Adolescents Adaptive Quizzing

Which condition should be suspected in a 17-year-old client in whom secondary sexual characteristics and menarche have failed to occur?

Amenorrhea

A female adolescent with comedonal acne has been prescribed tretinoin gel. What treatment-specific instructions should be given to the adolescent? Select all that apply.

Apply the medication at night. Use a scarf to avoid sun exposure on the face. Apply a pea-sized dot of medication on the three main areas of the face and gently rub.

At what age, the pubertal growth spurt reaches its peak in males?

14 years

What instructions should the nurse give to an overweight adolescent to help him or her lose weight? Select all that apply.

Perform physical activities regularly. Eat small frequent meals throughout the day. Reduce the intake of sugar and sweetened beverages.

The mother of a 13-year-old child with sickle cell anemia tells the nurse that the family is going camping by a lake this summer. She asks what activities are appropriate for her child. Which activity should the nurse suggest?

Motorboat rides around the lake

Which over-the-counter (OTC) drug is used as the first line of therapy for acne vulgaris in adolescents?

Benzoyl peroxide

Which statement is true with respect to menarche?

It occurs approximately 3 months after attainment of peak weight velocity.

A nurse is assessing an adolescent child with the diagnosis of hemophilia. In what part of the body does the nurse expect bleeding to occur?

Joints

Which complication of anaphylactic shock in the adolescent client is most important for the nurse to detect early?

Laryngeal edema

An adolescent who abuses opiates wishes to stop but is unable to do so. What is the most appropriate intervention?

Rehabilitation

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 clinical finding is most important for the nurse to identify when assessing an adolescent child with Reye syndrome?

Bleeding tendency

A nurse is teaching a group of students about the characteristics of adolescence. Which statements made by the students indicate adequate learning? Select all that apply.

Body fat distribution affects the adolescent's self-concept. Accidents are the leading cause of death among adolescents. A negative body image leads to suicidal thoughts in the adolescent.

A female adolescent complains of breast pain. Which antigonadotropic herb may alleviate breast pain by decreasing prolactin levels?

Bugleweed

A nurse educates a group of teenagers about the physical changes they will experience. What statement made by the teenager shows inadequate learning?

"My bones will grow at a decreased rate."

Which identity may fail to develop if the adolescent fails to feel a sense of belonging and acceptance?

Group identity

Which appetite suppressant is used to treat obesity?

Sibutramine

According to Erikson's theory, which behaviors will a nurse notice in 13-year-old students? Select all that apply.

Such students want to know "Who am I?" Such students show a marked preoccupation with body appearance.

A male adolescent going through puberty worries about breast enlargement. Which nursing interventions would benefit the adolescent? Select all that apply.

Suggest that the client gets a medical evaluation Advise the adolescent to talk to his peers Assure the adolescent that the situation is temporary and benign

What nursing actions are appropriate for an adolescent girl undergoing a pelvic examination? Select all that apply.

Teach the adolescent about hygiene, body function, and sexuality. Encourage the discussion of safer sex practices. Display drawings, models, and equipment to help educate the adolescent.

An adolescent reports irritation in the vagina and yellowish green, malodorous discharge. Which infection is the adolescent likely to have?

Trichomoniasis

What are the differences between the pubertal growth of girls and boys? Select all that apply.

Girls tend to begin their physical changes two years prior to boys. Girls grow till the age of 17 years whereas boys grow till 20 years of age. Girls who mature early are less happy with their body appearance whereas boys who mature early are satisfied.

How does sexual identity aid psychosocial development in the adolescent? Select all that apply.

It helps develop masculine and feminine behaviors. It helps them lessen the feeling that they are different from peers.

A 19-year old client is diagnosed with a heavy and palpable hard mass on the anterior aspect of the testis. Which treatment would be appropriate?

Radical inguinal orchiectomy

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 a 14-year-old adolescent complains of strange behavior by the adolescent such as sitting alone in a room, being inactive, having a sad facial expression, and withdrawing from previously enjoyed activities. On enquiry, the nurse found that the adolescent's parents were recently divorced. What condition does the client likely to have?

Depression

An 18-year-old adolescent male complains of painful urination and yellow-green mucosal discharge from urethra not associated with abdominal pain. What condition is the client likely to have?

Epididymitis

An adolescent reports fever and headache. The nurse observes several maculopapular rashes on the palms and soles and broad, pinkish gray, wart-like lesions on the genitals. What does the nurse infer from these findings?

The adolescent has secondary syphilis.

A nurse in the clinic is obtaining a health history of a 16-year-old boy with a complaint of a thick urethral discharge. What is the most appropriate nursing action to help confirm a tentative diagnosis of gonorrhea?

Obtaining a urethral specimen for a culture

The nurse is caring for a client with a suspected vaginal infection. The whiff test elicits a fishy odor from the sample. What condition may be present in the client?

Bacterial vaginosis

An adolescent with type 1 diabetes is brought to the emergency department in ketoacidosis. The adolescent admits to not adhering to the diabetic regimen. What can the nurse do to help the adolescent become more accepting of the diabetic regimen?

