1
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NURS5220 Exam #2 Questions and
Answers (100% Correct Answers) Already
Graded A+
Mr. Tucker is a 56-year-old patient who presents to your office with
a complaint of rectal pain. On examination you are palpating the
lateral and posterior rectal walls. What should you expect to feel?
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A. A smooth, even, and uninterrupted surface
B. Small nodules from internal hemorrhoids
C. Tissue folds from the valves of Houston
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D. Bulging from the bladder wall—Ans: A: CorrectThe walls should
feel smooth, even, and uninterrupted.
Mr. Yates is a 62-year-old patient who presents with a chief
complaint of rectal pain. The examiner will focus the history and
examination on which known fact?
A. Rectal pain is almost always accompanied by an infection.
B. Rectal pain is almost always an indication of local disease.
C. A complaint of rectal pain is usually associated with a serious
systemic process.
D. One of the most common causes of rectal pain is prostatic
enlargement.—Ans: B: CorrectRectal pain is almost always
indicative of a local disease.
Mr. Bower is a 78-year-old patient who is unable to assume a
standing position for a routine rectal examination. Which is the
best alternative position?
, 2
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A. Lithotomy position
B. Left lateral position with the knees flexed
C. Knee-chest position
D. Prone position—Ans: B: CorrectThe rectal examination can be
performed with the patient in any of these positions: knee-chest;
left lateral with hips and knees flexed; lithotomy, or standing with
the hips flexed and the upper body supported by the examining
table.
A pregnant woman presents to the emergency department with
the complaint of dark stools. She tells the examiner, "I read in a
magazine that this is a sign of bleeding." Which question by the
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examiner is most applicable for this situation?
A. "Where did you read that information?"
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B. "Have you been giving yourself enemas?"
C. "How much fruit and vegetable intake have you had in the last
few days?"
D. "Are you taking prenatal vitamins?"—Ans: D: CorrectDuring
pregnancy, the stool color may be dark green or black if the
woman is taking iron supplements.
Mr. Allen is a 56-year-old patient who presents for a routine
physical examination. Before palpating his prostate, you should tell
him, "You may feel an urge to _______."
A. urinate
B. defecate
C. vomit
D. faint—Ans: A: CorrectIn men, you can palpate the posterior
surface of the prostate gland on the anterior wall. Tell the patient
that he may feel the urge to urinate but that he will not.
How is the anal ring assessed?
, 3
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A. Inspection of the anus
B. External palpation of the anus
C. Use of a sigmoidoscope
D. Rotation of a finger within the anal sphincter—Ans: D:
CorrectRotate your finger to examine the muscular anal ring.
Which example best describes how firm you expect a healthy
prostate gland to feel?
A. It feels like a soft olive or grape.
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B. It feels like the topside of a plastic LEGO piece.
C. It feels like a small baseball.
D. It feels like a pencil eraser—Ans: D: . CorrectThe gland should
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feel like a pencil eraser—firm, smooth, and slightly movable—and
it should be nontender.
What is the best method of verifying anal patency in a newborn?
A. Inserting a lubricated thermometer through the anus and into
the rectum
B. Inserting the fifth digit through the anus and into the rectum
C. Checking for the passage of meconium in the first 24 to 48
hours after birth
D. Inspecting the anus for an anal opening—Ans: C: CorrectIf
there is no passage of stool in 24 hours in a newborn, suspect
rectal atresia, Hirschsprung disease (congenital megacolon), or
cystic fibrosis.
, 4
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Mr. Santos is a 67-year-old patient who presents to your office. On
examination, you palpate his prostate, noting that it is hard and
irregular. The median sulcus is not palpable. These findings are
consistent with:
A. prostate cancer.
B. benign prostate hypertrophy.
C. prostatitis.
D. a rectal mass.—Ans: A: CorrectWith cancer of the prostate, a
hard, irregular nodule may be palpable on prostate examination.
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Mr. Mills, a 38-year-old patient, presents with severe rectal pain
and fever. Which condition might be the cause of the symptoms?
A. An imperforate anus
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B. A perianal abscess
C. Benign prostatic hypertrophy
D. An anorectal fistula—Ans: B: CorrectPerianal abscess is an
infection of the soft tissues surrounding the anal canal, with
formation of a discrete abscess cavity. Symptoms include
tenderness, fever, and pain on defecation or with sitting or
walking.
"Boggy, enlarged, and tender" on rectal examination is descriptive
of which condition?
A. Prostatitis
B. Anorectal abscess
C. Prostatic carcinoma
D. Rectal polyp—Ans: A: CorrectSeminal vesicles are often
involved in prostatitis and may be dilated and tender on
palpation; however, the prostate may feel boggy, enlarged, and
tender or have palpable areas of fibrosis that simulate neoplasm.
For Expert help and assignment solutions, +254707240657
NURS5220 Exam #2 Questions and
Answers (100% Correct Answers) Already
Graded A+
Mr. Tucker is a 56-year-old patient who presents to your office with
a complaint of rectal pain. On examination you are palpating the
lateral and posterior rectal walls. What should you expect to feel?
