recently diagnosed with benign prostatic hyperplasia (BPH) tells the nurse that he
does not want to have a transurethral resection of the prostate (TURP) because it might affect his ability
to have sexual intercourse. Which action would the nurse take?
a. Discuss alternative methods of sexual expression.
,b. Teach about medication for erectile dysfunction (ED).
c. Explain that TURP may cause retrograde ejaculation.
d. Offer reassurance that fertility is not affected by TURP.
c. Explain that TURP may cause retrograde ejaculation.
Rationale; ED is not a concern with TURP, although retrograde ejaculation is likely, and the nurse should
discuss this with the patient. Erectile function is not usually affected by a TURP, so the patient will not
need information about penile implants or reassurance that other forms of sexual expression may be
used. Because the patient has not asked about fertility, reassurance about fertility does not address his
concerns.
The health care provider prescribes finasteride (Proscar) for a patient who has benign prostatic
hyperplasia (BPH). Which information would the nurse provide about the drug?
a. He should change position from lying to standing slowly to avoid dizziness.
b. His interest in sexual activity may decrease while he is taking the medication.
c. Improvement in the obstructive symptoms should occur within about 2 weeks.
d. He will need to monitor his blood pressure frequently to assess for hypertension.
b. His interest in sexual activity may decrease while he is taking the medication.
Rationale; A decrease in libido is a side effect of finasteride because of the androgen suppression that
occurs with the drug. Although orthostatic hypotension may occur if the patient is also taking a
medication for erectile dysfunction, it should not occur with finasteride alone. Improvement
in symptoms of obstruction takes about 6 months. The medication does not cause hypertension.
Which test will the nurse plan to explain to a 61-yr-old patient who has an enlarged prostate detected
by digital rectal examination (DRE) and an elevated prostate-specific antigen (PSA) level?
a. Cystourethroscopy
b. Uroflowmetry studies
, c. Magnetic resonance imaging (MRI)
d. Transrectal ultrasonography (TRUS)
d. Transrectal ultrasonography (TRUS)
Rationale; In a patient with an abnormal DRE and elevated PSA, transrectal ultrasound is used to
visualize the prostate for biopsy. Uroflowmetry studies help determine the extent of urine blockage and
treatment, but there is no indication that this is a problem for this patient. Cystoscopy may be used
before prostatectomy but will not be done until after the TRUS and biopsy. MRI is used to determine
whether prostatic cancer has metastasized but would not be ordered at this stage of the diagnostic
process.
Which information about continuous bladder irrigation will the nurse teach to a patient who is being
admitted for a transurethral resection of the prostate (TURP)?
a. Bladder irrigation decreases the risk of postoperative bleeding.
b. Hydration and urine output are maintained by bladder irrigation.
c. Antibiotics are infused continuously through the bladder irrigation.
d. Bladder irrigation prevents obstruction of the catheter after surgery.
d. Bladder irrigation prevents obstruction of the catheter after surgery.
Rationale; The purpose of bladder irrigation is to remove clots from the bladder and prevent obstruction
of the catheter by clots. The irrigation does not decrease bleeding or improve hydration. Antibiotics are
given by the IV route, not through the bladder irrigation.
A 50-yr-old male is scheduled for an annual physical examination. Which diagnostic test will the nurse
plan to explain to the patient?
a. Urinalysis collection
b. Uroflowmetry studies
c. Prostate-specific antigen (PSA)
