Deck 17: Assessing the School-Age Child and Adolescent

Question 1

Which tool is used to track sexual maturation for the adolescent patient?

A) Snellen chart
B) Tanner scale
C) Body mass index
D) Denver II Developmental Milestones

Answer 1

Tanner scale

Question 2

Which is the reason why it is important to plot the school-age child's height and weight on a standardized growth chart?

A) Growth spurts are unpredictable.
B) Boys and girls grow at different times and rates.
C) Individual children will grow according to their own curve.
D) All of the above.

Answer 2

Individual children will grow according to their own curve.

Question 3

Which is most likely going to be most influential in a 9-year-old girl's decision on what clothing to wear to school?

A) Parents
B) Older sister
C) Older brother
D) Friends

Answer 3

Friends

Question 4

Which stage of development encompasses the school-age years based on the work of Erikson?

A) Autonomy versus shame
B) Identity versus confusion
C) Industry versus inferiority
D) Intimacy versus isolation

Question 5

During a routine health screening, the nurse recognizes an S-shaped curvature in an older school-age patient's back. Which term is most appropriate for the nurse to use when documenting this finding?

A) Kyphosis
B) Lordosis
C) Scoliosis
D) Sciatica

Question 6

When documenting the occurrence of the 2-year period before puberty in which preliminary physical changes occur, which term used by the nurse is most appropriate?

A) Preadolescence
B) Prepuberty
C) Prepubescence
D) Adolescence

Question 7

As secondary teeth begin to erupt around the age of 6 years, which problem is most likely to arise?

A) Caries
B) Malocclusion
C) Periodontal disease
D) Wisdom teeth impaction

Question 8

Which term did Freud use to describe the period of the school-age child?

A) Genital
B) Latency
C) Oral
D) Anal

Question 9

A 9-year-old female suddenly loses interest in her piano lessons, friends, and school work. Which is the most likely cause for this occurrence?

A) Attention deficit disorder (ADD)
B) Learning disability (LD)
C) Stress
D) Osgood-Schlatter disease

Question 10

Which milestone marks puberty?

A) Turning 13 years old
B) Rapid growth of long bones
C) Onset of menstruation and sperm production
D) Interest in the opposite sex

Question 11

Which is the best recommendation for an 8-year-old girl to prevent obesity?

A) Engage in regular exercise
B) Drink skim milk
C) Take appetite suppressants
D) Weigh self daily

Question 12

Which factor is most important when determining whether an organized sport is safe for a child to participate in?

A) Adult coaches with training in selected sport
B) Rules
C) Height and weight of child
D) Age of child

Question 13

When a school-age child begins to understand the concepts of addition and subtraction, which term best describes this type of thinking?

A) Preoperational
B) Preconceptual
C) Concrete
D) Abstract

Question 14

How does participation in team sports or other activities help build self-esteem in the school-age child?

A) By making a child feel special
B) By preventing boredom
C) By limiting TV time
D) By preventing "all work and no play"

Question 15

Which age range typically marks early adolescence for a female patient?

A) 8 to 9 years
B) 11 to 14 years
C) 12 to 16 years
D) 13 to 17 years

Question 16

Which Tanner stage corresponds to adult sexual maturity for both male and female patients?

A) Stage 2
B) Stage 3
C) Stage 4
D) Stage 5

Question 17

Which question will yield the best response regarding a child's or adolescent's use of nicotine, alcohol, and/or recreational drugs?

A) "If you use alcohol, nicotine, or street drugs, how much are you using?"
B) "You don't use alcohol, nicotine, or street drugs, do you?"
C) "I won't tell your mother, but are you using alcohol, nicotine, or street drugs?"
D) "I don't use them, but do you use alcohol, nicotine, or street drugs?"

Question 18

A 7-year-old boy doesn't come home for dinner on time 3 nights in a row. Which action by the parents is most appropriate?

A) Punish him and make him stay home 3 nights.
B) Discuss the problem and give him another three chances.
C) Discuss the problem and set outcomes if he is late again.
D) Allow him to eat dinner on his own when he shows up.

Question 19

Which term will the nurse use to describe the 1-to-2 year period after puberty when skeletal growth is complete and reproductive function is regular?

A) Postpubescence
B) Early adulthood
C) Adolescence
D) Postpuberty

Question 20

By the time a child begins first grade, which visual acuity does the nurse anticipate upon assessment?

A) 20/20
B) 20/30
C) 20/40
D) 20/50

Question 21

Which ethnicity allows the adolescent female to begin courting at the age of 15 after the "quince party"?

A) African American
B) Cuban American
C) Mexican American
D) Jewish American

Question 22

The nurse is conducting a health maintenance visit for a 10-year-old patient. The patient's mother states, "My daughter has missed a lot of school this year." Which assessment questions are appropriate to determine whether a school phobia is the reason for this absenteeism? Select all that apply.

