Peds Adolescent

A toddler is experiencing pain as a result of sickle cell crisis. Which would the nurse expect to be included in the pain management plan? Pain controlled analgesics Analgesics Cold compresses Heating pad

Analgesics

In girls the initial indication of puberty is which of the following? Breast development Menarche Growth spurt Growth of pubic hair

Breast development

The nurse is explaining Tanner stages to an adolescent and her mother. Which statement best describes Tanner staging? Predictable stages of puberty that are based on primary and secondary sexual characteristics Staging of puberty based on the initiation of primary sexual characteristics Staging of puberty based on the initiation of menarche and nocturnal emissions Predictable stages of puberty that are based on chronologic age

Predictable stages of puberty that are based on primary and secondary sexual characteristics

The nurse is teaching safety measures to the parents of a child with sickle cell anemia to prevent sickle cell crisis. Which statement will the nurse include in the teaching? "Avoid giving your child excess fluids" "Give your child iron supplements regularly" "Avoid traveling with your child in an unpressurized airplane" "Encourage your child to do aerobics daily for 2 hours"

"Avoid traveling with your child in an unpressurized airplane"

The nurse is teaching safety measures to the parents a child with sickle cell anemia to prevent sickle cell crisis. Which statement will the nurse include in the teaching? "Be cautious traveling to high altitude areas" "Give your child iron supplements daily" "Avoid giving excess fluids" "Encourage your child to do aerobics daily for 2 hours"

"Be cautious traveling to high altitude areas"

The nurse is collecting data on a 13 year old adolescent who is a gymnast. The adolescent's mother is worried and tells the nurse, "My daughter still hasn't had her first period." Which statement is the nurses best response? "Gymnasts often have a delayed onset of periods caused by low BMI" "Encourage your child to engage in more vigorous physical activity to trigger her period" "some children have their first periods after the age of 14, don't worry" "Your child is having delayed onset of her period caused by high estrogen levels"

"Gymnasts often have a delayed onset of periods caused by low BMI"

The nurse is teaching an adolescent patient about proper personal hygiene. Which statement made by the adolescent indicated the need for further teaching? "I should avoid using deodorant frequently" "I should avoid sharing my toothbrush" "I should avoid swapping my body rings" "I should shower at least once a day"

"I should avoid using deodorant frequently"

The nurse is teaching a male adolescent about safety measure to prevent injury and infection to the genitals. Which statement made by the adolescent indicates a need for additional teaching? "I should test my testes during or after having a hot bath" "I should report to the health care provider if I find a lump in the testes" "I should do testicular and scrotal self examination once a year" "I should always wear a jockstrap while participating in a sporting event"

"I should do testicular and scrotal self examination once a year"

The nurse is assessing an adolescent who has suicidal ideation and is habituated to alcohol and drugs. During counseling, which statement given by the adolescent indicates that he feels guilty? "I don't want to talk to my family and friends" "I just feel like I cannot do anything" "I wish i had not used alcohol in the first place"

"I wish i had not used alcohol in the first place"

Parents express concern about their newborn having hemophilia. Which statement would the nurse include in the discussion? "Bleeding is not usually apparent after birth, but signs may occur during childhood" "Maternal factor VII crosses the placenta, so we will no immediately test the baby" "The baby's blood will be sent to the lab and tested for clotting time" "The disease can be diagnosed with a DNA sample"

"The baby's blood will be sent to the lab and tested for clotting time"

The parents of a 7 month old girl with sickle cell crisis ask why the nurses keep giving their daughter pain medication so often. Which response best explains the rationale for the nurses action? "We are trying to control her pain by giving her a combination of medications in small, frequent doses so she can still drink her bottle and be awake some of the time" "If we give her larger amounts of medication, she could reach tolerance of the medications much faster" "Because this is the first time she is experiencing a sickle cell crisis, we want to give her as little medication as possible" "We can give her stronger doses of pain medication less frequently if you prefer"

"We are trying to control her pain by giving her a combination of medications in small, frequent doses so she can still drink her bottle and be awake some of the time"

