, NURS 4331 EXAM 3
Nursing of Children and Adolescents
University of Texas at Arlington (UTA)
100-Question Original Practice Examination
2026/2027 Edition
Practice focus: adolescent development and privacy, congenital heart disease, dermatologic disorders, immune and
hypersensitivity reactions, pediatric hematology, pediatric emergencies, and medication calculations/application.
1. Which Erikson stage is most closely associated with adolescence?
A) Identity vs. role confusion.
B) Autonomy vs. shame and doubt.
C) Industry vs. inferiority.
D) Intimacy vs. isolation.
Correct Answer: Identity vs. role confusion.
Rationale:
Adolescents work toward a stable sense of identity while exploring values, roles, appearance, peers, and future goals.
2. Which Piaget stage best describes typical adolescent cognition?
A) Preoperational thought.
B) Concrete operational thought only.
C) Formal operational thought.
D) Sensorimotor thought.
Correct Answer: Formal operational thought.
Rationale:
Formal operational thought allows increasingly abstract, hypothetical, and future-oriented reasoning.
3. During an adolescent health visit, which nursing action best supports confidentiality?
A) Avoid asking about sensitive topics.
B) Promise absolute secrecy in all situations.
C) Require the parent to answer all questions.
D) Provide private interview time with the adolescent and explain confidentiality limits.
Correct Answer: Provide private interview time with the adolescent and explain confidentiality limits.
Rationale:
Private time improves disclosure while confidentiality limits must be explained for safety concerns such as imminent harm.
4. A healthy adolescent's BMI is best interpreted using:
A) Age- and sex-specific BMI percentiles.
B) Adult BMI cutoffs only.
C) Weight alone.
D) Height alone.
Correct Answer: Age- and sex-specific BMI percentiles.
Rationale:
Children and adolescents require percentile-based BMI interpretation because expected body composition changes with age and
sex.
5. Which behavior is developmentally expected in adolescence?
NURS 4331 Exam 3 Practice Examination 1 2026/2027 Edition
, A) Loss of abstract reasoning.
B) Greater peer influence and increasing independence from parents.
C) No concern about body image.
D) Complete emotional independence from family.
Correct Answer: Greater peer influence and increasing independence from parents.
Rationale:
Adolescence includes growing autonomy, peer influence, identity formation, and changing family relationships.
6. Which sleep recommendation is most appropriate for adolescents?
A) Support a consistent schedule that allows adequate nightly sleep and reduces late-night screen use.
B) Sleep needs fall to 4 to 5 hours nightly.
C) Vary bedtime dramatically each day.
D) Use caffeine to compensate for chronic sleep loss.
Correct Answer: Support a consistent schedule that allows adequate nightly sleep and reduces late-night screen
use.
Rationale:
Adolescents still require substantial sleep; consistent schedules and limiting late stimulation support mood, learning, and safety.
7. Which finding is most concerning for depression rather than normal adolescent mood variability?
A) Occasional disagreement with parents.
B) Brief irritability after an argument.
C) Persistent loss of interest with functional decline lasting at least two weeks.
D) Wanting more privacy.
Correct Answer: Persistent loss of interest with functional decline lasting at least two weeks.
Rationale:
Depression is suggested by persistent mood or interest changes plus impairment in school, sleep, appetite, concentration, or
safety.
8. What is the priority if an adolescent reports active suicidal intent and a plan?
A) Discuss only sleep hygiene.
B) Promise confidentiality and send the adolescent home.
C) Reassess in several months.
D) Initiate immediate safety evaluation and emergency support.
Correct Answer: Initiate immediate safety evaluation and emergency support.
Rationale:
Active suicidal intent is an emergency and overrides routine confidentiality limits.
9. Which approach is best when discussing sexual health with an adolescent?
A) Use only yes/no questions in front of the family.
B) Avoid the topic unless a parent asks.
C) Assume sexual activity from appearance.
D) Use nonjudgmental, direct questions in private while explaining confidentiality limits.
Correct Answer: Use nonjudgmental, direct questions in private while explaining confidentiality limits.
Rationale:
Private, respectful discussion improves accurate risk assessment and allows education about consent, contraception, and STI
prevention.
