Adolescents Adaptive Quizzing
What size of induration after a tuberculin test signifies a positive result in a 16-year-old client? Record your answer using a whole number.
15
What is the minimum respiratory rate in a normal adolescent? Record your answer using a whole number.
16
How does the nurse apply the identity versus role confusion stage in the care delivery of an adolescent ? Select all that apply.
Helps hospitalized adolescents in decision-making about their treatment plan Provides anticipatory guidance to parents about the changes faced by children
An adolescent client who reports bleeding from vagina for 2 months is diagnosed with dysfunctional uterine bleeding. Which assessment findings in the adolescent's history may be relevant? Select all that apply.
History of trauma to the vagina Presence of malignant lesions Medical history indicating iatrogenic causes
Which drug used to treat acne has a bleaching effect?
Benzoyl peroxide
Which gland secretes gonadotropin-releasing hormone (GnRH) to help control the events of puberty?
Hypothalamus
An 18-year-old adolescent who was diagnosed with new-onset type 1 diabetes mellitus has stress and reports not having a menstrual cycle for a long time. Which condition is the adolescent experiencing?
Hypogonadotropic amenorrhea
An adolescent experiencing a vaso-occlusive crisis reports right knee pain. What is the most appropriate nursing intervention?
Applying a warm soak to the knee
At what age, the pubertal growth spurt reaches its peak in males?
14 years
At which stage does an adolescent develop abstract thinking?
Formal operations period
What does the term "smokeless tobacco" refer to? Select all that apply.
A substitute for cigarettes Tobacco products with carcinogenic chemicals Tobacco products placed in mouth but not ignited
Which of these statements regarding adolescents are true? Select all that apply.
The United States has the highest rate of teenage pregnancy. Anorexia nervosa and bulimia are two eating disorders found in adolescence.
What teaching methods should be adopted for an adolescent? Select all that apply.
Using teaching as a collaborative activity Allowing adolescents to make decisions about health and health promotion
Which medication is the first-line treatment for acne in adolescents?
Benzoyl peroxide
According to current statistics, what percent of adolescents try marijuana by the end of high school? Record your answer using a whole number.
49
A nurse is teaching a young adolescent with type 2 diabetes about nutritional needs. Which statement demonstrates that the adolescent understands what was taught?
"It's okay for me to eat one slice of pizza at a party."
Which questions should be asked by the nurse of an adolescent client before a pregnancy test is performed? Select all that apply.
"Are you sexually active?" "When was your last period?" "Are you having any nausea?"
A nurse is assessing the impact of pregnancy on the social aspect of an adolescent girl's life. Which statement by the adolescent indicates that the pregnancy is affecting the social aspect of her life directly?
"I am having a lot of trouble in school."
A nurse educates parents about how to communicate with their 14-year-old. Which statement should the nurse make?
"You should look for the meaning behind your child's words or actions."
Which are barrier methods of contraception? Select all that apply.
Condom Lea's shield Diaphragm
Which genetic syndromes are mostly recognized in adolescence? Select all that apply.
Turner syndrome Klinefelter syndrome
A nursing instructor asks a nursing student to explain the teaching methods to be used for adolescents. Which statement by the student indicates a need for further teaching? Select all that apply.
Keep teaching sessions short Encourage them to learn together, using pictures and short stories
Which Korotkoff sound represents the diastolic blood pressure in an adolescent?
Fifth
A nurse in the pediatric clinic is assessing an adolescent child with strabismus. What is one of the priority goals for the surgical correction of this child's disorder?
Improving appearance
The school nurse presents a class on female reproduction to a group of junior high school girls. Which statement by a student after the class indicates a need for clarification of the teaching?
"Women with big breasts have more milk after they have a baby."
An adolescent client is reported to have inflammatory acne lesions. Which medication would the primary healthcare provider prescribe?
5% dapsone gel + adapalene
According to current studies, what percentage of adolescents has used alcohol by the end of high school? Record your answer using a whole number.
85
A primary healthcare provider prescribes medications to four different clients with vaginal infections. Which client would benefit from clotrimazole?
A client with candidiasis
What would be the drug of choice in an adolescent who is diagnosed with gonorrhea and wishes to continue breast-feeding?
