Question 1

A 13-year-old girl is visiting the clinic for a sports physical.The nurse should remember to include which of the following in the examination?

Accepted Answer

A)  Test for occult blood
B)  The Valsalva maneuver
C)  Internal palpation of the anus
D)  Inspection of the perianal area

Question 2

While performing a rectal examination,the nurse notes a firm,irregularly shaped mass.What should the nurse do next?

Accepted Answer

A)  Continue with exam and note finding in chart.
B)  Instruct patient to return for 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.

Question 3

While assessing a hospitalized,bedridden patient,the nurse notes that the patient has been incontinent of stool.The stool is loose and gray-tan in color.The nurse recognizes that this finding indicates which of the following?

Accepted Answer

A)  Occult blood
B)  Inflammation
C)  Absent bile pigment
D)  Ingestion of iron preparations

Question 4

The mother of a 5-year-old girl tells the nurse that she has noticed her daughter "scratching at her bottom a lot the last few days." During the assessment,the nurse finds redness and raised skin in the anal area.This most likely indicates:

Accepted Answer

A)  pinworms.
B)  chickenpox.
C)  child abuse.
D)  bacterial infection.

Question 5

A 70-year-old man is visiting the clinic for "difficulty in passing urine." In the history he indicates he has to urinate frequently,especially at night.He has burning when he urinates and has noticed pain in his back.Given this history,what might the nurse expect to find during the physical assessment?

Accepted Answer

A)  Asymmetric,hard,fixed prostate gland
B)  Occult blood and perianal pain to palpation
C)  Symmetrically enlarged,soft prostate gland
D)  A soft nodule protruding from rectal mucosa A

Question 6

Which of the following techniques is correct for palpation of the rectum?

Accepted Answer

A)  Flex the finger and insert slowly toward the umbilicus.
B)  Instruct the patient first that this will be a painful procedure.
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.

Question 7

During the assessment of an 18-month-old child,the mother expresses concern to the nurse about the infant's inability to toilet train.What would be the nurse's best response?

Accepted Answer

A)  "Some children are just more difficult to train,so I wouldn't worry about it yet."
B)  "Have you considered reading any of the books on toilet training? They can be very helpful."
C)  "This could mean there is a problem in your baby's development.We'll watch her closely for the next few months."
D)  "The nerves that will allow your baby to have control over the passing of stools are not developed until at least 18 to 24 months of age."

Question 8

A 60-year-old man has just been told he has benign prostatic hypertrophy.He has a friend who just died from cancer of the prostate and is concerned this will happen to him.How should the nurse respond?

Accepted Answer

A)  "The swelling in your prostate is only temporary and will go away."
B)  "We will treat you with chemotherapy so we can control the cancer."
C)  "It would be very unusual for a man your age to have cancer of the prostate."
D)  "The enlargement of your prostate is caused by hormone changes and not cancer."

Question 9

The nurse is caring for a newborn infant.Thirty hours after birth,the infant passes a dark green meconium stool.The nurse recognizes that this is important because:

Accepted Answer

A)  this stool would indicate anal patency.
B)  the dark green color could indicate occult blood in the stool.
C)  meconium stool can be reflective of distress in the newborn.
D)  the newborn should have passed the first stool within 12 hours after birth.

Question 10

After completing an assessment of a 60-year-old man with a family history of colon cancer,the nurse discusses with him early detection measures for colon cancer.The nurse is sure to mention the need for a/an:

Accepted Answer

A)  annual proctoscopy.
B)  colonoscopy every 10 years.
C)  fecal test for blood every 6 months.
D)  digital rectal examinations every 2 years. B

Question 11

Which of the following statements about the anal canal is true?

Accepted Answer

A)  The anal canal is about 2 cm long in the adult.
B)  The anal canal slants backward toward the sacrum.
C)  The anal canal contains hair and sebaceous glands.
D)  The anal canal is the outlet for the gastrointestinal tract.

Question 12

The nurse is performing a digital examination of a patient's prostate gland and notes that characteristics of a normal prostate gland include: Select all that apply.

Accepted Answer

A)  the gland is protruding 1 cm into the rectum.
B)  heart-shaped with a palpable central groove.
C)  flat with no groove palpable.
D)  boggy and soft consistency.
E)  smooth surface,elastic,or rubbery consistency.F) fixed mobility.

