Nurs 328 exam –health problems in adolescent questions
with answers
MULTIPLE CHOICE
1. Tretinoin (Retin-A) is a commonly used topical agent for the treatment of acne. What do
nursing considerations with this drug include?
a. Sun exposure increases effectiveness.
b. Cosmetics with lanolin and petrolatum are preferred in acne.
c. Applying of the medication occurs at least 20 to 30 minutes after washing.
d. Erythema and peeling are indications of toxicity and need to be reported.
ANS: C
The medication should not be applied for at least 20 to 30 minutes after washing to decrease the burning
sensation. The avoidance of sun and the use of sunscreen agents must be emphasized because sun exposure
can result in severe sunburn. Cosmetics with lanolin, petrolatum, vegetable oil, lauryl alcohol, butyl
stearate, and oleic acid can increase comedone production. Erythema and peeling are common local
manifestations.
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,Nurs 328 exam –health problems in adolescent questions
with answers
2. What is the usual presenting symptom for testicular cancer?
a. Solid, painful mass
b. Hard, painless mass
c. Scrotal swelling and pain
d. Epididymis easily palpated
ANS: B
The usual presenting symptom for testicular cancer is a heavy, hard, painless mass that is either smooth or
nodular and palpated on the testes. Pain is not usually associated with a testicular tumor. Scrotal swelling
needs to be evaluated. The epididymis is easily palpated in a normal scrotum.
DIF: Cognitive Level: Understanding REF: p. 691
TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
3. A 13-year-old boy comes to the school nurse complaining of sudden and severe scrotal pain. He
denies any trauma to the scrotum. What is the most appropriate nursing action?
a. Refer him for immediate medical evaluation.
b. Administer analgesics and recommend scrotal support.
c. Apply an ice bag and observe for increasing pain.
d. Reassure the adolescent that occasional pain is common with the changes of puberty.
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,Nurs 328 exam –health problems in adolescent questions
with answers
ANS: A
Any adolescent boy with redness, swelling, or pain in the scrotum is referred for immediate evaluation.
These are signs of testicular torsion, which is a medical emergency. If the possibility of testicular torsion is
eliminated, appropriate interventions include administering analgesics and recommending scrotal support.
applying an ice bag and observing for increasing pain. and reassuring the adolescent that occasional pain is
common with the changes of puberty.
DIF: Cognitive Level: Applying REF: p. 693
TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity
4. A 14-year-old boy is of normal weight, and his parents are concerned about bilateral breast enlargement.
The nurse’s discussion of this should be based on what?
a. The presence of too much body fat
b. Symptom that a hormonal imbalance is present
c. Most likely part of normal pubertal development
d. Indication that he is developing precocious puberty
ANS: C
Gynecomastia is common during midpuberty in about one third of boys. For most, the breast enlargement
disappears within 2 years. Although breast enlargement in overweight children can indicate too much body
fat, in children of normal body weight, it is a normal occurrence. If the gynecomastia persists beyond 2
years, then a hormonal cause may need to be investigated. Precocious puberty is the early onset of puberty,
before age 9 years in boys.
DIF: Cognitive Level: Applying REF: p. 693
TOP: Integrated Process: Teaching/Learning
3/43
, Nurs 328 exam –health problems in adolescent questions
with answers
MSC: Client Needs: Physiological Integrity
5. A 15-year-old girl tells the school nurse that she has not started to menstruate yet. Onset of
secondary sexual characteristics was about 2 1/2 years ago. The nurse should take which action?
a. Explain that this is not unusual.
b. Refer the adolescent for an evaluation.
c. Make an assumption that the adolescent is pregnant.
d. Suggest that the adolescent stop exercising until menarche occurs.
ANS: B
A referral is indicated. Menarche should follow the onset of secondary sexual development within 2 1/2
years. A careful examination is done to reveal any physical abnormalities, signs of androgen excess, and
congenital defects of the genital tract. The lack of the onset of menstruation at this age is a potential
indication of a physical problem. Assuming that the adolescent is pregnant is inappropriate. The nurse does
not have any indication that the adolescent is sexually active. The amount of exercise should be assessed
before suggesting that the adolescent stop exercising until menarche occurs.
DIF: Cognitive Level: Applying REF: p. 694
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Physiological Integrity
6. An adolescent girl asks the school nurse for advice because she has dysmenorrhea. She says that a friend
recommended she try an over-the-counter nonsteroidal anti-inflammatory drug (NSAID). The nurse’s
response should be based on what?
a. Hormone therapy is necessary for the treatment of dysmenorrhea.
