Question 1

What statement regarding chlamydial infections is correct?

Accepted Answer

A)  The treatment of choice is oral penicillin. 
B)  The treatment of choice is nystatin or miconazole. 
C)  Both men and women may have asymptomatic infections. 
D)  Clinical manifestations include small, painful vesicles on the genital areas. 
A)  The treatment of choice is oral penicillin. 
B)  The treatment of choice is nystatin or miconazole. 
C)  Both men and women may have asymptomatic infections. 
D)  Clinical manifestations include small, painful vesicles on the genital areas. C

Question 2

What goal is most important when caring for a child with anorexia nervosa (AN)?

Accepted Answer

A)  Limit fluid intake. 
B)  Prevent depression. 
C)  Correct malnutrition. 
D)  Encourage weight gain. 
A)  Limit fluid intake. 
B)  Prevent depression. 
C)  Correct malnutrition. 
D)  Encourage weight gain. C

Question 3

What is the usual presenting symptom for testicular cancer?

Accepted Answer

A)  Solid, painful mass 
B)  Hard, painless mass 
C)  Scrotal swelling and pain 
D)  Epididymis easily palpated 
A)  Solid, painful mass 
B)  Hard, painless mass 
C)  Scrotal swelling and pain 
D)  Epididymis easily palpated B

Question 4

A sexually active adolescent asks the school nurse about prevention of sexually transmitted infections (STIs). What should the nurse recommend?

Accepted Answer

A)  Use of condoms 
B)  Prophylactic antibiotics 
C)  Any type of contraception method 
D)  Withdrawal method of contraception 
A)  Use of condoms 
B)  Prophylactic antibiotics 
C)  Any type of contraception method 
D)  Withdrawal method of contraception

Question 5

The school nurse is teaching a group of adolescent females which measures to take to prevent genital tract infections. What should the nurse include in the teaching session? (Select all that apply.)

Accepted Answer

A)  Use condoms. 
B)  Douche once a week. 
C)  Avoid tight-fitting clothing. 
D)  Limit exposure to bubble baths. 
E)  Avoid colored and scented toilet tissue. 
A)  Use condoms. 
B)  Douche once a week. 
C)  Avoid tight-fitting clothing. 
D)  Limit exposure to bubble baths. 
E)  Avoid colored and scented toilet tissue.

Question 6

Tretinoin (Retin-A) is a commonly used topical agent for the treatment of acne. What do nursing considerations with this drug include?

Accepted Answer

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. 
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.

Question 7

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?

Accepted Answer

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 
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

Question 8

Many adolescents use alcohol for self-medication. How does an adolescent view the benefit of alcohol?

Accepted Answer

A)  Believes it has a stimulant effect 
B)  Believes it increases alertness 
C)  Provides a sense of euphoria 
D)  Provides a defense against depression 
A)  Believes it has a stimulant effect 
B)  Believes it increases alertness 
C)  Provides a sense of euphoria 
D)  Provides a defense against depression

Question 9

What method is the most commonly used in completed suicides?

Accepted Answer

A)  Firearms 
B)  Drug overdose 
C)  Self-inflicted laceration 
D)  Carbon monoxide poisoning 
A)  Firearms 
B)  Drug overdose 
C)  Self-inflicted laceration 
D)  Carbon monoxide poisoning

Question 10

The nurse is presenting an educational program to a group of parents about differences between anorexia nervosa (AN) and bulimia nervosa (BN) at a community outreach program. What statement by a parent would indicate a need for additional teaching?

Accepted Answer

A)  "A child with AN will turn away from food to cope, but a child with BN turns to food to cope." 
B)  "A child with AN maintains rigid control and is introverted, but a child with BN is an extrovert and frequently loses control." 
C)  "A child with AN denies the illness, but a child with BN recognizes the illness." 
D)  "A child with AN is usually sexually active and seeks intimacy, but a child with BN avoids intimacy and is usually not sexually active." 
A)  "A child with AN will turn away from food to cope, but a child with BN turns to food to cope." 
B)  "A child with AN maintains rigid control and is introverted, but a child with BN is an extrovert and frequently loses control." 
C)  "A child with AN denies the illness, but a child with BN recognizes the illness." 
D)  "A child with AN is usually sexually active and seeks intimacy, but a child with BN avoids intimacy and is usually not sexually active."

