NSG 500
EXAM 3
Advanced Health Assessment
Actual Questions with Verified Answers
Wilkes University
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➢150 Exam Questions w/ Answers
➢Expert Rationales included
➢Exam 3 Comprehensive Study Guide
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Full access unlocks the complete document after purchase.
,Table of Contents
NSG 500 Exam 3 ............................................................................. 2
NSG 500 Exam 3 ........................................................................... 35
NSG 500 Exam 3 Study Guide .................................................... 67
NSG 500 Exam 3
1. A 68-year-old male presents for his annual physical examination. The nurse
practitioner is preparing to perform a digital rectal exam (DRE) and prostate assessment.
Which positioning is most appropriate for this examination?
A. Lithotomy position with hips abducted
B. Supine with knees extended
C. Side-lying with hips and knees flexed
D. Prone with a pillow under the abdomen
Correct Answer: C
Rationale: The side-lying position with hips and knees flexed (Sims' position) is the
preferred positioning for rectal and prostate examination. This position allows for
optimal visualization and palpation of the rectum and prostate gland while maintaining
patient comfort and dignity. The lithotomy position (A) is used for pelvic examinations in
females. Supine (B) and prone (D) positions do not provide adequate access for DRE.
2. During a digital rectal examination of a 55-year-old male, the nurse practitioner
palpates the posterior prostate. Which finding would be considered NORMAL?
A. Hard, irregular, and nodular
B. Smooth, rubbery, and round
C. Tender, boggy, and enlarged
D. Fixed and asymmetrical
, Correct Answer: B
Rationale: Normal prostate examination findings include a smooth, rubbery, and round
consistency. As males age, the prostate typically becomes more rubbery due to benign
prostatic hyperplasia. A hard, irregular, nodular prostate (A) is suggestive of prostate
malignancy. A tender, boggy prostate (C) indicates prostatitis. A fixed, asymmetrical
prostate (D) is abnormal and warrants further investigation.
3. A 72-year-old female reports that during bowel movements, she notices a red, fleshy
mass protruding from her rectum that slides back inside when she stands up. Which
condition does this describe?
A. Internal hemorrhoids
B. External hemorrhoids
C. Rectal prolapse
D. Anal fissure
Correct Answer: C
Rationale: Rectal prolapse is characterized by the sliding of rectal tissue through the
anus, often appearing as a red mass during defecation that may reduce spontaneously
when standing. Internal hemorrhoids (A) are smooth, round masses palpated digitally
and typically do not protrude unless severely prolapsed. External hemorrhoids (B)
appear as purple/dark lesions around the anal verge. Anal fissures (D) present as linear
tears with sharp pain during defecation.
4. During a digital rectal examination, the nurse practitioner palpates smooth, round
masses within the anal canal. These findings are most consistent with:
A. External thrombosed hemorrhoids
B. Internal hemorrhoids
C. Rectal polyps
D. Anal carcinoma
Correct Answer: B
EXAM 3
Advanced Health Assessment
Actual Questions with Verified Answers
Wilkes University
Pass the Exam with Confidence
What You Will Get:
➢150 Exam Questions w/ Answers
➢Expert Rationales included
➢Exam 3 Comprehensive Study Guide
, PREVIEW ACCESS
Preview Pages Below
Get the Complete PDF
After Purchase
" If you require further clarification or in need of any study
resources, feel free to Message me.
"
Full access unlocks the complete document after purchase.
,Table of Contents
NSG 500 Exam 3 ............................................................................. 2
NSG 500 Exam 3 ........................................................................... 35
NSG 500 Exam 3 Study Guide .................................................... 67
NSG 500 Exam 3
1. A 68-year-old male presents for his annual physical examination. The nurse
practitioner is preparing to perform a digital rectal exam (DRE) and prostate assessment.
Which positioning is most appropriate for this examination?
A. Lithotomy position with hips abducted
B. Supine with knees extended
C. Side-lying with hips and knees flexed
D. Prone with a pillow under the abdomen
Correct Answer: C
Rationale: The side-lying position with hips and knees flexed (Sims' position) is the
preferred positioning for rectal and prostate examination. This position allows for
optimal visualization and palpation of the rectum and prostate gland while maintaining
patient comfort and dignity. The lithotomy position (A) is used for pelvic examinations in
females. Supine (B) and prone (D) positions do not provide adequate access for DRE.
2. During a digital rectal examination of a 55-year-old male, the nurse practitioner
palpates the posterior prostate. Which finding would be considered NORMAL?
A. Hard, irregular, and nodular
B. Smooth, rubbery, and round
C. Tender, boggy, and enlarged
D. Fixed and asymmetrical
, Correct Answer: B
Rationale: Normal prostate examination findings include a smooth, rubbery, and round
consistency. As males age, the prostate typically becomes more rubbery due to benign
prostatic hyperplasia. A hard, irregular, nodular prostate (A) is suggestive of prostate
malignancy. A tender, boggy prostate (C) indicates prostatitis. A fixed, asymmetrical
prostate (D) is abnormal and warrants further investigation.
3. A 72-year-old female reports that during bowel movements, she notices a red, fleshy
mass protruding from her rectum that slides back inside when she stands up. Which
condition does this describe?
A. Internal hemorrhoids
B. External hemorrhoids
C. Rectal prolapse
D. Anal fissure
Correct Answer: C
Rationale: Rectal prolapse is characterized by the sliding of rectal tissue through the
anus, often appearing as a red mass during defecation that may reduce spontaneously
when standing. Internal hemorrhoids (A) are smooth, round masses palpated digitally
and typically do not protrude unless severely prolapsed. External hemorrhoids (B)
appear as purple/dark lesions around the anal verge. Anal fissures (D) present as linear
tears with sharp pain during defecation.
4. During a digital rectal examination, the nurse practitioner palpates smooth, round
masses within the anal canal. These findings are most consistent with:
A. External thrombosed hemorrhoids
B. Internal hemorrhoids
C. Rectal polyps
D. Anal carcinoma
Correct Answer: B