Encourage the adolescent to express feelings about having diabetes.

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."

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

A young pregnant adolescent reports bleeding and abdominal pain and is diagnosed with an ectopic pregnancy. Which risk factors should the nurse look for in the client? Select all that apply.

Habit of smoking Damage to the fallopian tubes History of pelvic inflammatory disease

A nurse in the clinic is taking the health history of a 16-year-old. When the nurse asks questions concerning sexual activity, the adolescent begins to perspire and hyperventilate. As her anxiety increases, she indicates that she feels dizzy and short of breath and that her heart is racing. What condition does the nurse identify?

Hyperventilation syndrome

A pregnant adolescent reports genital warts. What suggestions should the nurse provide to reduce the discomfort? Select all that apply.

Take bath with oatmeal solution Wear loose-fitted cotton clothes Try out cryotherapy if needed

An HIV-infected pregnant adolescent does not want a cesarean birth. Which finding would indicate the increased risk of perinatal transmission via vaginal birth?

A viral load of 1,200 copies/mL

What behavioral findings correspond to intimate partner violence in young adolescents? Select all that apply.

Attempting suicide Pattern of substance abuse

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 to provide information about adolescents. Which statement made by the student indicates the need of further teaching?

"Adolescents accept their society and its values."

What are the major complications noticed in adolescent girls during pregnancy? Select all that apply.

Ectopic pregnancy Spontaneous abortion

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 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."

The nurse is teaching cleansing procedures to a client with acne. Which statement made by the client indicates a need for further teaching?

"I will avoid frequent shampooing."

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."

After an assessment, a nurse suspects that an adolescent has anorexia nervosa. Which characteristics may have been observed in the adolescent? Select all that apply.

Denying illness Dismissing food Maintaining rigid body control

What instructions should a nurse provide to adolescent boys regarding the usual procedure to be followed and normal findings observed during testicular self-examination. Select all that apply.

A firm, smooth, egg-shaped organ can be palpated. Each testicle is examined individually after relaxing the scrotal skin. The thumb and fingers of both hands can be used to apply firm and gentle pressure. A raised swelling that can be palpated on the superior aspect of the testicle is the epididymis.

An unmarried female adolescent arrives at a hospital with her parents. She complains of a delay in her regular menstrual cycle and wants to confirm her health status. Which strategies should be employed while interviewing the adolescent? Select all that apply.

Gaining the client's trust Explaining the limits of confidentiality

A registered nurse is teaching a nursing student about the role of estrogen in adolescents. Which statements made by the nursing student indicates the need for further teaching? Select all that apply.

High levels of estrogen tend to promote skeletal growth Estrogen has an inhibitory effect on the growth of axillary hair

A client currently taking medication for bacterial vaginosis complaints of an unpleasant metallic taste, nausea, and vomiting. Which medication would be responsible for this condition?

Metronidazole

A client visits the primary healthcare provider and complains of vaginal discharge with a fishy odor. The primary healthcare provider diagnoses the client with bacterial vaginosis and suggests an oral medication. Which medication would be prescribed?

Metronidazole

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

In order to implement primary prevention of STIs (sexually transmitted infections) a nurse is counseling an adolescent. What would be the priority nursing action?

Assess the adolescent's sexual risk behaviors.

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

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

Which nursing interventions are appropriate while performing an adolescent girl's first pelvic examination? Select all that apply.

Providing a pillow to the adolescent Allowing the adolescent to handle the speculum

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

While caring for a client receiving medication therapy for acne, the nurse observes aggressive behaviors and suicidal ideations. Which medication may be responsible for the client's condition?

Isotretinoin

A nursing instructor asks a nursing student about the development of adolescents according to Piaget's theory. Which statement made by the student indicates a need for further education? Select all that apply.

"Adolescents emphasize using knowledge to achieve a goal." "Adolescents have the ability to recognize different answers for different situations."

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 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.

A pregnant adolescent already diagnosed as HIV-positive with a viral load of more than 1,000 copies/mL is currently in her 38th week of gestation. Which is the best method of delivery in this situation?

Cesarean section

The client reports excessive bleeding during the menstruation. Which herbal therapies are unlikely to be prescribed by the primary healthcare provider? Select all that apply.

Chamomile Chaste tree fruit

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 psychosocial clues should be explored to confirm substance abuse in an adolescent? Select all that apply.

Increased school absenteeism Changes in interpersonal relationships

An adolescent female suffering from severe cystic acne is placed on isotretinoin. What important facts should the nurse tell the client about isotretinoin? Select all that apply.

Inform the client about the risk of teratogenicity. Inform the client that skin improvement may take time.

The laboratory findings of an obese hypertensive adolescent reveal hyperinsulinemia and dyslipidemia. Which condition is the adolescent likely to have?

Insulin resistance syndrome

Which substance abuse involves injection of the drug to produce intense excitement, energy, boldness, and paranoia similar to that produced by cocaine?

