Peds 10

When performing the physical examination for an adolescent, the nurse must perform which of the following actions? Address questions to the parent of the adolescent Focus on the negative aspects of the individual because those are the most important to address during the visit Use slang for reference to anatomical body parts Inform the adolescent of your actions and explain the rationales

Inform the adolescent of your actions and explain the rationales

Which statements are true regarding the use of complimentary/alternative medicines (CAM) and adolescents? Select all that apply. Teens do not use CAM therapies often. CAM therapies may utilize in the adolescent and their families. Preferences for specific kinds of CAM therapies may become apparent during the adolescent phase of life CAM therapy is only used with adolescents with a chronic illness. CAM therapy usage needs to be assessed with every patient during every admission.

2,3,5

A nurse is providing care to a 14-year-old adolescent post-operatively. What is most significant in planning care for this child? A child this age will miss being in school the most A child this age will only want to be with their parents while in hospital A child this age will be concerned about privacy A child this age is learning to be independent with activities

A child this age will be concerned about privacy

Safety education for adolescents should include information about how to remain safe while using computers. What is a potential safety consideration as it relates to internet usage? Adolescents should be discouraged from prolonged screen time, which may impair eyesight. Adolescents should be discouraged from using the internet because they should spend their free time outside. Adolescent safety guidelines include protecting them from risky behavior, bullying, and privacy invasion. Adolescents should be encouraged to learn about computer science to improve their chances of getting a better job.

Adolescent safety guidelines include protecting them from risky behavior, bullying, and privacy invasion.

Which age group is the most often screened for idiopathic scoliosis? Ages 2 - 4 Ages 10 - 12 Ages 15 - 16 Ages 18 - 20

Ages 10 - 12

The nurse is admitting an adolescent to the hospital for an acute condition. What should the nurse do to optimize the environment of care? Leave the equipment out for view, so the adolescent can feel like they are apart of their care. Group the adolescent with adults to give them a sense of independency. Allow the adolescents to leave the unit if their condition allows it. Offer only board games or age-appropriate magazines so that the adolescent doesn't exhaust themselves.

Allow the adolescents to leave the unit if their condition allows it.

According to Kohlberg's theory of moral development, the nurse knows that adolescents tend to engage in which behavior? Depend on friends in times of crisis Base their value system on that of their family Socialize in co-ed cliques Explore gender roles

Explore gender roles

Which of the following assessment findings during a routine well child exam is most concerning? Leukorrhea in a 12-year-old Hispanic female Breast development in a 7-year-old Caucasian female Breast tenderness in a 10-year-old African American female Irregular menstrual cycles in an 11-year-old Asian female

Breast development in a 7-year-old Caucasian female

The nurse demonstrates understanding of what a positive Russell's sign is by further assessing an adolescent for which condition(s)? Neuromuscular problems Developmental delay Failure to thrive Bulimia

Bulimia

What should the school nurse recommend to a sexually active adolescent who states, "I don't want to get an infection"? Condoms Antibiotics Talking with their parents Talking with their physician

Condoms

A 15-year-old male client is seen in an outpatient clinic accompanied by his mother. Which topic is a priority health promotion topic to discuss with this client? Hand-washing Hygiene Enforcing safe driving rules Encouraging use of protective gear while playing sports

Encouraging use of protective gear while playing sports

Which screenings do school nurses perform annually in the adolescent population? Select all that apply. Diabetes Scoliosis Body Mass Index (BMI) Hearing Tuberculosis

Scoliosis Body Mass Index (BMI) Hearing

The nurse demonstrates understanding of which hormones levels are increased during puberty when an adolescent has which hormones tested? Select all that apply. Estrogen Adrenocorticotropic hormone (ACTH) Antidiuretic Hormone (ADH) Androgens Progesterone

Estrogen Androgens Progesterone

A nurse is providing health education to an adolescent who is beginning to be involved in sports. What should the nurse incorporate when preparing a teen for a sports physical? Speak with the teen independently only Have the parents discuss their concerns with the adolescent's primary care provider Direct the teaching to the teen and involve him or her in the conversation. Incorporate parents into the conversation as well. Speak with parents independently first to ensure that they are first in agreement with the plan

Direct the teaching to the teen and involve him or her in the conversation. Incorporate parents into the conversation as well.

The nurse is caring for an adolescent who was just diagnosed with a chronic illness. What are the appropriate nursing actions at this time? Select all that apply. Tell the parents they must help the adolescent at all times. Suggest the client stops going to school to focus on getting better. Educate the client and their family on the condition and treatments. Tell the family not to resort to any Internet resources to find information on the client's condition. Assess how the caregiver is doing.

Educate the client and their family on the condition and treatments Assess how the caregiver is doing.

