Deck 17: Health Problems of School-Age Children and Adolescents

Question 1

A nurse is conducting a class for adolescent girls about pelvic inflammatory disease (PID).Why should the nurse emphasize the importance of preventing pelvic inflammatory disease (PID)?

A)PID can be sexually transmitted.
B)PID cannot be treated.
C)PID can have devastating effects on the reproductive tract.
D)PID can cause serious defects in future children of affected adolescents.

Answer 1

PID can have devastating effects on the reproductive tract.

Question 2

An adolescent girl asks the school nurse for advice because she has dysmenorrhea.She says that a friend recommended she try an over-the-counter nonsteroidal anti-inflammatory drug (NSAID).The nurse's response should be based on which statement?

A)Aspirin is the drug of choice for the treatment of dysmenorrhea.
B)Over-the-counter NSAIDs are rarely strong enough to provide adequate pain relief.
C)NSAIDs are effective because of their analgesic effect.
D)NSAIDs are effective because they inhibit prostaglandins, leading to reduction in uterine activity.

Answer 2

NSAIDs are effective because they inhibit prostaglandins, leading to reduction in uterine activity.

Question 3

Which statement is true about smoking in adolescence?

A)Smoking is related to other high-risk behaviors.
B)Smoking will not continue unless peer pressure continues.
C)Smoking is less common when the adolescent's parent(s) smokes.
D)Smoking among adolescents is becoming more prevalent.

Answer 3

Smoking is related to other high-risk behaviors.

Question 4

Which statement is true about gonorrhea?

A)It is caused by Treponema pallidum.
B)Treatment is by multidose administration of penicillin.
C)Treatment is by topical applications to lesions.
D)Treatment of all sexual contacts is an essential part of treatment.

Question 5

A 12-year-old male has short stature because of a constitutional growth delay.The nurse should be the most concerned about which of the following?

A)Proper administration of thyroid hormone
B)Proper administration of human growth hormones
C)Child's self-esteem and sense of competence
D)Helping child understand that his height is most likely caused by chronic illness and is not his fault

Question 6

Turner syndrome is suspected in an adolescent girl with short stature.This is caused by:

A)absence of one of the X chromosomes.
B)presence of an incomplete Y chromosome.
C)precocious puberty in an otherwise healthy child.
D)excess production of both androgens and estrogens.

Question 7

The psychological effects of being obese during adolescence include:

A)sexual promiscuity.
B)poor body image.
C)feelings of contempt for thin peers.
D)accurate body image but self-deprecating attitude.

Question 8

Which statement is correct about childhood obesity?

A)Heredity is an important factor in the development of obesity.
B)Childhood obesity in the United States is decreasing.
C)Childhood obesity is the result of inactivity.
D)Childhood obesity can be attributed to an underlying disease in most cases.

Question 9

Which syndrome involves a common sex chromosome defect?

A)Down
B)Turner
C)Marfan
D)Hemophilia

Question 10

A 14-year-old boy and his parents are concerned about bilateral breast enlargement.The nurse's discussion of this should be based on which statement?

A)This is usually benign and temporary.
B)This is usually caused by Klinefelter syndrome.
C)Administration of estrogen effectively reduces gynecomastia.
D)Administration of testosterone effectively reduces gynecomastia.

Question 11

Anorexia nervosa may best be described as:

A)occurring most frequently in adolescent males.
B)occurring most frequently in adolescents from lower socioeconomic groups.
C)resulting from a posterior pituitary disorder.
D)resulting in severe weight loss in the absence of obvious physical causes.

Question 12

The school nurse is discussing testicular self-examination with adolescent boys.Why is this important?

A)Epididymitis is common during adolescence.
B)Asymptomatic sexually transmitted diseases may be present.
C)Testicular tumors during adolescence are generally malignant.
D)Testicular tumors, although usually benign, are common during adolescence.

Question 13

Smokeless tobacco is:

A)not addicting.
B)proven to be carcinogenic.
C)easy to stop using.
D)a safe alternative to cigarette smoking.

Question 14

An adolescent tells the school nurse that she is pregnant.Her last menstrual period was 4 months ago.She has not received any medical care.She smokes but denies any other substance use.The priority nursing action is to:

A)notify her parents.
B)refer for prenatal care.
C)explain the importance of not smoking.
D)discuss dietary needs for adequate fetal growth.