4/43
with answers
MULTIPLE CHOICE
1. Tretinoin (Retin-A) is a commonly used topical agent for the treatment of acne. What do
nursing considerations with this drug include?
a. Sun exposure increases effectiveness.
b. Cosmetics with lanolin and petrolatum are preferred in acne.
c. Applying of the medication occurs at least 20 to 30 minutes after washing.
d. Erythema and peeling are indications of toxicity and need to be reported.
ANS: C
The medication should not be applied for at least 20 to 30 minutes after washing to decrease the burning
sensation. The avoidance of sun and the use of sunscreen agents must be emphasized because sun exposure
can result in severe sunburn. Cosmetics with lanolin, petrolatum, vegetable oil, lauryl alcohol, butyl
stearate, and oleic acid can increase comedone production. Erythema and peeling are common local
manifestations.
1/43
,Nurs 328 exam –health problems in adolescent questions
with answers
2. What is the usual presenting symptom for testicular cancer?
a. Solid, painful mass
b. Hard, painless mass
c. Scrotal swelling and pain
d. Epididymis easily palpated
ANS: B
The usual presenting symptom for testicular cancer is a heavy, hard, painless mass that is either smooth or
nodular and palpated on the testes. Pain is not usually associated with a testicular tumor. Scrotal swelling
needs to be evaluated. The epididymis is easily palpated in a normal scrotum.
DIF: Cognitive Level: Understanding REF: p. 691
TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
3. A 13-year-old boy comes to the school nurse complaining of sudden and severe scrotal pain. He
denies any trauma to the scrotum. What is the most appropriate nursing action?
a. Refer him for immediate medical evaluation.
b. Administer analgesics and recommend scrotal support.
c. Apply an ice bag and observe for increasing pain.
d. Reassure the adolescent that occasional pain is common with the changes of puberty.
2/43
,Nurs 328 exam –health problems in adolescent questions
with answers
ANS: A
Any adolescent boy with redness, swelling, or pain in the scrotum is referred for immediate evaluation.
These are signs of testicular torsion, which is a medical emergency. If the possibility of testicular torsion is
eliminated, appropriate interventions include administering analgesics and recommending scrotal support.
applying an ice bag and observing for increasing pain. and reassuring the adolescent that occasional pain is
common with the changes of puberty.
DIF: Cognitive Level: Applying REF: p. 693
TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity
4. A 14-year-old boy is of normal weight, and his parents are concerned about bilateral breast enlargement.
The nurse’s discussion of this should be based on what?
a. The presence of too much body fat
b. Symptom that a hormonal imbalance is present
c. Most likely part of normal pubertal development
d. Indication that he is developing precocious puberty
ANS: C
Gynecomastia is common during midpuberty in about one third of boys. For most, the breast enlargement
disappears within 2 years. Although breast enlargement in overweight children can indicate too much body
fat, in children of normal body weight, it is a normal occurrence. If the gynecomastia persists beyond 2
years, then a hormonal cause may need to be investigated. Precocious puberty is the early onset of puberty,
before age 9 years in boys.
DIF: Cognitive Level: Applying REF: p. 693
TOP: Integrated Process: Teaching/Learning
3/43
, Nurs 328 exam –health problems in adolescent questions
with answers
MSC: Client Needs: Physiological Integrity
5. A 15-year-old girl tells the school nurse that she has not started to menstruate yet. Onset of
secondary sexual characteristics was about 2 1/2 years ago. The nurse should take which action?
a. Explain that this is not unusual.
b. Refer the adolescent for an evaluation.
c. Make an assumption that the adolescent is pregnant.
d. Suggest that the adolescent stop exercising until menarche occurs.
ANS: B
A referral is indicated. Menarche should follow the onset of secondary sexual development within 2 1/2
years. A careful examination is done to reveal any physical abnormalities, signs of androgen excess, and
congenital defects of the genital tract. The lack of the onset of menstruation at this age is a potential
indication of a physical problem. Assuming that the adolescent is pregnant is inappropriate. The nurse does
not have any indication that the adolescent is sexually active. The amount of exercise should be assessed
before suggesting that the adolescent stop exercising until menarche occurs.
DIF: Cognitive Level: Applying REF: p. 694
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Physiological Integrity
6. An adolescent girl asks the school nurse for advice because she has dysmenorrhea. She says that a friend
recommended she try an over-the-counter nonsteroidal anti-inflammatory drug (NSAID). The nurse’s
response should be based on what?
a. Hormone therapy is necessary for the treatment of dysmenorrhea.
4/43