Ceftriaxone 250 mg
While assessing a client, the nurse finds redness and swelling of the scrotum. The client reports fever and pus in the urine. Which treatment strategies would be beneficial? Select all that apply.
Analgesic therapy Antibiotic therapy
A nurse is educating a client about the use of tretinoin cream for acne. Which of these statements by the client indicate a need for further teaching? Select all that apply.
"I should avoid using a daily moisturizer while taking this medication." "I should apply the medication right after I get done washing my face."
A nurse provides instructions to a group of adolescents about ways to prevent obesity. Which statements made by an adolescent indicates a need for further learning? Select all that apply.
"I should consume a high-fat diet." "I should take highly refined starch food." "I should watch television for four hours only."
A registered nurse is teaching a client regarding preventive measures for genital tract infections. Which statement made by the client indicates the need for further education? Select all that apply.
"I should take frequent bubble baths." "I should choose hosiery with a nylon crotch." "I should use colored and scented toilet tissues."
A registered nurse teaches a client regarding the therapeutic management of herpes simplex virus. Which statements made by the client indicates the need for further teaching? Select all that apply.
"I should use a sitz bath only with warm water." "I should clean the lesion once a day with saline."
A nurse is teaching an adolescent with a sprained ankle how to use one crutch when walking. What statement indicates that no further teaching is necessary?
"I should use the crutch on the side of my good ankle."
A nurse communicates with a mother about the cognitive changes that her child will exhibit after becoming an adolescent. Which statements made by the mother indicate adequate learning? Select all that apply.
"My child will think in terms of the future." "My child will be able to deal with hypothetical problems." "My child will be able to imagine multiple outcomes of a situation."
What suggestions should the nurse give to a family to foster developmental changes in an adolescent child? Select all that apply.
"Start focusing on midlife material and career issues." "Shift your attention to the concerns of older people." "Work on letting your adolescent move in and out of the family."
What instructions should a nurse give an adolescent who is taking benzoyl peroxide for acne? Select all that apply.
"Use light-colored towels and bed sheets while on benzoyl peroxide treatment." "Increase the frequency of the application gradually to prevent the drying effect."
A registered nurse is teaching an adolescent's parents about guidance to give to an adolescent. Which statements made by a parent indicates a need for further education? Select all that apply.
"I should avoid giving independence." "I should avoid comparing my child with his or her siblings." "I should avoid providing unconditional love."
A nurse working the 7 am to 3 pm shift is caring for a 14-year-old adolescent for whom intake and output are being monitored. The primary healthcare provider prescribes an intravenous infusion to be administered at a rate of 50 mL/hr. The adolescent had 4 oz (120 mL) of milk and a muffin for breakfast at 8:30 am. At 9 am the adolescent vomited 200 mL. At 10 am the adolescent had 60 mL of water with medications. At 11 am the adolescent voided 550 mL of urine. For lunch, at 12:30 pm, the adolescent ate 3 oz (90 mL) of soup and 4 oz (120 mL) of ice cream. The adolescent voided 450 mL at 2 pm. Calculate the adolescent's total intake for the 7 am to 3 pm shift. Record your answer using a whole number.
790
A teenage mother is diagnosed with syphilis. What would be the drug of choice for this client if she wishes to continue breast-feeding?
Benzathine penicillin
A nurse reviews the medical reports of four clients. Which client may have secondary dysmenorrhea?
Client 1
A nurse is caring for an underweight adolescent girl with a diagnosis of anorexia nervosa. What common characteristics of girls with this disorder should the nurse recognize when obtaining a health history and performing a physical assessment? Select all that apply.
Fatigue Secondary amenorrhea
Which period of Piaget's theory marks the end of cognitive development?
Formal operations
A 15-year-old plans to go to a nightclub without informing his or her parents but is afraid of being caught. Which behavior does this indicate?
Invulnerability
Which of these features are exhibited by an adolescent? Select all that apply.
Invulnerability Personal fable
nurse is reviewing the laboratory report for a client who is undergoing drug therapy for acne and finds a serum cholesterol concentration of 215 mg/dL. Which medication used by the client may have caused this condition?
Isotretinoin
Which of these behaviors does an adolescent exhibit?
Synchronization of moral skills
What steps should the nurse take for managing an adolescent that sustained drug poisoning? Select all that apply.
Turn the head of the client to the side. Empty the mouth to clean the residue of the drug. Call local poison control center before any intervention.
