NU 518 Exam 3 Study Questions With
Complete Solutions
A 13-year-old girl is interested in obtaining
information about the cause of her acne. The nurse
should share with her that acne:
a Is contagious.
b Has no known cause.
c Is caused by increased sebum production.
d Has been found to be related to poor hygiene.
Correct Answers C
A 13-year-old girl is visiting the clinic for a sports
physical examination. The nurse should remember
to include which of these tests in the examination?
A Testing for occult blood
B Valsalva maneuver
C Internal palpation of the anus
D Inspection of the perianal area Correct Answers
D
A 14-year-old girl is anxious about not having
reached menarche. When taking the health history,
the nurse should ascertain which of the following?
The age that:
a The girl began to develop breasts.
B Her mother developed breasts.
C She began to develop pubic hair.
D She began to develop axillary hair. Correct
Answers A
,A 14-year-old junior high school student is brought
in by his mother and father because he seems to
be developing breasts. The mother is upset
because she read on the Internet that smoking
marijuana leads to breast enlargement in males.
The young man adamantly denies using any
tobacco, alcohol, or drugs. He has recently noticed
changes in his penis, testicles, and pubic hair
pattern. Otherwise, his past medical history is
unremarkable. His parents are both in good health.
He has two older brothers who never had this
problem. On examination you see a mildly
overweight teenager with enlarged breast tissue
that is slightly tender on both sides. Otherwise his
examination is normal. He is agreeable to taking a
drug test. What is the most likely cause of his
gynecomastia?
A) Breast cancer
B) Imbalance of hormones of puberty
C) Drug use Correct Answers B
A 15-month-old is brought to you for a fever of 38.6
degrees Celsius and fussiness. The ear
examination is as follows: external ear, normal
appearance and no tenderness with manipulation;
canal, normal diameter without evidence of
inflammation; tympanic membrane, bulging,
erythematous, and opaque. Insufflation is deferred
due to pain. What is your diagnosis?
,A) Otitis externa
B) Cholesteatoma
C) Ruptured tympanic membrane
D) Otitis media Correct Answers D
A 15-year-old high school football player is brought
to your office by his mother. He is complaining of
severe testicular pain since exactly 8:00 this
morning. He denies any sexual activity and states
that he hurts so bad he can't even urinate. He is
nauseated and is throwing up. He denies any
recent illness or fever. His past medical history is
unremarkable. He denies any tobacco, alcohol, or
drug use. His parents are both in good health. On
examination you see a young teenager lying on the
bed with an emesis basin. He is very
uncomfortable and keeps shifting his position. His
blood pressure is 150/100, his pulse is 110, and his
respirations are 24. On visualization of the penis he
is circumcised and there are no lesions and no
discharge from the meatus. His scrotal skin is
tense and red. Palpation of the left testicle causes
severe pain and the patient begins to cry. His
prostate examination is unremarkable. His cr
Correct Answers C
A 16-year-old high school junior is brought to your
clinic by his father. The teenager was taught in his
health class at school to do monthly testicular self-
examinations. Yesterday when he felt his left
, testicle it was enlarged and tender. He isn't sure if
he has had burning with urination and he says he
has never had sexual intercourse. He has had a
sore throat, cough, and runny nose for the last 3
days. His past medical history is significant for a
tonsillectomy as a small child. His father has high
blood pressure and his mother is healthy. On
examination you see a teenager in no acute
distress. His temperature is 100.8 and his blood
pressure and pulse are unremarkable.
On visualization of his penis, he is uncircumcised
and has no lesions or discharge. His scrotum is red
and tense on the left and normal appearing on the
right. Palpating his left testicle reveals a mildly
sore swollen testicle. The right testicle i Correct
Answers A
A 19-year-old childcare worker comes to you for
her first prenatal visit. She cannot remember
when her last period was but thinks it was between
2 and 5 months ago. When she began gaining
weight and feeling "something" moving down
there, she did a home pregnancy test and it was
positive. She states she felt the movement about a
week ago. She has had no nausea, vomiting,
fatigue, or fevers. Her past medical history is
remarkable only for irregular periods. She has been
dating the same young man for a year. She says
they were not using condoms. On examination
Complete Solutions
A 13-year-old girl is interested in obtaining
information about the cause of her acne. The nurse
should share with her that acne:
a Is contagious.
b Has no known cause.
c Is caused by increased sebum production.
d Has been found to be related to poor hygiene.
