Question 1

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 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

What method is the most commonly used in completed suicides?

Accepted Answer

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

Question 4

A 14-year-old boy is of normal weight,and his parents are concerned about bilateral breast enlargement.The nurse's discussion of this should be based on what?

Accepted Answer

A)  The presence of too much body fat 
B)  Symptom that a hormonal imbalance is present 
C)  Most likely part of normal pubertal development 
D)  Indication that he is developing precocious puberty 
A)  The presence of too much body fat 
B)  Symptom that a hormonal imbalance is present 
C)  Most likely part of normal pubertal development 
D)  Indication that he is developing precocious puberty

Question 5

What statement is true concerning adolescent suicide?

Accepted Answer

A)  A sense of hopelessness and despair is 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 for completed suicides. 
A)  A sense of hopelessness and despair is 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 for completed suicides.

Question 6

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 7

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?

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)  The risk of pregnancy is minimal, so no action is necessary. 
D)  Postcoital contraception is available to prevent implantation and therefore pregnancy. 
A)  It is too late to prevent an unwanted pregnancy. 
B)  An abortion may be the best option if she is pregnant. 
C)  The risk of pregnancy is minimal, so no action is necessary. 
D)  Postcoital contraception is available to prevent implantation and therefore pregnancy.

Question 8

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 9

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 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?

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

What conditions are physical complications of obesity?

Accepted Answer

A)  Type 2 diabetes mellitus 
B)  QT interval prolongation 
C)  Fatty liver disease 
D)  Gastrointestinal dysfunction 
E)  Abnormal growth acceleration
F) Dental erosion 
A)  Type 2 diabetes mellitus 
B)  QT interval prolongation 
C)  Fatty liver disease 
D)  Gastrointestinal dysfunction 
E)  Abnormal growth acceleration
F) Dental erosion

Question 12

The school nurse is teaching a group of adolescent females which measures to take to prevent genital tract infections.What should the nurse include in the teaching session?

Accepted Answer

A)  Use condoms. 
B)  Douche once a week. 
C)  Avoid tight-fitting clothing. 
D)  Limit exposure to bubble baths. 
E)  Avoid colored and scented toilet tissue. 
A)  Use condoms. 
B)  Douche once a week. 
C)  Avoid tight-fitting clothing. 
D)  Limit exposure to bubble baths. 
E)  Avoid colored and scented toilet tissue.

Question 13

The nurse is teaching an adolescent female about the symptoms of premenstrual syndrome (PMS).What symptoms should the nurse include in the teaching session?

Accepted Answer

A)  Headaches 
B)  Fluid retention 
C)  Increased energy 
D)  Emotional changes 
E)  Premenstrual cravings 
A)  Headaches 
B)  Fluid retention 
C)  Increased energy 
D)  Emotional changes 
E)  Premenstrual cravings

Question 14

The nurse is teaching an adolescent with premenstrual syndrome (PMS)dietary measures to relieve the symptoms of PMS.What should the nurse include in the teaching session?

Accepted Answer

A)  Limit salt in the diet. 
B)  Limit legumes in the diet. 
C)  Include red meat in the diet. 
D)  Include whole grains in the diet. 
E)  Limit consumption of refined sugar. 
A)  Limit salt in the diet. 
B)  Limit legumes in the diet. 
C)  Include red meat in the diet. 
D)  Include whole grains in the diet. 
E)  Limit consumption of refined sugar.

Question 15

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.

Question 16

The nurse is teaching an adolescent about the use of tretinoin (Retin-A).What should the nurse include in the teaching session?

Accepted Answer

A)  Begin with a pea-sized dot of medication. 
B)  Apply additional medication to the throat. 
C)  Use sunscreen daily and avoid the sun when possible. 
D)  Divide the medication into the three main areas of the face. 
E)  Apply the medication immediately after washing the face. 
A)  Begin with a pea-sized dot of medication. 
B)  Apply additional medication to the throat. 
C)  Use sunscreen daily and avoid the sun when possible. 
D)  Divide the medication into the three main areas of the face. 
E)  Apply the medication immediately after washing the face.

Question 17

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 18

What is true about pelvic inflammatory disease (PID)?

Accepted Answer

A)  It can be prevented by proper personal hygiene. 
B)  It is easily prevented by compliance with any form of contraception. 
C)  It may have devastating effects on the reproductive tract of affected adolescents. 
D)  It can potentially cause life-threatening and serious defects in the future children of affected adolescents. 
A)  It can be prevented by proper personal hygiene. 
B)  It is easily prevented by compliance with any form of contraception. 
C)  It may have devastating effects on the reproductive tract of affected adolescents. 
D)  It can potentially cause life-threatening and serious defects in the future children of affected adolescents.

Question 19

The nurse is caring for an adolescent male with gynecomastia.What groups of drugs can induce gynecomastia in male adolescents?

Accepted Answer

A)  Oral antibiotics 
B)  Oral ketoconazoles 
C)  Calcium channel blockers 
D)  Histamine-2 receptor blockers 
E)  Cancer chemotherapeutic agents 
A)  Oral antibiotics 
B)  Oral ketoconazoles 
C)  Calcium channel blockers 
D)  Histamine-2 receptor blockers 
E)  Cancer chemotherapeutic agents

Question 20

A 13-year-old boy comes to the school nurse complaining of sudden and severe scrotal pain.He denies any trauma to the scrotum.What is the most appropriate nursing action?

Accepted Answer

A)  Refer him for immediate medical evaluation. 
B)  Administer analgesics and recommend scrotal support. 
C)  Apply an ice bag and observe for increasing pain. 
D)  Reassure the adolescent that occasional pain is common with the changes of puberty. 
A)  Refer him for immediate medical evaluation. 
B)  Administer analgesics and recommend scrotal support. 
C)  Apply an ice bag and observe for increasing pain. 
D)  Reassure the adolescent that occasional pain is common with the changes of puberty.

Exam 18: Health Problems of the Adolescent

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

What best describes central nervous system (CNS)stimulants?

What method is the most commonly used in completed suicides?

A 14-year-old boy is of normal weight,and his parents are concerned about bilateral breast enlargement.The nurse's discussion of this should be based on what?

What statement is true concerning adolescent suicide?

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

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?

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

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

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?

What conditions are physical complications of obesity?

The school nurse is teaching a group of adolescent females which measures to take to prevent genital tract infections.What should the nurse include in the teaching session?

The nurse is teaching an adolescent female about the symptoms of premenstrual syndrome (PMS).What symptoms should the nurse include in the teaching session?

The nurse is teaching an adolescent with premenstrual syndrome (PMS)dietary measures to relieve the symptoms of PMS.What should the nurse include in the teaching session?

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?

The nurse is teaching an adolescent about the use of tretinoin (Retin-A).What should the nurse include in the teaching session?

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 is true about pelvic inflammatory disease (PID)?

The nurse is caring for an adolescent male with gynecomastia.What groups of drugs can induce gynecomastia in male adolescents?

A 13-year-old boy comes to the school nurse complaining of sudden and severe scrotal pain.He denies any trauma to the scrotum.What is the most appropriate nursing action?

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

Filters