Which of the following behaviors is a developmental warning sign during adolescence? Disagreeing with a parent's stance about a political issue Joining an online forum that discusses social issues Failing a class in school in a favorite subject Beginning a new exercise routine to lose weight

Failing a class in school in a favorite subject

The nurse demonstrates understanding of formal operational cognitive processing when the nurse identifies which behavior? Participating in a debate club Assuming that everything will be about yourself Wanting to be liked by everyone Behaving in manners that will please elders

Participating in a debate club

Which initial indication of puberty in males is identified correctly by the nurse? Testicular enlargement Facial hair Pubic hair Increased size of penis

Testicular enlargement

The nurse knows that developmental changes affect medication absorption, metabolism, and elimination. What should the nurse keep in mind when prescribing a medication to an adolescent? The nurse can rely on symbols or phrases to warn adolescents of medicine-related risks. After puberty, medication metabolism increases to adult levels. Most medications are metabolized slower by a client in puberty. The adolescent understands medication warnings best when informed verbally by the healthcare personnel.

The adolescent understands medication warnings best when informed verbally by the healthcare personnel.

A nurse is caring for a 17-year-old male in the outpatient clinic and takes his vital signs. His blood pressure (BP) reads 112/72 mm/Hg. What is the best nursing action based on these results? This is an average reading for this age range. The nurse should record the BP reading and continue with the assessment. This blood pressure is too high for this age range and the client should be evaluated by the physician. The nurse should provide education about nutritional interventions that will lower BP. The nurse should refer the client for a cardiology appointment.

This is an average reading for this age range. The nurse should record the BP reading and continue with the assessment.

The nurse is caring for an adolescent who has been hospitalized for an acute condition. What roles/boundaries should the nurse establish when caring for this client? Select all that apply. Be a friend Be respectful Use judgment Develop trust Use humor

Be respectful Develop trust Use humor

When examining an adolescent, which action by the nurse would be most appropriate? Select all that apply. Allow child to participate in the examination Respect the client's privacy at all times Ask all questions directly to the parents Speak with the adolescent directly Ask the physician to accompany them while examining the adolescent

Respect the client's privacy at all times Speak with the adolescent directly

Which is the highest priority for the nurse to assess in the adolescent population? Nutritional status Healthy sleep habits Skin protection when outside Safe driving practices

Safe driving practices

Which is a priority nursing consideration when conducting an admission assessment on an adolescent? Meal choice preferences Activity preferences Sexual activity and substance usage Sleep and rest patterns at home

Sexual activity and substance usage

The nurse is performing a sexuality assessment on a 16-year-old adolescent female. What safe sex practices should the nurse assess for? Select all that apply. Sexually transmitted infections (STIs) Birth control options Abstinence Number of partners Pregnancy

Sexually transmitted infections (STIs) Birth control options Abstinence Number of partners

An adolescent female is admitted to the inpatient unit. Which activity should the nurse suggest for this client? A coloring book A video game A book to read Going to the activity room to meet other teens

Going to the activity room to meet other teens

The nurse is caring for an adolescent who weighs 110 pounds (50 kilograms, kg). Which assessment findings should the nurse report as abnormal? Select all that apply. Heart rate is 50 beats per minute. Blood pressure is 130/60. Daily fluid intake is 1,800 milliliters (mL). Hourly urine output is 30 mL. Cholesterol level is 150 mg/dL (3.88 mmol/L).

Heart rate is 50 beats per minute. Blood pressure is 130/60. Daily fluid intake is 1,800 milliliters (mL).

An adolescent male states "I want to be a police officer just like my father." This adolescent is demonstrating which stage of development according to Erikson? Autonomy vs. Shame Industry vs. Isolation Intimacy vs. Isolation Identity vs. Role confusion.

Identity vs. Role confusion.

A school nurse notes that three females who are close friends each lost nearly 20 pounds recently. What is the priority nursing action in this situation? Tell the girls that they will need to have their weights monitored weekly from now on Interview and assess each of the girls privately and obtain a nutritional history Notify each of the girl's pediatricians of the situation Inform each of their parents of the situation

Interview and assess each of the girls privately and obtain a nutritional history

Which of the following does the nurse correctly identify as the leading cause of mortality in adolescents? Homicide Suicide Cardiac disease Motor vehicle accidents

Motor vehicle accidents

Which of these statements made by an adolescent best describes Erik Erikson's Identity vs. Role Confusion stage of development? "I am glad that the whole family is going on vacation together." "I would rather stay home and hang out with my friends over vacation." "I think that my coach would like it if I practiced soccer when I am on vacation." "I am going to miss my friends while I am on vacation."

"I would rather stay home and hang out with my friends over vacation."

An adolescent is seen in the outpatient clinic for an annual physical examination and is with her mother. Which questions should the nurse ask when the mother steps out of the room? Select all that apply. "Do you like school?" "Have you ever tried or used drugs?" "Are you sexually active?" "Do you play sports?" "Have you ever tried alcohol?"

