NCLEX CRUSADE ACADEMY TEST - 6 BENING PROSTATIC HYPERTROPHY-PROSTATE AND BLADDER

1. Which clinical manifestation is considered the hallmark sign of bladder cancer?. Dysuria. Painless gross hematuria. Urinary frequency. Pelvic pain.

2. Which population has the highest risk for bladder cancer?. Young females under 30. Caucasian males over 65. Asian adolescents. Pregnant women.

65. 3. Which diagnostic test confirms bladder cancer?. Urinalysis. MRI. Biopsy. CT scan.

4. During BCG intravesical therapy, how long is the medication typically retained in the bladder?. 30 minutes. 1 hour. 2 hours. 6 hours.

5. After BCG therapy, why should patients sit while voiding?. Prevent dizziness. Reduce splashing of biohazardous urine. Improve bladder emptying. Decrease urinary retention.

6. Which urinary diversion creates a stoma with continuous drainage into an external pouch?. Orthotopic neobladder. Ileal conduit. Continent pouch. Suprapubic diversion.

7. Which finding indicates a healthy stoma after urinary diversion surgery?. Pale pink color. Dark purple color. Beefy red appearance. Black tissue.

8. Which symptom is characteristic of obstructive symptoms in BPH?. Urinary urgency. Weak urinary stream. Nocturia. Frequency.

9. Which medication class is commonly used to treat BPH by relaxing smooth muscle?. Beta blockers. Alpha-1 antagonists. ACE inhibitors. Calcium channel blockers.

10. Finasteride works by which mechanism?. Increasing testosterone. Blocking estrogen. Inhibiting 5-alpha reductase. Stimulating prostate growth.

11. Which medications should be avoided in patients with BPH because they worsen urinary retention?. NSAIDs. Anticholinergics. Antibiotics. Proton pump inhibitors.

12. Which PSA level is generally considered normal in prostate screening?. <2 ng/mL. <3 ng/mL. <4 ng/mL. <6 ng/mL.

13. Which finding during a digital rectal exam suggests prostate cancer?. Soft gland. Smooth surface. Firm texture. Stony, nodular prostate.

14. Prostate cancer commonly metastasizes to which location first?. Liver. Bone. Brain. Lungs.

15. Which radiation therapy involves implantation of radioactive seeds?. External beam radiation. Brachytherapy. Proton therapy. Gamma therapy.

16. Which adverse effect is common after prostate radiation therapy?. Hyperglycemia. Proctitis. Blindness. Seizures.

17. TURP stands for what procedure?. Total urethral repair procedure. Transurethral resection of the prostate. Transurethral renal perfusion. Total urinary reconstruction procedure.

18. Continuous bladder irrigation is primarily used to prevent what complication?. Infection. Blood clot formation. Kidney stones. Bladder rupture.

19. What urine color is expected immediately after TURP with irrigation?. Bright red. Light pink. Dark brown. Clear.

20. Which catheter is used for continuous bladder irrigation?. Single lumen catheter. Double lumen catheter. Three-way catheter. Straight catheter.

21. What indicates a potential complication after TURP?. Light pink urine. Amber urine by day 3. Bright red urine. Mild bladder spasms.

22. When monitoring CBI, true urine output is calculated by: Total output minus IV fluids. Total output minus irrigant volume. Total output divided by irrigant. Irrigant plus urine.

23. Which intervention is appropriate if CBI drainage suddenly stops?. Remove catheter. Clamp tubing. Check for kinks and flush catheter. Ignore.

24. Which symptom in older adults may indicate a UTI instead of typical dysuria?. Skin rash. Sudden confusion. Hyperactivity. Sweating.

25. Which condition should be suspected if a UTI patient develops hypotension and tachycardia?. Dehydration. Urosepsis. Hypertension crisis. Kidney stones.

26. What is the first step in sepsis management for suspected urosepsis?. Start vasopressors. Obtain cultures. Insert catheter. Provide analgesics.

27. Which intervention follows culture collection in sepsis treatment?. Antibiotics. Oxygen therapy. Surgery. Anticoagulants.

28. What rehabilitation exercise helps restore continence after prostate surgery?. Squats. Kegel exercises. Sit-ups. Lunges.

29. Which activity should patients avoid for six weeks after prostate surgery?. Walking. Light stretching. Heavy lifting. Reading.

30. Which dietary recommendation prevents constipation after prostate surgery?. High protein diet. High fiber intake. High sugar intake. High fat diet.