NSG 3160 Health Assessment Exam 4 Review of 200
latest real exam questions and correct answers graded
A+ Galen College/ Galen NSG 3160 Exam 4 Review –
Questions and answers 2026-2027
Clusters of small vesicles on the glans, surrounded by erythema are associated
with:
A. Peyronie's disease
B. Genital warts
C. Genital herpes
D. Syphilitic cancer
C
Which of the following conditions is associated with a male patient's foreskin that
is fixed and tight and will not retract over the glans?
A. Phimosis
B. Epispadias
C. Urethral stricture
D. Peyronie's disease
A
Since an older male patient's father has died of prostate cancer, which tests should
be performed at this time? Select all that apply.
A. Blood test for prostate-specific antigen (PSA)
B. Urinalysis
C. Transrectal ultrasound
D. Digital rectal examination (DRE)
E. Prostate biopsy
A, D
What is true about the anal canal?
A. Is approximately 2cm long in the adult
B. Slants backward toward the sacrum
1
,C. Contains hair and sebaceous glands
D. Is the outlet of the GI tract
D
Which of the following is true about the sphincters?
A. The internal sphincter is under voluntary control
B. The external sphincter is under voluntary control
C. Both sphincters remain slightly always relaxed
D. The internal sphincter surrounds the external sphincter
B
Which of these statements is correct about the anus and rectum?
A. The rectum is approximately 8 cm long
B. The anorectal junction cannot be palpated
C. Above the anal canal, the rectum turns anteriorly
D. No sensory nerves are in the anal canal or rectum
B
Which structure secretes a thin, milky alkaline fluid to enhance the viability of
sperm?
A. Cowper gland
B. Prostate gland
C. Median sulcus
D. Bulbourethral gland
B
Which instrument or technique is the most appropriate examination of the sigmoid
colon?
A. Proctoscope
B. Ultrasound
C. Colonoscope
D. Rectal examination with an examining finger
C
Which of the following is associated with pain following bowel movements?
A. Pinworms
B. Hemorrhoids
2
,C. Colon cancer
D. Fecal incontinence
B
Which of the following is associated with stomach pain and black, soft stools?
A. Excessive fat caused by malabsorption
B. Increased iron intake, resulting from a change in diet
C. Occult blood, resulting from GI bleeding
D. Absent bile pigment from liver problems
C
Which early detection measure is appropriate for an older patient with a family
history of colon cancer?
A. Annual proctoscopy
B. Colonoscopy every 10 years
C. Fecal test for blood every 6 months
D. DREs every 2 years
B
Which of the following is associated with the pigmentation of the anus that is
darker than the surrounding skin, the anal opening is closed, and a skin sac that is
shiny and blue, along with painful bowel movements?
A. Anal fistula
B. Pilonidal cyst
C. Rectal prolapse
D. Thrombosed hemorrhoid
D
Which of the following is associated correct technique when palpating the rectum?
A. Flex the finger and slowly insert it toward the umbilicus
B. First instruct the patient that this procedure will be painful
C. Insert and extend index finger at a right angle to the anus
D. Pale the finger directly into the anus to overcome the tight sphincter
A
What should the nurse do when noticing a firm, irregularly shaped mass while
performing a rectal examination?
3
, A. Continue with the examination and document the finding in the chart
B. Instruct the patient to return for a repeat assessment in 1 month
C. Tell the patient that a mass was felt, but it is nothing to worry about
D. Report the finding, and refer the patient to a specialist for further examination
D
Which of the following represents a small palpable lesion with a tuft of hair
located directly over the coccyx?
A. Recta polyp
B. Pruritus ani
C. Carcinoma
D. Pilonidal cyst
D
Which of the following represents a moist, red, doughnut-shaped protrusion from
the anus?
A. Rectal polyp
B. Hemorrhoid
C. Rectal fissure
D. Rectal prolapse
D
What would the nurse expect to find with an older patient having difficulty in
passing urine, urinating frequently with a burning sensation, and back pain?
A. Asymmetric, hard, and fixed prostate gland
B. Occult blood and perianal pain to palpation
C. Symmetrically enlarged, soft prostate gland
D. Soft nodule protruding from the rectal mucosa
A
Which statement regarding the PSA blood test is true for black patients, according
to the American Cancer Society?