A) "Is your child a latch-key kid?"
B) "Does your child complain of headaches?"
C) "Does your child have fevers often?"
D) "Does your child feel better later in the day?"
E) "Does your child visit the nurse's office frequently?"

Question 23

The nurse is providing education to a young adolescent male patient. Which should the nurse include in the educational session regarding nocturnal emissions?

A) "Nocturnal emissions indicate that you have a problem with your reproductive system."
B) "Nocturnal emissions indicate that you are sterile."
C) "Nocturnal emissions typically occur 1 year after the breast tissue begins to enlarge."
D) "Nocturnal emissions typically being 1 year after the penis begins to enlarge."

Question 24

When assessing the hearing of a school-age child, the nurse notes a deficit. Which is a possible reason for cochlear damage that could be causing this finding?

A) Head trauma
B) Video games
C) Ear bud use with MP3 player
D) Football participation

Question 25

The nurse is conducting a health maintenance physical for a school-age patient. Which finding in the family medical history would necessitate the need for further evaluation if the patient would like to participate in soccer?

A) Mother is diagnosed with type 1 diabetes mellitus.
B) Father died of massive heart attack at the age 34 years
C) Maternal grandfather died of end-stage renal failure at the age 66 years
D) Sibling is diagnosed with attention deficit hyperactivity disorder

Question 26

The nurse is conducting a review of systems during the health history interview for an adolescent patient. Which questions are appropriate during the integumentary portion of the assessment? Select all that apply.

A) "Have you had any recent changes in weight?"
B) "Are you prescribed any medication for acne?"
C) "Do you have any piercings?"
D) "Have you ever used a tanning bed?"
E) "Do you listen to loud music?"

Question 27

The nurse conducts health maintenance visits for an adolescent female. In which situation would the nurse recommend a pelvic examination and Pap smear?

A) A 14-year-old who denies sexual activity.
B) A 15-year-old who became sexually active 1 year ago.
C) An 18-year-old who became sexually active 2 years ago.
D) A 17-year-old who became sexually active at the age of 14 years.

Question 28

Which has the most influence on the adolescent?

A) Parents
B) Siblings
C) Teachers
D) Peers

Question 29

The nurse is conducting a health maintenance assessment for an 11-year-old patient. Which immunization does the nurse anticipate administering based on the patient's age?

A) Tdap vaccine
B) Meningitis vaccine
C) IPV vaccine
D) Hepatitis B vaccine

Question 30

The nurse is conducting a nutrition assessment for an adolescent female patient. Which questions are appropriate for the nurse to ask during this assessment? Select all that apply.

A) "How much do you think you should weigh?"
B) "When was the last time you ate at a fast food restaurant?"
C) "How often do you eat breakfast?"
D) "What is your favorite snack?"
E) "Do you notice more acne when you eat greasy foods?"

Question 31

The nurse is conducting a health maintenance assessment for a 6-year-old patient. Which vaccine does the nurse anticipate as needed based on the patient's age?

A) Polio vaccine
B) Tetanus-Diptheria (TD) vaccine
C) Chicken pox vaccine
D) HPV vaccine

Question 32

Which term is used to describe the cognitive development that occurs during adolescence?

A) Sensorimotor
B) Formal operations
C) Preoperational
D) Concrete operations

Question 33

The nurse is assessing a school-age patient's ability to cope with stress. Which questions are appropriate? Select all that apply.

A) "What do you do when you get angry?"
B) "Do you frequently take naps?"
C) "Do you eat high-calorie snacks?"
D) "What do you like to do for fun?"
E) "How do you relax on the weekends?"

Question 34

The nurse is conducting a physical assessment during a scheduled health maintenance visit for a school-age child. Which assessment findings support the diagnosis of allergic rhinitis? Select all that apply.

A) Chronic runny nose
B) Boggy turbinates
C) Red turbinates
D) Bluish-purple turbinates
E) Enlarged tonsils

Question 35

The nurse is providing care to a Navajo American adolescent patient who states, "I am an adult now in my culture." Which has occurred for the patient to make this statement?

A) Graduating from high school
B) Becoming engaged
C) Starting menstruation
D) Passing a driver's permit exam

Question 36

The nurse is conducting a health maintenance assessment for an adolescent female. Which medication prescription necessitates the need for counseling about pregnancy prevention?

A) Amoxicillin
B) Tetracycline
C) Accutane
D) Buproprion

Question 37

An adolescent patient states, "I am interested in a contraception implant." Which will the nurse include in the teaching session based on this statement?

A) Ortho-Novum 777
B) Depo-Provera
C) Norplant
D) Diaphragm