"Have you ever tried or used drugs?" "Are you sexually active?" "Have you ever tried alcohol?"

A nurse is providing anticipatory guidance to a parent of an adolescent about injury prevention. Which statement, when made by the parent, indicates they understand the teaching? "I will make sure that my teen sits in a booster seat in the car." "I will keep all medications out of reach." "I will make sure that my teen does not stay up past 10pm every night." "I will have ongoing conversations with my teen about rules they will need to follow when they begin to drive."

"I will have ongoing conversations with my teen about rules they will need to follow when they begin to drive."

A 13 year-old adolescent client is seen in the outpatient clinic and expresses concern that she is gaining weight. Her anthropomorphic measurements indicate that she is in the 40th percentile for weight for her age. What is the most appropriate response by the nurse? "You should be seen by our nutritionist to make sure you are eating the correct foods." "Gaining weight is not something you need to concern yourself with." "Let's discuss further your concerns about your body and also review some of the normal changes your body will be going through during puberty." "I will have you discuss this further with the physician to make sure your questions are answered."

"Let's discuss further your concerns about your body and also review some of the normal changes your body will be going through during puberty."

An adolescent has a positive pregnancy test in the outpatient clinic. She denies having any sexual activity. Which statement by the nurse is the most appropriate in this situation? "Tell me how you are feeling." "I will refer you to a gynecologist to review your test results." "Let's talk about your boyfriend and the kinds of things you do with your boyfriend." "Since you did not have any sexual activity, let's repeat the test."

"Let's talk about your boyfriend and the kinds of things you do with your boyfriend."

The nurse is teaching a group of adolescents about nutrition. Which statement should the nurse include in the teaching? "It is recommended that most adolescent girls and boys consume 2,800 calories per day." "It is recommended that that dietary supplements are taken in addition to eating healthy to obtain the correct level of vitamins and minerals." "Around 70% of obese adolescents will be obese as adults." "Obesity in adolescence puts you at risk for hypertension and type II diabetes."

"Obesity in adolescence puts you at risk for hypertension and type II diabetes."

During a physical assessment, the nurse notices the adolescent client has a nose piercing. Which statement is true about body piercings? "Research suggests a relationship between body piercings and other high-risk behaviors." "About 40 to 45 percent of adolescents have a body piercing other than the ear lobes." "Keloids only appear with ear lobe piercings." "Excessive bleeding is uncommon with most body piercings."

"Research suggests a relationship between body piercings and other high-risk behaviors."

A 14-year-old female is seen in an outpatient clinic and asks about losing weight. The nurse assesses the client and notes that the client has progressively lost weight in the past six months and is now plotting on the 10th percentile on the weight by age growth chart. What is the nurse's best response to this client? "You are already thin enough and do not need to lose any weight." "Why do you want to lose weight?" "Tell me more about how you are feeling about your body's appearance." "You should speak with a psychologist about your obsession with losing weight."

"Tell me more about how you are feeling about your body's appearance."

An adolescent female who has just started her menses is concerned about gaining weight now that she is a teenager. What is the best response by the nurse? "You should avoid salty foods when you have your period. This will help you from gaining water weight." "You should not worry about gaining weight. Teenagers don't eat enough food. You should eat what you want." "Tell me more about what you are experiencing. What is leading you to feel like you are gaining weight?" "You should talk to your mother about what worked for her when she was your age."

"Tell me more about what you are experiencing. What is leading you to feel like you are gaining weight?"

An adolescent girl comes to the outpatient clinic because she did not have her period in over one month. She admits that she is sexually active and not using birth control. A pregnancy test reveals that she is not pregnant. She does not want her parents to know about her sexual activity. What is the best response by the nurse? "I have a legal obligation to tell your parents. They have a right to know." "I will insist that you let them know." "Let's talk about your life choices first." "Tell me more about your reasons for not wanting to talk to your parents about this."

"Tell me more about your reasons for not wanting to talk to your parents about this."

Which screenings should be expected for a 16-year-old during a routine wellness visit? Select all that apply. Sexually transmitted infections Hemophilia Anemia Autism Hearing and vision

1,5

When performing a physical assessment on a hospitalized adolescent, how should the nurse best protect their privacy? Perform the physical assessment on the client over their clothes Wait until there is no one else in the room to perform the physical assessment Ask the physician to perform the physical assessment Ask pertinent questions making sure to address the adolescent first, then, politely ask parents and visitors to step out of the room momentarily in order to complete the physical assessment

Ask pertinent questions making sure to address the adolescent first, then, politely ask parents and visitors to step out of the room momentarily in order to complete the physical assessment

The nurse is seeing an adolescent who has just admitted to smoking cigarettes. What should the nurse do next? Ask the client about their use of other substances. Educate the client on the dangers of tobacco. Offer the client information on electronic cigarettes. Tell the client's parents about their cigarette use.