Question 11

An adolescent patient has been diagnosed with a vulvovaginal candidiasis (yeast infection). The nurse expects the health care provider to recommend which vaginal cream?

Accepted Answer

A)  Premarin 
B)  Estradiol (Estrace) 
C)  Miconazole (Monistat) 
D)  Clindamycin phosphate (Cleocin) 
A)  Premarin 
B)  Estradiol (Estrace) 
C)  Miconazole (Monistat) 
D)  Clindamycin phosphate (Cleocin)

Question 12

What conditions are physical complications of obesity? (Select all that apply.)

Accepted Answer

A)  Type 2 diabetes mellitus 
B)  QT interval prolongation 
C)  Fatty liver disease 
D)  Gastrointestinal dysfunction 
E)  Abnormal growth acceleration
F) Dental erosion 
A)  Type 2 diabetes mellitus 
B)  QT interval prolongation 
C)  Fatty liver disease 
D)  Gastrointestinal dysfunction 
E)  Abnormal growth acceleration
F) Dental erosion

Question 13

During a well-child visit, the nurse plots the child's BMI on the health record. What is the purpose of the BMI?

Accepted Answer

A)  To determine medication dosages 
B)  To predict adult height and weight 
C)  To identify coping strategies used by the child 
D)  To provide a consistent measure of obesity 
A)  To determine medication dosages 
B)  To predict adult height and weight 
C)  To identify coping strategies used by the child 
D)  To provide a consistent measure of obesity

Question 14

After a treatment plan for acne has been initiated, which time period should the nurse explain to an adolescent before improvement will be seen?

Accepted Answer

A)  2 to 4 weeks 
B)  4 to 6 weeks 
C)  6 to 8 weeks 
D)  8 to 10 weeks 
A)  2 to 4 weeks 
B)  4 to 6 weeks 
C)  6 to 8 weeks 
D)  8 to 10 weeks

Question 15

During a well-child visit, the nurse practitioner provides guidance about promoting healthy eating in a child who is overweight. What does the nurse advise?

Accepted Answer

A)  Slow down eating meals. 
B)  Avoid between-meal snacks. 
C)  Include low-fat foods in meals. 
D)  Use foods that child likes as special treats. 
A)  Slow down eating meals. 
B)  Avoid between-meal snacks. 
C)  Include low-fat foods in meals. 
D)  Use foods that child likes as special treats.

Question 16

An adolescent girl calls the nurse at the clinic because she had unprotected sex the night before and does not want to be pregnant. What should the nurse explain?

Accepted Answer

A)  It is too late to prevent an unwanted pregnancy. 
B)  An abortion may be the best option if she is pregnant. 
C)  The risk of pregnancy is minimal, so no action is necessary. 
D)  Postcoital contraception is available to prevent implantation and therefore pregnancy. 
A)  It is too late to prevent an unwanted pregnancy. 
B)  An abortion may be the best option if she is pregnant. 
C)  The risk of pregnancy is minimal, so no action is necessary. 
D)  Postcoital contraception is available to prevent implantation and therefore pregnancy.

Question 17

What factor is most likely to increase the likelihood that an adolescent will misuse alcohol?

Accepted Answer

A)  Female gender 
B)  Regular school attendance 
C)  Rural environment 
D)  Unconventional behavior 
A)  Female gender 
B)  Regular school attendance 
C)  Rural environment 
D)  Unconventional behavior

Question 18

What are risk factors of testicular cancer? (Select all that apply.)

Accepted Answer

A)  Hispanic 
B)  Infertility 
C)  Alcohol use 
D)  Tobacco use 
E)  Family history 
A)  Hispanic 
B)  Infertility 
C)  Alcohol use 
D)  Tobacco use 
E)  Family history

Question 19

The nurse is teaching a class on obesity prevention to parents in the community. What is a contributing factor to childhood obesity?