Question 13

During a discussion for a men's health group,the nurse relates that the group with the highest incidence of prostate cancer is:

Accepted Answer

A)  Asian-Americans.
B)  black Americans.
C)  American Indians.
D)  Mexican-Americans.

Question 14

During an examination,the nurse asks the patient to perform the Valsalva maneuver and notes that the patient has a moist,red,doughnut-shaped protrusion from the anus.The nurse knows that this would be consistent with:

Accepted Answer

A)  a rectal polyp.
B)  hemorrhoids.
C)  a rectal fissure.
D)  rectal prolapse.

Question 15

A 62-year-old man is experiencing fever,chills,malaise,and urinary frequency and urgency.He also reports urethral discharge and a dull aching pain in the perineal and rectal area.These symptoms are most consistent with which of the following?

Accepted Answer

A)  Prostatitis
B)  Urinary tract infection
C)  Carcinoma of the prostate
D)  Benign prostatic hypertrophy

Question 16

Which of the following statements about the sphincters is correct?

Accepted Answer

A)  The internal sphincter is under voluntary control.
B)  The external sphincter is under voluntary control.
C)  Both sphincters remain slightly relaxed at all times.
D)  The internal sphincter surrounds the external sphincter.

Question 17

When testing stool for occult blood,the nurse is aware that a false-positive result may occur with:

Accepted Answer

A)  absent bile pigment.
B)  increased fat content.
C)  increased ingestion of iron medication.
D)  a large amount of red meat within the last 3 days.

Question 18

During a health history of a patient who complains of chronic constipation,she asks the nurse about high-fiber foods.The nurse relates that an example of a high-fiber food would be:

Accepted Answer

A)  broccoli.
B)  hamburger.
C)  iceberg lettuce.
D)  white dinner rolls. A

Question 19

The nurse notes that a patient has had a pale,yellow,greasy stool,or steatorrhea,and recalls that this is caused by:

Accepted Answer

A)  occult bleeding.
B)  absent bile pigment.
C)  increased fat content.
D)  ingestion of bismuth preparations.

Question 20

The nurse is examining only the rectal area of a woman and should place the woman in what position?

Accepted Answer

A)  The lithotomy position
B)  Lying in the prone position
C)  Left lateral decubitus position
D)  Bending over the table while standing

Exam 25: Anus,rectum,and Prostate

A 13-year-old girl is visiting the clinic for a sports physical.The nurse should remember to include which of the following in the examination?

Correct Answer
verified

While performing a rectal examination,the nurse notes a firm,irregularly shaped mass.What should the nurse do next?

Correct Answer
verified

While assessing a hospitalized,bedridden patient,the nurse notes that the patient has been incontinent of stool.The stool is loose and gray-tan in color.The nurse recognizes that this finding indicates which of the following?

Correct Answer
verified

The mother of a 5-year-old girl tells the nurse that she has noticed her daughter "scratching at her bottom a lot the last few days." During the assessment,the nurse finds redness and raised skin in the anal area.This most likely indicates:

Correct Answer
verified

Correct Answer
verified
A

Which of the following techniques is correct for palpation of the rectum?

Correct Answer
verified

During the assessment of an 18-month-old child,the mother expresses concern to the nurse about the infant's inability to toilet train.What would be the nurse's best response?

Correct Answer
verified

A 60-year-old man has just been told he has benign prostatic hypertrophy.He has a friend who just died from cancer of the prostate and is concerned this will happen to him.How should the nurse respond?

Correct Answer
verified

The nurse is caring for a newborn infant.Thirty hours after birth,the infant passes a dark green meconium stool.The nurse recognizes that this is important because:

Correct Answer
verified

After completing an assessment of a 60-year-old man with a family history of colon cancer,the nurse discusses with him early detection measures for colon cancer.The nurse is sure to mention the need for a/an:

Correct Answer
verified
B

Which of the following statements about the anal canal is true?

Correct Answer
verified

The nurse is performing a digital examination of a patient's prostate gland and notes that characteristics of a normal prostate gland include: Select all that apply.

