Question 1

What is the best description of anorexia nervosa?

Accepted Answer

A)  Occurs most frequently in adolescent males 
B)  Occurs most frequently in adolescents from lower socioeconomic groups 
C)  Results from a posterior pituitary disorder 
D)  Results in severe weight loss in the absence of obvious physical causes 
A)  Occurs most frequently in adolescent males 
B)  Occurs most frequently in adolescents from lower socioeconomic groups 
C)  Results from a posterior pituitary disorder 
D)  Results in severe weight loss in the absence of obvious physical causes D

Question 2

How are young people with anorexia nervosa often described?

Accepted Answer

A)  Independent 
B)  Disruptive 
C)  Conforming 
D)  Low achieving 
A)  Independent 
B)  Disruptive 
C)  Conforming 
D)  Low achieving C

Question 3

An adolescent teen has bulimia. Which assessment finding should the nurse expect to assess?

Accepted Answer

A)  Diarrhea 
B)  Amenorrhea 
C)  Cold intolerance 
D)  Erosion of tooth enamel 
A)  Diarrhea 
B)  Amenorrhea 
C)  Cold intolerance 
D)  Erosion of tooth enamel D

Question 4

Which is descriptive of attention deficit hyperactivity disorder (ADHD)?

Accepted Answer

A)  Manifestations exhibited are so bizarre that the diagnosis is fairly easy. 
B)  Manifestations affect every aspect of the child's life but are most obvious in the classroom. 
C)  Learning disabilities associated with ADHD eventually disappear when adulthood is reached. 
D)  Diagnosis of ADHD requires that all manifestations of the disorder be present. 
A)  Manifestations exhibited are so bizarre that the diagnosis is fairly easy. 
B)  Manifestations affect every aspect of the child's life but are most obvious in the classroom. 
C)  Learning disabilities associated with ADHD eventually disappear when adulthood is reached. 
D)  Diagnosis of ADHD requires that all manifestations of the disorder be present.

Question 5

An adolescent has been diagnosed with lactose maldigestion intolerance. The nurse teaches the adolescent about lactose maldigestion intolerance and notes the teen needs further teaching if which statement is made?

Accepted Answer

A)  "I will limit my milk consumption to one to two glasses a day." 
B)  "I should drink the milk alone and not with other foods." 
C)  "Hard cheese, cottage cheese, or yogurt can be substituted for milk." 
D)  "I will take a calcium supplement daily." 
A)  "I will limit my milk consumption to one to two glasses a day." 
B)  "I should drink the milk alone and not with other foods." 
C)  "Hard cheese, cottage cheese, or yogurt can be substituted for milk." 
D)  "I will take a calcium supplement daily."

Question 6

What usually triggers the weight loss of anorexia nervosa?

Accepted Answer

A)  Sexual abuse 
B)  School failure 
C)  Independence from family 
D)  Traumatic interpersonal conflict 
A)  Sexual abuse 
B)  School failure 
C)  Independence from family 
D)  Traumatic interpersonal conflict

Question 7

Which is an important consideration when the nurse is discussing enuresis with the parents of a young child?

Accepted Answer

A)  Enuresis is more common in girls than in boys. 
B)  Enuresis is neither inherited nor has a familial tendency. 
C)  Organic causes that may be related to enuresis should be considered first. 
D)  Psychogenic factors that cause enuresis persist into adulthood. 
A)  Enuresis is more common in girls than in boys. 
B)  Enuresis is neither inherited nor has a familial tendency. 
C)  Organic causes that may be related to enuresis should be considered first. 
D)  Psychogenic factors that cause enuresis persist into adulthood.

Question 8

Which is descriptive of bulimia during adolescence?

Accepted Answer

A)  Strong sense of control over eating behavior 
B)  Feelings of elation after the binge-purge cycle 
C)  Profound lack of awareness that the eating pattern is abnormal 
D)  Weight that can be normal, slightly above normal, or below normal 
A)  Strong sense of control over eating behavior 
B)  Feelings of elation after the binge-purge cycle 
C)  Profound lack of awareness that the eating pattern is abnormal 
D)  Weight that can be normal, slightly above normal, or below normal

Question 9

A 12-year-old male has short stature because of a constitutional growth delay. What should the nurse be the most concerned about?

