This NURS 5220 Exam #2 2026/2027 questions and answers study resource provides an extensive, 200-page exam review covering physical examination techniques, clinical assessment findings, diagnostic maneuvers, lifespan assessment, and recognition of common abnormalities. The document is organized around patient-based multiple-choice questions with correct answers and explanatory rationales, making it particularly useful for active recall and application of physical assessment concepts to clinical scenarios. The cover identifies the material as NURS5220 Exam #2 2026/2027 and states that it contains exam questions and answers. No university or institution is identified in the uploaded material, so one should not be added without supporting evidence. NURS5220 Exa1
A major section covers rectal, anal, and prostate assessment, including normal rectal-wall findings, patient positioning for rectal examination, anal sphincter assessment, prostate palpation, benign prostatic hypertrophy, prostatitis, prostate cancer, prostatic abscess, hemorrhoids, perianal abscesses, anorectal fistulas, rectal prolapse, and shelf lesions associated with peritoneal metastases. Pediatric and neonatal considerations include anal patency, passage of meconium, imperforate anus, Hirschsprung disease, cystic fibrosis, and indications for performing a rectal examination in children. NURS5220 Exa1
The document also contains extensive musculoskeletal assessment material. Students review active and passive range of motion, normal joint movement, muscle-strength grading, spinal alignment, kyphosis, lordosis, scoliosis, osteoporosis, rheumatoid arthritis, osteomyelitis, temporomandibular joint dysfunction, carpal tunnel syndrome, rotator-cuff abnormalities, knee effusion and ligament instability, lumbar nerve-root irritation, and developmental hip assessment. High-yield examination maneuvers include the Tinel sign, Neer test, straight-leg-raising test, drawer test, Barlow-Ortolani maneuver, Allis sign, Gower sign, FABER test, and knee ballottement. NURS5220 Exa1
A substantial neurological section reviews cranial nerves, cerebellar function, sensory assessment, motor pathways, deep-tendon and superficial reflexes, balance, coordination, dermatomes, and neurological development. Questions cover the Romberg test, joint-position sensation, extinction phenomenon, cremasteric reflex, Babinski response, brachioradial reflex, clonus, and Kernig and Brudzinski signs. Clinical disorders incorporated into the questions include Parkinson disease, stroke, essential tremor, Bell palsy, Huntington disease, peripheral neurological dysfunction, and meningeal irritation. NURS5220 Exa1
The resource extends beyond basic examination into mental-status and cognitive assessment. It includes attention and cognition, judgment, thought process and content, delirium, Alzheimer disease, vascular dementia, schizophrenia, ADHD, speech and Broca-area function, and behavioral manifestations of neurological disease. These questions help students connect examination findings with cognitive, psychiatric, and neurological conditions rather than simply memorizing isolated assessment procedures. NURS5220 Exa1 NURS5220 Exa1
Students preparing for pediatric and sports-related assessment will find coverage of infant neurological development, primitive reflexes, developmental milestones, concussion assessment, sports preparticipation examinations, the female athlete triad, atlantoaxial instability, mononucleosis and return to sports, and contraindications to athletic participation. The document also addresses assessment considerations associated with Down syndrome and age-specific examination approaches for infants and children. NURS5220 Exa1
Additional content covers abdominal, gastrointestinal, genitourinary, male reproductive, and emergency/trauma assessment. Examples include bowel sounds, congenital abdominal findings, rebound tenderness and Blumberg sign, Cullen sign, Dance sign, lactose intolerance, hernias, genital lesions, testicular examination, penile carcinoma, airway assessment, peripheral perfusion, pneumothorax, flail chest, cervical-spine precautions, and primary versus secondary trauma assessment. NURS5220 Exa1 NURS5220 Exa1 NURS5220 Exa1
Relevant students: This document is especially relevant for NURS 5220 students, nursing students, advanced health assessment students, nurse practitioner students, APRN students, family nurse practitioner students, graduate nursing students, physical assessment students, and other health-sciences students preparing for examinations involving comprehensive patient assessment. Its combination of clinical scenarios, examination techniques, expected findings, abnormal findings, and answer rationales makes it suitable for exam revision, self-testing, active recall, and clinical assessment practice. NURS5220 Exa1
Academic references: The uploaded document itself should be treated as the primary source for the specific questions, answers, terminology, and rationales described above. Its content is consistent with standard advanced physical-assessment subject areas commonly covered in comprehensive nursing health-assessment textbooks, including rectal and prostate examination, musculoskeletal assessment, neurological examination, pediatric assessment, mental-status evaluation, and emergency assessment. Because the uploaded file does not provide sufficiently clear bibliographic information establishing one specific textbook or journal as the source for the entire 200-page question bank, attributing all of its material to a particular external publication would not be accurate. NURS5220 Exa1
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NURS5220 Exam #2 2026/2027
Exam Questions and 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?
A. A smooth, even, and uninterrupted surface
B. Small nodules from internal hemorrhoids
C. Tissue folds from the valves of Houston
,D. Bulging from the bladder wall - ANSWER ✔✔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. - ANSWER ✔✔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?
A. Lithotomy position
B. Left lateral position with the knees flexed
,C. Knee-chest position
D. Prone position - ANSWER ✔✔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 examiner is most
applicable for this situation?
A. "Where did you read that information?"
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?" - ANSWER ✔✔D:
CorrectDuring pregnancy, the stool color may be dark green or black if
the woman is taking iron supplements.
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, 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 - ANSWER ✔✔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?
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 - ANSWER ✔✔D:
CorrectRotate your finger to examine the muscular anal ring.