Question 1

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. B

Question 2

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. A

Question 3

The nurse is teaching an adolescent about acne care.What statement by the adolescent indicates a need for further teaching?

Accepted Answer

A)  "I will cleanse my face twice a day." 
B)  "I will frequently shampoo my hair." 
C)  "I will brush my hair away from my forehead." 
D)  "I will use my antibacterial soap to cleanse my face." 
A)  "I will cleanse my face twice a day." 
B)  "I will frequently shampoo my hair." 
C)  "I will brush my hair away from my forehead." 
D)  "I will use my antibacterial soap to cleanse my face." D

Question 4

The school nurse suspects a testicular torsion in a young adolescent student.What action should the nurse take?

Accepted Answer

A)  Place a warm moist pack on the scrotal area. 
B)  Instruct the adolescent to lie down and elevate the legs. 
C)  Refer the adolescent for immediate medical evaluation. 
D)  Suggest that the adolescent wear a scrotum-protecting guard. 
A)  Place a warm moist pack on the scrotal area. 
B)  Instruct the adolescent to lie down and elevate the legs. 
C)  Refer the adolescent for immediate medical evaluation. 
D)  Suggest that the adolescent wear a scrotum-protecting guard.

Question 5

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 6

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

Question 7

It is important that women with anogenital warts caused by the human papillomavirus (HPV)receive adequate treatment because this sexually transmitted infection increases the risk of what?

Accepted Answer

A)  Gonorrhea 
B)  Cervical cancer 
C)  Chlamydial infection 
D)  Urinary tract infection 
A)  Gonorrhea 
B)  Cervical cancer 
C)  Chlamydial infection 
D)  Urinary tract infection

Question 8

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 9

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 10

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 11

What statement is true about smoking in college students?

Accepted Answer

A)  The rate of smoking cigarettes is declining. 
B)  Smokeless tobacco use is rising dramatically. 
C)  Regular cigar use is becoming more common. 
D)  Students in the health professions do not smoke. 
A)  The rate of smoking cigarettes is declining. 
B)  Smokeless tobacco use is rising dramatically. 
C)  Regular cigar use is becoming more common. 
D)  Students in the health professions do not smoke.

Question 12

What is a priority goal in the postpartum care of an adolescent mother?

Accepted Answer

A)  Prevention of subsequent pregnancies 
B)  Ensuring that the father of the baby cares for the child 
C)  Returning the mother to a prepregnancy lifestyle 
D)  Facilitating formula feeding to minimize interruptions 
A)  Prevention of subsequent pregnancies 
B)  Ensuring that the father of the baby cares for the child 
C)  Returning the mother to a prepregnancy lifestyle 
D)  Facilitating formula feeding to minimize interruptions

Question 13

A health care provider prescribes leuprolide (Lupron),3.75 mg,IM,monthly,for a patient with endometriosis.The medication label states: "Leuprolide (Lupron)5 mg/1 ml." The nurse prepares to administer the monthly dose.How many milliliters will the nurse prepare to administer the dose? Fill in the blank.Record your answer using two decimal places.
________________

Accepted Answer

0.75
Follow the formula for do

Question 14

The nurse is teaching an adolescent female with primary dysmenorrhea foods that are natural diuretics.What foods should the nurse include in the teaching plan?

Accepted Answer

A)  Peaches 
B)  Asparagus 
C)  Watermelon 
D)  Wheat bread 
E)  Dairy products 
A)  Peaches 
B)  Asparagus 
C)  Watermelon 
D)  Wheat bread 
E)  Dairy products

Question 15

A health care provider prescribes methylphenidate hydrochloride (Ritalin),PO,8 mg,twice a day,for an adolescent with bulimia nervosa.The medication label states: "Methylphenidate hydrochloride (Ritalin),4 mg/1 tablet." The nurse prepares to administer one dose.How many tab(s)should the nurse prepare to administer one dose? Fill in the blank.Record your answer as a whole number.
________________

Accepted Answer

2
Follow the formula for dosag

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

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.

Question 18

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 19

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 20

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

Exam 18: Health Problems of the Adolescent

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

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

The nurse is teaching an adolescent about acne care.What statement by the adolescent indicates a need for further teaching?

The school nurse suspects a testicular torsion in a young adolescent student.What action should the nurse take?

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

What is the usual presenting symptom for testicular cancer?

It is important that women with anogenital warts caused by the human papillomavirus (HPV)receive adequate treatment because this sexually transmitted infection increases the risk of what?

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?

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

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

What statement is true about smoking in college students?

What is a priority goal in the postpartum care of an adolescent mother?

The nurse is teaching an adolescent female with primary dysmenorrhea foods that are natural diuretics.What foods should the nurse include in the teaching plan?

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

What statement regarding chlamydial infections is correct?

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?

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

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

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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