1. Baby Sue is born with an imperforate anus. However, her outward anal appearance
is normal.
Which sign would indicate to the healthcare provider that she has a closed anal passageway?
a.
Development of a scaphoid abdomen
b. Vomiting after her first feeding
c. Bleeding from the rectum
d. Failure to pass meconium stool
ANS: D
Failure to pass meconium stool indicates that a newborn has an imperforate anus.
DIF: Cognitive Level: Applying (Application)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. In males, which surface of the prostate gland is accessible by digital examination? a.
Median lobe
b. Posterior
c. Superior
d. Anterior
ANS: B
The posterior surface of the prostate gland lies close to the anterior wall of the rectum and is
palpable through digital rectal examination.
3. The prostatic sulcus:
a. divides the right and left lateral lobes.
b. is the site of the seminal vesicle emergence.
c. refers to the anterior aspect of the prostate.
d. secretes clear viscous mucus.
ANS: A
The prostatic sulcus divides the two lateral lobes and is palpated as a shallow groove.
4. The rectal past medical history of all patients should include inquiry about: a. bowel habits.
b. dietary habits.
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, c. hemorrhoid surgery.
d. laxative use.
ANS: C
Past medical history should include inquiry about hemorrhoids, spinal cord injury, benign
prostatic hypertrophy (BPH), prostate, colorectal, breast, ovarian, or endometrial cancers, and
episiotomies of fourth-degree lacerations during delivery. Habits are part of the personal and
social history; the use of laxatives is part of the history of the present illness.
5. The effects of aging on the gastrointestinal system lead to more frequent experiences of: a.
constipation.
b. prolonged satiety.
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