Accepted Answer

A)  Proper administration of thyroid hormone 
B)  Proper administration of human growth hormones 
C)  Child's self-esteem and sense of competence 
D)  Helping child understand that his height is most likely caused by chronic illness and is not his fault 
A)  Proper administration of thyroid hormone 
B)  Proper administration of human growth hormones 
C)  Child's self-esteem and sense of competence 
D)  Helping child understand that his height is most likely caused by chronic illness and is not his fault

Question 10

An adolescent has been diagnosed with Chlamydia infection. Which medication should the nurse expect to be prescribed for this condition?

Accepted Answer

A)  Ceftriaxone (Rocephin) IM 
B)  Azithromycin (Zithromax) PO 
C)  Acyclovir (Zovirax) PO 
D)  Penicillin G benzathine (Bicillin) IV 
A)  Ceftriaxone (Rocephin) IM 
B)  Azithromycin (Zithromax) PO 
C)  Acyclovir (Zovirax) PO 
D)  Penicillin G benzathine (Bicillin) IV

Question 11

Parents have a concern that their child is depressed. The nurse relates that which characteristic best describes children with depression?

Accepted Answer

A)  Increased range of affective response 
B)  Preoccupation with need to perform well in school 
C)  Change in appetite, resulting in weight loss or gain 
D)  Tendency to prefer play instead of schoolwork 
A)  Increased range of affective response 
B)  Preoccupation with need to perform well in school 
C)  Change in appetite, resulting in weight loss or gain 
D)  Tendency to prefer play instead of schoolwork

Question 12

The nurse is caring for an adolescent brought to the hospital with acute drug toxicity. Cocaine is believed to be the drug involved. Data collection should include what information?

Accepted Answer

A)  Mode of administration 
B)  Drug's actual content 
C)  Function the drug plays in the adolescent's life 
D)  Adolescent's level of interest in rehabilitation 
A)  Mode of administration 
B)  Drug's actual content 
C)  Function the drug plays in the adolescent's life 
D)  Adolescent's level of interest in rehabilitation

Question 13

A teen asks a nurse, "What is physical dependence in substance abuse?" Which is the correct response by the nurse?

Accepted Answer

A)  Problem that occurs in conjunction with addiction 
B)  Involuntary physiologic response to drug 
C)  Culturally defined use of drugs for purposes other than accepted medical purposes 
D)  Voluntary behavior based on psychosocial needs 
A)  Problem that occurs in conjunction with addiction 
B)  Involuntary physiologic response to drug 
C)  Culturally defined use of drugs for purposes other than accepted medical purposes 
D)  Voluntary behavior based on psychosocial needs

Question 14

The nurse is assisting the family of a child with a history of encopresis. Which should be included in the nurse's discussion with this family?

Accepted Answer

A)  Instruct the parents to sit the child on the toilet at twice-daily routine intervals. 
B)  Instruct the parents that the child will probably need to have daily enemas. 
C)  Suggest the use of stimulant cathartics weekly. 
D)  Reassure the family that most problems are resolved successfully, with some relapses during periods of stress. 
A)  Instruct the parents to sit the child on the toilet at twice-daily routine intervals. 
B)  Instruct the parents that the child will probably need to have daily enemas. 
C)  Suggest the use of stimulant cathartics weekly. 
D)  Reassure the family that most problems are resolved successfully, with some relapses during periods of stress.

Question 15

Tretinoin (Retin-A) is a topical agent commonly used to treat acne. Nursing considerations with this drug should include:

Accepted Answer

A)  teaching to avoid use of sunscreen agents. 
B)  applying generously to the skin. 
C)  explaining that medication should not be applied until at least 20 to 30 minutes after washing. 
D)  explaining that erythema and peeling are indications of toxicity. 
A)  teaching to avoid use of sunscreen agents. 
B)  applying generously to the skin. 
C)  explaining that medication should not be applied until at least 20 to 30 minutes after washing. 
D)  explaining that erythema and peeling are indications of toxicity.

Question 16

A child has been diagnosed with enuresis. TCA imipramine (Tofranil) has been prescribed for the child. The nurse understands that this medication is in which category?

