Question 1

As a pediatric nurse, an adolescent patient presents with koilonychias (nails curved upward), mouth sores, and tachycardia. What laboratory test should be performed?&#10;A) Lipid panel&#10;B) Metabolic panel&#10;C) Complete blood count&#10;D) Erythrocyte sedimentation rate

Accepted Answer

These symptoms suggest iron deficiency anemia, which can be initially assessed with a complete blood count (CBC) to check for low hemoglobin and hematocrit levels.

Question 2

If a teenager presents with fatigue, loss of energy, or leg cramps, this patient should be further assessed for what medical condition?&#10;A) Anemia&#10;B) Malnutrition&#10;C) Dehydration&#10;D) Diabetes mellitus

Accepted Answer

Fatigue, loss of energy, and leg cramps can be symptoms of anemia, which is a condition characterized by a deficiency of red blood cells or hemoglobin, leading to reduced oxygen delivery to tissues.

Question 3

Pregnant teenagers require twice as much iron as their nonpregnant peers. If you encounter a pregnant teenager, how much iron intake per day would you recommend to this patient?&#10;A) 14 mg&#10;B) 18 mg&#10;C) 24 mg&#10;D) 27 mg

Accepted Answer

Pregnant teenagers require more iron to support fetal development and their own growth. The recommended daily iron intake for pregnant women, including teenagers, is 27 mg, which is higher than the 14-18 mg recommended for nonpregnant women.

Question 4

If you encounter a teenager with anemia and the cause is determined to be poor nutrition, what three vitamins and minerals would you suggest this teenager take to supplement his or her diet? A) Iron, calcium, zinc B) Iron, potassium, magnesium C) Calcium, sodium, Vitamin B₆ D) Iron, folic acid, Vitamin B₁₂

Accepted Answer

Iron, folic acid, and Vitamin B₁₂ are crucial for the production of red blood cells and preventing anemia.

Question 5

As a pediatric nurse, what advice would you offer a teenage patient who is experiencing significant acne?&#10;A) Cleanse with alcohol-based products&#10;B) Cleanse with mild soap at least twice a day&#10;C) Avoid employment in fast food restaurants&#10;D) Avoid dietary intake of candy and soda

Accepted Answer

Cleansing with mild soap at least twice a day helps to remove excess oil and dirt without irritating the skin, which is important for managing acne.

Question 6

As a pediatric nurse, what advice would you give a male teenager who has disclosed that he has experimented with homosexual activity?&#10;A) Immediately stop the high-risk sexual activity&#10;B) Encourage HIV testing&#10;C) Discuss his lifestyle with his parents&#10;D) Ask his partner is he has any STDs

Accepted Answer

Encouraging HIV testing is a responsible action for anyone who has been sexually active, especially if they have engaged in behaviors that might increase their risk of contracting HIV or other sexually transmitted diseases (STDs). It's important for healthcare professionals to promote safe and informed sexual health practices without judgment.

Question 7

Screening for substance experimentation and abuse during health check-ups can save lives. Screening for what recreational drug is important, as 6.5% of high school seniors have been reported to use this substance on almost a daily basis?

A) Cocaine
B) Heroin
C) Marijuana
D) Fentanyl

Accepted Answer

Marijuana is the correct answer because it is the most commonly used illicit drug among high school seniors, with a significant percentage reporting near-daily use. This makes it a critical focus for screening during health check-ups.

Question 8

Currently, 21 states explicitly allow children younger than age 18 years (minors) to consent to and obtain contraceptive services without parental permission. What should you do if a 16-year-old girl presents with a request for birth control?

A) Prescribe the medication
B) Have the patient sign an informed consent
C) Perform a gynecological exam prior to prescribing the medication
D) Refer to state law governing this care

Accepted Answer

The correct action is to refer to state law governing this care, as laws regarding minors' ability to consent to contraceptive services without parental permission vary by state.

Question 9

As a pediatric nurse, what advice would you give to parents whose child's academic performance is beginning to diminish?&#10;A) Set stricter guidelines at home&#10;B) Decrease socialization with friends&#10;C) Screen the child for mental conditions such as depression and ADD/ADHD&#10;D) Have vision and hearing checked

Accepted Answer

The answer of As a pediatric nurse, what advice would...

Question 10

How should you advise a parent who is concerned with a child experiencing delayed growth, maturation, and puberty?&#10;A) Have child seen by an endocrinologist&#10;B) Have child go through a complete hormonal and metabolic screening&#10;C) Tell parents that patience is all that is required in the majority of cases&#10;D) Tell parents to have the child re-examined if there is no progress in 6 months

Accepted Answer

The answer of How should you advise a parent who...

Deck 10: Caring for Adolescents