© 2025 Assignment Expert
A. A smooth, even, and uninterrupted surface
B. Small nodules from internal hemorrhoids
C. Tissue folds from the valves of Houston
Guru01 - Stuvia
D. Bulging from the bladder wall—Ans: A: CorrectThe walls should
feel smooth, even, and uninterrupted.
Mr. Yates is a 62-year-old patient who presents with a chief
complaint of rectal pain. The examiner will focus the history and
examination on which known fact?
A. Rectal pain is almost always accompanied by an infection.
B. Rectal pain is almost always an indication of local disease.
C. A complaint of rectal pain is usually associated with a serious
systemic process.
D. One of the most common causes of rectal pain is prostatic
enlargement.—Ans: B: CorrectRectal pain is almost always
indicative of a local disease.
Mr. Bower is a 78-year-old patient who is unable to assume a
standing position for a routine rectal examination. Which is the
best alternative position?
, 2
For Expert help and assignment solutions, +254707240657
A. Lithotomy position
B. Left lateral position with the knees flexed
C. Knee-chest position
D. Prone position—Ans: B: CorrectThe rectal examination can be
performed with the patient in any of these positions: knee-chest;
left lateral with hips and knees flexed; lithotomy, or standing with
the hips flexed and the upper body supported by the examining
table.
A pregnant woman presents to the emergency department with
the complaint of dark stools. She tells the examiner, "I read in a
magazine that this is a sign of bleeding." Which question by the
© 2025 Assignment Expert
examiner is most applicable for this situation?
A. "Where did you read that information?"
Guru01 - Stuvia
B. "Have you been giving yourself enemas?"
C. "How much fruit and vegetable intake have you had in the last
few days?"
D. "Are you taking prenatal vitamins?"—Ans: D: CorrectDuring
pregnancy, the stool color may be dark green or black if the
woman is taking iron supplements.
Mr. Allen is a 56-year-old patient who presents for a routine
physical examination. Before palpating his prostate, you should tell
him, "You may feel an urge to _______."
A. urinate
B. defecate
C. vomit
D. faint—Ans: A: CorrectIn men, you can palpate the posterior
surface of the prostate gland on the anterior wall. Tell the patient
that he may feel the urge to urinate but that he will not.
How is the anal ring assessed?
, 3
For Expert help and assignment solutions, +254707240657
A. Inspection of the anus
B. External palpation of the anus
C. Use of a sigmoidoscope
D. Rotation of a finger within the anal sphincter—Ans: D:
CorrectRotate your finger to examine the muscular anal ring.
Which example best describes how firm you expect a healthy
prostate gland to feel?
A. It feels like a soft olive or grape.
© 2025 Assignment Expert
B. It feels like the topside of a plastic LEGO piece.
C. It feels like a small baseball.
D. It feels like a pencil eraser—Ans: D: . CorrectThe gland should
Guru01 - Stuvia
feel like a pencil eraser—firm, smooth, and slightly movable—and
it should be nontender.
What is the best method of verifying anal patency in a newborn?
A. Inserting a lubricated thermometer through the anus and into
the rectum
B. Inserting the fifth digit through the anus and into the rectum
C. Checking for the passage of meconium in the first 24 to 48
hours after birth
D. Inspecting the anus for an anal opening—Ans: C: CorrectIf
there is no passage of stool in 24 hours in a newborn, suspect
rectal atresia, Hirschsprung disease (congenital megacolon), or
cystic fibrosis.
, 4
For Expert help and assignment solutions, +254707240657
Mr. Santos is a 67-year-old patient who presents to your office. On
examination, you palpate his prostate, noting that it is hard and
irregular. The median sulcus is not palpable. These findings are
consistent with:
A. prostate cancer.
B. benign prostate hypertrophy.
C. prostatitis.
D. a rectal mass.—Ans: A: CorrectWith cancer of the prostate, a
hard, irregular nodule may be palpable on prostate examination.
© 2025 Assignment Expert
Mr. Mills, a 38-year-old patient, presents with severe rectal pain
and fever. Which condition might be the cause of the symptoms?
A. An imperforate anus
Guru01 - Stuvia
B. A perianal abscess
C. Benign prostatic hypertrophy
D. An anorectal fistula—Ans: B: CorrectPerianal abscess is an
infection of the soft tissues surrounding the anal canal, with
formation of a discrete abscess cavity. Symptoms include
tenderness, fever, and pain on defecation or with sitting or
walking.
"Boggy, enlarged, and tender" on rectal examination is descriptive
of which condition?
A. Prostatitis
B. Anorectal abscess
C. Prostatic carcinoma
D. Rectal polyp—Ans: A: CorrectSeminal vesicles are often
involved in prostatitis and may be dilated and tender on
palpation; however, the prostate may feel boggy, enlarged, and
tender or have palpable areas of fibrosis that simulate neoplasm.
