Question 1

Causes of pruritis ani include which of the following? Select all that apply.

Accepted Answer

A)  Pinworms 
B)  Psoriasis 
C)  Eczema 
D)  Dermatitis 
E)  Hemorrhoids
F) Anal fissures 
A)  Pinworms 
B)  Psoriasis 
C)  Eczema 
D)  Dermatitis 
E)  Hemorrhoids
F) Anal fissures A,B,C,D,E,F

Question 2

The stool of a patient with obstructive jaundice typically is

Accepted Answer

A)  black and tarry. 
B)  pale yellow and greasy. 
C)  gray or tan. 
D)  brown, containing mucus. 
A)  black and tarry. 
B)  pale yellow and greasy. 
C)  gray or tan. 
D)  brown, containing mucus. C

Question 3

Which condition typically causes a mucoid or creamy rectal exudate occasionally accompanied by blood?

Accepted Answer

A)  Crohn's disease 
B)  condyloma acuminatum 
C)  gonococcal proctitis 
D)  herpes simplex virus 
A)  Crohn's disease 
B)  condyloma acuminatum 
C)  gonococcal proctitis 
D)  herpes simplex virus C

Question 4

Which of the following increases the risk for prostate cancer?

Accepted Answer

A)  alcohol 
B)  cigarette smoking 
C)  use of illicit drugs 
D)  anal intercourse 
A)  alcohol 
B)  cigarette smoking 
C)  use of illicit drugs 
D)  anal intercourse

Question 5

To facilitate the insertion of your gloved finger into the anal sphincter,you should instruct the patient to

Accepted Answer

A)  take a deep breath and hold it. 
B)  take shallow breaths. 
C)  bear down. 
D)  tighten the sphincter. 
A)  take a deep breath and hold it. 
B)  take shallow breaths. 
C)  bear down. 
D)  tighten the sphincter.

Question 6

Perianal disease occurring in the early stages of Crohn's disease typically progresses to

Accepted Answer

A)  rectal prolapse. 
B)  anal stricture. 
C)  prostatic infections. 
D)  prostate cancer. 
A)  rectal prolapse. 
B)  anal stricture. 
C)  prostatic infections. 
D)  prostate cancer.

Question 7

For which of the following patients should the nurse order a prostate-specific antigen (PSA)?

Accepted Answer

A)  40-year-old Caucasian male with a high intake of dietary fat, oil, and sugar 
B)  68-year-old African American male with no complaints 
C)  45-year-old Hispanic male with prostatitis 
D)  40-year-old Asian male whose brother has prostate cancer 
A)  40-year-old Caucasian male with a high intake of dietary fat, oil, and sugar 
B)  68-year-old African American male with no complaints 
C)  45-year-old Hispanic male with prostatitis 
D)  40-year-old Asian male whose brother has prostate cancer

Question 8

Rectal prolapse is best assessed with the patient placed in which position?

Accepted Answer

A)  lying on the stomach 
B)  squatting 
C)  knee-chest 
D)  Sims' 
A)  lying on the stomach 
B)  squatting 
C)  knee-chest 
D)  Sims'

Question 9

Your patient has requested a follow-up assessment of his pilonidal disease because of a recent onset of pruritus on his buttocks.To inspect the patient's perineum and sacrococcygeal area,you would position him

Accepted Answer

A)  in the lithotomy position. 
B)  in the left lateral decubitus position. 
C)  bending over the examination table, with his legs spread apart. 
D)  supine, with legs spread apart. 
A)  in the lithotomy position. 
B)  in the left lateral decubitus position. 
C)  bending over the examination table, with his legs spread apart. 
D)  supine, with legs spread apart.

Question 10

Which question is least likely to provide useful information for determining the cause of a patient's reported constipation?

Accepted Answer

A)  "How long have you taken laxatives?" 
B)  "How much fluid do you drink in a day?" 
C)  "How much exercise do you typically get each day?" 
D)  "Do you have increased mucus and straining with your hard stools?" 
A)  "How long have you taken laxatives?" 
B)  "How much fluid do you drink in a day?" 
C)  "How much exercise do you typically get each day?" 
D)  "Do you have increased mucus and straining with your hard stools?"

Question 11

Which statement is true of rectal polyps?

Accepted Answer

A)  They can be either benign or malignant. 
B)  They are always attached to stalks. 
C)  They rarely occur in the U.S.population. 
D)  They are always accompanied by rectal bleeding. 
A)  They can be either benign or malignant. 
B)  They are always attached to stalks. 
C)  They rarely occur in the U.S.population. 
D)  They are always accompanied by rectal bleeding.

Question 12

You suspect that a patient has developed a prostatic abscess when palpation of his prostate reveals a gland that is

Accepted Answer

A)  firm and hard. 
B)  firm and tender. 
C)  soft and enlarged. 
D)  nodular. 
A)  firm and hard. 
B)  firm and tender. 
C)  soft and enlarged. 
D)  nodular.

Question 13

In the midline over your patient's sacral region,you observe several tiny openings.Which of the following are you most likely to find protruding from these openings?

