Question 1

The component of prostatic fluid that maintains the osmotic equilibrium of the seminal fluid is

Accepted Answer

A)  citrate. 
B)  prostatic acid phosphatase. 
C)  prostate-specific antigen. 
D)  zinc. 
A)  citrate. 
B)  prostatic acid phosphatase. 
C)  prostate-specific antigen. 
D)  zinc.

Question 2

Anal fissures are typically caused by

Accepted Answer

A)  trauma. 
B)  sphincter spasms. 
C)  herpes simplex virus infection. 
D)  incomplete hemorrhoid resolution. 
A)  trauma. 
B)  sphincter spasms. 
C)  herpes simplex virus infection. 
D)  incomplete hemorrhoid resolution.

Question 3

Anorectal abscesses are most commonly caused by infection of the

Accepted Answer

A)  anal glands. 
B)  external sphincter. 
C)  hemorrhoids. 
D)  perianal skin. 
A)  anal glands. 
B)  external sphincter. 
C)  hemorrhoids. 
D)  perianal skin.

Question 4

Rectal prolapse is associated with which of the following? Select all that apply.

Accepted Answer

A)  Viral infection 
B)  Fecal incontinence 
C)  Neurological disease 
D)  Chronic straining at stool 
E)  Traumatic damage to the pelvis
F) Poor tone of the pelvic musculature 
A)  Viral infection 
B)  Fecal incontinence 
C)  Neurological disease 
D)  Chronic straining at stool 
E)  Traumatic damage to the pelvis
F) Poor tone of the pelvic musculature

Question 5

Palpation of a patient's prostate reveals a small,smooth,nontender gland with a palpable median sulcus,which indicates

Accepted Answer

A)  normal findings. 
B)  the early stage of benign prostatic hypertrophy. 
C)  increased risk for prostatic stones. 
D)  increased risk for prostatic cancer. 
A)  normal findings. 
B)  the early stage of benign prostatic hypertrophy. 
C)  increased risk for prostatic stones. 
D)  increased risk for prostatic cancer.

Question 6

After spreading your patient's buttocks with gloved hands to inspect the anal mucosa,you should instruct the patient to

Accepted Answer

A)  take a deep breath, then breathe out slowly and relax. 
B)  flex both knees and hold tightly with both hands. 
C)  bear down as if moving the bowels. 
D)  cough several times. 
A)  take a deep breath, then breathe out slowly and relax. 
B)  flex both knees and hold tightly with both hands. 
C)  bear down as if moving the bowels. 
D)  cough several times.

Question 7

The common signs of potential rectal abuse include all of the following,EXCEPT

Accepted Answer

A)  bleeding anal mucosa. 
B)  anal cuts or tears. 
C)  bruising. 
D)  prolapsed hemorrhoids. 
A)  bleeding anal mucosa. 
B)  anal cuts or tears. 
C)  bruising. 
D)  prolapsed hemorrhoids.

Question 8

Mucus,which provides lubrication for the passage of feces,is secreted by compression of the

Accepted Answer

A)  anal orifice. 
B)  anal sinuses. 
C)  anoderm. 
D)  anal valves. 
A)  anal orifice. 
B)  anal sinuses. 
C)  anoderm. 
D)  anal valves.

Question 9

Upon inspection,you observe a 3 cm spherical bluish lump on your patient's anal mucosa.The overlying skin is mildly edematous.This is most likely a(n)

Accepted Answer

A)  anal skin tag. 
B)  anal wart. 
C)  herpes simplex lesion. 
D)  thrombosed external hemorrhoid. 
A)  anal skin tag. 
B)  anal wart. 
C)  herpes simplex lesion. 
D)  thrombosed external hemorrhoid.

Question 10

Which of the following are true of the prostate? Select all that apply.

Accepted Answer

A)  Drains into the urethra 
B)  Consists of glandular tissue and muscle 
C)  Is controlled by parasympathetic reflex signals 
D)  Is formed by skeletal muscle 
E)  Encircles the urethra like a doughnut
F) Produces semen 
A)  Drains into the urethra 
B)  Consists of glandular tissue and muscle 
C)  Is controlled by parasympathetic reflex signals 
D)  Is formed by skeletal muscle 
E)  Encircles the urethra like a doughnut
F) Produces semen

Question 11

Which etiology should the nurse suspect if a patient has the complaint of blood,pus,and mucus in the stool?

Accepted Answer

A)  upper gastrointestinal (GI) bleeding 
B)  diverticulosis 
C)  iron ingestion 
D)  ulcerative colitis 
A)  upper gastrointestinal (GI) bleeding 
B)  diverticulosis 
C)  iron ingestion 
D)  ulcerative colitis

Question 12

The location of the prostate gland is best described in which statement?

Accepted Answer

A)  It lines the inner walls of the lower third of the bladder. 
B)  It encircles the spermatic cord. 
C)  It lies just below the bladder and encircles the urethra like a doughnut. 
D)  It encircles the vas deferens. 
A)  It lines the inner walls of the lower third of the bladder. 
B)  It encircles the spermatic cord. 
C)  It lies just below the bladder and encircles the urethra like a doughnut. 
D)  It encircles the vas deferens.

Question 13

You are assigned to a 60-year-old African American patient who has diabetes and arthritis.Your patient is receiving treatment for a recurrent urinary tract infection and today has developed a sudden rise in temperature and complains of rectal pain.You prepare the patient for a prostatic examination.To perform prostatic palpation,you should insert your gloved finger into the anal sphincter with the

Accepted Answer

A)  tip of the finger extended at a right angle to the perianal area. 
B)  ball of the finger toward the posterior rectal wall. 
C)  ball of the finger toward the left lateral rectal wall. 
D)  tip of the finger toward the anterior rectal wall. 
A)  tip of the finger extended at a right angle to the perianal area. 
B)  ball of the finger toward the posterior rectal wall. 
C)  ball of the finger toward the left lateral rectal wall. 
D)  tip of the finger toward the anterior rectal wall.