Ask the client about their use of other substances.

A nurse is caring for an adolescent in the acute care setting. The nurse knows which term means obtaining agreement from the adolescent regarding the plan of care? Consent Health Care Proxy Assent Dissent

Assent

What is a priority nursing assessment to use for the adolescent? Blood pressure screening Diabetes screening Anthropomorphic measurements Assessing adolescent's health, education, activity, sexuality, and safety

Assessing adolescent's health, education, activity, sexuality, and safety

The nurse is seeing a 16-year-old female who says she is pregnant. The client expresses she wants to keep the child. How should the nurse respond? Select all that apply. Educate the client about options, such as adoption and terminating the pregnancy. Assist the client in finding an appropriate healthcare provider. Encourage the attendance of parenting classes. Assess feelings about the pregnancy. Provide adoption agency information or a skilled provider specializing in abortion.

Assist the client in finding an appropriate healthcare provider. Encourage the attendance of parenting classes. Assess feelings about the pregnancy.

Parents of a 16-year-old adolescent express their concerns to the nurse about their son beginning to drive. What is the role of the nurse in this situation? Emphasize the need for reviewing and reinforcing safe driving practices and encouraging them to contract with their son to adhere to their rules Refer the adolescent to a psychologist Ask to speak with the adolescent independently Tell the parents to limit their child from driving as long as possible

Emphasize the need for reviewing and reinforcing safe driving practices and encouraging them to contract with their son to adhere to their rules

An adolescent is admitted to the inpatient unit with asthma exacerbation. The adolescent indicates that he would like to go for a walk outside. What is the best nursing action? Notify the physician Tell the patient that he can go for a walk outside as long as his parents says it is okay Ask the patient why he would like to go for a walk at this time Offer the patient activities on the unit that will occupy him and will lessen pulmonary exertion

Offer the patient activities on the unit that will occupy him and will lessen pulmonary exertion

The nurse is using the CRAFFT screening tool. Which adolescent should the nurse assess with this tool? One who vomits and fasts after overeating A teenager who needs health promotion activities A teenager who is being cyberbullied One who drinks beer every other weekend

One who drinks beer every other weekend

What is an important concept for a school nurse to consider when planning a class on injury prevention for adolescents? The topic should be general and brief because adolescents usually do not take a lot of risks. Present the material in a way that allows the adolescent to imagine long-term consequences of not protecting oneself from injury. Have the teens discuss the topic with their primary care provider Have the teens watch an education video

Present the material in a way that allows the adolescent to imagine long-term consequences of not protecting oneself from injury.

A 13-year-old male expresses concern to the school nurse that he is still shorter than most of his friends. What is the best action by the nurse? Notify his parents about his concerns Refer this adolescent to see his pediatrician Tell him not to let the other teens' heights concern him Provide him with information about when boys have growth spurts and reassure him that his height is within normal limits

Provide him with information about when boys have growth spurts and reassure him that his height is within normal limits

A 13-year-old female tells the school nurse that she and her friends plan on going to the beach this weekend. What is the best response by the nurse? Notify the parents Ask for the names of all of the teen's friends so the nurse can interview them Tell the teen that she should not go because it is not safe Provide safety guidelines for sun protection

Provide safety guidelines for sun protection

Which is considered one of the best strategies for preventing smoking in teenagers? Provide long term consequences of smoking Showing pictures of lungs in people who smoked for years Involve the teen's parents in a discussion about not smoking Provide social and peer related media about unhealthy consequences of smoking

Provide social and peer related media about unhealthy consequences of smoking

What is the best method nurses may provide for educating adolescents about managing obesity? Providing teens with healthy options for planning meals and strategizing with them about making healthier choices will help them be healthier. Fad diets have very quick results and should be considered. Referring adolescents with a weight problem to a nutritionist is best. Talking to the adolescent's physician is the best approach as they need to hear options from the doctor.

Providing teens with healthy options for planning meals and strategizing with them about making healthier choices will help them be healthier.

An adolescent who weighs 110 pounds is admitted to an inpatient unit. The nurse knows which statements are true regarding the daily fluid requirement of an adolescent client? Select all that apply. The daily fluid requirement should be based on the age of the adolescent. The daily fluid requirement should be based on the weight (in kg) of the adolescent. The daily fluid requirement should be calculated based on urine output of the adolescent alone. The daily fluid requirement of an adolescent should be the same as the daily fluid requirement of an adult. The calculated daily fluid requirement of an adolescent can be applied to both oral fluid intake and intravenous fluid administration.

The daily fluid requirement should be based on the weight (in kg) of the adolescent. The calculated daily fluid requirement of an adolescent can be applied to both oral fluid intake and intravenous fluid administration.