CMN 571 ACTUAL 2026 EXAM QUESTIONS AND ANSWERS
GRADED A+
✔✔Most teens will experiment for the first time with marijuana or other illicit drugs
during which school period?
A) 5th grade
B) 6th grade
C) 7th grade
D) 9th grade - ✔✔D. 9th grade
✔✔60- second Neuro Exam (from Scoliosis article):
1. have pt hop on each foot one at a time
2. have pt walk on heels
3. check pt's reflexes
4. inspect pt's foot and dorsiflexion to assess muscle tone and clonus
5. test pt's sensation
6. check pt's popliteal angle - ✔✔All of the above
✔✔Why do most providers not routinely screen adolescents for drug abuse?
A) they don't think it's important
B) insufficient time
C) Inadequately trained
D) it is not recommend by the AAP
E) B and C - ✔✔E) B and C
✔✔Adolescent drug abuse treatment programs may NOT be successful if they fail to do
what?
A) help the adolescent find a positive alternative for a coping strategy vs using the drug
for coping
B) group adolescents into same sex counseling sessions
C) ask opened ended questions
D) make the treatment counseling sessions the same for everyone - ✔✔A.help the
adolescent find a positive alternative for a coping strategy vs using the drug for coping
✔✔On the health questionnaire for adolescents in Hay, it asks about if the teen
currently has a girlfriend or boyfriend. What else is important to ask about the bf or gf (if
they have one)?
A) are they attractive
B) do they go to the same school
C) are they in love
D) how old is the bf or gf - ✔✔D. how old is the bf or gf
✔✔As an NP you realize that many times an adolescent will present to the clinic with a
chief complaint of organic origin in order to:
A) get prescription antibiotics
,B) obtain pain medication
C) get out of school for the day
D) to conceal concern about another issue going on - ✔✔D. to conceal concern about
another issue going on
✔✔True/False Menarche often occurs between SMR 3-4. - ✔✔True. It typically occurs 2
years after breast budding
✔✔T/F Cervical cancer the the 2nd most common cancer in women worldwide. -
✔✔True
✔✔T/F: Girls typically reach their peak height before boys. - ✔✔True and the pubertal
growth spurt generally occurs about 2 years earlier in girls than boys
✔✔A woman gives birth to a stillborn infant. Which of these tests should be performed
on the woman?
A. HIV
B. Hepatitis Panel
C. RPR
D. HgA1C - ✔✔C. RPR
✔✔T/F: As boys mature in age, there lean muscle mass typically increases, whereas for
girls, lean muscle mass decreases. - ✔✔True
✔✔T/F: Most teens with multiple risk characteristics progress to substance abuse. -
✔✔False
✔✔In which SMR stage for females does the areola and nipple form a separate mound,
separating & protruding from the breast?
A) 2
B) 3
C) 4
d) 5 - ✔✔c. 4
In stage 5, the areola rejoins the breast contour and development is complete
✔✔Which adolescence period is marked by an progression from concrete thinking to
formal operations and abstract thinking, increasing the adolescent's confidence that the
world can be changed by merely thinking about it?
A) early adolescence
B) middle adolescence
C) late adolescence - ✔✔B. middle adolescence
✔✔Which hormone stimulates the interstitial cells of the testes to produce testosterone?
A) LH
,B) FSH
C) estradiol
D) TSH - ✔✔A. LH
✔✔Although the height spurt is the first measurable sign of pubertal development in
females, what is the most conspicuous sign of impending development?
A) Pubic hair appearance
B) axillary hair growth
C) breast budding
D) menses - ✔✔C
✔✔You see teen in the clinic who talks about his aspirations to
go medical school after high school graduation. He asks you how your day is going and
seems caring of others. At what stage of adolescence is he mostly likely in (although I
did not give you an age)?
A) early
B) middle
C) late - ✔✔c. late
Late adolescence is 17+
✔✔All of the following increase and may as much as double in size during adolescence
EXCEPT?
A) weight
B) organ size
C) lymphoid tissue
D) height - ✔✔c. lymphoid tissue
All increase in size except lymphoid tissue (which decreases in mass).
Remember that the thyroid is biggest is childhood but decreases in size with age.