10. Which change commonly occurs during puberty in males?
NURS 4331 Exam 3 Practice Examination 2 2026/2027 Edition
Nursing of Children and Adolescents
University of Texas at Arlington (UTA)
100-Question Original Practice Examination
2026/2027 Edition
Practice focus: adolescent development and privacy, congenital heart disease, dermatologic disorders, immune and
hypersensitivity reactions, pediatric hematology, pediatric emergencies, and medication calculations/application.
1. Which Erikson stage is most closely associated with adolescence?
A) Identity vs. role confusion.
B) Autonomy vs. shame and doubt.
C) Industry vs. inferiority.
D) Intimacy vs. isolation.
Correct Answer: Identity vs. role confusion.
Rationale:
Adolescents work toward a stable sense of identity while exploring values, roles, appearance, peers, and future goals.
2. Which Piaget stage best describes typical adolescent cognition?
A) Preoperational thought.
B) Concrete operational thought only.
C) Formal operational thought.
D) Sensorimotor thought.
Correct Answer: Formal operational thought.
Rationale:
Formal operational thought allows increasingly abstract, hypothetical, and future-oriented reasoning.
3. During an adolescent health visit, which nursing action best supports confidentiality?
A) Avoid asking about sensitive topics.
B) Promise absolute secrecy in all situations.
C) Require the parent to answer all questions.
D) Provide private interview time with the adolescent and explain confidentiality limits.
Correct Answer: Provide private interview time with the adolescent and explain confidentiality limits.
Rationale:
Private time improves disclosure while confidentiality limits must be explained for safety concerns such as imminent harm.
4. A healthy adolescent's BMI is best interpreted using:
A) Age- and sex-specific BMI percentiles.
B) Adult BMI cutoffs only.
C) Weight alone.
D) Height alone.
Correct Answer: Age- and sex-specific BMI percentiles.
Rationale:
Children and adolescents require percentile-based BMI interpretation because expected body composition changes with age and
sex.
5. Which behavior is developmentally expected in adolescence?
NURS 4331 Exam 3 Practice Examination 1 2026/2027 Edition
, A) Loss of abstract reasoning.
B) Greater peer influence and increasing independence from parents.
C) No concern about body image.
D) Complete emotional independence from family.
Correct Answer: Greater peer influence and increasing independence from parents.
Rationale:
Adolescence includes growing autonomy, peer influence, identity formation, and changing family relationships.
6. Which sleep recommendation is most appropriate for adolescents?
A) Support a consistent schedule that allows adequate nightly sleep and reduces late-night screen use.
B) Sleep needs fall to 4 to 5 hours nightly.
C) Vary bedtime dramatically each day.
D) Use caffeine to compensate for chronic sleep loss.
Correct Answer: Support a consistent schedule that allows adequate nightly sleep and reduces late-night screen
use.
Rationale:
Adolescents still require substantial sleep; consistent schedules and limiting late stimulation support mood, learning, and safety.
7. Which finding is most concerning for depression rather than normal adolescent mood variability?
A) Occasional disagreement with parents.
B) Brief irritability after an argument.
C) Persistent loss of interest with functional decline lasting at least two weeks.
D) Wanting more privacy.
Correct Answer: Persistent loss of interest with functional decline lasting at least two weeks.
Rationale:
Depression is suggested by persistent mood or interest changes plus impairment in school, sleep, appetite, concentration, or
safety.
8. What is the priority if an adolescent reports active suicidal intent and a plan?
A) Discuss only sleep hygiene.
B) Promise confidentiality and send the adolescent home.
C) Reassess in several months.
D) Initiate immediate safety evaluation and emergency support.
Correct Answer: Initiate immediate safety evaluation and emergency support.
Rationale:
Active suicidal intent is an emergency and overrides routine confidentiality limits.
9. Which approach is best when discussing sexual health with an adolescent?
A) Use only yes/no questions in front of the family.
B) Avoid the topic unless a parent asks.
C) Assume sexual activity from appearance.
D) Use nonjudgmental, direct questions in private while explaining confidentiality limits.
Correct Answer: Use nonjudgmental, direct questions in private while explaining confidentiality limits.
Rationale:
Private, respectful discussion improves accurate risk assessment and allows education about consent, contraception, and STI
prevention.
10. Which change commonly occurs during puberty in males?
NURS 4331 Exam 3 Practice Examination 2 2026/2027 Edition
