NURS5220 Exam #2 Questions and
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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
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.
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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?
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
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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?"
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
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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?
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.
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
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