Question 1

Which statement regarding chlamydia infection is correct?

Accepted Answer

A)  Treatment of choice is oral penicillin. 
B)  Treatment of choice is nystatin or miconazole. 
C)  Clinical manifestations include dysuria and urethral itching in males. 
D)  Clinical manifestations include small, painful vesicles on genital areas. 
A)  Treatment of choice is oral penicillin. 
B)  Treatment of choice is nystatin or miconazole. 
C)  Clinical manifestations include dysuria and urethral itching in males. 
D)  Clinical manifestations include small, painful vesicles on genital areas.

Question 2

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 to the girl?

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)  Norplant can be administered to prevent pregnancy for up to 5 years 
D)  Postcoital contraception is available to prevent implantation 
A)  It is too late to prevent an unwanted pregnancy 
B)  An abortion may be the best option if she is pregnant 
C)  Norplant can be administered to prevent pregnancy for up to 5 years 
D)  Postcoital contraception is available to prevent implantation

Question 3

An adolescent girl tells the nurse that she is very suicidal. The nurse asks her whether she has a specific plan. Asking this should be considered:

Accepted Answer

A)  an appropriate part of the assessment. 
B)  not a critical part of the assessment. 
C)  suggesting that the adolescent needs a plan. 
D)  encouraging the adolescent to devise a plan. 
A)  an appropriate part of the assessment. 
B)  not a critical part of the assessment. 
C)  suggesting that the adolescent needs a plan. 
D)  encouraging the adolescent to devise a plan.

Question 4

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 which statement?

Accepted Answer

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

Question 5

Which strategies should the school nurse recommend implementing in the classroom for a child with attention deficit hyperactive disorder (ADHD)? (Select all that apply.)

Accepted Answer

A)  Schedule heavier subjects to be taught in the afternoon. 
B)  Accompany verbal instructions by written format. 
C)  Limit number of breaks taken during instructional periods. 
D)  Allow more time for testing. 
E)  Reduce homework and classroom assignments. 
A)  Schedule heavier subjects to be taught in the afternoon. 
B)  Accompany verbal instructions by written format. 
C)  Limit number of breaks taken during instructional periods. 
D)  Allow more time for testing. 
E)  Reduce homework and classroom assignments.

Question 6

Which symptoms should the nurse expect to observe during the physical assessment of an adolescent girl with severe weight loss and disrupted metabolism associated with anorexia nervosa?

Accepted Answer

A)  Dysmenorrhea and oliguria 
B)  Tachycardia and tachypnea 
C)  Heat intolerance and increased blood pressure 
D)  Lowered body temperature and brittle nails 
A)  Dysmenorrhea and oliguria 
B)  Tachycardia and tachypnea 
C)  Heat intolerance and increased blood pressure 
D)  Lowered body temperature and brittle nails

Question 7

Which statement is true about smoking in adolescence?

Accepted Answer

A)  Smoking is related to other high-risk behaviors. 
B)  Smoking will not continue unless peer pressure continues. 
C)  Smoking is less common when the adolescent's parent(s) smokes. 
D)  Smoking among adolescents is becoming more prevalent. 
A)  Smoking is related to other high-risk behaviors. 
B)  Smoking will not continue unless peer pressure continues. 
C)  Smoking is less common when the adolescent's parent(s) smokes. 
D)  Smoking among adolescents is becoming more prevalent.

Question 8

An adolescent asks the nurse what causes primary dysmenorrhea. The nurse's response should be based on which statement?

Accepted Answer

A)  It is an inherited problem. 
B)  Excessive estrogen production causes uterine pain. 
C)  There is no physiologic cause; it is a psychological reaction. 
D)  There is a relation between prostaglandins and uterine contractility. 
A)  It is an inherited problem. 
B)  Excessive estrogen production causes uterine pain. 
C)  There is no physiologic cause; it is a psychological reaction. 
D)  There is a relation between prostaglandins and uterine contractility.

Question 9

A sexually active female adolescent asks the nurse about the contraceptive Depo-Provera. What should the nurse explain regarding the contraceptive?

Accepted Answer

A)  Requires injections every 3 months 
B)  Requires daily administration of medication by mouth 
C)  Provides long-term continuous protection, up to 5 years 
D)  Prevents pregnancy if given within 72 hours of unprotected sex 
A)  Requires injections every 3 months 
B)  Requires daily administration of medication by mouth 
C)  Provides long-term continuous protection, up to 5 years 
D)  Prevents pregnancy if given within 72 hours of unprotected sex

Question 10

A school nurse is conducting a class with adolescents on suicide. Which true statement about suicide should the nurse include in the teaching session?

Accepted Answer

A)  A sense of hopelessness and despair are a normal part of adolescence. 
B)  Gay and lesbian adolescents are at a particularly high risk for suicide. 
C)  Problem-solving skills are of limited value to the suicidal adolescent. 
D)  Previous suicide attempts are not an indication of risk for completed suicides. 
A)  A sense of hopelessness and despair are a normal part of adolescence. 
B)  Gay and lesbian adolescents are at a particularly high risk for suicide. 
C)  Problem-solving skills are of limited value to the suicidal adolescent. 
D)  Previous suicide attempts are not an indication of risk for completed suicides.

Question 11

Which statement is correct about childhood obesity?

Accepted Answer

A)  Heredity is an important factor in the development of obesity. 
B)  Childhood obesity in the United States is decreasing. 
C)  Childhood obesity is the result of inactivity. 
D)  Childhood obesity can be attributed to an underlying disease in most cases. 
A)  Heredity is an important factor in the development of obesity. 
B)  Childhood obesity in the United States is decreasing. 
C)  Childhood obesity is the result of inactivity. 
D)  Childhood obesity can be attributed to an underlying disease in most cases.