Accepted Answer

A)  hair 
B)  moles 
C)  scaly papules 
D)  skin tags 
A)  hair 
B)  moles 
C)  scaly papules 
D)  skin tags

Question 14

You are caring for a 60-year-old African American man,who is at risk for prostate cancer primarily because he:

Accepted Answer

A)  is over the age of 45 and is African American. 
B)  has diabetes mellitus, arthritis, and prostatic disease. 
C)  reports that his uncle died from prostate cancer. 
D)  reports a history of recurrent bacterial prostatitis. 
A)  is over the age of 45 and is African American. 
B)  has diabetes mellitus, arthritis, and prostatic disease. 
C)  reports that his uncle died from prostate cancer. 
D)  reports a history of recurrent bacterial prostatitis.

Question 15

You observe on a patient's lower buttocks demarcated,erythematous,exudative patches rimmed with small,red-based pustules.You hypothesize that these lesions are most likely

Accepted Answer

A)  fissures caused by Crohn's disease. 
B)  fistulas caused by bacterial organisms. 
C)  pruritus ani. 
D)  exudative patches caused by Candida albicans. 
A)  fissures caused by Crohn's disease. 
B)  fistulas caused by bacterial organisms. 
C)  pruritus ani. 
D)  exudative patches caused by Candida albicans.

Question 16

Hemorrhoids result from ____________________ of the superior and inferior hemorrhoidal veins.

Accepted Answer

dilatation
Hemorrhoi

Question 17

Rectal polyps are most often diagnosed by ____________________.

Accepted Answer

proctoscopy
Rectal polyps are

Question 18

A male patient presents to your office and you obtain a sexual history.Why would you consider performing an anal Pap smear?

Accepted Answer

A)  He is heterosexual and always uses condoms. 
B)  He is not HIV infected but engages in oral intercourse. 
C)  He has a history of perianal condylomas. 
D)  He is not HIV infected and has had three female partners in the past year. 
A)  He is heterosexual and always uses condoms. 
B)  He is not HIV infected but engages in oral intercourse. 
C)  He has a history of perianal condylomas. 
D)  He is not HIV infected and has had three female partners in the past year.

Question 19

The function of the Houston's valves are to retain ____________________.

Accepted Answer

fecal matter
feces
The Houston

Question 20

Which of the following can cause diarrhea? Select all that apply.

Accepted Answer

A)  Antibiotics 
B)  Fecal impaction 
C)  Irritable bowel syndrome 
D)  Weak abdominal muscles 
E)  Lactose intolerance
F) Inadequate fluid intake 
A)  Antibiotics 
B)  Fecal impaction 
C)  Irritable bowel syndrome 
D)  Weak abdominal muscles 
E)  Lactose intolerance
F) Inadequate fluid intake

Exam 23: Anus, rectum, and Prostate

Causes of pruritis ani include which of the following? Select all that apply.

The stool of a patient with obstructive jaundice typically is

Which condition typically causes a mucoid or creamy rectal exudate occasionally accompanied by blood?

Which of the following increases the risk for prostate cancer?

To facilitate the insertion of your gloved finger into the anal sphincter,you should instruct the patient to

Perianal disease occurring in the early stages of Crohn's disease typically progresses to

For which of the following patients should the nurse order a prostate-specific antigen (PSA)?

Rectal prolapse is best assessed with the patient placed in which position?

Your patient has requested a follow-up assessment of his pilonidal disease because of a recent onset of pruritus on his buttocks.To inspect the patient's perineum and sacrococcygeal area,you would position him

Which question is least likely to provide useful information for determining the cause of a patient's reported constipation?

Which statement is true of rectal polyps?

You suspect that a patient has developed a prostatic abscess when palpation of his prostate reveals a gland that is

In the midline over your patient's sacral region,you observe several tiny openings.Which of the following are you most likely to find protruding from these openings?

You are caring for a 60-year-old African American man,who is at risk for prostate cancer primarily because he:

You observe on a patient's lower buttocks demarcated,erythematous,exudative patches rimmed with small,red-based pustules.You hypothesize that these lesions are most likely

Hemorrhoids result from ____________________ of the superior and inferior hemorrhoidal veins.

Rectal polyps are most often diagnosed by ____________________.

A male patient presents to your office and you obtain a sexual history.Why would you consider performing an anal Pap smear?

The function of the Houston's valves are to retain ____________________.

Which of the following can cause diarrhea? Select all that apply.

Critical Thinking And The Nursing Process

Communication Techniques And The Patient Interview

The Complete Health History Including Documentation

Developmental Assessment

Cultural Assessment

Spiritual Assessment

Nutritional Assessment

Physical Examination Techniques

General Survey, vital Signs, and Pain

Skin, hair, and Nails

Head, neck, and Regional Lymph Nodes

Eyes

Ears, nose, mouth, and Throat

Breasts And Regional Nodes

Thorax And Lungs

Heart

Peripheral Vasculature And Lymphatic System

Abdomen

Musculoskeletal System

Mental Status And Neurological Techniques

Female Genitalia

Male Genitalia

The Pregnant Patient

The Pediatric Patient

The Older Adult Patient

The Complete Health History And Physical Examination

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