Question 15

Which statement regarding chlamydia infection is correct?

A)Treatment of choice is oral penicillin.
B)Treatment of choice is nystatin or miconazole.
C)Clinical manifestations include dysuria and urethral itching in males.
D)Clinical manifestations include small, painful vesicles on genital areas.

Question 16

An adolescent asks the nurse what causes primary dysmenorrhea.The nurse's response should be based on which statement?

A)It is an inherited problem.
B)Excessive estrogen production causes uterine pain.
C)There is no physiologic cause; it is a psychological reaction.
D)There is a relation between prostaglandins and uterine contractility.

Question 17

A sexually active female adolescent asks the nurse about the contraceptive Depo-Provera.The nurse should explain that it:

A)requires injections every 3 months.
B)requires daily administration of medication by mouth.
C)provides long-term continuous protection, up to 5 years.
D)prevents pregnancy if given within 72 hours of unprotected sex.

Question 18

An adolescent girl calls the nurse at the clinic because she had unprotected sex the night before and does not want to be pregnant.The nurse should explain that:

A)it is too late to prevent an unwanted pregnancy.
B)an abortion may be the best option if she is pregnant.
C)Norplant can be administered to prevent pregnancy for up to 5 years.
D)postcoital contraception is available to prevent implantation.

Question 19

Which is the usual presenting symptom for testicular cancer?

A)Hard, painful mass
B)Hard, painless mass
C)Epididymis easily palpated
D)Scrotal swelling and pain

Question 20

A child has been diagnosed with enuresis.TCA imipramine (Tofranil)has been prescribed for the child.The nurse understands that this medication is in which category?

A)Antidepressant
B)Antidiuretic
C)Antispasmodic
D)Analgesic

Question 21

The weight loss of anorexia nervosa is usually triggered by

A)sexual abuse.
B)school failure.
C)independence from family.
D)traumatic interpersonal conflict.

Question 22

The nurse is assisting the family of a child with a history of encopresis.Which should be included in the nurse's discussion with this family?

A)Instruct the parents to sit the child on the toilet at twice-daily routine intervals.
B)Instruct the parents that the child will probably need to have daily enemas.
C)Suggest the use of stimulant cathartics weekly.
D)Reassure the family that most problems are resolved successfully, with some relapses during periods of stress.

Question 23

A teen asks a nurse,"What is physical dependence in substance abuse?" Which is the correct response by the nurse?

A)Problem that occurs in conjunction with addiction
B)Involuntary physiologic response to drug
C)Culturally defined use of drugs for purposes other than accepted medical purposes
D)Voluntary behavior based on psychosocial needs

Question 24

Young people with anorexia nervosa are often described as being:

A)independent.
B)disruptive.
C)conforming.
D)low achieving.

Question 25

A school nurse is conducting a class with adolescents on suicide.Which true statement about suicide should the nurse include in the teaching session?

A)A sense of hopelessness and despair are a normal part of adolescence.
B)Gay and lesbian adolescents are at a particularly high risk for suicide.
C)Problem-solving skills are of limited value to the suicidal adolescent.
D)Previous suicide attempts are not an indication of risk for completed suicides.

Question 26

Which symptoms should the nurse expect to observe during the physical assessment of an adolescent girl with severe weight loss and disrupted metabolism associated with anorexia nervosa?

A)Dysmenorrhea and oliguria
B)Tachycardia and tachypnea
C)Heat intolerance and increased blood pressure
D)Lowered body temperature and brittle nails

Question 27

An adolescent girl tells the nurse that she is very suicidal.The nurse asks her whether she has a specific plan.Asking this should be considered:

A)an appropriate part of the assessment.
B)not a critical part of the assessment.
C)suggesting that the adolescent needs a plan.
D)encouraging the adolescent to devise a plan.

Question 28

The nurse is caring for an adolescent brought to the hospital with acute drug toxicity.Cocaine is believed to be the drug involved.Data collection should include what information?

A)Mode of administration
B)Drug's actual content
C)Function the drug plays in the adolescent's life
D)Adolescent's level of interest in rehabilitation

Question 29

Which is descriptive of bulimia during adolescence?

