1
ADOLESCENT HEALTH NURSING EXAM – RISK
BEHAVIORS & MENTAL HEALTH 2026-27 JUST
RELEASED VERSION
Exam Structure
• Total Questions: 100
• Format: Multiple Choice (Single Best Answer)
• Level: University / RN–BSN / Pediatric-Adolescent Nursing
• Time: 120–150 minutes
Introduction
This exam evaluates nursing knowledge and clinical decision-making in adolescent health,
focusing on risk behaviors and mental health. Key areas include:
• Risk-taking behaviors: substance use, unsafe sexual activity, self-harm, delinquency
• Mental health disorders: depression, anxiety, eating disorders, ADHD, suicide risk
• Assessment and screening: psychosocial assessment, risk factor identification, mental
status evaluation
• Interventions: counseling, education, referral, crisis management
• Family and community involvement: communication, support systems, preventive
strategies
Questions are scenario-based, reflecting real-life adolescent nursing challenges. The exam tests
critical thinking, evidence-based intervention, and ethical considerations.
Question & Answer Format
• Four options (A–D) per question
• Single best answer
• Each question includes a rationale referencing AAP adolescent guidelines, mental
health standards, and evidence-based nursing practices.
,2
SECTION I: RISK BEHAVIORS & MENTAL HEALTH ASSESSMENT
(Q1–30)
Q1.
A 15-year-old presents with frequent alcohol use and truancy.
What is the priority nursing assessment?
A. Assess for co-occurring risk behaviors and psychosocial
support
B. Measure height and weight
C. Conduct a physical exam only
D. Schedule routine vaccination
Correct Answer: A
Rationale: Adolescent risk behaviors often cluster; assessing
psychosocial factors helps identify safety and intervention
needs.
Q2.
A teen reports daily vaping and occasional marijuana use.
Nurse priority:
A. Conduct a thorough substance use assessment and provide
counseling
B. Refer immediately to inpatient rehab
,3
C. Ignore if grades are acceptable
D. Provide a generic health brochure
Correct Answer: A
Rationale: Early assessment and counseling prevent escalation
and long-term health consequences.
Q3.
A 16-year-old presents with frequent arguments, irritability,
and poor sleep. Nursing consideration:
A. Screen for depression and anxiety
B. Encourage more homework
C. Assess only physical complaints
D. Refer to sports activities
Correct Answer: A
Rationale: Emotional symptoms may indicate mental health
disorders; early screening improves outcomes.
Q4.
Adolescent at risk for self-harm. Nursing priority:
A. Assess for suicidal ideation, plan, and previous attempts
B. Advise them to “stay positive”
C. Ignore unless injury occurs
D. Schedule routine physical
, 4
Correct Answer: A
Rationale: Suicide risk assessment is critical; early intervention
can save lives.
Q5.
A teen reports unprotected sexual activity. Nursing
intervention:
A. Provide education on contraception, STI prevention, and safe
practices
B. Reprimand the adolescent
C. Notify parents without consent
D. Ignore
Correct Answer: A
Rationale: Evidence-based education reduces unintended
pregnancy and STI risk.
Q6.
Adolescent screening for depression. Best tool:
A. PHQ-A (Patient Health Questionnaire for Adolescents)
B. Adult PHQ-9 only
C. No tool needed, just observation
D. Body Mass Index
ADOLESCENT HEALTH NURSING EXAM – RISK
BEHAVIORS & MENTAL HEALTH 2026-27 JUST
RELEASED VERSION
Exam Structure
• Total Questions: 100
• Format: Multiple Choice (Single Best Answer)
• Level: University / RN–BSN / Pediatric-Adolescent Nursing
• Time: 120–150 minutes
Introduction
This exam evaluates nursing knowledge and clinical decision-making in adolescent health,
focusing on risk behaviors and mental health. Key areas include:
• Risk-taking behaviors: substance use, unsafe sexual activity, self-harm, delinquency
• Mental health disorders: depression, anxiety, eating disorders, ADHD, suicide risk
• Assessment and screening: psychosocial assessment, risk factor identification, mental
status evaluation
• Interventions: counseling, education, referral, crisis management
• Family and community involvement: communication, support systems, preventive
strategies
Questions are scenario-based, reflecting real-life adolescent nursing challenges. The exam tests
critical thinking, evidence-based intervention, and ethical considerations.
Question & Answer Format
• Four options (A–D) per question
• Single best answer
• Each question includes a rationale referencing AAP adolescent guidelines, mental
health standards, and evidence-based nursing practices.
,2
SECTION I: RISK BEHAVIORS & MENTAL HEALTH ASSESSMENT
(Q1–30)
Q1.
A 15-year-old presents with frequent alcohol use and truancy.
What is the priority nursing assessment?
A. Assess for co-occurring risk behaviors and psychosocial
support
B. Measure height and weight
C. Conduct a physical exam only
D. Schedule routine vaccination
Correct Answer: A
Rationale: Adolescent risk behaviors often cluster; assessing
psychosocial factors helps identify safety and intervention
needs.
Q2.
A teen reports daily vaping and occasional marijuana use.
Nurse priority:
A. Conduct a thorough substance use assessment and provide
counseling
B. Refer immediately to inpatient rehab
,3
C. Ignore if grades are acceptable
D. Provide a generic health brochure
Correct Answer: A
Rationale: Early assessment and counseling prevent escalation
and long-term health consequences.
Q3.
A 16-year-old presents with frequent arguments, irritability,
and poor sleep. Nursing consideration:
A. Screen for depression and anxiety
B. Encourage more homework
C. Assess only physical complaints
D. Refer to sports activities
Correct Answer: A
Rationale: Emotional symptoms may indicate mental health
disorders; early screening improves outcomes.
Q4.
Adolescent at risk for self-harm. Nursing priority:
A. Assess for suicidal ideation, plan, and previous attempts
B. Advise them to “stay positive”
C. Ignore unless injury occurs
D. Schedule routine physical
, 4
Correct Answer: A
Rationale: Suicide risk assessment is critical; early intervention
can save lives.
Q5.
A teen reports unprotected sexual activity. Nursing
intervention:
A. Provide education on contraception, STI prevention, and safe
practices
B. Reprimand the adolescent
C. Notify parents without consent
D. Ignore
Correct Answer: A
Rationale: Evidence-based education reduces unintended
pregnancy and STI risk.
Q6.
Adolescent screening for depression. Best tool:
A. PHQ-A (Patient Health Questionnaire for Adolescents)
B. Adult PHQ-9 only
C. No tool needed, just observation
D. Body Mass Index
