Question 1

The nurse has determined that an adolescent's body mass index (BMI) is in the 90th percentile. What information should the nurse convey to the adolescent?

Accepted Answer

A)  The adolescent is overweight. 
B)  The adolescent has maintained weight within the normal range. 
C)  The adolescent is at risk for becoming overweight. 
D)  Nutritional supplementation should occur at least three times per week 
A)  The adolescent is overweight. 
B)  The adolescent has maintained weight within the normal range. 
C)  The adolescent is at risk for becoming overweight. 
D)  Nutritional supplementation should occur at least three times per week

Question 2

What best describes central nervous system (CNS) stimulants?

Accepted Answer

A)  Acute intoxication can lead to coma. 
B)  They produce strong physical dependence. 
C)  Withdrawal symptoms are life threatening. 
D)  They can result in strong psychologic dependence. 
A)  Acute intoxication can lead to coma. 
B)  They produce strong physical dependence. 
C)  Withdrawal symptoms are life threatening. 
D)  They can result in strong psychologic dependence.

Question 3

An adolescent girl tells the nurse that she is very suicidal. The nurse asks her if she has a specific plan. How should asking about a specific plan be viewed?

Accepted Answer

A)  Not a critical part of the assessment 
B)  An appropriate part of the assessment 
C)  Suggesting that adolescent needs a plan 
D)  Encouraging adolescent to devise a plan 
A)  Not a critical part of the assessment 
B)  An appropriate part of the assessment 
C)  Suggesting that adolescent needs a plan 
D)  Encouraging adolescent to devise a plan

Question 4

What menstrual disorders are indications for a pelvic examination? (Select all that apply.)

Accepted Answer

A)  Amenorrhea 
B)  Dyspareunia 
C)  Impaired fertility 
D)  Irregular uterine or vaginal bleeding 
E)  Dysmenorrhea unresponsive to therapy 
A)  Amenorrhea 
B)  Dyspareunia 
C)  Impaired fertility 
D)  Irregular uterine or vaginal bleeding 
E)  Dysmenorrhea unresponsive to therapy

Question 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?

Accepted Answer

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. 
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.

Question 6

What do nursing responsibilities regarding weight gain for an adolescent with anorexia nervosa include?

Accepted Answer

A)  Administer tube feedings until target weight is achieved. 
B)  Restore body weight to within 10% of the adolescent's ideal weight. 
C)  Encourage continuation of strenuous exercise as long as adolescent is not losing weight. 
D)  Facilitate as rapid a weight gain as possible with a high-calorie diet. 
A)  Administer tube feedings until target weight is achieved. 
B)  Restore body weight to within 10% of the adolescent's ideal weight. 
C)  Encourage continuation of strenuous exercise as long as adolescent is not losing weight. 
D)  Facilitate as rapid a weight gain as possible with a high-calorie diet.

Question 7

An adolescent girl is brought to the hospital emergency department by her parents after being raped. The girl is calm and controlled throughout the interview and examination. The nurse should recognize this behavior is what?

Accepted Answer

A)  A sign that a rape has not actually occurred 
B)  One of a variety of behaviors normally seen in rape victims 
C)  Indicative of a higher than usual level of maturity in the adolescent 
D)  Suggestive that the adolescent had severe emotional problems before the rape occurred 
A)  A sign that a rape has not actually occurred 
B)  One of a variety of behaviors normally seen in rape victims 
C)  Indicative of a higher than usual level of maturity in the adolescent 
D)  Suggestive that the adolescent had severe emotional problems before the rape occurred

Question 8

The nurse is preparing to administer danazol (Danocrine) to a patient with endometriosis. What are the side effects of this medication? (Select all that apply.)