A)Strong sense of control over eating behavior
B)Feelings of elation after the binge-purge cycle
C)Profound lack of awareness that the eating pattern is abnormal
D)Weight that can be normal, slightly above normal, or below normal

Question 30

Parents have a concern that their child is depressed.The nurse relates that which characteristic best describes children with depression?

A)Increased range of affective response
B)Preoccupation with need to perform well in school
C)Change in appetite, resulting in weight loss or gain
D)Tendency to prefer play instead of schoolwork

Question 31

An adolescent teen has bulimia.Which assessment finding should the nurse expect to assess?

A)Diarrhea
B)Amenorrhea
C)Cold intolerance
D)Erosion of tooth enamel

Question 32

The nurse is teaching the parents of a child recently diagnosed with ADHD who has been prescribed methylphenidate (Ritalin).Which should the nurse include in teaching about the side effects of methylphenidate?

A)"Your child may experience a sense of nervousness."
B)"You may see an increase in your child's appetite."
C)"Your child may experience daytime sleepiness."
D)"You may see a decrease in your child's blood pressure."

Question 33

Which is descriptive of attention deficit hyperactivity disorder (ADHD)?

A)Manifestations exhibited are so bizarre that the diagnosis is fairly easy.
B)Manifestations affect every aspect of the child's life but are most obvious in the classroom.
C)Learning disabilities associated with ADHD eventually disappear when adulthood is reached.
D)Diagnosis of ADHD requires that all manifestations of the disorder be present.

Question 34

An adolescent has been diagnosed with lactose maldigestion intolerance.The nurse teaches the adolescent about lactose maldigestion intolerance and notes the teen needs further teaching if which statement is made?

A)"I will limit my milk consumption to one to two glasses a day."
B)"I should drink the milk alone and not with other foods."
C)"Hard cheese, cottage cheese, or yogurt can be substituted for milk."
D)"I will take a calcium supplement daily."

Question 35

An adolescent has been diagnosed with Chlamydia infection.Which medication should the nurse expect to be prescribed for this condition?

A)Ceftriaxone (Rocephin) IM
B)Azithromycin (Zithromax) PO
C)Acyclovir (Zovirax) PO
D)Penicillin G benzathine (Bicillin) IV

Question 36

Which is the most commonly used method in completed suicides?

A)Firearms
B)Drug overdose
C)Self-inflected laceration
D)Carbon monoxide poisoning

Question 37

A mother calls the school nurse saying that her daughter has developed a school phobia.She has been out of school 3 days.The nurse's recommendations should include which intervention?

A)Immediately return child to school.
B)Explain to child that this is the last day she can stay home.
C)Determine cause of phobia before returning child to school.
D)Seek professional counseling before forcing child to return to school.

Question 38

Which is descriptive of central nervous system stimulants?

A)They produce strong physical dependence.
B)They can result in strong psychological dependence.
C)Withdrawal symptoms are life threatening.
D)Acute intoxication can lead to coma.

Question 39

Which is an important consideration when the nurse is discussing enuresis with the parents of a young child?

A)Enuresis is more common in girls than in boys.
B)Enuresis is neither inherited nor has a familial tendency.
C)Organic causes that may be related to enuresis should be considered first.
D)Psychogenic factors that cause enuresis persist into adulthood.

Question 40

Which is the most significant factor in distinguishing those who commit suicide from those who make suicidal attempts or threats?

A)Social isolation
B)Level of stress
C)Degree of depression
D)Desire to punish others

Question 41

Which side effects should the nurse monitor when a child is taking an antipsychotic medication? (Select all that apply.)

A)Extrapyramidal effects
B)Hypertension
C)Bradycardia
D)Dizziness
E)Seizures

Question 42

Which strategies should the school nurse recommend implementing in the classroom for a child with attention deficit hyperactive disorder (ADHD)? (Select all that apply.)

A)Schedule heavier subjects to be taught in the afternoon.
B)Accompany verbal instructions by written format.
C)Limit number of breaks taken during instructional periods.
D)Allow more time for testing.
E)Reduce homework and classroom assignments.

Question 43

A nurse is recommending strategies to a group of school-age children for prevention of obesity.Which should the nurse include? (Select all that apply.)

A)Eat breakfast daily.
B)Limit fruits and vegetables.
C)Have frequent family meals with parents present.
D)Eat frequently at restaurants.
E)Limit television viewing to 2 hours a day.