MSN 277 Final Exam Questions Answered Correctly Latest Update 2025-2026
The nurse is caring for a 62-yr-old man after a transurethral resection of the prostate (TURP).
Which instructions should the nurse include in the teaching plan?
A. Avoid straining during defecation.
B. Restrict fluids to prevent incontinence.
C. Sexual functioning will not be affected.
D. Prostate examinations are not needed after surgery. - Answers A. Avoid straining during
defecation.
The nurse teaches a 30-yr-old man with a family history of prostate cancer about dietary factors
associated with prostate cancer. The nurse determines that teaching is successful if the patient
selects which menu?
A. Grilled steak, French fries, and vanilla shake
B. Hamburger with cheese, pudding, and coffee
C. Baked chicken, peas, apple slices, and skim milk
D. Grilled cheese sandwich, onion rings, and hot tea - Answers C. Baked chicken, peas, apple
slices, and skim milk
The nurse is teaching clinic patients about risk factors for testicular cancer. Which individual is
at highest risk for developing testicular cancer?
A. A 30-yr-old white man with a history of cryptorchidism
B. A 48-yr-old African American man with erectile dysfunction
C. A 19-yr-old Asian man who had surgery for testicular torsion
D. A 28-yr-old Hispanic man with infertility caused by a varicocele - Answers A. A 30-yr-old white
man with a history of cryptorchidism
A 73-yr-old male patient admitted for total knee replacement states during the health history
interview that he has no problems with urinary elimination except that the "stream is less than it
used to be." The nurse should give anticipatory guidance regarding what condition?
,A. A tumor of the prostate
B. Benign prostatic hyperplasia
C. Bladder atony because of age
D. Age-related altered innervation of the bladder - Answers B. Benign prostatic hyperplasia
To monitor the progression of decreased urinary stream, the nurse should encourage which
type of regular screening?
A. Uroflowmetry
B. Transrectal ultrasound
C. Digital rectal examination (DRE)
D. Prostate-specific antigen (PSA) monitoring - Answers C. Digital rectal examination (DRE)
A patient is one day postoperative after a transurethral resection of the prostate (TURP). Which
event is an unexpected finding?
A. Requires two tablets of Tylenol #3 during the night
B. Complains of fatigue and claims to have minimal appetite
C. Continuous bladder irrigation (CBI) infusing, but output has decreased
D. Expressed anxiety about his planned discharge home the following day - Answers C.
Continuous bladder irrigation (CBI) infusing, but output has decreased
A 71-yr-old patient with a diagnosis of benign prostatic hyperplasia (BPH) has been scheduled
for a contact laser technique. What is the primary goal of this intervention?
A. Resumption of normal urinary drainage
B. Maintenance of normal sexual functioning
C. Prevention of acute or chronic renal failure
D. Prevention of fluid and electrolyte imbalances - Answers A. Resumption of normal urinary
, drainage
Which task can the nurse delegate to an unlicensed assistive personnel (UAP) in the care of a
patient who has recently undergone prostatectomy?
A. Assessing the patient's incision
B. Irrigating the patient's urinary catheter
C. Reporting complaints of pain or bladder spasms
D. Evaluating the patient's pain and selecting analgesia - Answers C. Reporting complaints of
pain or bladder spasms
A 33-yr-old patient noticed a painless lump and heaviness in his scrotum during testicular self-
examination. The nurse should provide the patient information on which diagnostic test?
A. Ultrasound
B. Cremasteric reflex
C. Doppler ultrasound
D. Transillumination with a flashlight - Answers A. Ultrasound
A male patient complains of fever, dysuria, and cloudy urine. What additional information may
indicate that these manifestations may be something other than a urinary tract infection (UTI)?
A. E. coli bacteria in his urine
B. A very tender prostate gland
C. Complaints of chills and rectal pain
D. Complaints of urgency and frequency - Answers B. A very tender prostate gland
The patient has a history of cardiovascular disease and has developed erectile dysfunction. He
is frustrated because he is taking nitrates and cannot take erectogenic medications. What
should the nurse do first?