Correct Answers C
A 13-year-old girl is visiting the clinic for a sports
physical examination. The nurse should remember
to include which of these tests in the examination?
A Testing for occult blood
B Valsalva maneuver
C Internal palpation of the anus
D Inspection of the perianal area Correct Answers
D
A 14-year-old girl is anxious about not having
reached menarche. When taking the health history,
the nurse should ascertain which of the following?
The age that:
a The girl began to develop breasts.
B Her mother developed breasts.
C She began to develop pubic hair.
D She began to develop axillary hair. Correct
Answers A
,A 14-year-old junior high school student is brought
in by his mother and father because he seems to
be developing breasts. The mother is upset
because she read on the Internet that smoking
marijuana leads to breast enlargement in males.
The young man adamantly denies using any
tobacco, alcohol, or drugs. He has recently noticed
changes in his penis, testicles, and pubic hair
pattern. Otherwise, his past medical history is
unremarkable. His parents are both in good health.
He has two older brothers who never had this
problem. On examination you see a mildly
overweight teenager with enlarged breast tissue
that is slightly tender on both sides. Otherwise his
examination is normal. He is agreeable to taking a
drug test. What is the most likely cause of his
gynecomastia?
A) Breast cancer
B) Imbalance of hormones of puberty
C) Drug use Correct Answers B
A 15-month-old is brought to you for a fever of 38.6
degrees Celsius and fussiness. The ear
examination is as follows: external ear, normal
appearance and no tenderness with manipulation;
canal, normal diameter without evidence of
inflammation; tympanic membrane, bulging,
erythematous, and opaque. Insufflation is deferred
due to pain. What is your diagnosis?
,A) Otitis externa
B) Cholesteatoma
C) Ruptured tympanic membrane
D) Otitis media Correct Answers D
A 15-year-old high school football player is brought
to your office by his mother. He is complaining of
severe testicular pain since exactly 8:00 this
morning. He denies any sexual activity and states
that he hurts so bad he can't even urinate. He is
nauseated and is throwing up. He denies any
recent illness or fever. His past medical history is
unremarkable. He denies any tobacco, alcohol, or
drug use. His parents are both in good health. On
examination you see a young teenager lying on the
bed with an emesis basin. He is very
uncomfortable and keeps shifting his position. His
blood pressure is 150/100, his pulse is 110, and his
respirations are 24. On visualization of the penis he
is circumcised and there are no lesions and no
discharge from the meatus. His scrotal skin is
tense and red. Palpation of the left testicle causes
severe pain and the patient begins to cry. His
prostate examination is unremarkable. His cr
Correct Answers C
A 16-year-old high school junior is brought to your
clinic by his father. The teenager was taught in his
health class at school to do monthly testicular self-
examinations. Yesterday when he felt his left
, testicle it was enlarged and tender. He isn't sure if
he has had burning with urination and he says he
has never had sexual intercourse. He has had a
sore throat, cough, and runny nose for the last 3
days. His past medical history is significant for a
tonsillectomy as a small child. His father has high
blood pressure and his mother is healthy. On
examination you see a teenager in no acute
distress. His temperature is 100.8 and his blood
pressure and pulse are unremarkable.
On visualization of his penis, he is uncircumcised
and has no lesions or discharge. His scrotum is red
and tense on the left and normal appearing on the
right. Palpating his left testicle reveals a mildly
sore swollen testicle. The right testicle i Correct
Answers A
A 19-year-old childcare worker comes to you for
her first prenatal visit. She cannot remember
when her last period was but thinks it was between
2 and 5 months ago. When she began gaining
weight and feeling "something" moving down
there, she did a home pregnancy test and it was
positive. She states she felt the movement about a
week ago. She has had no nausea, vomiting,
fatigue, or fevers. Her past medical history is
remarkable only for irregular periods. She has been
dating the same young man for a year. She says
they were not using condoms. On examination