Accepted Answer

A)  Insomnia 
B)  Hot flashes 
C)  Amenorrhea 
D)  Increased libido 
E)  Vaginal secretions 
A)  Insomnia 
B)  Hot flashes 
C)  Amenorrhea 
D)  Increased libido 
E)  Vaginal secretions

Question 9

The middle school nurse is planning a behavior modification program for overweight children. What is the most important goal for participants of the program?

Accepted Answer

A)  Learn how to cook low-fat meals. 
B)  Improve relationships with peers. 
C)  Identify and eliminate inappropriate eating habits. 
D)  Achieve normal weight during the program. 
A)  Learn how to cook low-fat meals. 
B)  Improve relationships with peers. 
C)  Identify and eliminate inappropriate eating habits. 
D)  Achieve normal weight during the program.

Question 10

The clinic nurse is assessing an adolescent on a topical antibacterial agent. The nurse should assess for which side effects that can be seen with topical antibacterial agents? (Select all that apply.)

Accepted Answer

A)  Burning 
B)  Dryness 
C)  Dry eyes 
D)  Erythema 
E)  Nasal irritation 
A)  Burning 
B)  Dryness 
C)  Dry eyes 
D)  Erythema 
E)  Nasal irritation

Question 11

During the physical examination of an adolescent with significant weight loss, what finding may indicate an eating disorder?

Accepted Answer

A)  Diarrhea 
B)  Amenorrhea 
C)  Appetite suppression 
D)  Erosion of tooth enamel 
A)  Diarrhea 
B)  Amenorrhea 
C)  Appetite suppression 
D)  Erosion of tooth enamel

Question 12

The clinic nurse is evaluating a patient with a vaginal infection. The nurse knows that the normal vaginal pH is in which range?

Accepted Answer

A)  3.0 to 4.0 
B)  4.0 to 5.0 
C)  5.0 to 6.0 
D)  6.0 to 7.0 
A)  3.0 to 4.0 
B)  4.0 to 5.0 
C)  5.0 to 6.0 
D)  6.0 to 7.0

Question 13

What is a major physical risk for young adolescents during pregnancy?

Accepted Answer

A)  Osteoporosis frequently develops. 
B)  Fetopelvic disproportion is a common problem. 
C)  Delivery is usually precipitous in this age group. 
D)  Pregnancy will adversely affect the adolescent's development. 
A)  Osteoporosis frequently develops. 
B)  Fetopelvic disproportion is a common problem. 
C)  Delivery is usually precipitous in this age group. 
D)  Pregnancy will adversely affect the adolescent's development.

Question 14

What behavior is the nurse most likely to assess in an adolescent with anorexia nervosa (AN)?

Accepted Answer

A)  Eats in secrecy 
B)  Uses food as a coping mechanism 
C)  Has a marked preoccupation with food 
D)  Lacks awareness of how eating affects weight loss 
A)  Eats in secrecy 
B)  Uses food as a coping mechanism 
C)  Has a marked preoccupation with food 
D)  Lacks awareness of how eating affects weight loss

Question 15

The nurse is teaching an adolescent girl strategies to relieve dysmenorrhea. What should the nurse include in the teaching session? (Select all that apply.)

Accepted Answer

A)  Effleurage 
B)  Diet high in fat 
C)  Limiting exercise 
D)  Use of a heating pad 
E)  Massaging the lower back 
A)  Effleurage 
B)  Diet high in fat 
C)  Limiting exercise 
D)  Use of a heating pad 
E)  Massaging the lower back

Question 16

What is the most significant factor in distinguishing those who commit suicide from those who make suicidal attempts or threats?

Accepted Answer

A)  Level of stress 
B)  Social isolation 
C)  Degree of depression 
D)  Desire to punish others 
A)  Level of stress 
B)  Social isolation 
C)  Degree of depression 
D)  Desire to punish others

Question 17

An important distinction in understanding substance abuse is that drug misuse, abuse, and addiction are considered what?