Which statement is true regarding varicoceles?
Varicoceles cause an elongation of the veins of the spermatic cord.
Which is a sign of a ruptured ectopic pregnancy in an adolescent?
Abdominal pain and hypotension
What are the pathophysiologic factors of acne? Select all that apply.
Comedogenesis Production of excessive sebum Alteration in follicular growth Colonization of Propionibacterium acnes
The nurse suspects metastasis in a client with stage I seminoma that has just undergone biopsy. Which test is most appropriate for detecting the spread of cells in this client?
Computed tomography
Which behavior patterns may be exhibited by teenagers in their late adolescence? Select all that apply.
Concealed temper Consistent emotions
Which growth findings can the nurse anticipate in a 16-year-old adolescent female client? Select all that apply.
Decelerating growth Attaining up to 95% of adult height
In which period of Piaget's theory does the adolescent feel a sense of invulnerability?
Formal operations
A nurse is reviewing the laboratory report of a 13-year-old adolescent with type 1 diabetes. What test is considered the most accurate in the evaluation of the effectiveness of diet and insulin therapy over time?
Glycosylated hemoglobin
A 17-year-old female who reports irregularity of menses and weight loss is diagnosed with hypothyroidism. Which type of menstrual disorder does this client have?
Hypogonadotropic amenorrhea
What are the similarities between the phallic stage and genital stage? Select all that apply.
In both stages, the genital organs are the focuses of pleasure. In both stages, the individual is influenced by the id.
What drugs are used to induce abortion in an adolescent? Select all that apply.
Misoprostol Mifepristone Methotrexate
What is the condition depicted in the figure?
Neurofibromatosis
A primary healthcare provider suspects that a client has a chlamydial infection and orders a highly sensitive diagnostic test. Which diagnostic test would be ordered?
Nucleic acid amplification test
A client's body mass index (BMI) is 31. This client has a history of hyperinsulinemia caused by an intracranial tumor. Which treatment strategies would be beneficial? Select all that apply.
Octreotide Metformin
A young woman who is receiving treatment for premenstrual syndrome visits the primary healthcare provider and reports a headache and dry mouth. Which drugs would be responsible for these side effects? Select all that apply.
Sertraline Fluoxetine Escitalopram
Which drug used to treat syphilis is contraindicated in pregnancy?
Tetracycline
The nurse is teaching an 18-year-old athlete about measures to reverse amenorrhea. Which statements made by the adolescent indicates effective learning? Select all that apply.
"I will increase my food intake." "I will perform weight training exercises."
A nursing instructor asks a nursing student about the formal operations stage of Piaget's theory of cognitive development. Which of these statements by the student indicate a need for further teaching? Select all that apply.
During this stage, there's an absence of egocentric thought. During this stage, reversibility in thought is the primary characteristic.
A nurse is counselling the parents of a 13-year-old child. Which of these behaviors will the nurse include in the discussion? Select all that apply.
Egocentrism Logical reasoning Imaginary audience
What are the common characteristics of a relationship between a middle adolescent and his or her parents? Select all that apply.
Great push for emancipation Low point in the parent-child relationship Major conflicts over independence and control
Which identity may fail to develop if the adolescent fails to feel a sense of belonging and acceptance?
Group identity
A client with positive family history of testicular cancer arrives at the hospital and reports testicular pain. The primary healthcare provider reviews the laboratory reports and makes a diagnosis of testicular cancer. After surgery, the client will undergo chemotherapy. What conditions might occur in this client after chemotherapy? Select all that apply.
Infertility Heart disease Metabolic syndrome
An adolescent sustains a sports-related fracture of the femur, and open reduction and internal fixation with a rod insertion is performed. After the surgery, a nurse notes that the adolescent is very upset. In light of the client's developmental level, what does the nurse conclude is the most likely explanation for this distress?
The perception that the rod is a body intrusion
A nurse is planning to discuss the importance of following the prescribed course of treatment with a group of adolescent clients. What is the nurse's priority consideration regarding these clients?
They are involved more with the present than with the future.
Which statements regarding acne are correct? Select all that apply.
Acne may be caused by stress. Family history could be a reason for it. Propionibacterium acnes causes acne.
The nurse suspects stage I seminoma in a client with Klinefelter syndrome. Which diagnostic tests would be helpful in further evaluating the mass? Select all that apply.