✔✔At which age will boys typically experience their first ejaculation?
A) between ages 9-10
B) between age 11-15
C) typically 1 year after after initiation of testicular growth
D) b & c - ✔✔d. b and c
✔✔T/F: The female adolescent growth spurt is more closely related to breast
development, whereas FINAL height is related to skeletal age at onset of puberty and
genetics. - ✔✔True
✔✔A 12 year old girl presents to clinic and on GU exam you note that her pubic hair is
coarse, dark and has spread. What is her Sexual Maturity Rating?
a. 2
b. 3
c. 4
, d. 5 - ✔✔b. 3
✔✔Many adolescents do not present with classic symptoms of depression. Some signs
seen in adolescents are
a. irritability
b. fighting
c. pervasive boredom
d. both a and c - ✔✔d. a and c
✔✔What is the strongest risk factor for becoming a victim of IPV? - ✔✔Being female.
✔✔What group has the highest percentage of drop outs?
a. african american
b. white
c. hispanic/latino
d. both a and c - ✔✔C Hispanic/Latino
✔✔What is the strongest risk factor for becoming a victim of IPV?
a. age <30
b. having a partner who abuses ETOH or drugs
c. female gender
d. family history of abuse - ✔✔C
✔✔T or F: All patients with a positive HPV test should be counseled on their increased
risk of developing cervical cancer. - ✔✔F
✔✔If a teen confides that they are sexually active,the NP would
a. explore and educate the teen in the risks of this behavior
b. provide contraception
c. perform selective screening to include STI and pregnancy
d.both a and c
e. all of the above - ✔✔e. all of the above
✔✔T/F:In the United States, Emergency Contraception products are available over-the-
counter to women aged ≥17 years - ✔✔T (MMWR, STD Article. pg 6)
✔✔T/F Cervical cancer the the 2nd most common cancer in women worldwide. - ✔✔T
✔✔What information from the parent may clue you in to a possible mental health
problem?
a. My child is going through that teenage sleep all day syndrome
b. My child doesn't have as many friends in middle school as she did in elementary
school.
c. My child and I argue a lot over boundaries and rules
GRADED A+
✔✔Most teens will experiment for the first time with marijuana or other illicit drugs
during which school period?
A) 5th grade
B) 6th grade
C) 7th grade
D) 9th grade - ✔✔D. 9th grade
✔✔60- second Neuro Exam (from Scoliosis article):
1. have pt hop on each foot one at a time
2. have pt walk on heels
3. check pt's reflexes
4. inspect pt's foot and dorsiflexion to assess muscle tone and clonus
5. test pt's sensation
6. check pt's popliteal angle - ✔✔All of the above
✔✔Why do most providers not routinely screen adolescents for drug abuse?
A) they don't think it's important
B) insufficient time
C) Inadequately trained
D) it is not recommend by the AAP
E) B and C - ✔✔E) B and C
✔✔Adolescent drug abuse treatment programs may NOT be successful if they fail to do
what?
A) help the adolescent find a positive alternative for a coping strategy vs using the drug
for coping
B) group adolescents into same sex counseling sessions
C) ask opened ended questions
D) make the treatment counseling sessions the same for everyone - ✔✔A.help the
adolescent find a positive alternative for a coping strategy vs using the drug for coping
✔✔On the health questionnaire for adolescents in Hay, it asks about if the teen
currently has a girlfriend or boyfriend. What else is important to ask about the bf or gf (if
they have one)?
A) are they attractive
B) do they go to the same school
C) are they in love
D) how old is the bf or gf - ✔✔D. how old is the bf or gf
✔✔As an NP you realize that many times an adolescent will present to the clinic with a
chief complaint of organic origin in order to:
A) get prescription antibiotics
,B) obtain pain medication
C) get out of school for the day
D) to conceal concern about another issue going on - ✔✔D. to conceal concern about
another issue going on
✔✔True/False Menarche often occurs between SMR 3-4. - ✔✔True. It typically occurs 2
years after breast budding
✔✔T/F Cervical cancer the the 2nd most common cancer in women worldwide. -
✔✔True
✔✔T/F: Girls typically reach their peak height before boys. - ✔✔True and the pubertal
growth spurt generally occurs about 2 years earlier in girls than boys
✔✔A woman gives birth to a stillborn infant. Which of these tests should be performed
on the woman?