A. Should be performed with the visit
B. Should be performed at age 45 years
C. Should be performed at age 50 years
D. Is only necessary if a family history of prostate cancer exists
B
4
latest real exam questions and correct answers graded
A+ Galen College/ Galen NSG 3160 Exam 4 Review –
Questions and answers 2026-2027
Clusters of small vesicles on the glans, surrounded by erythema are associated
with:
A. Peyronie's disease
B. Genital warts
C. Genital herpes
D. Syphilitic cancer
C
Which of the following conditions is associated with a male patient's foreskin that
is fixed and tight and will not retract over the glans?
A. Phimosis
B. Epispadias
C. Urethral stricture
D. Peyronie's disease
A
Since an older male patient's father has died of prostate cancer, which tests should
be performed at this time? Select all that apply.
A. Blood test for prostate-specific antigen (PSA)
B. Urinalysis
C. Transrectal ultrasound
D. Digital rectal examination (DRE)
E. Prostate biopsy
A, D
What is true about the anal canal?
A. Is approximately 2cm long in the adult
B. Slants backward toward the sacrum
1
,C. Contains hair and sebaceous glands
D. Is the outlet of the GI tract
D
Which of the following is true about the sphincters?
A. The internal sphincter is under voluntary control
B. The external sphincter is under voluntary control
C. Both sphincters remain slightly always relaxed
D. The internal sphincter surrounds the external sphincter
B
Which of these statements is correct about the anus and rectum?
A. The rectum is approximately 8 cm long
B. The anorectal junction cannot be palpated
C. Above the anal canal, the rectum turns anteriorly
D. No sensory nerves are in the anal canal or rectum
B
Which structure secretes a thin, milky alkaline fluid to enhance the viability of
sperm?
A. Cowper gland
B. Prostate gland
C. Median sulcus
D. Bulbourethral gland
B
Which instrument or technique is the most appropriate examination of the sigmoid
colon?
A. Proctoscope
B. Ultrasound
C. Colonoscope
D. Rectal examination with an examining finger
C
Which of the following is associated with pain following bowel movements?
A. Pinworms
B. Hemorrhoids
2
,C. Colon cancer
D. Fecal incontinence
B
Which of the following is associated with stomach pain and black, soft stools?
A. Excessive fat caused by malabsorption
B. Increased iron intake, resulting from a change in diet
C. Occult blood, resulting from GI bleeding
D. Absent bile pigment from liver problems
C
Which early detection measure is appropriate for an older patient with a family
history of colon cancer?
A. Annual proctoscopy
B. Colonoscopy every 10 years
C. Fecal test for blood every 6 months
D. DREs every 2 years
B
Which of the following is associated with the pigmentation of the anus that is
darker than the surrounding skin, the anal opening is closed, and a skin sac that is
shiny and blue, along with painful bowel movements?
A. Anal fistula
B. Pilonidal cyst
C. Rectal prolapse
D. Thrombosed hemorrhoid
D
Which of the following is associated correct technique when palpating the rectum?
A. Flex the finger and slowly insert it toward the umbilicus
B. First instruct the patient that this procedure will be painful
C. Insert and extend index finger at a right angle to the anus
D. Pale the finger directly into the anus to overcome the tight sphincter
A
What should the nurse do when noticing a firm, irregularly shaped mass while
performing a rectal examination?
3
, A. Continue with the examination and document the finding in the chart
B. Instruct the patient to return for a repeat assessment in 1 month
C. Tell the patient that a mass was felt, but it is nothing to worry about
D. Report the finding, and refer the patient to a specialist for further examination
D
Which of the following represents a small palpable lesion with a tuft of hair
located directly over the coccyx?
A. Recta polyp
B. Pruritus ani
C. Carcinoma
D. Pilonidal cyst
D
Which of the following represents a moist, red, doughnut-shaped protrusion from
the anus?
A. Rectal polyp
B. Hemorrhoid
C. Rectal fissure
D. Rectal prolapse
D
What would the nurse expect to find with an older patient having difficulty in
passing urine, urinating frequently with a burning sensation, and back pain?
A. Asymmetric, hard, and fixed prostate gland
B. Occult blood and perianal pain to palpation
C. Symmetrically enlarged, soft prostate gland
D. Soft nodule protruding from the rectal mucosa
A
Which statement regarding the PSA blood test is true for black patients, according
to the American Cancer Society?
A. Should be performed with the visit
B. Should be performed at age 45 years
C. Should be performed at age 50 years
D. Is only necessary if a family history of prostate cancer exists
B
4
