When do females usually begin puberty?
1 year before males
1 year after males
2 years before males
2 years after males
A teenager has been using acne medications for the last 14 days. Her acne is no better, and in fact, it is a little worse. What information should the nurse offer this girl?
“Wash your face at least four times a day, making sure to scrub well.”
“The medications can make acne appear worse at first; try to give it a few more weeks.”
“Avoid all chocolate products.”
“Because it is summertime, it would be good for your skin if you lie out in the sun for a few hours each day.”
The mother of a 13-year-old girl is concerned because her daughter has not started menstruating yet. The girl developed breast buds and started her height spurt at 12 years of age. Which of the following statements would be the most appropriate response from the nurse?
“Usually, girls start menstruating when they develop breast buds; an endocrine evaluation might be warranted.”
“Everyone is different; it will happen in the near future.”
“Based on when the breast buds first appeared, she should start menstruating around in the age of 14.”
“She will not start menstruating until her breasts are of adult size and contour.”
Which genetic disorder affecting the x chromosome is found in females?
Gynecomastia
Menstruation
Turner syndrome
Klinefelter syndrome
Which genetic disorder affecting the x chromosome is found in males and is often diagnosed at puberty?
Parents recently discovered that their teenage daughter has been consuming alcohol on a regular basis. They ask the nurse for advice on how best to help their daughter. In addition to closer supervision to prevent such activity, which of the following recommendations should the nurse give to the parents?
Talk to their daughter at length regarding the dangers associated with drinking
Have her favorite aunt, with whom she is very close, talk to her about drinking
Enroll their daughter in a peer support group focused on teenage drinking
Provide their daughter with literature regarding the dangers of drinking
Which of the following behaviors is most reflective of a teenager?
Riding an ATV without a helmet
Not skiing for fear of falling and getting hurt
Obeying a new parental rule without a challenge
Walking away from a group of friends who are smoking cigarettes
Which of the following is NOT characteristic of anorexia nervosa?
Increased frequency or heavy menses due to increased ovulation
Co-morbid depression or anxiety
Perfectionism
Compulsive physical activity
During a physical exam, a teenager asks the nurse if she can have a stronger medication for her constipation because the laxatives she has been taking are not helping. During the physical exam, the nurse observes mild to moderate erosion of the tooth enamel. Which of the following disorders is the client most likely experiencing?
Bulimia nervosa
Binge eating disorder
Idiopathic constipation
Irritable bowel syndrome
A teenager has a family history of Type 2 diabetes mellitus. He asks the nurse what he can do to try to prevent developing it himself. Which of the following instructions should the nurse give this client?
Tell him to avoid any and all sweets
Tell him to be active, eat a balanced diet, and maintain normal weight
Tell him he should talk to his physician about genetic testing
Tell him that very little can be done to avoid developing this disorder
Which of the following statements concerning sleep patterns in teenagers is correct?
Adolescents need 7 to 8 h of sleep nightly
Electronic devises have been associated with sleep deprivation.
Extra-curricular sports, like all exercise, help teens maintain adequate sleep
All of the above statements are correct
According to Piaget, which of the following developmental stages is applicable for the teenage years?
Concrete operational
Formal operations
Abstract operations
Inductive operational
According to Erikson, which of the following teenagers is at risk for not meeting his developmental task?
Arrested for petty theft
Decided he wants to major in accounting
Has recently broke up with his girlfriend
Is a member of the varsity basketball team
From the perspective of the parents of the teenager, which of the following is an adaptive and beneficial approach to the task of parenting teenagers?
Set strict rules to prevent the teenager from getting into any trouble
Learning how to let go
Transition from the role of parent to friend/peer
Drop rules and limits so as to foster maturity and self-determination
Which of the following statements is NOT correct concerning adolescent sexual issues?
Sexting is becoming an increasingly common practice among teenagers
Experimenting with same sex intimacy may put teens at risk for suicide
Fantasizing about sexual activities has been shown to lead to promiscuity
Anticipatory guidance appropriately includes information about contraception and STDs.
Which of the following statements is correct concerning adolescent pregnancies?
Low birth weight is associated with teen pregnancies.
Teen pregnancies have increased over the last two decades.
Blacks have the highest rate of teen pregnancies
Which of the following is the SECOND leading cause of death for teens and young adults, 15 to 24 years?
Accidents
Suicide
Bone cancer
Sports injuries, especially head trauma
After offering a teenager the HPV vaccine, the teenager responds by saying, “I can’t have the vaccine because I have already been sexually active.” Which of the following statements is the best response by the nurse?
“You can still benefit from the vaccine, but there is a chance it will not be as effective.”
“The best way to protect yourself now is to make sure all your future sexual partners have received the vaccine.”
“You are correct, the vaccine is only indicated for females who have never been sexually active.”
“It depends on the number of partners you have had. If you have had less than five partners, you are still eligible for the vaccine.”
Which of the following statements is correct regarding substance abuse and teenagers?
Marijuana is the most frequently abused substance by teenagers.
Opioid overdosing is on the decline secondary to better education on the hazards
Heroin is now purer than in the past, sometimes laced with fentanyl.
Opioids when legally prescribed are safe and rarely lead to the use of street drugs
Which of the following statements is correct concerning tobacco use in adolescents?
Smoking is most prevalent in Caucasian teenagers as compared to Blacks and Hispanics
Advertising has not been shown as effective in promoting smoking in teens. Rather peer pressure is effective
Electronic cigarettes involve flavored liquids with very low levels of actual smoke.
A teenager asks the school nurse for advice before getting a tattoo. Which of the following responses would be most appropriate for the nurse?
“You should only get tattoos which can be covered by clothing on a job interview.”
“It is okay to get a tattoo providing that you only go to a licensed artist.”
“Tattoos are popular; however, they can lead to infection and/or bleeding.”
“A body piercing would be safer and less permanent.”
A teenager is expecting her menstrual period on May 14. On which of the following dates would the nurse recommend that she perform a self-breast exam?
May 11
May 14
May 17
May 23
Which of the following teenagers is exhibiting a behavior that cause for concern and requires further evaluation?
Feels happy on most days but on some days she feels sad
Is agitated and has trouble sleeping
Has a lot of homework and stays up late to finish it
Values his friend’s opinion more than his parent’s opinion
Which Tanner stage of male genital development is characterized by initial enlargement of the penis, mainly in length along with further growth of the testes and scrotum?
1
2
3
4
Which stage of female breast development is characterized by enlargement of the areolar diameter along with a small area of elevation around the papillae?
A 14-year-old female is in for a physical exam. Which finding requires further investigation?
A height spurt since her last visit
Facial acne
The lack of breast buds or breast development
Noticeable sweating and body odor with activity
Which of the following are symptoms or warning signs of anorexia nervosa? (Select all that apply.)
Lack of menstruation in females
Preoccupation with food
Eating only small amounts of certain foods
Dramatic weight fluctuations
A nurse is discussing being a safe driver as part of a driver’s education course. Which of the following recommendations would the nurse include in this presentation? (Select all that apply.)
Driving mid-sized two door vehicles is recommended
Avoiding talking on cell phones
Driving during daytime hours
Wearing safety belt