Accepted Answer

A)  Birth weight 
B)  Parental overweight 
C)  Age at the onset of puberty 
D)  Asian ethnic background 
A)  Birth weight 
B)  Parental overweight 
C)  Age at the onset of puberty 
D)  Asian ethnic background

Question 20

A pregnant 15-year-old adolescent tells the nurse that she did not use any form of contraception because she was afraid her parents would find out. The nurse should recognize what?

Accepted Answer

A)  This is a frequent reason given by adolescents. 
B)  This suggests a poor parent-child relationship. 
C)  This is not a good reason to not get contraception. 
D)  This indicates that the adolescent is unaware of her legal rights. 
A)  This is a frequent reason given by adolescents. 
B)  This suggests a poor parent-child relationship. 
C)  This is not a good reason to not get contraception. 
D)  This indicates that the adolescent is unaware of her legal rights.

Exam 18: Health Problems of the Adolescent

What statement regarding chlamydial infections is correct?

What goal is most important when caring for a child with anorexia nervosa (AN)?

What is the usual presenting symptom for testicular cancer?

A sexually active adolescent asks the school nurse about prevention of sexually transmitted infections (STIs). What should the nurse recommend?

The school nurse is teaching a group of adolescent females which measures to take to prevent genital tract infections. What should the nurse include in the teaching session? (Select all that apply.)

Tretinoin (Retin-A) is a commonly used topical agent for the treatment of acne. What do nursing considerations with this drug include?

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?

Many adolescents use alcohol for self-medication. How does an adolescent view the benefit of alcohol?

What method is the most commonly used in completed suicides?

The nurse is presenting an educational program to a group of parents about differences between anorexia nervosa (AN) and bulimia nervosa (BN) at a community outreach program. What statement by a parent would indicate a need for additional teaching?

An adolescent patient has been diagnosed with a vulvovaginal candidiasis (yeast infection). The nurse expects the health care provider to recommend which vaginal cream?

What conditions are physical complications of obesity? (Select all that apply.)

During a well-child visit, the nurse plots the child's BMI on the health record. What is the purpose of the BMI?

After a treatment plan for acne has been initiated, which time period should the nurse explain to an adolescent before improvement will be seen?

During a well-child visit, the nurse practitioner provides guidance about promoting healthy eating in a child who is overweight. What does the nurse advise?

An adolescent girl calls the nurse at the clinic because she had unprotected sex the night before and does not want to be pregnant. What should the nurse explain?

What factor is most likely to increase the likelihood that an adolescent will misuse alcohol?

What are risk factors of testicular cancer? (Select all that apply.)

The nurse is teaching a class on obesity prevention to parents in the community. What is a contributing factor to childhood obesity?

A pregnant 15-year-old adolescent tells the nurse that she did not use any form of contraception because she was afraid her parents would find out. The nurse should recognize what?

Perspectives of Pediatric Nursing

Social, Cultural, Religious, and Family Influences on Child Health Promotion

Hereditary Influences on Health Promotion of the Child and Family

Communication, Physical, and Developmental Assessment

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

The High-Risk Newborn and Family

Health Promotion of the Infant and Family

Health Problems of the Infant

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Early Childhood

Health Promotion of the School-Age Child and Family

Health Problems of the School-Age Child

Health Promotion of the Adolescent and Family

Family-Centered Care of the Child with Chronic Illness or Disability

Family-Centered Palliative Care

The Child with Cognitive, Sensory, or Communication Impairment

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Nursing Interventions and Skills

The Child with Fluid and Electrolyte Imbalance

The Child with Renal Dysfunction

The Child with Gastrointestinal Dysfunction

Overview of Oxygen and Carbon Dioxide Exchange

The Child with Respiratory Dysfunction

The Child with Cardiovascular Dysfunction

The Child with Hematologic or Immunologic Dysfunction

The Child with Cancer

The Child with Cerebral Dysfunction

The Child with Endocrine Dysfunction

The Child with Musculoskeletal or Articular Dysfunction

The Child with Neuromuscular or Muscular Dysfunction

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