Which statement is the most appropriate advice to give parents of a 16 year old girl who is rebellious? "You need to collaborate with your daughter and set limits that are perceived as being reasonable" "Increasing your teen's involvement with her peers will improve her self esteem" "Allow your teenager to choose the type of discipline that is used in your home" "You need to be stricter so that your teen stops trying to test the limits"

"You need to collaborate with your daughter and set limits that are perceived as being reasonable"

The nurse teaches parents of adolescents that they should foster independence in their children. Which parent statement to an adolescent demonstrates the teaching has been successful? "I will help you decide which choice to make" "Lets look at all of the choices, and then we can make a decision" "Tell me what you think, and then I will tell you what you should do" "You should decide about that because the choice is yours"

"You should decide about that because the choice is yours"

The _____ cells secretes insulin which are located in the _____. Beta cells, liver Beta cells, pancreas Alpha cells, pancreas Alpha cells, liver

Beta cells, pancreas

Which is the principal goal of therapy for patients with hemophilia A? Increase factor IX Increase factor VIII Increased red blood cell count Increase platelet count

Increase factor VIII

Which laboratory value would confirm a diagnosis of diabetic ketoacidosis? Increased CO2 levels Increased HCO3 Elevated pH Ketonuria

Ketonuria

You're caring for a 2 year old patient who has a large atrial septal defect that needs repair. This defect is causing complications. These complications are arising from an abnormal shunting of blood throughout the heart. As the nurse, you know that a __________ shunt is occurring in the heart due to the defect. Right Left to right Right to left Left

Left to right

Which medication is administered via the oral route to a child with diabetes mellitus? Metformin Desmopressin acetate Neutral protamine Hagedorn (NPH) Sodium levothyroxine

Metformin

You're assessing the heart sounds of a child with an atrial septal defect. You note a heart murmur at the 2nd intercostal space at the left upper sternal border. Heart murmurs noted in patients with an atrial septal defect are called? Diastolic murmurs Midsystolic murmurs Early systolic murmurs Holosystolic murmurs

Midsystolic murmurs

A patient is suspected to have leukemia. Which initial objective sign would the nurse expect to find during the assessment? Bruising tendency Abdominal pain Petechiae Leg pain

Petechiae

After collecting data on a patient, the nurse concludes that the patient has scoliosis. Which finding enabled the nurse to reach this conclusion? Presence of swayback Presence of hunchback Presence of wry neck Presence of S shaped spine

Presence of S shaped spine

Which statement is true about smoking in adolescence? Smoking among adolescents is becoming more prevalent Smoking is related to other high risk behaviors Smoking is more common among athletes Smoking is less common when the adolescent's parents smoke

Smoking is related to other high risk behaviors

A male adolescent tells the nurse, "I am more attracted to boys than girls. I'm not sure about my sexual orientation." Which is the best nursing intervention in this situation? Referring the adolescent to a psychiatrist Suggesting that the adolescent talk to a counselor Suggesting that the adolescent perform testis self examination Advising the adolescent to take a testosterone test

Suggesting that the adolescent talk to a counselor

A nurse is conducting a well child visit with a child who is scheduled to receive the recommended immunizations for 11-12 year olds. Which of the following immunizations should the nurse administer? Tdap PCV Hib Rotavirus

Tdap

The school nurse is discussing testicular self examination with adolescent boys. Why is this important? Asymptomatic sexually transmitted diseases may be present Testicular tumors, although usually benign, are common during adolescence. Testicular tumors during adolescence are generally malignant Epididymis is common during adolescence

Testicular tumors during adolescence are generally malignant

What should the nurse keep in mind when planning to communicate with a child who has autism? The child is not listening if she is not looking at the nurse The child has normal verbal communication The child may exhibit monotone speech and echolalia The child is expected to use sign language

The child may exhibit monotone speech and echolalia

Type 1 diabetics typically have the following clinical characteristics: Overweight, adult aged with ketones present in the urine Overweight, young with no ketones present in the urine Thin, older adult with glycosuria Thin, young with ketones present in the urine

Thin, young with ketones present in the urine

The mother of a 15 year old girl states that her daughter always believes people are looking at her. Which statement provides the best education for the mother at this time? This is normal behavior for an adolescent This may begin to interfere with the girls development This is behavior that should be discussed with the physician This is unusual behavior and may require counseling

