Health Assessment Exam 4 Latest review of 200
real exam questions with correct verified
answers/ NSG 3160 Exam 4 Review 2026-2027/
Galen Health Assessment NSG 3160 Exam 4 Prep
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 - ANSWER-b. The anorectal
junction cannot be palpated
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 - ANSWER-b. Prostate gland
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 - ANSWER-c. Colonoscope
1
,Which of the following is associated with pain following bowel movements?
a. Pinworms
b. Hemorrhoids
c. Colon cancer
d. Fecal incontinence - ANSWER-b. Hemorrhoids
Which of the following is associated with stomach pains 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 gastrointestinal bleeding
d. Absent bile pigment from liver problems - ANSWER-c. Occult blood, resulting
from gastrointestinal bleeding
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 - ANSWER-b. Colonoscopy every 10 years
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
2
,d. Thrombosed hemorrhoid - ANSWER-d. Thrombosed hemorrhoid
Which of the following is a 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 an extended index finger at a right angle to the anus.
d. Place the finger directly into the anus to overcome the tight sphincter. -
ANSWER-a. Flex the finger and slowly insert it toward the umbilicus.
What should the nurse do when noticing a firm, irregularly shaped mass while
performing a rectal examination?
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 -
ANSWER-d. Report the finding, and refer the patient to a specialist for further
examination
Which of the following represents a small palpable lesion with a tuft of hair
located directly over the coccyx?
a. Rectal polyp
b. Pruritus ani
c. Carcinoma
d. Pilonidal cyst - ANSWER-d. Pilonidal cyst
Which of the following represents a moist, red, doughnut-shaped protrusion from
the anus?
3
, a. Rectal polyp
b. Hemorrhoid
c. Rectal fissure
d. Rectal prolapse - ANSWER-d. Rectal prolapse
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 - ANSWER-a. Asymmetric,
hard, and fixed prostate gland
Which statement regarding the PSA blood test is true for black patients, according
to the American Cancer Society?
a. Should be performed with this 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 - ANSWER-b.
Should be performed at age 45 years
Which condition is associated with fever, chills, malaise, urinary frequency,
urgency, urethral discharge and a dull aching pain in the perineal and rectal area?
a. Prostatitis
b. Polyps
c. Carcinoma of the prostate
d. BPH - ANSWER-a. Prostatitis
4
real exam questions with correct verified
answers/ NSG 3160 Exam 4 Review 2026-2027/
Galen Health Assessment NSG 3160 Exam 4 Prep
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 - ANSWER-b. The anorectal
junction cannot be palpated
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 - ANSWER-b. Prostate gland
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 - ANSWER-c. Colonoscope
1
,Which of the following is associated with pain following bowel movements?
a. Pinworms
b. Hemorrhoids
c. Colon cancer
d. Fecal incontinence - ANSWER-b. Hemorrhoids
Which of the following is associated with stomach pains 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 gastrointestinal bleeding
d. Absent bile pigment from liver problems - ANSWER-c. Occult blood, resulting
from gastrointestinal bleeding
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 - ANSWER-b. Colonoscopy every 10 years
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
2
,d. Thrombosed hemorrhoid - ANSWER-d. Thrombosed hemorrhoid
Which of the following is a 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 an extended index finger at a right angle to the anus.
d. Place the finger directly into the anus to overcome the tight sphincter. -
ANSWER-a. Flex the finger and slowly insert it toward the umbilicus.
What should the nurse do when noticing a firm, irregularly shaped mass while
performing a rectal examination?
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 -
ANSWER-d. Report the finding, and refer the patient to a specialist for further
examination
Which of the following represents a small palpable lesion with a tuft of hair
located directly over the coccyx?
a. Rectal polyp
b. Pruritus ani
c. Carcinoma
d. Pilonidal cyst - ANSWER-d. Pilonidal cyst
Which of the following represents a moist, red, doughnut-shaped protrusion from
the anus?
3
, a. Rectal polyp
b. Hemorrhoid
c. Rectal fissure
d. Rectal prolapse - ANSWER-d. Rectal prolapse
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 - ANSWER-a. Asymmetric,
hard, and fixed prostate gland
Which statement regarding the PSA blood test is true for black patients, according
to the American Cancer Society?
a. Should be performed with this 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 - ANSWER-b.
Should be performed at age 45 years
Which condition is associated with fever, chills, malaise, urinary frequency,
urgency, urethral discharge and a dull aching pain in the perineal and rectal area?
a. Prostatitis
b. Polyps
c. Carcinoma of the prostate
d. BPH - ANSWER-a. Prostatitis
4