Accepted Answer

A)  Voluntary behaviors based on psychosocial needs 
B)  Problems that occur in conjunction with addiction 
C)  Involuntary physiologic responses to the pharmacologic characteristics of drugs 
D)  Legal use of substances for purposes other than medicinal. 
A)  Voluntary behaviors based on psychosocial needs 
B)  Problems that occur in conjunction with addiction 
C)  Involuntary physiologic responses to the pharmacologic characteristics of drugs 
D)  Legal use of substances for purposes other than medicinal.

Question 18

Descriptions of young people with anorexia nervosa (AN) often include which criteria?

Accepted Answer

A)  Impulsive 
B)  Extroverted 
C)  Perfectionist 
D)  Low achieving 
A)  Impulsive 
B)  Extroverted 
C)  Perfectionist 
D)  Low achieving

Question 19

The clinic nurse is evaluating an adolescent with menses that have stopped occurring. The nurse understands that which minimum amount of time should the menses be absent after a period of menstruation to be diagnosed as secondary amenorrhea?

Accepted Answer

A)  3 months 
B)  4 months 
C)  5 months 
D)  6 months 
A)  3 months 
B)  4 months 
C)  5 months 
D)  6 months

Question 20

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?

Accepted Answer

A)  Hormone therapy is necessary for the treatment of dysmenorrhea. 
B)  Acetaminophen is the drug of choice for the treatment of dysmenorrhea. 
C)  Over-the-counter NSAIDs are rarely strong enough to provide adequate pain relief. 
D)  NSAIDs are effective because they inhibit prostaglandins, leading to reduction in uterine activity. 
A)  Hormone therapy is necessary for the treatment of dysmenorrhea. 
B)  Acetaminophen is the drug of choice for the treatment of dysmenorrhea. 
C)  Over-the-counter NSAIDs are rarely strong enough to provide adequate pain relief. 
D)  NSAIDs are effective because they inhibit prostaglandins, leading to reduction in uterine activity.

Exam 18: Health Problems of the Adolescent

The nurse has determined that an adolescent's body mass index (BMI) is in the 90th percentile. What information should the nurse convey to the adolescent?

What best describes central nervous system (CNS) stimulants?

An adolescent girl tells the nurse that she is very suicidal. The nurse asks her if she has a specific plan. How should asking about a specific plan be viewed?

What menstrual disorders are indications for a pelvic examination? (Select all that apply.)

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?

What do nursing responsibilities regarding weight gain for an adolescent with anorexia nervosa include?

An adolescent girl is brought to the hospital emergency department by her parents after being raped. The girl is calm and controlled throughout the interview and examination. The nurse should recognize this behavior is what?

The nurse is preparing to administer danazol (Danocrine) to a patient with endometriosis. What are the side effects of this medication? (Select all that apply.)

The middle school nurse is planning a behavior modification program for overweight children. What is the most important goal for participants of the program?

The clinic nurse is assessing an adolescent on a topical antibacterial agent. The nurse should assess for which side effects that can be seen with topical antibacterial agents? (Select all that apply.)

During the physical examination of an adolescent with significant weight loss, what finding may indicate an eating disorder?

The clinic nurse is evaluating a patient with a vaginal infection. The nurse knows that the normal vaginal pH is in which range?

What is a major physical risk for young adolescents during pregnancy?

What behavior is the nurse most likely to assess in an adolescent with anorexia nervosa (AN)?

The nurse is teaching an adolescent girl strategies to relieve dysmenorrhea. What should the nurse include in the teaching session? (Select all that apply.)

What is the most significant factor in distinguishing those who commit suicide from those who make suicidal attempts or threats?

An important distinction in understanding substance abuse is that drug misuse, abuse, and addiction are considered what?

Descriptions of young people with anorexia nervosa (AN) often include which criteria?

The clinic nurse is evaluating an adolescent with menses that have stopped occurring. The nurse understands that which minimum amount of time should the menses be absent after a period of menstruation to be diagnosed as secondary amenorrhea?

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?

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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