Nurs 5220 Exam 2
NURS 5220 EXAM 2 NEWEST 2025 ACTUAL EXAM COMPLETE
200 QUESTIONS AND CORRECT ANSWERS(VERIFIED
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:
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.
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, Nurs 5220 Exam 2
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
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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, Nurs 5220 Exam 2
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?
A. Large amounts of mucus may appear in the stool for a day or two.
B. Some bleeding and rectal prolapse may be seen right after the examination.
C. Stool is likely to be black for 48 hours.
D. Crankiness and lack of interest in sucking may occur for 12 to 24 hours. - ANSWER-B:
CorrectSome health care providers are reluctant to use the index finger because of its size,
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, Nurs 5220 Exam 2
choosing instead the fifth finger; however, even with the smallest of adult fingers, some
bleeding and transient prolapse of the rectum often occur right after examination.
The absence of meconium stool passage in an infant may be indicative of:
A. a pilonidal cyst.
B. a perianal abscess.
C. benign prostatic hypertrophy.
D. an imperforate anus. - ANSWER-D: CorrectImperforate anus is a condition that is usually
diagnosed on rectal examination of the newborn and is confirmed by lack of passage of stool
within the first 48 hours of life. Radiographic confirmation may be necessary.
Mr. Custer is a 56-year-old patient who presents to your office. On examination, you note a
smooth and firm protrusion into the rectum. Which condition can present as as a smooth, firm
4-cm protrusion into the rectum?
A. Anorectal fistula
B. Imperforate anus
C. Benign prostatic hypertrophy
D. Prostatitis - ANSWER-C: CorrectWith benign prostatic hypertrophy, the prostate feels smooth,
rubbery, symmetric, and enlarged.
Which factor increases a man's risk for developing prostate cancer?
A. High-fiber diet
B. Hispanic ethnicity
C. Congestive heart failure
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NURS 5220 EXAM 2 NEWEST 2025 ACTUAL EXAM COMPLETE
200 QUESTIONS AND CORRECT ANSWERS(VERIFIED
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:
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.
1|Page
, Nurs 5220 Exam 2
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
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:
2|Page
, Nurs 5220 Exam 2
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?
A. Large amounts of mucus may appear in the stool for a day or two.
B. Some bleeding and rectal prolapse may be seen right after the examination.
C. Stool is likely to be black for 48 hours.
D. Crankiness and lack of interest in sucking may occur for 12 to 24 hours. - ANSWER-B:
CorrectSome health care providers are reluctant to use the index finger because of its size,
3|Page
, Nurs 5220 Exam 2
choosing instead the fifth finger; however, even with the smallest of adult fingers, some
bleeding and transient prolapse of the rectum often occur right after examination.
The absence of meconium stool passage in an infant may be indicative of:
A. a pilonidal cyst.
B. a perianal abscess.
C. benign prostatic hypertrophy.
D. an imperforate anus. - ANSWER-D: CorrectImperforate anus is a condition that is usually
diagnosed on rectal examination of the newborn and is confirmed by lack of passage of stool
within the first 48 hours of life. Radiographic confirmation may be necessary.
Mr. Custer is a 56-year-old patient who presents to your office. On examination, you note a
smooth and firm protrusion into the rectum. Which condition can present as as a smooth, firm
4-cm protrusion into the rectum?
A. Anorectal fistula
B. Imperforate anus
C. Benign prostatic hypertrophy
D. Prostatitis - ANSWER-C: CorrectWith benign prostatic hypertrophy, the prostate feels smooth,
rubbery, symmetric, and enlarged.
Which factor increases a man's risk for developing prostate cancer?
A. High-fiber diet
B. Hispanic ethnicity
C. Congestive heart failure
4|Page