Question 12

A nurse is recommending strategies to a group of school-age children for prevention of obesity. Which should the nurse include? (Select all that apply.)

Accepted Answer

A)  Eat breakfast daily. 
B)  Limit fruits and vegetables. 
C)  Have frequent family meals with parents present. 
D)  Eat frequently at restaurants. 
E)  Limit television viewing to 2 hours a day. 
A)  Eat breakfast daily. 
B)  Limit fruits and vegetables. 
C)  Have frequent family meals with parents present. 
D)  Eat frequently at restaurants. 
E)  Limit television viewing to 2 hours a day.

Question 13

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

Accepted Answer

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

Question 14

A nurse is conducting a class for adolescent girls about pelvic inflammatory disease (PID). Why should the nurse emphasize the importance of preventing pelvic inflammatory disease (PID)?

Accepted Answer

A)  PID can be sexually transmitted. 
B)  PID cannot be treated. 
C)  PID can have devastating effects on the reproductive tract. 
D)  PID can cause serious defects in future children of affected adolescents. 
A)  PID can be sexually transmitted. 
B)  PID cannot be treated. 
C)  PID can have devastating effects on the reproductive tract. 
D)  PID can cause serious defects in future children of affected adolescents.

Question 15

Which side effects should the nurse monitor when a child is taking an antipsychotic medication? (Select all that apply.)

Accepted Answer

A)  Extrapyramidal effects 
B)  Hypertension 
C)  Bradycardia 
D)  Dizziness 
E)  Seizures 
A)  Extrapyramidal effects 
B)  Hypertension 
C)  Bradycardia 
D)  Dizziness 
E)  Seizures

Question 16

What is smokeless tobacco?

Accepted Answer

A)  Not addicting 
B)  Proven to be carcinogenic 
C)  Easy to stop using 
D)  A safe alternative to cigarette smoking 
A)  Not addicting 
B)  Proven to be carcinogenic 
C)  Easy to stop using 
D)  A safe alternative to cigarette smoking

Question 17

The nurse is teaching the parents of a child recently diagnosed with ADHD who has been prescribed methylphenidate (Ritalin). Which should the nurse include in teaching about the side effects of methylphenidate?

Accepted Answer

A)  "Your child may experience a sense of nervousness." 
B)  "You may see an increase in your child's appetite." 
C)  "Your child may experience daytime sleepiness." 
D)  "You may see a decrease in your child's blood pressure." 
A)  "Your child may experience a sense of nervousness." 
B)  "You may see an increase in your child's appetite." 
C)  "Your child may experience daytime sleepiness." 
D)  "You may see a decrease in your child's blood pressure."

Question 18

Which statement is true about gonorrhea?

Accepted Answer

A)  It is caused by Treponema pallidum. 
B)  Treatment is by multidose administration of penicillin. 
C)  Treatment is by topical applications to lesions. 
D)  Treatment of all sexual contacts is an essential part of treatment. 
A)  It is caused by Treponema pallidum. 
B)  Treatment is by multidose administration of penicillin. 
C)  Treatment is by topical applications to lesions. 
D)  Treatment of all sexual contacts is an essential part of treatment.

Question 19

When is isotretinoin (Accutane) indicated for the treatment of acne during adolescence?

Accepted Answer

A)  The acne has not responded to other treatments. 
B)  The adolescent is or may become pregnant. 
C)  The adolescent is unable to give up foods causing acne. 
D)  Frequent washing with antibacterial soap has been unsuccessful. 
A)  The acne has not responded to other treatments. 
B)  The adolescent is or may become pregnant. 
C)  The adolescent is unable to give up foods causing acne. 
D)  Frequent washing with antibacterial soap has been unsuccessful.

Question 20

What is a psychological effect of being obese during adolescence?

Accepted Answer

A)  Sexual promiscuity 
B)  Poor body image 
C)  Feelings of contempt for thin peers 
D)  Accurate body image but self-deprecating attitude 
A)  Sexual promiscuity 
B)  Poor body image 
C)  Feelings of contempt for thin peers 
D)  Accurate body image but self-deprecating attitude

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

Which statement regarding chlamydia infection is correct?

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 to the girl?

An adolescent girl tells the nurse that she is very suicidal. The nurse asks her whether she has a specific plan. Asking this should be considered:

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 which statement?

Which strategies should the school nurse recommend implementing in the classroom for a child with attention deficit hyperactive disorder (ADHD)? (Select all that apply.)

Which symptoms should the nurse expect to observe during the physical assessment of an adolescent girl with severe weight loss and disrupted metabolism associated with anorexia nervosa?

Which statement is true about smoking in adolescence?

An adolescent asks the nurse what causes primary dysmenorrhea. The nurse's response should be based on which statement?

A sexually active female adolescent asks the nurse about the contraceptive Depo-Provera. What should the nurse explain regarding the contraceptive?

A school nurse is conducting a class with adolescents on suicide. Which true statement about suicide should the nurse include in the teaching session?

Which statement is correct about childhood obesity?

A nurse is recommending strategies to a group of school-age children for prevention of obesity. Which should the nurse include? (Select all that apply.)

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

A nurse is conducting a class for adolescent girls about pelvic inflammatory disease (PID). Why should the nurse emphasize the importance of preventing pelvic inflammatory disease (PID)?

Which side effects should the nurse monitor when a child is taking an antipsychotic medication? (Select all that apply.)

What is smokeless tobacco?

The nurse is teaching the parents of a child recently diagnosed with ADHD who has been prescribed methylphenidate (Ritalin). Which should the nurse include in teaching about the side effects of methylphenidate?

Which statement is true about gonorrhea?

When is isotretinoin (Accutane) indicated for the treatment of acne during adolescence?

What is a psychological effect of being obese during adolescence?

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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