Correct Answer
verified

During a discussion for a men's health group,the nurse relates that the group with the highest incidence of prostate cancer is:

Correct Answer
verified

During an examination,the nurse asks the patient to perform the Valsalva maneuver and notes that the patient has a moist,red,doughnut-shaped protrusion from the anus.The nurse knows that this would be consistent with:

Correct Answer
verified

A 62-year-old man is experiencing fever,chills,malaise,and urinary frequency and urgency.He also reports urethral discharge and a dull aching pain in the perineal and rectal area.These symptoms are most consistent with which of the following?

Correct Answer
verified

Which of the following statements about the sphincters is correct?

Correct Answer
verified

When testing stool for occult blood,the nurse is aware that a false-positive result may occur with:

Correct Answer
verified

During a health history of a patient who complains of chronic constipation,she asks the nurse about high-fiber foods.The nurse relates that an example of a high-fiber food would be:

Correct Answer
verified
A

The nurse notes that a patient has had a pale,yellow,greasy stool,or steatorrhea,and recalls that this is caused by:

Correct Answer
verified

The nurse is examining only the rectal area of a woman and should place the woman in what position?

Correct Answer
verified

Exam 25: Anus,rectum,and Prostate

A 13-year-old girl is visiting the clinic for a sports physical.The nurse should remember to include which of the following in the examination?

Correct AnswerverifiedShow Answer

While performing a rectal examination,the nurse notes a firm,irregularly shaped mass.What should the nurse do next?

Correct AnswerverifiedShow Answer

While assessing a hospitalized,bedridden patient,the nurse notes that the patient has been incontinent of stool.The stool is loose and gray-tan in color.The nurse recognizes that this finding indicates which of the following?

Correct AnswerverifiedShow Answer

The mother of a 5-year-old girl tells the nurse that she has noticed her daughter "scratching at her bottom a lot the last few days." During the assessment,the nurse finds redness and raised skin in the anal area.This most likely indicates:

Correct AnswerverifiedShow Answer

Correct AnswerverifiedA

Which of the following techniques is correct for palpation of the rectum?

Correct AnswerverifiedShow Answer

During the assessment of an 18-month-old child,the mother expresses concern to the nurse about the infant's inability to toilet train.What would be the nurse's best response?

Correct AnswerverifiedShow Answer

A 60-year-old man has just been told he has benign prostatic hypertrophy.He has a friend who just died from cancer of the prostate and is concerned this will happen to him.How should the nurse respond?

Correct AnswerverifiedShow Answer

The nurse is caring for a newborn infant.Thirty hours after birth,the infant passes a dark green meconium stool.The nurse recognizes that this is important because:

Correct AnswerverifiedShow Answer

After completing an assessment of a 60-year-old man with a family history of colon cancer,the nurse discusses with him early detection measures for colon cancer.The nurse is sure to mention the need for a/an:

Correct AnswerverifiedB

Which of the following statements about the anal canal is true?

Correct AnswerverifiedShow Answer

The nurse is performing a digital examination of a patient's prostate gland and notes that characteristics of a normal prostate gland include: Select all that apply.

Correct AnswerverifiedShow Answer

During a discussion for a men's health group,the nurse relates that the group with the highest incidence of prostate cancer is:

Correct AnswerverifiedShow Answer

During an examination,the nurse asks the patient to perform the Valsalva maneuver and notes that the patient has a moist,red,doughnut-shaped protrusion from the anus.The nurse knows that this would be consistent with:

Correct AnswerverifiedShow Answer

A 62-year-old man is experiencing fever,chills,malaise,and urinary frequency and urgency.He also reports urethral discharge and a dull aching pain in the perineal and rectal area.These symptoms are most consistent with which of the following?

Correct AnswerverifiedShow Answer

Which of the following statements about the sphincters is correct?

Correct AnswerverifiedShow Answer

When testing stool for occult blood,the nurse is aware that a false-positive result may occur with:

Correct AnswerverifiedShow Answer

During a health history of a patient who complains of chronic constipation,she asks the nurse about high-fiber foods.The nurse relates that an example of a high-fiber food would be:

Correct AnswerverifiedA

The nurse notes that a patient has had a pale,yellow,greasy stool,or steatorrhea,and recalls that this is caused by:

Correct AnswerverifiedShow Answer

The nurse is examining only the rectal area of a woman and should place the woman in what position?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
A

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
B

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
A

Correct Answer
verified

Correct Answer
verified