Accepted Answer

A)  Antidepressant 
B)  Antidiuretic 
C)  Antispasmodic 
D)  Analgesic 
A)  Antidepressant 
B)  Antidiuretic 
C)  Antispasmodic 
D)  Analgesic

Question 17

Which is the most commonly used method in completed suicides?

Accepted Answer

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

Question 18

Which is descriptive of central nervous system stimulants?

Accepted Answer

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

Question 19

A mother calls the school nurse saying that her daughter has developed a school phobia. She has been out of school 3 days. The nurse's recommendations should include which intervention?

Accepted Answer

A)  Immediately return the child to school. 
B)  Explain to the child that this is the last day she can stay home. 
C)  Determine the cause of phobia before returning the child to school. 
D)  Seek professional counseling before forcing the child to return to school. 
A)  Immediately return the child to school. 
B)  Explain to the child that this is the last day she can stay home. 
C)  Determine the cause of phobia before returning the child to school. 
D)  Seek professional counseling before forcing the child to return to school.

Question 20

An adolescent tells the school nurse that she is pregnant. Her last menstrual period was 4 months ago. She has not received any medical care. She smokes but denies any other substance use. What is the priority nursing action?

Accepted Answer

A)  Notify her parents 
B)  Refer for prenatal care 
C)  Explain the importance of not smoking 
D)  Discuss dietary needs for adequate fetal growth 
A)  Notify her parents 
B)  Refer for prenatal care 
C)  Explain the importance of not smoking 
D)  Discuss dietary needs for adequate fetal growth

Exam 16: Health Problems of School-Age Children and Adolescents

What is the best description of anorexia nervosa?

How are young people with anorexia nervosa often described?

An adolescent teen has bulimia. Which assessment finding should the nurse expect to assess?

Which is descriptive of attention deficit hyperactivity disorder (ADHD)?

An adolescent has been diagnosed with lactose maldigestion intolerance. The nurse teaches the adolescent about lactose maldigestion intolerance and notes the teen needs further teaching if which statement is made?

What usually triggers the weight loss of anorexia nervosa?

Which is an important consideration when the nurse is discussing enuresis with the parents of a young child?

Which is descriptive of bulimia during adolescence?

A 12-year-old male has short stature because of a constitutional growth delay. What should the nurse be the most concerned about?

An adolescent has been diagnosed with Chlamydia infection. Which medication should the nurse expect to be prescribed for this condition?

Parents have a concern that their child is depressed. The nurse relates that which characteristic best describes children with depression?

The nurse is caring for an adolescent brought to the hospital with acute drug toxicity. Cocaine is believed to be the drug involved. Data collection should include what information?

A teen asks a nurse, "What is physical dependence in substance abuse?" Which is the correct response by the nurse?

The nurse is assisting the family of a child with a history of encopresis. Which should be included in the nurse's discussion with this family?

Tretinoin (Retin-A) is a topical agent commonly used to treat acne. Nursing considerations with this drug should include:

A child has been diagnosed with enuresis. TCA imipramine (Tofranil) has been prescribed for the child. The nurse understands that this medication is in which category?

Which is the most commonly used method in completed suicides?

Which is descriptive of central nervous system stimulants?

A mother calls the school nurse saying that her daughter has developed a school phobia. She has been out of school 3 days. The nurse's recommendations should include which intervention?

An adolescent tells the school nurse that she is pregnant. Her last menstrual period was 4 months ago. She has not received any medical care. She smokes but denies any other substance use. What is the priority nursing action?

Perspectives of Pediatric Nursing

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

Developmental and Genetic Influences on Child Health Promotion

Communication and Physical Assessment of the Child and Family

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

Health Promotion of the Infant and Family

Health Problems of Infants

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Toddlers and Preschoolers

Health Promotion of the School-Age Child and Family

Health Promotion of the Adolescent and Family

Quality of Life for Children Living with Chronic and Complex Diseases

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

The Child with Respiratory Dysfunction

The Child with Gastrointestinal Dysfunction

The Child with Cardiovascular Dysfunction

The Child with Hematologic or Immunologic Dysfunction

The Child with Cancer

The Child with Genitourinary Dysfunction

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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