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Sentinel U APS Pediatric Wellness – Alonzo Harwood Style Practice Test (2026)
Questions with correct answers and Rationale 2026 UPDATE!!!!!
Instructions: Detailed rationales are provided to reinforce clinical reasoning for
pediatric wellness and adolescent health.
Domain 1: Establishing Rapport & Therapeutic Communication with Adolescents
1. An adolescent patient (Alonzo) is sitting in the exam room with his mother.
Which of the following statements by the nurse is the most appropriate way to
establish initial rapport and begin the interview?
A) "Alonzo, I need you to remove your shirt so I can start the physical exam."
B) "Good morning, Alonzo. I'm your nurse for today. How are you feeling about
being here?"
C) "Mom, can you step out of the room? I need to talk to your son alone."
D) "Alonzo, let's get this over with quickly so you can go back to school."
Answer: B
Rationale: The nurse should begin by introducing themselves, stating their role,
and using an open-ended question to engage Alonzo. This builds rapport and
shows respect for the patient. Option C is premature; the nurse should first
establish rapport. Option D dismisses his feelings, which is counterproductive to
building trust.
2. During the interview, Alonzo is quiet and avoids eye contact. The nurse's best
response is:
A) "Alonzo, look at me when I'm talking to you."
B) "You seem a little quiet today. It's normal to feel a bit uncomfortable during a
check-up. I want you to know that this is a safe space to talk."
C) "I'm going to start the exam now because we need to finish on time."
D) "Is there something you're hiding from me?"
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Answer: B
Rationale: Adolescents often feel awkward during wellness exams. The nurse
should validate the patient's feelings and reassure them that the environment is
safe and non-judgmental. Option A is confrontational and damages rapport.
3. Alonzo's mother is present during the visit. The nurse wants to ask Alonzo
about mental health and substance use. The most appropriate action is:
A) Ask the questions with the mother present because she has the right to know.
B) Politely ask the mother if she would be willing to step out for a few minutes to
allow Alonzo to have some private time with the nurse.
C) Do not ask the questions because the mother is present.
D) Tell the mother to leave the room immediately.
Answer: B
Rationale: Adolescents are legally entitled to confidential care for certain topics
(mental health, substance use, sexual health) in most states. The nurse should
politely and respectfully request that the mother step out for a portion of the
interview to allow Alonzo to speak privately.
4. Alonzo admits that he has been feeling "really stressed" about school. Which
of the following is the most therapeutic nursing response?
A) "Just do your best; that's all you can do."
B) "I'm sorry to hear that. Can you tell me more about what's been causing you
stress?"
C) "Everyone feels stressed. You'll get over it."
D) "Let's just focus on your physical health and not worry about that."
Answer: B
Rationale: Active listening and open-ended questions are essential for therapeutic
communication. The nurse should validate Alonzo's feelings and explore the source
of his stress to provide appropriate support and guidance.
5. Alonzo tells the nurse, "I don't want to be here. This is a waste of my time."
The nurse's best response is:
A) "The doctor will be in soon to see you."
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B) "I understand that you don't want to be here. Wellness visits are important,
though. We can keep this quick, and I'll try to make it as comfortable as possible."
C) "Why are you being so difficult?"
D) "You have no choice. You have to be here."
Answer: B
Rationale: The nurse should validate Alonzo's feelings while still providing
education about the importance of the visit. This approach preserves rapport and
reduces resistance.
Domain 2: Comprehensive Health History (Subjective Assessment)
6. The nurse is collecting Alonzo's past medical history. Which of the following
questions is most appropriate?
A) "Have you ever had chickenpox, measles, or mumps?"
B) "Do you have any chronic illnesses like diabetes or asthma?"
C) "Have you ever had any surgeries, hospitalizations, or major injuries?"
D) "All of the above are appropriate for a comprehensive health history."
Answer: D
Rationale: A comprehensive past medical history for a pediatric patient includes:
childhood illnesses (chickenpox, measles), chronic conditions (asthma, diabetes),
and any previous hospitalizations or surgeries.
7. The nurse is reviewing Alonzo's immunization record. According to the CDC's
adolescent vaccine schedule, which of the following vaccines should be
administered during a routine wellness visit for a 13-year-old male?
A) MMR and Varicella
B) HPV, Tdap, and Meningococcal (MenACWY)
C) Influenza only
D) Hepatitis A and Hepatitis B
Answer: B
Rationale: The CDC recommends that adolescents aged 11-12 receive: Tdap
(tetanus, diphtheria, and pertussis), HPV vaccine (2-dose or 3-dose series), and
Sentinel U APS Pediatric Wellness – Alonzo Harwood Style Practice Test (2026)
Questions with correct answers and Rationale 2026 UPDATE!!!!!