Question 14

Which statement is correct in regard to performing a successful rectal examination?

Accepted Answer

A)  Perform it at the end of the physical examination after a trusting relationship has been established. 
B)  Perform it at the beginning of the physical examination to minimize the patient's embarrassment. 
C)  Provide minimal explanations about what will be done to decrease the patient's anxiety. 
D)  Explain to the patient that you are just as nervous about this as she is. 
A)  Perform it at the end of the physical examination after a trusting relationship has been established. 
B)  Perform it at the beginning of the physical examination to minimize the patient's embarrassment. 
C)  Provide minimal explanations about what will be done to decrease the patient's anxiety. 
D)  Explain to the patient that you are just as nervous about this as she is.

Question 15

Enlargement of the prostate in benign prostatic hypertrophy is primarily the result of changes related to aging and the effects of

Accepted Answer

A)  dihydrotestosterone. 
B)  frequent sexual activity. 
C)  smoking. 
D)  overstimulation of alpha-1 adrenergic receptors. 
A)  dihydrotestosterone. 
B)  frequent sexual activity. 
C)  smoking. 
D)  overstimulation of alpha-1 adrenergic receptors.

Question 16

Palpation of an anal carcinoma typically reveals a

Accepted Answer

A)  tender, indurated mass. 
B)  hard mass. 
C)  rubbery, puttylike mass. 
D)  soft, painful mass. 
A)  tender, indurated mass. 
B)  hard mass. 
C)  rubbery, puttylike mass. 
D)  soft, painful mass.

Question 17

A hollow,fibrous tract leading from the anal canal to an opening in the perianal skin is called a(n)

Accepted Answer

A)  scabies burrow. 
B)  anal fissure. 
C)  anorectal fistula. 
D)  pilonidal sinus. 
A)  scabies burrow. 
B)  anal fissure. 
C)  anorectal fistula. 
D)  pilonidal sinus.

Question 18

A nurse practitioner is about to perform the advanced technique for an anal pap collection.Which of the following steps would be included? Select all that apply.

Accepted Answer

A)  Inform the patient to avoid enemas and receptive anal intercourse for 24 hours prior to specimen collection. 
B)  Colonic preparation is not necessary, but the rectum should be emptied before obtaining the sample. 
C)  Moisten a Dacron-tipped swab with tap water and insert the swab about 4 inches into the anal canal. 
D)  Perform 1 to 2 spiral rotation movements of the swab against the walls of the rectum and anus as the swab encircles the anal canal during slow withdrawal of the swab. 
E)  Remove the swab and swirl it for 5 seconds in a container of liquid cytology fluid.
F) Perform a digital rectal examination after the anal Pap to rule out any masses. 
A)  Inform the patient to avoid enemas and receptive anal intercourse for 24 hours prior to specimen collection. 
B)  Colonic preparation is not necessary, but the rectum should be emptied before obtaining the sample. 
C)  Moisten a Dacron-tipped swab with tap water and insert the swab about 4 inches into the anal canal. 
D)  Perform 1 to 2 spiral rotation movements of the swab against the walls of the rectum and anus as the swab encircles the anal canal during slow withdrawal of the swab. 
E)  Remove the swab and swirl it for 5 seconds in a container of liquid cytology fluid.
F) Perform a digital rectal examination after the anal Pap to rule out any masses.

Question 19

Because of the possibility of bacteremia,a rectal examination should be avoided in patients with

Accepted Answer

A)  acute bacterial prostatitis. 
B)  fecal incontinence. 
C)  irritable bowel syndrome. 
D)  inflammatory bowel disease. 
A)  acute bacterial prostatitis. 
B)  fecal incontinence. 
C)  irritable bowel syndrome. 
D)  inflammatory bowel disease.

Question 20

Which lobes of the prostate gland are most accessible to examination?

Accepted Answer

A)  anterior 
B)  posterior 
C)  lateral 
D)  median 
A)  anterior 
B)  posterior 
C)  lateral 
D)  median

Exam 23: Anus, rectum, and Prostate

The component of prostatic fluid that maintains the osmotic equilibrium of the seminal fluid is

Anal fissures are typically caused by

Anorectal abscesses are most commonly caused by infection of the

Rectal prolapse is associated with which of the following? Select all that apply.

Palpation of a patient's prostate reveals a small,smooth,nontender gland with a palpable median sulcus,which indicates

After spreading your patient's buttocks with gloved hands to inspect the anal mucosa,you should instruct the patient to

The common signs of potential rectal abuse include all of the following,EXCEPT

Mucus,which provides lubrication for the passage of feces,is secreted by compression of the

Upon inspection,you observe a 3 cm spherical bluish lump on your patient's anal mucosa.The overlying skin is mildly edematous.This is most likely a(n)

Which of the following are true of the prostate? Select all that apply.

Which etiology should the nurse suspect if a patient has the complaint of blood,pus,and mucus in the stool?

The location of the prostate gland is best described in which statement?

Which statement is correct in regard to performing a successful rectal examination?

Enlargement of the prostate in benign prostatic hypertrophy is primarily the result of changes related to aging and the effects of

Palpation of an anal carcinoma typically reveals a

A hollow,fibrous tract leading from the anal canal to an opening in the perianal skin is called a(n)

A nurse practitioner is about to perform the advanced technique for an anal pap collection.Which of the following steps would be included? Select all that apply.

Because of the possibility of bacteremia,a rectal examination should be avoided in patients with

Which lobes of the prostate gland are most accessible to examination?

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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