Alpha fetoprotein Lactase dehydrogenase Beta human chorionic gonadotrophin
An obese adolescent who has short stature and is hyperphagic is diagnosed with hypogonadism. Which congenital disorder may be present in this adolescent?
Prader-Willi syndrome
A registered nurse is teaching a nursing student about sexual assault in teenagers. Which statement made by the nursing student indicates a need for further education? Select all that apply.
"A sexual assault committed on a person above the age of consent is called statutory rape." "A rape that occurs when the assailant is 18 years of age or older is referred to as acquaintance rape."
A nursing instructor asks a nursing student about the warning signs that may be seen in an adolescent one month before suicide is attempted. What statement indicates a need for further education?
"A suicidal adolescent may avoid speaking about suicidal thoughts."
A nursing instructor asks a nursing student to outline the factors that predispose adolescents to substance use. Which of these statements outlined by the student are correct? Select all that apply.
Adolescents believe that substance use makes them more mature. Adolescents believe that using mood-altering substances creates a sense of well-being. Adolescents believe that substance use will help them achieve increased levels of performance.
Which condition should be suspected in a 17-year-old client in whom secondary sexual characteristics and menarche have failed to occur?
Amenorrhea
What are the medical concerns in adolescent pregnancies? Select all that apply.
Anemia Poor maternal weight gain Pregnancy-induced hypertension
A nurse is helping an adolescent with type 1 diabetes establish a consistent meal pattern. What feedback from the adolescent indicates that further teaching is needed?
Avoids complex carbohydrate substitutes
An adolescent on gonadotropin-releasing hormone agonist therapy reports hot flashes and an absence of menses. Which treatment would be most appropriate?
Counseling
An adolescent child is in the terminal stage of cancer. The parents ask how they will know when death is imminent. The nurse discusses the physical manifestations with the parents. What are the signs and symptoms of approaching death? Select all that apply.
Decreased thirst Weak pulse Difficulty swallowing Loss of bladder control
An adolescent having premenstrual syndrome displays pelvic fullness, irritability, depression, fatigue, and backaches. What instructions should the nurse provide to the adolescent to help obtain relief? Select all that apply.
Do aerobics 3 to 4 times a week. Follow stress reduction techniques. Take NSAIDs or progesterone. Eat food rich in complex carbohydrates and fiber in three small portions.
How does a family identity aid psychosocial development in the adolescent?
It helps the adolescent develop skills in decision-making and budgeting
How does group identity aid psychosocial development in adolescents? Select all that apply.
It helps them feel a sense of admiration and approval. It provides them the opportunity to learn acceptable behavior.
An 18-year-old client with stage I seminoma underwent chemotherapy. What adverse effects of chemotherapy should the nurse inform the client about? Select all that apply.
Metabolic syndrome Cardiovascular disease
The primary healthcare provider prescribed benzoyl peroxide to a client with severe acne. During a follow-up visit, the nurse finds that the client did not respond to the therapy. Which other medications should the nurse suspect to be beneficial for the client? Select all that apply.
Minocycline Streptomycin Erythromycin
An adolescent who works out 6 hours a day reports not eating well, weight loss, and an absence of menses for the past few months. Which nursing intervention is most appropriate?
Modify the adolescent's diet to incorporate more nutrients.
A nurse on the pediatric unit is admitting an adolescent child with acute glomerulonephritis (AGN). What is the priority nursing intervention?
Monitoring the child for hypertension
What complications are associated with excessive weight gain during pregnancy in adolescents? Select all that apply.
Preterm labor Cesarean delivery Postpartum obesity
A young pregnant adolescent is diagnosed as having bacterial vaginosis. What further complications related to bacterial vaginosis may occur during pregnancy? Select all that apply.
Preterm labor and birth Intraamniotic infection Postpartum endometritis
After an assessment, a nurse observes a feeling of an altered perception of body appearance in an adolescent. Which nursing interventions would be beneficial in this situation? Select all that apply.
Providing a therapeutic discussion of personal attributes perceived as positive Encouraging a discussion of maladaptive behaviors surrounding food and fluid intake Involving the adolescent in activities designed to promote a positive image of self-worth and accomplishment
Which statements are true regarding ectopic pregnancy? Select all that apply.
