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Exam (elaborations)

CHAPTER 21: ANUS, RECTUM, AND PROSTATE

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Ball: Seidel’s Guide to Physical Examination, 9th Edition MULTIPLE CHOICE 1. Baby Sue is born with an imperforate anus. However, her outward anal appearance is normal. Which sign would indicate to the healthcare provider that she has a closed anal passageway? a. Development of a scaphoid abdomen b. Vomiting after her first feeding c. Bleeding from the rectum d. Failure to pass meconium stool ANS: D Failure to pass meconium stool indicates that a newborn has an imperforate anus. DIF: Cognitive Level: Applying (Application) OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation 2. In males, which surface of the prostate gland is accessible by digital examination? a. Median lobe b. Posterior c. Superior d. Anterior ANS: B The posterior surface of the prostate gland lies close to the anterior wall of the rectum and is palpable through digital rectal examination DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation 3. The prostatic sulcus: a. divides the right and left lateral lobes. b. is the site of the seminal vesicle emergence. c. refers to the anterior aspect of the prostate. d. secretes clear viscous mucus.

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C HAPTER 21: A NUS , R ECTUM , AND
P ROSTATE
Ball: Seidel’s Guide to Physical Examination, 9th Edition



MULTIPLE CHOICE


1. Baby Sue is born with an imperforate anus. However, her outward anal
appearance is normal. Which sign would indicate to the healthcare provider that
she has a closed anal passageway?
a. Development of a scaphoid abdomen
b. Vomiting after her first feeding
c. Bleeding from the rectum
d. Failure to pass meconium stool



ANS: D



Failure to pass meconium stool indicates that a newborn has an imperforate
anus.



DIF: Cognitive Level: Applying (Application) OBJ: Nursing process—
assessment MSC: Physiologic Integrity: Physiologic Adaptation



2. In males, which surface of the prostate gland is accessible by digital
examination?
a. Median lobe
b. Posterior

, c. Superior
d. Anterior



ANS: B



The posterior surface of the prostate gland lies close to the anterior wall of
the rectum and is palpable through digital rectal examination



DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation



3. The prostatic sulcus:
a. divides the right and left lateral lobes.
b. is the site of the seminal vesicle emergence.
c. refers to the anterior aspect of the prostate.
d. secretes clear viscous mucus.



ANS: A



The prostatic sulcus divides the two lateral lobes and is palpated as a shallow
groove.



DIF: Cognitive Level: Remembering (Knowledge) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation



4. The rectal past medical history of all patients should include inquiry about:

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