A. HIV
B. Hepatitis Panel
C. RPR
D. HgA1C - ✔✔C. RPR
✔✔T/F: As boys mature in age, there lean muscle mass typically increases, whereas for
girls, lean muscle mass decreases. - ✔✔True
✔✔T/F: Most teens with multiple risk characteristics progress to substance abuse. -
✔✔False
✔✔In which SMR stage for females does the areola and nipple form a separate mound,
separating & protruding from the breast?
A) 2
B) 3
C) 4
d) 5 - ✔✔c. 4
In stage 5, the areola rejoins the breast contour and development is complete
✔✔Which adolescence period is marked by an progression from concrete thinking to
formal operations and abstract thinking, increasing the adolescent's confidence that the
world can be changed by merely thinking about it?
A) early adolescence
B) middle adolescence
C) late adolescence - ✔✔B. middle adolescence
✔✔Which hormone stimulates the interstitial cells of the testes to produce testosterone?
A) LH
,B) FSH
C) estradiol
D) TSH - ✔✔A. LH
✔✔Although the height spurt is the first measurable sign of pubertal development in
females, what is the most conspicuous sign of impending development?
A) Pubic hair appearance
B) axillary hair growth
C) breast budding
D) menses - ✔✔C
✔✔You see teen in the clinic who talks about his aspirations to
go medical school after high school graduation. He asks you how your day is going and
seems caring of others. At what stage of adolescence is he mostly likely in (although I
did not give you an age)?
A) early
B) middle
C) late - ✔✔c. late
Late adolescence is 17+
✔✔All of the following increase and may as much as double in size during adolescence
EXCEPT?
A) weight
B) organ size
C) lymphoid tissue
D) height - ✔✔c. lymphoid tissue
All increase in size except lymphoid tissue (which decreases in mass).
Remember that the thyroid is biggest is childhood but decreases in size with age.
✔✔At which age will boys typically experience their first ejaculation?
A) between ages 9-10
B) between age 11-15
C) typically 1 year after after initiation of testicular growth
D) b & c - ✔✔d. b and c
✔✔T/F: The female adolescent growth spurt is more closely related to breast
development, whereas FINAL height is related to skeletal age at onset of puberty and
genetics. - ✔✔True
✔✔A 12 year old girl presents to clinic and on GU exam you note that her pubic hair is
coarse, dark and has spread. What is her Sexual Maturity Rating?
a. 2
b. 3
c. 4
, d. 5 - ✔✔b. 3
✔✔Many adolescents do not present with classic symptoms of depression. Some signs
seen in adolescents are
a. irritability
b. fighting
c. pervasive boredom
d. both a and c - ✔✔d. a and c
✔✔What is the strongest risk factor for becoming a victim of IPV? - ✔✔Being female.
✔✔What group has the highest percentage of drop outs?
a. african american
b. white
c. hispanic/latino
d. both a and c - ✔✔C Hispanic/Latino
✔✔What is the strongest risk factor for becoming a victim of IPV?
a. age <30
b. having a partner who abuses ETOH or drugs
c. female gender
d. family history of abuse - ✔✔C
✔✔T or F: All patients with a positive HPV test should be counseled on their increased
risk of developing cervical cancer. - ✔✔F
✔✔If a teen confides that they are sexually active,the NP would
a. explore and educate the teen in the risks of this behavior
b. provide contraception
c. perform selective screening to include STI and pregnancy
d.both a and c
e. all of the above - ✔✔e. all of the above
✔✔T/F:In the United States, Emergency Contraception products are available over-the-
counter to women aged ≥17 years - ✔✔T (MMWR, STD Article. pg 6)
✔✔T/F Cervical cancer the the 2nd most common cancer in women worldwide. - ✔✔T
✔✔What information from the parent may clue you in to a possible mental health
problem?
a. My child is going through that teenage sleep all day syndrome
b. My child doesn't have as many friends in middle school as she did in elementary
school.
c. My child and I argue a lot over boundaries and rules