Smoking is one of the risk factors for ectopic pregnancy. Ectopic pregnancy occurs when the fertilized egg implants in the fallopian tubes. When a young women exhibits abdominal pain, ectopic pregnancy is suspected. If the adolescent exhibits abdominal pain and hypotension, the ectopic pregnancy may have ruptured.
What are the greatest risks for injury among adolescents? Select all that apply.
Suicide Substance abuse Automobile accidents
A registered nurse teaches a nursing student about dietary modifications that help to decrease systemic symptoms associated with dysmenorrhea. Which statements made by the nursing student indicate effective understanding? Select all that apply.
The client should include low-fat milk in the diet. The client should include watermelon and peaches in the diet.
What should a nurse do while communicating with a group of adolescents? Select all that apply.
The nurse should ask adolescents open-ended questions. The nurse should be aware of clues about an adolescent's emotional state.
Which of these measures should the nurse adopt while promoting health among adolescents? Select all that apply.
The nurse should be sensitive to the emotional cues delivered by the adolescent. The nurse should provide counseling to the adolescent undergoing rehabilitation for substance abuse.
While questioning a rape victim, the nurse discovers that the victim does not remember anything related to the assault. Of the following, which is the most probable cause of the victim's memory loss?
The rape victim was drugged with flunitrazepam.
A nurse needs to explain a procedure to an adolescent with the use of the analogy instructional method. Which of these actions should the nurse take? Select all that apply.
Using images to describe the procedure to the client Asking the client about previous experience with the procedure
Which physical or behavioral signs of substance abuse should a nurse look for in an adolescent? Select all that apply.
Worrying about being addicted Experiencing an overdose or withdrawal symptoms Manifesting bizarre behavior or confusion
A nurse educates a group of parents about the psychosocial changes of adolescents. Which statement made by parents indicates inadequate learning?
"Adolescents love their parents in every situation."
A nursing instructor asks a nursing student about the sleep pattern of teenagers. Which statements made by the student indicate adequate learning? Select all that apply.
Teenagers often have reduced hours of sleep. Teenagers get roughly 7.5 hours of sleep each night.
Dysmenorrhea is suspected in a client with symptoms including backache, diarrhea, syncope, and headache. After reviewing the data, the primary healthcare provider decides not to prescribe diclofenac. Which of these statements made by the client support this decision? Select all that apply.
"I am allergic to aspirin." "I have a history of bleeding ulcers." "I have a history of deep vein thrombosis."
What is the most appropriate communication strategy for the nurse working with adolescents in a clinic in a large city health center?
Establishing a relationship over time
The nurse is counseling an HIV positive woman on precautions to be followed. Which statement by the client indicates the need for further counseling?
"I will go for pelvic examination every 12 months."
What are the considerations for bariatric surgery in an adolescent? Select all that apply.
Attainment of physical maturity Failed attempt at weight loss for at least six months Ability to give informed consent to surgical treatment
Which statements are true regarding primary dysmenorrhea? Select all that apply.
During the luteal phase, F 2-alpha is secreted Pain usually begins at the onset of menstruation and lasts for 8 to 48 hours
A female adolescent reports excessive hair growth in the pubic region and under the arms. What may be responsible for these changes?
High levels of estrogen
What is the similarity between the formal operations period and the preoperational period according to Piaget's theory?
Both the periods explain egocentric thought of an individual.
An adolescent with Duchenne muscular dystrophy has received care at the pediatric clinic since early childhood. Of which body system should the nurse perform a focused assessment to identify life-threatening complications as the child ages?
Cardiopulmonary
Which statement describes stage 4 of Kohlberg's theory? Select all that apply.
Child shows respect for authority and maintains the social order. Adolescents choose to avoid a party where they know beer will be served.
A 14-year-old adolescent is severely injured in a motor vehicle collision. There are multiple fractures, contusions, and muscle spasms, causing the teenager to refuse to move. How can the nurse best support the adolescent and encourage movement?
Encouraging decision-making regarding care
Which side effects are associated with systemic antibiotic therapy for acne in adolescents? Select all that apply.
Photosensitivity Vaginal candidiasis
A 15-year-old with type 1 diabetes has a history of noncompliance with the therapy regimen. What must the nurse consider about the teenager's developmental stage before starting a counseling program?
