Ricci Chapter 29 - Test Bank - 4th Edi on 2026
PASS ON FIRST ATTEMPT
1.The nurse teaches parents of adolescents that adolescents need the support of
parents and nurses to facilitate healthy lifestyles. What should be a priority focus of
this guidance?
A) Reducing risk-taking behavior
B) Promo"ng adequate physical growth
C) Maximizing learning poten"al
D) Teaching personal hygiene rou"nes
Ans: A
Feedback:
The adolescent experiences dras"c changes in the physical, cogni"ve, psychosocial,
and psychosexual areas. With this rapid growth during adolescence, the development
of secondary sexual characteris"cs, and interest in the opposite sex, the adolescent
needs the support and guidance of parents and nurses to facilitate healthy lifestyles
and to reduce risk-taking behaviors. Promo"ng physical growth, maximizing learning
poten"al, and teaching hygiene are secondary to reducing risky behavior.
2. The nurse has seen a 15-year-old girl and a 16-year-old boy during health
surveillance visits. Which physical characteris"cs would be seen in both teenagers?
A) Decreased respiratory rates of 15 to 20 breaths per minute
B) Erup"on of the last four molars
C) Increased shoulder, chest, and hip widths
D) Fully func"oning sweat and sebaceous glands
Ans: C
Feedback:
Both teenagers are in the middle state of adolescence, which is marked by an
increase in shoulder, chest, and hip widths. Decreased respiratory rate occurs in early
adolescence, as do fully func"oning sweat and sebaceous glands. Erup"on of the last
four molars occurs in late adolescence.
3. The nurse is performing an assessment of the reproduc"ve system of a
17-year-old girl. What would alert the nurse to a developmental delay in this girl?
A) Areola and papilla separate from the contour of the breast
B) Mature distribu"on and coarseness of pubic hair
C) Developed breast "ssue
D) Absence of first menstrual period
, Ans: D
Feedback:
The first menstrual period usually begins between the ages of 9 and 15 years
(average 12.8 years). Breast budding (thelarche) occurs at approximately ages 9 to
11 years and is followed by the growth of pubic hair.
4. The school nurse is performing health assessments on students in middle school.
Of what developmental milestone should the nurse be aware?
A) Height in girls increases rapidly a<er menarche and usually ceases
immediately a<er menarche.
B) Boys' growth spurts usually begin between the ages of 8 and 14 years and
end between the ages of 131/2 and 171/2 years.
C) Peak height velocity (PHV) occurs at approximately 12 years of age in girls
or about 6 to 12 months a<er menarche.
D) Boys reach PHV and peak weight velocity (PWV) at about 16 years of age.
Ans: C
Feedback:
PHV occurs at approximately 12 years of age in girls or about 6 to 12 months a<er
menarche. Height in girls increases rapidly a<er menarche and usually ceases 2 to
21/2 years a<er menarche. Boys' growth spurt occurs later than girls' and usually
begins between the ages of 101/2 and 16 years and ends some"me between the ages
of 131/2 and 171/2 years. Boys reach PHV at about 14 years of age. PWV occurs about
6 months a<er menarche in girls and at about 14 years of age in boys.
5. A<er assessing a 10-year-old girl, the nurse documents the appearance of breast
buds, iden"fying this as what body change?
A) Menarche
B) Thelarche
C) Puberty
D) Tanner stage 5
Ans: B
Feedback:
"Thelarche" is the term used to describe breast budding. Menarche refers to the first
menstrual period. Puberty refers to the biologic changes that occur during
adolescence. Tanner stage 5 involves matura"on of the breast "ssue to adult
configura"on.
6. When describing the various changes that occur in organ systems during
adolescence, what would the nurse include?
A) Significant increase in brain size
B) Ossifica"on completed later in girls
PASS ON FIRST ATTEMPT
1.The nurse teaches parents of adolescents that adolescents need the support of
parents and nurses to facilitate healthy lifestyles. What should be a priority focus of
this guidance?
A) Reducing risk-taking behavior
B) Promo"ng adequate physical growth
C) Maximizing learning poten"al
D) Teaching personal hygiene rou"nes
Ans: A
Feedback:
The adolescent experiences dras"c changes in the physical, cogni"ve, psychosocial,
and psychosexual areas. With this rapid growth during adolescence, the development
of secondary sexual characteris"cs, and interest in the opposite sex, the adolescent
needs the support and guidance of parents and nurses to facilitate healthy lifestyles
and to reduce risk-taking behaviors. Promo"ng physical growth, maximizing learning
poten"al, and teaching hygiene are secondary to reducing risky behavior.
2. The nurse has seen a 15-year-old girl and a 16-year-old boy during health
surveillance visits. Which physical characteris"cs would be seen in both teenagers?
A) Decreased respiratory rates of 15 to 20 breaths per minute
B) Erup"on of the last four molars
C) Increased shoulder, chest, and hip widths
D) Fully func"oning sweat and sebaceous glands
Ans: C
Feedback:
Both teenagers are in the middle state of adolescence, which is marked by an
increase in shoulder, chest, and hip widths. Decreased respiratory rate occurs in early
adolescence, as do fully func"oning sweat and sebaceous glands. Erup"on of the last
four molars occurs in late adolescence.
3. The nurse is performing an assessment of the reproduc"ve system of a
17-year-old girl. What would alert the nurse to a developmental delay in this girl?
A) Areola and papilla separate from the contour of the breast
B) Mature distribu"on and coarseness of pubic hair
C) Developed breast "ssue
D) Absence of first menstrual period
, Ans: D
Feedback:
The first menstrual period usually begins between the ages of 9 and 15 years
(average 12.8 years). Breast budding (thelarche) occurs at approximately ages 9 to
11 years and is followed by the growth of pubic hair.
4. The school nurse is performing health assessments on students in middle school.
Of what developmental milestone should the nurse be aware?
A) Height in girls increases rapidly a<er menarche and usually ceases
immediately a<er menarche.
B) Boys' growth spurts usually begin between the ages of 8 and 14 years and
end between the ages of 131/2 and 171/2 years.
C) Peak height velocity (PHV) occurs at approximately 12 years of age in girls
or about 6 to 12 months a<er menarche.
D) Boys reach PHV and peak weight velocity (PWV) at about 16 years of age.
Ans: C
Feedback:
PHV occurs at approximately 12 years of age in girls or about 6 to 12 months a<er
menarche. Height in girls increases rapidly a<er menarche and usually ceases 2 to
21/2 years a<er menarche. Boys' growth spurt occurs later than girls' and usually
begins between the ages of 101/2 and 16 years and ends some"me between the ages
of 131/2 and 171/2 years. Boys reach PHV at about 14 years of age. PWV occurs about
6 months a<er menarche in girls and at about 14 years of age in boys.
5. A<er assessing a 10-year-old girl, the nurse documents the appearance of breast
buds, iden"fying this as what body change?
A) Menarche
B) Thelarche
C) Puberty
D) Tanner stage 5
Ans: B
Feedback:
"Thelarche" is the term used to describe breast budding. Menarche refers to the first
menstrual period. Puberty refers to the biologic changes that occur during
adolescence. Tanner stage 5 involves matura"on of the breast "ssue to adult
configura"on.
6. When describing the various changes that occur in organ systems during
adolescence, what would the nurse include?
A) Significant increase in brain size
B) Ossifica"on completed later in girls