Instructions: Detailed rationales are provided to reinforce clinical reasoning for
pediatric wellness and adolescent health.
Domain 1: Establishing Rapport & Therapeutic Communication with Adolescents
1. An adolescent patient (Alonzo) is sitting in the exam room with his mother.
Which of the following statements by the nurse is the most appropriate way to
establish initial rapport and begin the interview?
A) "Alonzo, I need you to remove your shirt so I can start the physical exam."
B) "Good morning, Alonzo. I'm your nurse for today. How are you feeling about
being here?"
C) "Mom, can you step out of the room? I need to talk to your son alone."
D) "Alonzo, let's get this over with quickly so you can go back to school."
Answer: B
Rationale: The nurse should begin by introducing themselves, stating their role,
and using an open-ended question to engage Alonzo. This builds rapport and
shows respect for the patient. Option C is premature; the nurse should first
establish rapport. Option D dismisses his feelings, which is counterproductive to
building trust.
2. During the interview, Alonzo is quiet and avoids eye contact. The nurse's best
response is:
A) "Alonzo, look at me when I'm talking to you."
B) "You seem a little quiet today. It's normal to feel a bit uncomfortable during a
check-up. I want you to know that this is a safe space to talk."
C) "I'm going to start the exam now because we need to finish on time."
D) "Is there something you're hiding from me?"
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Answer: B
Rationale: Adolescents often feel awkward during wellness exams. The nurse
should validate the patient's feelings and reassure them that the environment is
safe and non-judgmental. Option A is confrontational and damages rapport.
3. Alonzo's mother is present during the visit. The nurse wants to ask Alonzo
about mental health and substance use. The most appropriate action is:
A) Ask the questions with the mother present because she has the right to know.
B) Politely ask the mother if she would be willing to step out for a few minutes to
allow Alonzo to have some private time with the nurse.
C) Do not ask the questions because the mother is present.
D) Tell the mother to leave the room immediately.
Answer: B
Rationale: Adolescents are legally entitled to confidential care for certain topics
(mental health, substance use, sexual health) in most states. The nurse should
politely and respectfully request that the mother step out for a portion of the
interview to allow Alonzo to speak privately.
4. Alonzo admits that he has been feeling "really stressed" about school. Which
of the following is the most therapeutic nursing response?
A) "Just do your best; that's all you can do."
B) "I'm sorry to hear that. Can you tell me more about what's been causing you
stress?"
C) "Everyone feels stressed. You'll get over it."
D) "Let's just focus on your physical health and not worry about that."
Answer: B
Rationale: Active listening and open-ended questions are essential for therapeutic
communication. The nurse should validate Alonzo's feelings and explore the source
of his stress to provide appropriate support and guidance.
5. Alonzo tells the nurse, "I don't want to be here. This is a waste of my time."
The nurse's best response is:
A) "The doctor will be in soon to see you."
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B) "I understand that you don't want to be here. Wellness visits are important,
though. We can keep this quick, and I'll try to make it as comfortable as possible."
C) "Why are you being so difficult?"
D) "You have no choice. You have to be here."
Answer: B
Rationale: The nurse should validate Alonzo's feelings while still providing
education about the importance of the visit. This approach preserves rapport and
reduces resistance.
Domain 2: Comprehensive Health History (Subjective Assessment)
6. The nurse is collecting Alonzo's past medical history. Which of the following
questions is most appropriate?
A) "Have you ever had chickenpox, measles, or mumps?"
B) "Do you have any chronic illnesses like diabetes or asthma?"
C) "Have you ever had any surgeries, hospitalizations, or major injuries?"
D) "All of the above are appropriate for a comprehensive health history."
Answer: D
Rationale: A comprehensive past medical history for a pediatric patient includes:
childhood illnesses (chickenpox, measles), chronic conditions (asthma, diabetes),
and any previous hospitalizations or surgeries.
7. The nurse is reviewing Alonzo's immunization record. According to the CDC's
adolescent vaccine schedule, which of the following vaccines should be
administered during a routine wellness visit for a 13-year-old male?
A) MMR and Varicella
B) HPV, Tdap, and Meningococcal (MenACWY)
C) Influenza only
D) Hepatitis A and Hepatitis B
Answer: B
Rationale: The CDC recommends that adolescents aged 11-12 receive: Tdap
(tetanus, diphtheria, and pertussis), HPV vaccine (2-dose or 3-dose series), and