The struggle for identity is typical.
A nursing instructor asks a nursing student about the health risks faced by adolescents. Which statements by the student indicate inadequate learning? Select all that apply.
"Eating disorders are more common in teen boys than girls." "The incidence of substance abuse among adolescents in high school is low."
An adolescent with a BMI of 30 reports fatigue, frequent urination, and a tingling sensation on the feet. The adolescent is then diagnosed with type 2 diabetes mellitus. Which nursing interventions would be appropriate? Select all that apply.
Physical activities Dietary counseling Behavior modification
A nurse is working in a school health promotion program for adolescents. Which of these actions should be included in the assessment process? Select all that apply.
The nurse should conduct a school violence assessment. The nurse should try identifying individuals at risk for substance abuse. The nurse should enquire about the presence of guns in the home to reduce the incidence of homicide.
What is the similarity between the preoperational period and the formal operations period?
Both periods are associated with egocentrism.
A nurse is giving discharge instructions to the parents of an adolescent boy with nephrotic syndrome. What statement by one of the parents about the child's care indicates that more instruction is needed?
"Any gain in weight is expected."
Which herbal therapies would be beneficial to a client with menstrual cramping? Select all that apply.
Catnip Fennel Black haw
Which of these statements are true about an adolescent according to Lawrence Kohlberg's theory of moral development? Select all that apply.
"An individual's thoughts are influenced by moral decisions and behaviors." "An individual expands his or her focus from a relationship with others to societal concerns."
A registered nurse is teaching a nursing student about structural factors that affect labor in adolescents. Which statements by the nursing student indicate effective learning? Select all that apply.
"Fetopelvic incompatibility results from the teenager's smaller stature." "Cephalopelvic disproportion is the main reason for cesarean births in adolescents." "Prolonged labor in an adolescent aged 13 years is the result of fetopelvic incompatibility."
The children of adolescent mothers experience more cognitive developmental problems than children of adult mothers. What could be the possible reasons for this observation? Select all that apply.
Adolescent mothers may view the infant as a play thing. Adolescent mothers may lack parental competence.
What changes can be noticed in adolescents during the process of development of emotional autonomy? Select all that apply.
Adolescents do not run to their parents if they are upset. Adolescents do not see their parents as an absolute authority. Adolescents interact with their parents as peers.
An adolescent child with sickle cell anemia is admitted to the pediatric unit during a vaso-occlusive crisis. What does the nurse identify as the reason that the crisis occurred?
Blockage of small blood vessels as a result of clumping of RBCs
According to Piaget's theory, which of these is true about the period of formal operations? Select all that apply.
Children have the capacity to reason with respect to possibilities. Children have a belief that their actions are scrutinized by imaginary audience.
What is the most common cause of ophthalmia neonatorum in infants born to adolescent mothers?
Chlamydia
A physician orders a nucleic acid amplified test for an adolescent client who sustained a sexual assault. Which infections can be diagnosed with this test? Select all that apply.
Chlamydia Gonorrhea
During a nutritional counseling session, an adolescent says to a nurse, "I am not following my diet properly, but I know I should do it." Which stage of change model does the adolescent belong?
Contemplation
The mother of an adolescent reports that her child does not eat properly, performs strenuous physical exercise, and is very introverted. What nursing interventions would be appropriate? Select all that apply.
Monitoring the adolescent's fluid and electrolyte status Monitoring the adolescent for disturbances in family interactions Checking for evidence of self-induced vomiting Developing a mutually agreeable targeted daily caloric intake goal
A male client with small overgrowths on the skin in the cervical region arrives at the hospital. The laboratory report reveals the presence of human papillomavirus type 16. Which condition is associated with this virus?
Penile carcinoma
An adolescent girl reports to her primary healthcare provider that she has missed periods. The provider insists on performing a pregnancy test. Which nursing care interventions are most appropriate if the test result is positive? Select all that apply.
Providing emotional support Assisting with parental notification
After orthopedic surgery a 15-year-old adolescent reports pain and rates it a 5 on a scale of 0 to 10. A nurse administers the prescribed 5 mg of oxycodone every 3 hours as needed. Two hours after having been given this medication, the adolescent reports pain and rates it a 10 of 10. What action should the nurse take next?
Request that the primary healthcare provider evaluate the need for additional medication.