Ch 31 Children & Adolescents
1. A preadolescent girl comes to the clinic for a sports physical exam. The
nurse notes beginning breast development and documents which of the
following?
A) Gynecomastia
B) Thelarche
C) Menarche
D) Adolescence - correct answer ✔B) Thelarche
2. When assessing adolescent girls, the nurse should know that which of the
following usually appears first?
A) Pubic hair
B) Breast buds
C) Axillary hair
D) Menses onset - correct answer ✔B) Breast buds
3. When describing cultural differences related to tooth eruption, the nurse
explains that permanent teeth typically appear earlier in which group?
A) Caucasians
B) Hispanics
C) African Americans
D) Native Americans - correct answer ✔C) African Americans
4. Which finding would require further evaluation or referral when auscultating
heart sounds on an 8-year-old client during a routine physical exam?
A) Audible S3
B) Soft systolic murmur
, C) Sinus arrhythmia
D) Pulse rate 120 beats per minute - correct answer ✔D) Pulse rate 120
beats per minute
5. During palpation of a young child's abdomen, the nurse assesses the liver.
Which of the following would the nurse expect to find?
A) The liver can be palpated 4 cm below the right costal margin.
B) The liver is not palpable.
C) The liver is found at the left costal margin.
D) The liver is located 2 cm below the right costal margin. - correct answer
✔D) The liver is located 2 cm below the right costal margin.
6. The nurse has identified a need to discuss sexuality with a 15-year-old
client. How should the nurse best plan this aspect of the health interview?
A) Obtain informed consent for the health interview.
B) Begin by explaining appropriate and acceptable sexual behavior.
C) Discuss the matter when a parent is not present.
D) Ensure that a chaperone is in the room during the interview. - correct
answer ✔C) Discuss the matter when a parent is not present.
7. A 4-year-old boy is brought to the emergency department by his parents,
who state that he has been crying and saying his tummy hurts. Which method
would be most appropriate for the nurse to initially assess the problem?
A) Ask the child to point with one finger where it hurts.
B) Inspect, palpate, percuss, and then auscultate the abdomen.
C) Determine the time and character of the child's last bowel movement.
D) Ask the child to describe the character of his pain. - correct answer ✔A)
Ask the child to point with one finger where it hurts.
1. A preadolescent girl comes to the clinic for a sports physical exam. The
nurse notes beginning breast development and documents which of the
following?
A) Gynecomastia
B) Thelarche
C) Menarche
D) Adolescence - correct answer ✔B) Thelarche
2. When assessing adolescent girls, the nurse should know that which of the
following usually appears first?
A) Pubic hair
B) Breast buds
C) Axillary hair
D) Menses onset - correct answer ✔B) Breast buds
3. When describing cultural differences related to tooth eruption, the nurse
explains that permanent teeth typically appear earlier in which group?
A) Caucasians
B) Hispanics
C) African Americans
D) Native Americans - correct answer ✔C) African Americans
4. Which finding would require further evaluation or referral when auscultating
heart sounds on an 8-year-old client during a routine physical exam?
A) Audible S3
B) Soft systolic murmur
, C) Sinus arrhythmia
D) Pulse rate 120 beats per minute - correct answer ✔D) Pulse rate 120
beats per minute
5. During palpation of a young child's abdomen, the nurse assesses the liver.
Which of the following would the nurse expect to find?
A) The liver can be palpated 4 cm below the right costal margin.
B) The liver is not palpable.
C) The liver is found at the left costal margin.
D) The liver is located 2 cm below the right costal margin. - correct answer
✔D) The liver is located 2 cm below the right costal margin.
6. The nurse has identified a need to discuss sexuality with a 15-year-old
client. How should the nurse best plan this aspect of the health interview?
A) Obtain informed consent for the health interview.
B) Begin by explaining appropriate and acceptable sexual behavior.
C) Discuss the matter when a parent is not present.
D) Ensure that a chaperone is in the room during the interview. - correct
answer ✔C) Discuss the matter when a parent is not present.
7. A 4-year-old boy is brought to the emergency department by his parents,
who state that he has been crying and saying his tummy hurts. Which method
would be most appropriate for the nurse to initially assess the problem?
A) Ask the child to point with one finger where it hurts.
B) Inspect, palpate, percuss, and then auscultate the abdomen.
C) Determine the time and character of the child's last bowel movement.
D) Ask the child to describe the character of his pain. - correct answer ✔A)
Ask the child to point with one finger where it hurts.
