Prostate Cancer Quiz: Test Your Nursing Care

1. Which of the following is the most commonly used screening test for prostate cancer in asymptomatic men?

Prostate-specific antigen (PSA) test

Transrectal ultrasound

Urinalysis

Serum testosterone level

2. A 65-year-old man presents with difficulty initiating urination and nocturia. Which screening finding would most strongly suggest prostate cancer rather than benign prostatic hyperplasia?

Elevated PSA with hard, irregular prostate on DRE

Symmetrically enlarged prostate on DRE

Normal PSA with urinary hesitancy

Decreased urinary flow rate

Submit

4. Which statement about PSA levels and prostate cancer risk is accurate?

A PSA level below 4 ng/mL completely rules out prostate cancer

PSA elevation is specific to prostate cancer and does not occur in benign conditions

PSA velocity (rate of change) may help distinguish cancer from benign disease

PSA is elevated only in advanced prostate cancer stages

5. A patient is diagnosed with localized prostate cancer and is considering active surveillance. What is the primary nursing role in supporting this decision?

Discourage the patient from choosing active surveillance

Educate the patient on monitoring schedule, PSA testing frequency, and when intervention may be needed

Ensure the patient understands that cancer will not progress

Recommend immediate surgical intervention instead

6. Which side effect is most commonly associated with radiation therapy for prostate cancer?

Alopecia (hair loss)

Erectile dysfunction and urinary irritation

Severe nausea and vomiting

Peripheral neuropathy

Submit

8. A 70-year-old man with advanced prostate cancer reports severe bone pain. Which nursing assessment finding would most suggest bone metastases?

Elevated alkaline phosphatase and focal skeletal pain

Decreased hemoglobin and fatigue

Elevated liver enzymes

Low albumin level

9. When counseling a patient about radical prostatectomy, which complication should the nurse prioritize discussing?

Weight gain and hypertension

Urinary incontinence and erectile dysfunction

Alopecia and mucositis

Cardiac arrhythmias

10. Hormone-refractory (castration-resistant) prostate cancer develops when cancer cells no longer respond to ADT. True or False?

True

False

11. A patient receiving chemotherapy for metastatic prostate cancer develops severe myelosuppression. Which nursing intervention is most appropriate?

Increase fluid intake to 3–4 liters daily

Implement neutropenic precautions and monitor CBC closely

Encourage strenuous exercise to boost immune function

Recommend a high-protein diet without restrictions

Submit

13. Which of the following is a key nursing consideration for a patient on long-term ADT?

Increased risk of cardiovascular disease and metabolic syndrome

Improved bone density

Reduced risk of thromboembolism

Enhanced sexual function

Submit

15. When providing psychosocial support to a newly diagnosed prostate cancer patient, which nursing action is most important?

Assure the patient that all prostate cancers are curable

Listen actively, validate concerns, and provide access to support groups and resources

Minimize discussion of side effects to reduce anxiety

Recommend immediate aggressive treatment without exploring preferences

Prostate Cancer Quiz: Test Your Nursing Care

1. Which of the following is the most commonly used screening test for prostate cancer in asymptomatic men?

2.

What first name or nickname would you like us to use?

2. A 65-year-old man presents with difficulty initiating urination and nocturia. Which screening finding would most strongly suggest prostate cancer rather than benign prostatic hyperplasia?

3. The Gleason score is used to grade prostate cancer tissue. A Gleason score of 8–10 indicates ____.

4. Which statement about PSA levels and prostate cancer risk is accurate?

5. A patient is diagnosed with localized prostate cancer and is considering active surveillance. What is the primary nursing role in supporting this decision?

6. Which side effect is most commonly associated with radiation therapy for prostate cancer?

7. Androgen deprivation therapy (ADT) is used in prostate cancer treatment. A common side effect nurses should monitor for is ____.

8. A 70-year-old man with advanced prostate cancer reports severe bone pain. Which nursing assessment finding would most suggest bone metastases?

9. When counseling a patient about radical prostatectomy, which complication should the nurse prioritize discussing?

10. Hormone-refractory (castration-resistant) prostate cancer develops when cancer cells no longer respond to ADT. True or False?

11. A patient receiving chemotherapy for metastatic prostate cancer develops severe myelosuppression. Which nursing intervention is most appropriate?

12. The TNM staging system for prostate cancer includes tumor size (T), lymph node involvement (N), and metastases (M). A T4 tumor indicates ____.

13. Which of the following is a key nursing consideration for a patient on long-term ADT?

14. A patient asks about the role of the prostate gland. The nurse explains that the prostate produces fluid that ____.

15. When providing psychosocial support to a newly diagnosed prostate cancer patient, which nursing action is most important?