NURS5220 Exam #2 1. ACTUAL UPDATED Mr. Tucker is a 56-year-old patient who A: CorrectThe walls should feel smooth, even, Questions and presents to your office with a complaint and uninterrupted. of rectal pain. On examination you are CORREC

NURS5220 Exam #2

1. ACTUAL
Mr. TuckerUPDATED
is a 56-year-old patient who A: CorrectThe walls should feel smooth, even,
Questions
presents and office with a complaint and uninterrupted.
to your
of rectal pain. On examination you are
CORRECTthe
palpating Answerslateral and posterior rec-
tal walls. What should you expect to
Study online at https://quizlet.com/_hwgi2y
feel?

A. A smooth, even, and uninterrupted
surface
B. Small nodules from internal hemor-
rhoids
C. Tissue folds from the valves of Hous-
ton
D. Bulging from the bladder wall
2. Mr. Yates is a 62-year-old patient who B: CorrectRectal pain is almost always indicative
presents with a chief complaint of rec- of a local disease.
tal pain. The examiner will focus the his-
tory and examination on which known
fact?

A. Rectal pain is almost always accom-
panied by an infection.
B. Rectal pain is almost always an indi-
cation of local disease.
C. A complaint of rectal pain is usual-
ly associated with a serious systemic
process.
D. One of the most common causes of
rectal pain is prostatic enlargement.

3.






, NURS5220 Exam #2

ACTUAL
Mr. Bower UPDATED
is a 78-year-old patient who B: CorrectThe rectal examination can be per-
isQuestions
unable to assume and a standing position formed with the patient in any of these posi-
for a routine rectal examination. Which tions: knee-chest; left lateral with hips and knees
CORRECT Answers flexed; lithotomy, or standing with the hips flexed
isStudy
theonline
best alternative position?
at https://quizlet.com/_hwgi2y
and the upper body supported by the examining
A. Lithotomy position table.
B. Left lateral position with the knees
flexed
C. Knee-chest position
D. Prone position
4. A pregnant woman presents to the D: CorrectDuring pregnancy, the stool color may
emergency department with the com- be dark green or black if the woman is taking

plaint of dark stools. She tells the exam- iron supplements.
iner, "I read in a magazine that this is
a sign of bleeding." Which question by
the examiner is most applicable for this
situation?

A. "Where did you read that informa-
tion?"
B. "Have you been giving yourself ene-
mas?"
C. "How much fruit and vegetable in-
take have you had in the last few
days?"
D. "Are you taking prenatal vitamins?"
5. Mr. Allen is a 56-year-old patient who A: CorrectIn men, you can palpate the posterior
presents for a routine physical exam- surface of the prostate gland on the anterior
ination. Before palpating his prostate,
you should tell him, "You may feel an wall. Tell the patient that he may feel the urge to
urinate but that he will not.






, NURS5220 Exam #2

ACTUAL UPDATED
urge to ."
Questions and
A. urinate
B.CORRECT
defecate Answers
C. vomit
Study online at https://quizlet.com/_hwgi2y


D. faint D: CorrectRotate your finger to examine the
muscular anal ring.
6. How is the anal ring assessed?
A. Inspection of the anus
B. External palpation of the anus
C. Use of a sigmoidoscope
D. Rotation of a finger within the anal
sphincter
7. Which example best describes how firm D: . CorrectThe gland should feel like a pen-
you expect a healthy prostate gland to cil eraser—firm, smooth, and slightly mov-
feel? able—and it should be nontender.

A. It feels like a soft olive or grape.
B. It feels like the topside of a plastic
LEGO piece.
C. It feels like a small baseball.
D. It feels like a pencil eraser
8. What is the best method of verifying
anal patency in a newborn? C: CorrectIf there is no passage of stool in

A. Inserting a lubricated thermometer
24 hours in a newborn, suspect rectal atresia,
through the anus and into the rectum Hirschsprung disease (congenital megacolon),
or cystic fibrosis.
B. Inserting the fifth digit through the
anus and into the rectum






, NURS5220 Exam #2

C.ACTUAL
Checking UPDATED
for the passage of meconi-
um in the first 24 to 48 hours after birth
Questions and
D. Inspecting the anus for an anal open-
CORRECT Answers
ing
Study online at https://quizlet.com/_hwgi2y

9. Mr. Santos is a 67-year-old patient who A: CorrectWith cancer of the prostate, a hard,
presents to your office. On examina- irregular nodule may be palpable on prostate
tion, you palpate his prostate, noting examination.
that it is hard and irregular. The median
sulcus is not palpable. These findings
are consistent with:

A. prostate cancer.
B. benign prostate hypertrophy.
C. prostatitis.
D. a rectal mass.
10. Mr. Mills, a 38-year-old patient, pre-
sents with severe rectal pain and fever. B: CorrectPerianal abscess is an infection of the
Which condition might be the cause of
the symptoms? soft tissues surrounding the anal canal, with for-
mation of a discrete abscess cavity. Symptoms
A. An imperforate anus include tenderness, fever, and pain on defeca-
B. A perianal abscess tion or with sitting or walking.
C. Benign prostatic hypertrophy
D. An anorectal fistula
11. "Boggy, enlarged, and tender" on rec-
tal examination is descriptive of which
condition?
A: CorrectSeminal vesicles are often involved in
prostatitis and may be dilated and tender on
A. Prostatitis palpation; however, the prostate may feel boggy,
enlarged, and tender or have palpable areas of
fibrosis that simulate neoplasm.