Methamphetamine

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 eighth-grade teacher reports to a school nurse that a student has suddenly dropped out of activities, has been receiving bad grades, has a flat affect, and cries for no specific reason. Which familial factors should be investigated to identify the cause of this behavior? Select all that apply.

Parental loss Unavailable parents Child abuse or neglect

A nurse explains the physical sensation that a 13-year-old client will feel when a needle punctures the skin to draw blood. What instructional method would the nurse use?

Preparatory instruction

A nurse on the adolescent unit is planning to discuss smoking prevention. What is the most effective approach for the nurse to use?

Presenting information on how smoking affects appearance and odor of the breath

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

Why would a nurse question an adolescent about his or her future education plans?

To give an adolescent a chance to talk through significant sources of stress

Which criteria in a client must be assessed in order to diagnose premenstrual dysphoric disorder (PMDD)? Select all that apply.

Symptoms such as irritability, anxiety, or depressed mood Symptoms that interfere with work or interpersonal relationships

What is the most appropriate nursing intervention for an adolescent child with sickle cell anemia?

Teaching the family how to limit sickling episodes

A client with recurrent episodes of nausea, vomiting, and abdominal pain arrives at the hospital. Assessments by the primary healthcare provider reveal that the cremasteric reflex is absent, and emergency surgery is performed. What is the likely diagnosis?

Testicular torsion

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."

The nurse is conducting discharge teaching with an adolescent with hemophilia. Which statement by the client indicates a need for further teaching?

"I'll use a straight razor when I start shaving."

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."

What instructions should the nurse give to an adolescent to prevent sexually transmitted infections? Select all that apply.

"Remember to use condoms properly." "Make sure you are up-to-date with your vaccinations." "Have sexual contact only if you and your partner are monogamous."

How does a family identity aid psychosocial development in the adolescent?

It helps the adolescent develop skills in decision-making and budgeting

A young adolescent couple asks a community health nurse about using condoms as a method of contraception. Arrange the steps of using a condom in sequential order.

Open the package to remove the condom and check for breaks or holes. Contraceptive jelly is squeezed onto the tip of the condom. Condom is unrolled on the erected penis. Leave 0.5 inch of space at the tip of the condom. Hold the rim of the condom in place when withdrawing. Throw it away

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 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.

The nurse suspects risk of dysfunctional uterine bleeding in an adolescent. Which statement made by the adolescent would support the nurse's suspicion?

"I have severe pain during my menstrual periods."

Which statements about acne in adolescents are true? Select all that apply.

Early acne occurs in the midface region. Acne usually occurs in middle to late adolescence. Intake of dairy products can contribute to acne severity.

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.

A girl comes to the physician's office for her 14-year-old check-up. What is the most important anticipatory guidance that can be offered to the client?

Ways to prevent accidents

Which strategy needs to be employed while interviewing the adolescent as a part of her health-screening?

To explain the limits of confidentiality

Which infection is identified by evaluating the vaginal specimen of an adolescent client who sustained a sexual assault?

Trichomoniasis

Which combination of foods should the nurse encourage a child with glomerulonephritis to choose for a meal?

Corn, roast chicken, peach

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 nursing instructor asks a nursing student to explain the characteristics of substance abuse in adolescents. Which statements by the student indicate inadequate learning? Select all that apply.

"Fifty percent of adolescents have used alcohol by the end of high school." "Twenty-five percent of adolescents have tried smoking by the end of high school."

A 19-year-old primigravida in the first trimester of pregnancy is diagnosed with gonorrhea. What dosage of ceftriaxone is recommended to prevent the transmission of gonorrhea?

250 mg started immediately

A pregnant adolescent reports genital warts. What interventions would reduce the discomfort? Select all that apply.

Consider cryotherapy Bathe with an oatmeal solution Wear loose-fitting cotton clothes

Immediately after being placed in the supine position, an adolescent child experiences shortness of breath and must sit up to breathe. What term should the nurse use to document this clinical phenomenon?

Orthopnea

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

Arrange the physiologic events from early puberty to ovulation chronologically.

The events of puberty begin with the follicle stimulating hormone stimulating the ovaries to release estrogen. When a girl reaches mid-puberty, her body produces high levels of estrogens, which stimulates the development of the uterine endometrial lining. This event leads to menarche or the first menstruation, which is followed by the follicular phase. In this phase, the follicle releases an ovum.

The nurse is assisting in sports physicals of junior high students. Which finding would prompt the nurse to ask whether a student has a history of diabetes?

A velvety darkening of the skin around the neck

What developmental nursing intervention should the nurse provide to promote safety among adolescents? Select all that apply.

Helping parents minimize risks to their adolescents' safety Teaching parents to serve as role models by guiding expectations and providing education

A nurse teaches a group of teenage girls about puberty. What information should the nurse refrain from providing?

"Your body will gain height and weight disproportionately."

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.

Which intervention would reduce the risk of perinatal transmission via vaginal birth in an adolescent who is diagnosed with HIV infection?

Using antiretroviral during the intrapartum period

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