2025 NU 518 EXAM 3 | ALL QUESTIONS AND
CORRECT ANSWERS | GRADED A+ | VERIFIED
ANSWERS | NEWEST EXAM
While performing an assessment of the perianal area of a patient, the nurse
notices that the pigmentation of anus is darker than the surrounding skin,
the anal opening is closed, and a skin sac that is shiny and blue is noted.
The patient mentioned that he has had pain with bowel movements and
has occasionally noted some spots of blood. What would this assessment
and
history most likely indicate?
A Anal fistula
B Pilonidal cyst
C Rectal prolapse
d Thrombosed hemorrhoid ---------CORRECT ANSWER-----------------D
The nurse is preparing to palpate the rectum and should use which of these
techniques? The nurse should:
a Flex the finger, and slowly insert it toward the umbilicus.
B First instruct the patient that this procedure will be painful.
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. ----
-----CORRECT ANSWER-----------------A
While performing a rectal examination, the nurse notices a firm, irregularly
shaped mass. What should the nurse do next?
A Continue with the examination, and document the finding in the chart.
B Instruct the patient to return for a 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. ---------CORRECT ANSWER-----------------D
,During an assessment of the newborn, the nurse expects to see which
finding when the anal area is slightly stroked?
A Jerking of the legs
B Flexion of the knees
C Quick contraction of the sphincter
D Relaxation of the external sphincter ---------CORRECT ANSWER-----------
------C
A 13-year-old girl is visiting the clinic for a sports physical examination. The
nurse should remember to include which of these tests in the examination?
A Testing for occult blood
B Valsalva maneuver
C Internal palpation of the anus
D Inspection of the perianal area ---------CORRECT ANSWER-----------------
D
During an assessment of a 20-year-old man, the nurse finds a small
palpable lesion with a tuft of hair located directly over the coccyx. The
nurse knows that this lesion would most likely be a:
a Rectal polyp.
B Pruritus ani.
C Carcinoma.
D Pilonidal cyst. ---------CORRECT ANSWER-----------------D
During an examination, the nurse asks the patient to perform the Valsalva
maneuver and notices that the patient has a moist, red, doughnut-shaped
protrusion from the anus. The nurse knows that this finding is consistent
with a:
a Rectal polyp.
B Hemorrhoid.
C Rectal fissure.
D Rectal prolapse. ---------CORRECT ANSWER-----------------D
,A 70-year-old man is visiting the clinic for difficulty in passing urine. In the
health history, he indicates that he has to urinate frequently, especially at
night. He has burning when he urinates and has noticed pain in his back.
Considering this history, what might the nurse expect to find during the
physical assessment?
A Asymmetric, hard, and fixed prostate gland
B Occult blood and perianal pain to palpation
C Symmetrically enlarged, soft prostate gland
D Soft nodule protruding from the rectal mucosa ---------CORRECT
ANSWER-----------------A
A 40-year-old black man is in the office for his annual physical examination.
Which statement regarding the PSA blood test is true, according to the
American Cancer Society? The PSA:
A Should be performed with this visit.
B Should be performed at age 45 years.
C Should be performed at age 50 years.
d Is only necessary if a family history of prostate cancer exists. ---------
CORRECT ANSWER-----------------B
A 62-year-old man is experiencing fever, chills, malaise, 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 condition?
A Prostatitis
B Polyps
C Carcinoma of the prostate
D BPH ---------CORRECT ANSWER-----------------A
During a discussion for a mens health group, the nurse relates that the
group with the highest incidence of prostate cancer is:
a Asian Americans.
B Blacks.
, C American Indians.
d Hispanics. ---------CORRECT ANSWER-----------------B
Which characteristic of the prostate gland would the nurse recognize as an
abnormal finding while palpating the prostate gland through the rectum?
A Palpable central groove
B Tenderness to palpation
C Heart shaped
D Elastic and rubbery consistency ---------CORRECT ANSWER----------------
-B
Which of the following represents metrorrhagia?
A) Fewer than 21 days between menses
B) Excessive flow
C) Infrequent bleeding
D) Bleeding between periods ---------CORRECT ANSWER-----------------D
Jean has just given birth 6 months ago and is breast-feeding her child. She
has not had a period since giving birth. What does this most likely
represent?
A) Primary amenorrhea
B) Secondary amenorrhea
C) Oligomenorrhea
D) Dysmenorrhea ---------CORRECT ANSWER-----------------B
Mrs. Jaeger is a 67-year-old who went through menopause at age 55. She
has now had some vaginal bleeding. Which of the following should be
considered?
A) Endometrial cancer
B) Hormone replacement therapy
C) Uterine or cervical polyps
D) All of the above ---------CORRECT ANSWER-----------------D
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