This is normal behavior for an adolescent

A 14 year old girl has been diagnosed with scoliosis with a curve of 30 degrees. Which medical intervention will treatment include for this patient? Use of a milwaukee brace Only exercise to increase muscle tone and posture TENS Surgery with insertion of Harrington rod

Use of a milwaukee brace

As related to inherited disorders, which statement is descriptive of most cases of hemophilia? Autosomal dominant disorder causing deficiency in a factor involved in the blood clotting reaction X-linked recessive inherited disorder causing deficiency of platelets and prolonged bleeding Y-linked recessive inherited disorder in which the red blood cells become moon shaped X-linked recessive inherited disorder in which a blood clotting factor is deficient

X-linked recessive inherited disorder in which a blood clotting factor is deficient

What are the precipitating factors of type 2 diabetes? SATA a. obesity b. hypertension c. lipid rich diet d. fiber rich diet e. regular physical activity

a, b, c

A parent expresses concern over caring for an infant who is HIV positive. Which information would the nurse apply? SATA a. routine infection control b. improvement in prognosis c. avoidance of social isolation d. maintain sensory stimulation e. routine vaccination schedule

a, b, c, d

What are the major developmental tasks for adolescence? SATA a. initiating intimacy b. establishing an identity c. separating from family d. developing career choices e. developing first close peer relationships

a, b, c, d

Which challenges require nursing focus as a priority for the care of children with leukemia? a. anemia b. bleeding c. infection d. fractures e. stomatitis

a, b, c, d

Which manifestations of suicidal behavior does the nurse identify when teaching a suicide prevention class for parents? SATA a. fixed facial expression b. isolation from friends and family c. changes in physical appearance d. giving away cherished possessions e. deterioration in school performance f. participation in social events with friends

a, b, c, d, e

Which major challenges of adolescent will the nurse recognize? Select all that apply. a. maintaining privacy b. maintaining open communication c. adjusting to rapid physical challenges d. being accepted at school and in society e. developing positive health care practices f. coping with social stresses and pressures

a, b, c, e, f

Which interventions should characterize the nurses role ASD? SATA a. refer for follow up care b. ask parents permission before touching child c. avoid sudden movements during examination d. identify abnormal behaviors as early as possible e. monitor for side effects of prescribed medications

a, c, d , e

The nurse is examining a 12 year old male adolescent and finds that the adolescent has hair on the chest, axillae, and pubic areas. Which other features would the nurse likely find in the adolescent? SATA a. sperm production b. deepening of the voice c. widening of the shoulders d. enlargement of the testicles e. shortening of the pectoral muscle

b, c, d

Which statement supports the Erikson theory of development during adolescence? SATA a. The adolescent is oriented towards problem solving b. The adolescent main concerns are self definition and self esteem c. The adolescent learns to understand the self in relation to others perceptions d. The adolescent experiences an identity crisis brought on by physical changes e. The adolescent is in the stage of formal operations and has the ability to reason logically.

b, c, d

The nurse is caring for a child on an adolescent only unit? Which of the following growth and development may be normal in 14 year old children? SATA a. self centered with increase narcissism b. no major conflicts with parents c. establish abstract thought process d. have a rich idealistic fantasy life e. high value conformity to group norms f. secondary sexual characteristics appear

b, e, f

Which predisposes the adolescent to feel an increased need for sleep? a. An inadequate diet b. Rapid physical growth c. Decreased activity that contributes to a feeling of fatigue d. The lack of ambition typical of this age group

b. Rapid physical growth

Theresa, age 17, was admitted to the psychiatric unit from the medical intensive care unit where she was treated for taking a deliberate overdose of her antidepressant medication, trazodone (Desyrel). She says to the nurse, "My boyfriend broke up with me. We had been together for 3 years. I love him so much. I know I'll never get over him." Which is the best response by the nurse? a. "You'll get over him in time, Theresa." b. "Forget him. There are other fish in the sea." c. "You must be feeling very sad about your loss." d. "Why do you think he broke up with you, Theresa?"

c. "You must be feeling very sad about your loss."

Which immunization should be given with caution to children infected with human immunodeficiency virus? varicella inactivated poliovirus influenza pneumococcus

varicella