NURS 5220 ADVANCED HEALTH ASSESSMENT EXAM

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NURS 5220 ADVANCED HEALTH ASSESSMENT EXAM

3 NEWEST 2025 ACTUAL EXAM TEST B ANK|

COMPLETE 350 REAL EXAM QUESTIONS AND

CORRECT DETAILED ANSWERS (VERIFIED

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When examining the prostate, you feel fluctuant softness. This finding

indicates:

• prostatic abscess.
• posterior rectal wall neoplasm.
• prostatic hypertrophy.

D. rectal prolapse. - Correct Answer - A: prostatic abscess is felt as a

fluctuant mass in the prostate.

A patient tells the examiner that she has liquid stools containing small

flecks of blood stained mucous. Stools of this type result from:

• amebiasis.
• excessive fiber intake.
• excessive dietary beef.

D. insufficient fluid intake. - Correct Answer - A: Small flecks of blood-

stained mucus in liquid feces are indicative of amebiasis.

Which examination finding in the child is a clue to the diagnosis of Hirschsprung disease? 1 / 4

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• Passing of frequent, loose stools in the absence of other symptoms
• A consistently empty rectum with a history of constipation
• Itching and irritation around the anus

D. Rectal prolapse - Correct Answer - B: A consistently empty rectum in

the presence of constipation is a clue to the diagnosis of Hirschsprung disease.

In which situation would the examiner perform a rectal examination on an infant or child?

• A newborn infant passes a greenish-black viscous stool 12 hours after

birth.

• The mother of a 3-month-old baby describes the baby's stools as

"loose and golden yellow."

• A stool of a 6-year-old child is guaiac positive.
• A mother tells the examiner that her 3-year-old child was sent home

from daycare after two episodes of diarrhea. - Correct Answer - C:

Rectal examination is not always performed on infants and children unless there is a particular problem. An examination is required whenever there is any symptom that suggests an intraabdominal or pelvic problem, a mass or tenderness, bladder distention, bleeding, or rectal or bowel abnormalities.

Prostate enlargement is determined by the:

• diameter of the rectum near the bladder.
• circumference of the prostate.
• estimation of the depth of the sulcus. 2 / 4

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D. protrusion of the prostate into the rectum. - Correct Answer - D:

Prostate enlargement is classified by the amount of protrusion into the rectum

During a rectal examination, you find shelf lesions when you palpate the anterior rectal wall. What is the significance of this finding?

• A sexually transmitted infection exists.
• Peritoneal metastases are present.
• Houston valves have fibrosed.

D. Fecal matter has been retained. - Correct Answer - B: Because the

anterior rectal wall is in contact with the peritoneum, you may be able to detect the tenderness of peritoneal inflammation and the nodularity of peritoneal metastases. The nodules, called shelf lesions, are palpable just above the prostate in men and in the cul-de-sac of women.

What information do you give the parents of an infant on whom you have done a rectal examination?

• Large amounts of mucus may appear in the stool for a day or two.
• Some bleeding and rectal prolapse may be seen right after the

examination.

• Stool is likely to be black for 48 hours.
• Crankiness and lack of interest in sucking may occur for 12 to 24

hours. - Correct Answer - B: Some health care providers are reluctant to

use the index finger because of its size, choosing instead the fifth finger; however, even with the smallest of adult fingers, some bleeding and transient prolapse of the rectum often occur right after examination.

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pg. 4 The absence of meconium stool passage in an infant may be indicative

of:

• a pilonidal cyst.
• a perianal abscess.
• benign prostatic hypertrophy.

D. an imperforate anus. - Correct Answer - D: Imperforate anus is a

condition that is usually diagnosed on rectal examination of the newborn and is confirmed by lack of passage of stool within the first 48 hours of life. Radiographic confirmation may be necessary.

Mr. Custer is a 56-year-old patient who presents to your office. On examination, you note a smooth and firm protrusion into the rectum.Which condition can present as as a smooth, firm 4-cm protrusion into the rectum?

• Anorectal fistula
• Imperforate anus
• Benign prostatic hypertrophy

D. Prostatitis - Correct Answer - C: With benign prostatic hypertrophy,

the prostate feels smooth, rubbery, symmetric, and enlarged.

Which factor increases a man's risk for developing prostate cancer?

• High-fiber diet
• Hispanic ethnicity
• Congestive heart failure

D. Family history - Correct Answer - D: A person with one first-degree

relative with a history of prostate cancer has twice the risk of developing

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