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Nurs 5220 Exam 2 BANK COMPLETE 400
QUESTIONS WITH DETAILED VERIFIED
ANSWERS WITH RATIONALES
(100% CORRECT ANSWERS) /ALREADY
GRADED A+
Mrs. Jackman brings her 6-year-old daughter in for an office visit.
While examining the perineum, you observe hemorrhoids. This
finding suggests:
A. sexual abuse.
B. chronic constipation.
C. a diet high in fibrous foods.
D. an underlying problem such as portal hypertension.
......answer.....D; CorrectHemorrhoids are rare in children, and their
presence suggests a serious underlying problem such as portal
hypertension.
When examining the prostate, you feel fluctuant softness. This
finding indicates:
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A. prostatic abscess.
B. posterior rectal wall neoplasm.
C. prostatic hypertrophy.
D. rectal prolapse. ......answer.....A: CorrectA prostatic abscess is
felt as a fluctuant mass in the prostate.
A patient tells the examiner that she has liquid stools containing
small flecks of blood stained mucous. Stools of this type result
from:
A. amebiasis.
B. excessive fiber intake.
C. excessive dietary beef.
D. insufficient fluid intake. ......answer.....A: CorrectSmall flecks of
blood-stained mucus in liquid feces are indicative of amebiasis.
Which examination finding in the child is a clue to the diagnosis of
Hirschsprung disease?
A. Passing of frequent, loose stools in the absence of other
symptoms
B. A consistently empty rectum with a history of constipation
C. Itching and irritation around the anus
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D. Rectal prolapse ......answer.....B: CorrectA consistently empty
rectum in the presence of constipation is a clue to the diagnosis of
Hirschsprung disease.
In which situation would the examiner perform a rectal
examination on an infant or child?
A. A newborn infant passes a greenish-black viscous stool 12 hours
after birth.
B. The mother of a 3-month-old baby describes the baby's stools as
"loose and golden yellow."
C. A stool of a 6-year-old child is guaiac positive.
D. A mother tells the examiner that her 3-year-old child was sent
home from daycare after two episodes of diarrhea. ......answer.....C:
CorrectRectal examination is not always performed on infants and
children unless there is a particular problem. An examination is
required whenever there is any symptom that suggests an
intraabdominal or pelvic problem, a mass or tenderness, bladder
distention, bleeding, or rectal or bowel abnormalities.
Prostate enlargement is determined by the:
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A. diameter of the rectum near the bladder.
B. circumference of the prostate.
C. estimation of the depth of the sulcus.
D. protrusion of the prostate into the rectum. ......answer.....D:
CorrectProstate enlargement is classified by the amount of
protrusion into the rectum
During a rectal examination, you find shelf lesions when you
palpate the anterior rectal wall. What is the significance of this
finding?
A. A sexually transmitted infection exists.
B. Peritoneal metastases are present.
C. Houston valves have fibrosed.
D. Fecal matter has been retained. ......answer.....B: CorrectBecause
the anterior rectal wall is in contact with the peritoneum, you may
be able to detect the tenderness of peritoneal inflammation and
the nodularity of peritoneal metastases. The nodules, called shelf
lesions, are palpable just above the prostate in men and in the cul-
de-sac of women.
What information do you give the parents of an infant on whom
you have done a rectal examination?
Nurs 5220 Exam 2 BANK COMPLETE 400
QUESTIONS WITH DETAILED VERIFIED
ANSWERS WITH RATIONALES
(100% CORRECT ANSWERS) /ALREADY
GRADED A+
Mrs. Jackman brings her 6-year-old daughter in for an office visit.
While examining the perineum, you observe hemorrhoids. This
finding suggests:
A. sexual abuse.
B. chronic constipation.
C. a diet high in fibrous foods.
D. an underlying problem such as portal hypertension.
......answer.....D; CorrectHemorrhoids are rare in children, and their
presence suggests a serious underlying problem such as portal
hypertension.
When examining the prostate, you feel fluctuant softness. This
finding indicates:
,2|Page
A. prostatic abscess.
B. posterior rectal wall neoplasm.
C. prostatic hypertrophy.
D. rectal prolapse. ......answer.....A: CorrectA prostatic abscess is
felt as a fluctuant mass in the prostate.
A patient tells the examiner that she has liquid stools containing
small flecks of blood stained mucous. Stools of this type result
from:
A. amebiasis.
B. excessive fiber intake.
C. excessive dietary beef.
D. insufficient fluid intake. ......answer.....A: CorrectSmall flecks of
blood-stained mucus in liquid feces are indicative of amebiasis.
Which examination finding in the child is a clue to the diagnosis of
Hirschsprung disease?
A. Passing of frequent, loose stools in the absence of other
symptoms
B. A consistently empty rectum with a history of constipation
C. Itching and irritation around the anus
,3|Page
D. Rectal prolapse ......answer.....B: CorrectA consistently empty
rectum in the presence of constipation is a clue to the diagnosis of
Hirschsprung disease.
In which situation would the examiner perform a rectal
examination on an infant or child?
A. A newborn infant passes a greenish-black viscous stool 12 hours
after birth.
B. The mother of a 3-month-old baby describes the baby's stools as
"loose and golden yellow."
C. A stool of a 6-year-old child is guaiac positive.
D. A mother tells the examiner that her 3-year-old child was sent
home from daycare after two episodes of diarrhea. ......answer.....C:
CorrectRectal examination is not always performed on infants and
children unless there is a particular problem. An examination is
required whenever there is any symptom that suggests an
intraabdominal or pelvic problem, a mass or tenderness, bladder
distention, bleeding, or rectal or bowel abnormalities.
Prostate enlargement is determined by the:
, 4|Page
A. diameter of the rectum near the bladder.
B. circumference of the prostate.
C. estimation of the depth of the sulcus.
D. protrusion of the prostate into the rectum. ......answer.....D:
CorrectProstate enlargement is classified by the amount of
protrusion into the rectum
During a rectal examination, you find shelf lesions when you
palpate the anterior rectal wall. What is the significance of this
finding?
A. A sexually transmitted infection exists.
B. Peritoneal metastases are present.
C. Houston valves have fibrosed.
D. Fecal matter has been retained. ......answer.....B: CorrectBecause
the anterior rectal wall is in contact with the peritoneum, you may
be able to detect the tenderness of peritoneal inflammation and
the nodularity of peritoneal metastases. The nodules, called shelf
lesions, are palpable just above the prostate in men and in the cul-
de-sac of women.
What information do you give the parents of an infant on whom
you have done a rectal examination?
