Questions:

1. The nurse is caring for a patient following prostate surgery. Upon assessment, the

nurse notes that the patient has a urinary catheter that is secured very snugly to

the inner thigh. The nurse understands that the catheter:

A. is positioned to help prevent hemorrhage.

B. may be repositioned if the patient is uncomfortable.

C. should be repositioned at least every few hours.

D. will normally drain urine with large clots.

2. The nurse is caring for a patient following prostate surgery who has an indwelling

catheter. The patient informs the nurse that he feels like he needs to void. Which

of the following is the best response by the nurse?

A. Inform the patient that the feeling is normal, but discourage straining to try to void.

B. Tell the patient that he can try to void if it will make him feel more comfortable.

C. Encourage the patient to go ahead and try to void because it may help to pass a clot.

D. Notify the surgeon immediately because this is a sign of impending hemorrhage.

3. The nurse is providing care for a patient with continuous bladder irrigation (CBI)

following removal of the prostate. The nurse understands that the CBI should be

adjusted as needed to result in catheter outflow of which of the following types?

A. cloudy yellow

B. light pink

C. amber with clots

D. cherry colored with clots

4. The nurse caring for a patient with continuous bladder irrigation realizes that the

irrigation is running too slowly if:

A. less than 500 mL of irrigation is used per shift.

B. the patient develops bladder spasms.

C. the output remains yellow without any clots.

D. the output remains light pink in color.

5. The nurse is caring for a patient following a mastectomy. The nurse knows to

position the patient in which position upon return from surgery?

A. supine or with affected arm elevated

B. supine or on the affected side

C. prone with the affected arm elevated

D. prone or on the affected side

6. The nurse caring for a patient following a mastectomy understands the importance of encouraging
early range of motion exercises to:

A. prevent development of deep vein thrombosis.

B. prevent respiratory compromise from atelectasis.

C. prevent contractures and lymphedema.

D. prevent muscle atrophy from disuse.

7. The nurse is caring for a patient with multiple sclerosis who suffers from priapism.

The nurse anticipates that a priority nursing diagnosis for this patient is which of

the following?

A. altered sexual function

B. pain

C. impaired tissue perfusi on

D. knowledge deficit

8. The nurse is providing care for a patient admitted with testicular cancer. The

nurse understands that clinical manifestations of the disease generally include

which of the following?

A. painless, hard area or lump found during self-examination

B. painless mass identified during screening ultrasound

C. painful, lumpy testes identified during self-examination

D. painful, swollen testes identified during self-examination

9. The nurse is providing care for a patient with benign prostatic hypertrophy. Clinical
manifestations, as described by the patient, include:

A. urinary frequency with strong stream.

B. difficulty starting and stopping the stream.

C. daytime urinary frequency with incontinence.

D. fever, chills, nausea, and vomiting.

10. The nurse who is assigned to care for the patient with pelvic inflammatory disease

realizes that the priority nursing diagnosis for this patient is:

A. pain.

B. fluid volume excess.

C. impaired tissue perfusion.

D. risk for infection

Answers:

1. (A); The nurse understands that traction is applied to an indwelling catheter to prevent
hemorrhage following surgery. When traction is applied, the catheter should not

be repositioned because the balloon near the end of the catheter exerts pressure to prevent
bleeding.

2. (A); The nurse should let the patient know that the feeling he describes is normal but

that he should not strain to try to void because that may cause bleeding. The nurse

should assure the patient that the catheter is draining normally and that the output

will be monitored continually to ensure proper function.

3. (B); The nurse understands that the goal is to have outflow that is light pink without

clots. CBI must be titrated accordingly to achieve the desired outcome.

4. (B); The nurse realizes that continuous bladder irrigation (CBI) is infusing too slowly if the patient
develops bladder spasms or output that contains frank blood.

5. (A); The nurse should position the patient who has had a mastectomy supine or on

the unaffected side with the affected arm elevated.

6. (C); The nurse caring for a patient following mastectomy understands that early range

of motion exercises help to prevent contractures and lymphedema.

7. (B); Priapism is a painful erection that lasts at least 4 hours and is not associated with

sexual arousal. Conditions like sickle cell anemia, multiple sclerosis, and metastatic

tumors may lead to its occurrence.

8. (A); Clinical manifestations of testicular cancer may include a painless, hard area or

lump found during self-examination. There is no screening ultrasound testing.

9. (B); The patient with benign prostatic hypertrophy describes clinical manifestations of

the disorder that include urinary frequency, nocturia, weak stream, difficulty starting

and stopping the stream, and dribbling.

10. (A); The priority nursing diagnosis for the patient with pelvic inflammatory disease is

pain. Treatment can include antibiotic therapy, surgical removal of abscesses if present, and
application of heat to the abdomen to relieve pain.