A. Give the patient choices for penile implant surgery.
The nurse is caring for a 62-yr-old man after a transurethral resection of the prostate (TURP).
Which instructions should the nurse include in the teaching plan?
A. Avoid straining during defecation.
B. Restrict fluids to prevent incontinence.
C. Sexual functioning will not be affected.
D. Prostate examinations are not needed after surgery. - Answers A. Avoid straining during
defecation.
The nurse teaches a 30-yr-old man with a family history of prostate cancer about dietary factors
associated with prostate cancer. The nurse determines that teaching is successful if the patient
selects which menu?
A. Grilled steak, French fries, and vanilla shake
B. Hamburger with cheese, pudding, and coffee
C. Baked chicken, peas, apple slices, and skim milk
D. Grilled cheese sandwich, onion rings, and hot tea - Answers C. Baked chicken, peas, apple
slices, and skim milk
The nurse is teaching clinic patients about risk factors for testicular cancer. Which individual is
at highest risk for developing testicular cancer?
A. A 30-yr-old white man with a history of cryptorchidism
B. A 48-yr-old African American man with erectile dysfunction
C. A 19-yr-old Asian man who had surgery for testicular torsion
D. A 28-yr-old Hispanic man with infertility caused by a varicocele - Answers A. A 30-yr-old white
man with a history of cryptorchidism
A 73-yr-old male patient admitted for total knee replacement states during the health history
interview that he has no problems with urinary elimination except that the "stream is less than it
used to be." The nurse should give anticipatory guidance regarding what condition?
,A. A tumor of the prostate
B. Benign prostatic hyperplasia
C. Bladder atony because of age
D. Age-related altered innervation of the bladder - Answers B. Benign prostatic hyperplasia
To monitor the progression of decreased urinary stream, the nurse should encourage which
type of regular screening?
A. Uroflowmetry
B. Transrectal ultrasound
C. Digital rectal examination (DRE)
D. Prostate-specific antigen (PSA) monitoring - Answers C. Digital rectal examination (DRE)
A patient is one day postoperative after a transurethral resection of the prostate (TURP). Which
event is an unexpected finding?
A. Requires two tablets of Tylenol #3 during the night
B. Complains of fatigue and claims to have minimal appetite
C. Continuous bladder irrigation (CBI) infusing, but output has decreased
D. Expressed anxiety about his planned discharge home the following day - Answers C.
Continuous bladder irrigation (CBI) infusing, but output has decreased
A 71-yr-old patient with a diagnosis of benign prostatic hyperplasia (BPH) has been scheduled
for a contact laser technique. What is the primary goal of this intervention?
A. Resumption of normal urinary drainage
B. Maintenance of normal sexual functioning
C. Prevention of acute or chronic renal failure
D. Prevention of fluid and electrolyte imbalances - Answers A. Resumption of normal urinary
, drainage
Which task can the nurse delegate to an unlicensed assistive personnel (UAP) in the care of a
patient who has recently undergone prostatectomy?
A. Assessing the patient's incision
B. Irrigating the patient's urinary catheter
C. Reporting complaints of pain or bladder spasms
D. Evaluating the patient's pain and selecting analgesia - Answers C. Reporting complaints of
pain or bladder spasms
A 33-yr-old patient noticed a painless lump and heaviness in his scrotum during testicular self-
examination. The nurse should provide the patient information on which diagnostic test?
A. Ultrasound
B. Cremasteric reflex
C. Doppler ultrasound
D. Transillumination with a flashlight - Answers A. Ultrasound
A male patient complains of fever, dysuria, and cloudy urine. What additional information may
indicate that these manifestations may be something other than a urinary tract infection (UTI)?
A. E. coli bacteria in his urine
B. A very tender prostate gland
C. Complaints of chills and rectal pain
D. Complaints of urgency and frequency - Answers B. A very tender prostate gland
The patient has a history of cardiovascular disease and has developed erectile dysfunction. He
is frustrated because he is taking nitrates and cannot take erectogenic medications. What
should the nurse do first?
A. Give the patient choices for penile implant surgery.
