Question 1

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

Accepted Answer

A)   Prone
B)   Lithotomy
C)   Left lateral decubitus
D)   Bending over the table while standing

Question 2

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

Accepted Answer

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.

Question 3

After completing an assessment of a 60-year-old white male with a family history of colon cancer, the nurse discusses with him early detection measures for colon cancer. What should the nurse include in the instructions?

Accepted Answer

A)   Annual proctoscopy
B)   Annual PSA blood test
C)   Colonoscopy every 10 years
D)   Fecal occult blood test every 6 months

Question 4

While palpating the prostate gland through the rectum, which finding would the nurse recognize as abnormal?

Accepted Answer

A)   Heart shaped
B)   Palpable central groove
C)   Tenderness to palpation
D)   Elastic and rubbery consistency

Question 5

The nurse is performing an examination of the anus and rectum. Which of these statements is correct and important to remember during this examination?

Accepted Answer

A)   The rectum is approximately 8 cm long.
B)   The anorectal junction cannot be palpated.
C)   Above the anal canal, the rectum turns anteriorly.
D)   There are no sensory nerves in the anal canal or rectum.

Question 6

The nurse is preparing to palpate the rectum and should use which of these techniques?

Accepted Answer

A)   Flex the finger, and slowly insert it toward the umbilicus.
B)   Insert an extended index finger at a right angle to the anus.
C)   First instruct the patient that this procedure will be painful.
D)   Place the finger directly into the anus to overcome the tight sphincter.

Question 7

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

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 that there is a problem with your baby's development. We'll watch her closely for the next few months."
D)   "The nerves that 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

During a digital examination of the rectum, the nurse notices that the patient has hard feces in the rectum. The patient complains of feeling "full," has a distended abdomen, and states that she has not had a bowel movement "for several days." The nurse suspects which condition?

Accepted Answer

A)   Rectal polyp
B)   Rectal abscess
C)   Fecal impaction
D)   Fecal incontinence

Question 9

A 60-year-old man has just been told that he has benign prostatic hypertrophy (BPH) . 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 hormonal changes, and not cancer."

Question 10

While assessing a hospitalized patient who is jaundiced, the nurse notices that the patient has been incontinent of stool. The stool is loose and gray-tan in color. What does this finding indicate?

Accepted Answer

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

Exam 26: Anus, Rectum, and Prostate

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

Correct Answer
verified

The nurse is performing an examination of the anus and rectum. Which of these statements is correct and important to remember during this examination?

Correct Answer
verified

During a digital examination of the rectum, the nurse notices that the patient has hard feces in the rectum. The patient complains of feeling "full," has a distended abdomen, and states that she has not had a bowel movement "for several days." The nurse suspects which condition?

Correct Answer
verified

A 60-year-old man has just been told that he has benign prostatic hypertrophy (BPH) . 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

While palpating the prostate gland through the rectum, which finding would the nurse recognize as abnormal?

Correct Answer
verified

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

Correct Answer
verified

After completing an assessment of a 60-year-old white male with a family history of colon cancer, the nurse discusses with him early detection measures for colon cancer. What should the nurse include in the instructions?

Correct Answer
verified

The nurse is preparing to palpate the rectum and should use which of these techniques?

Correct Answer
verified

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

Correct Answer
verified

While assessing a hospitalized patient who is jaundiced, the nurse notices that the patient has been incontinent of stool. The stool is loose and gray-tan in color. What does this finding indicate?

Correct Answer
verified

Exam 26: Anus, Rectum, and Prostate

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

Correct AnswerverifiedShow Answer

The nurse is performing an examination of the anus and rectum. Which of these statements is correct and important to remember during this examination?

Correct AnswerverifiedShow Answer

During a digital examination of the rectum, the nurse notices that the patient has hard feces in the rectum. The patient complains of feeling "full," has a distended abdomen, and states that she has not had a bowel movement "for several days." The nurse suspects which condition?

Correct AnswerverifiedShow Answer

A 60-year-old man has just been told that he has benign prostatic hypertrophy (BPH) . 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

While palpating the prostate gland through the rectum, which finding would the nurse recognize as abnormal?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

After completing an assessment of a 60-year-old white male with a family history of colon cancer, the nurse discusses with him early detection measures for colon cancer. What should the nurse include in the instructions?

Correct AnswerverifiedShow Answer

The nurse is preparing to palpate the rectum and should use which of these techniques?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

While assessing a hospitalized patient who is jaundiced, the nurse notices that the patient has been incontinent of stool. The stool is loose and gray-tan in color. What does this finding indicate?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified