ADULT HEALTH NR 325 EXAM SCRIPT 2026
QUESTIONS WITH CORRECT SOLUTIONS
◉1. To determine the severity of the symptoms for a patient with
benign prostatic hyperplasia (BPH) the nurse will ask the patient
about
a. blood in the urine.
b. lower back or hip pain.
c. erectile dysfunction (ED).
d. strength of the urinary stream.. Answer: ANS: D
The American Urological Association (AUA) Symptom Index for a
patient with BPH asks questions about the force and frequency of
urination, nocturia, etc. Blood in the urine, ED, and back or hip pain
are not typical symptoms of BPH.
◉2. A patient who has been 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 he is
afraid it might affect his ability to have intercourse. Which action
should the nurse take?
a. Offer reassurance that sperm production is not affected by TURP.
,b. Discuss alternative methods of sexual expression besides
intercourse.
c. Provide education about the use of medications for erectile
dysfunction (ED) occurring after TURP.
d. Teach that ED is not a common complication following a TURP..
Answer: ANS: D
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 sperm production does not
address his concerns.
◉3. The health care provider prescribes finasteride (Proscar) for a
56-year-old patient who has benign prostatic hyperplasia (BPH).
When teaching the patient about the drug, the nurse informs him
that
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.. Answer: ANS: B
,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 also is taking a
medication for erectile dysfunction (ED), it should not occur with
finasteride alone. Improvement in symptoms of obstruction takes
about 6 months. The medication does not cause hypertension.
◉4. A patient has an enlarged prostate detected by digital rectal
examination (DRE) and an elevated prostate specific antigen (PSA)
level. The nurse will anticipate that the patient will need teaching
about
a. cystourethroscopy.
b. uroflowmetry studies.
c. magnetic resonance imaging (MRI).
d. transrectal ultrasonography (TRUS).. Answer: ANS: D
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.
, ◉5. When teaching a patient who is scheduled for a transurethral
resection of the prostate (TURP) about continuous bladder
irrigation, which information will the nurse include?
a. Bladder irrigation decreases the risk of postoperative bleeding.
b. Hydration and urine output are maintained by bladder irrigation.
c. Bladder irrigation prevents obstruction of the catheter after
surgery.
d. Antibiotics are infused on a continuous basis with bladder
irrigation.. Answer: ANS: C
The purpose of bladder irrigation is to remove clots from the
bladder and to 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.
◉6. A patient with symptomatic benign prostatic hyperplasia (BPH)
is scheduled for photovaporization of the prostate (PVP) at an
outpatient surgical center. The nurse will plan to teach the patient
a. how to care for an indwelling urinary catheter.
b. that the urine will appear bloody for several days.
c. about complications associated with urethral stenting.
d. that symptom improvement will occur in 2 to 3 weeks.. Answer:
ANS: A
The patient will have an indwelling catheter for 24 to 48 hours and
will need teaching about catheter care. There is minimal bleeding
QUESTIONS WITH CORRECT SOLUTIONS
◉1. To determine the severity of the symptoms for a patient with
benign prostatic hyperplasia (BPH) the nurse will ask the patient
about
a. blood in the urine.
b. lower back or hip pain.
c. erectile dysfunction (ED).
d. strength of the urinary stream.. Answer: ANS: D
The American Urological Association (AUA) Symptom Index for a
patient with BPH asks questions about the force and frequency of
urination, nocturia, etc. Blood in the urine, ED, and back or hip pain
are not typical symptoms of BPH.
◉2. A patient who has been 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 he is
afraid it might affect his ability to have intercourse. Which action
should the nurse take?
a. Offer reassurance that sperm production is not affected by TURP.
,b. Discuss alternative methods of sexual expression besides
intercourse.
c. Provide education about the use of medications for erectile
dysfunction (ED) occurring after TURP.
d. Teach that ED is not a common complication following a TURP..
Answer: ANS: D
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 sperm production does not
address his concerns.
◉3. The health care provider prescribes finasteride (Proscar) for a
56-year-old patient who has benign prostatic hyperplasia (BPH).
When teaching the patient about the drug, the nurse informs him
that
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.. Answer: ANS: B
,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 also is taking a
medication for erectile dysfunction (ED), it should not occur with
finasteride alone. Improvement in symptoms of obstruction takes
about 6 months. The medication does not cause hypertension.
◉4. A patient has an enlarged prostate detected by digital rectal
examination (DRE) and an elevated prostate specific antigen (PSA)
level. The nurse will anticipate that the patient will need teaching
about
a. cystourethroscopy.
b. uroflowmetry studies.
c. magnetic resonance imaging (MRI).
d. transrectal ultrasonography (TRUS).. Answer: ANS: D
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.
, ◉5. When teaching a patient who is scheduled for a transurethral
resection of the prostate (TURP) about continuous bladder
irrigation, which information will the nurse include?
a. Bladder irrigation decreases the risk of postoperative bleeding.
b. Hydration and urine output are maintained by bladder irrigation.
c. Bladder irrigation prevents obstruction of the catheter after
surgery.
d. Antibiotics are infused on a continuous basis with bladder
irrigation.. Answer: ANS: C
The purpose of bladder irrigation is to remove clots from the
bladder and to 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.
◉6. A patient with symptomatic benign prostatic hyperplasia (BPH)
is scheduled for photovaporization of the prostate (PVP) at an
outpatient surgical center. The nurse will plan to teach the patient
a. how to care for an indwelling urinary catheter.
b. that the urine will appear bloody for several days.
c. about complications associated with urethral stenting.
d. that symptom improvement will occur in 2 to 3 weeks.. Answer:
ANS: A
The patient will have an indwelling catheter for 24 to 48 hours and
will need teaching about catheter care. There is minimal bleeding
