Passpoint Adolescent questions and answers
with solutions
The school nurse is counseling a female client who is concerned about an incident that occurred
at a school dance. The young client describes becoming drowsy and disoriented after drinking
punch and waking up hours later in the back of a stranger’s car. What is the most appropriate
advice for the nurse to give the adolescent?
"It's possible that you were raped and will need information on pregnancy testing."
An adolescent with well-controlled type 1 diabetes has assumed complete management of the
disease and wants to participate in gymnastics after school. To ensure safe participation, the
nurse should instruct the client to adjust the therapeutic regimen by:
eating a snack before each gymnastics practice.
The nurse cares for an adolescent after an appendectomy. Which client action would the nurse
judge to be a healthy coping behavior?
insisting on wearing a T-shirt and gym shorts rather than pajamas
A 17-year-old adolescent with acute lymphocytic leukemia is discharged with written
information about chemotherapy administration and an outpatient appointment schedule. The
client now is in the maintenance phase of chemotherapy but has missed clinic appointments for
blood work and admits to omitting some chemotherapy doses. To improve the client's
compliance, the nurse should include which intervention in the care plan?
letting the adolescent participate in planning and scheduling of treatments
A nurse has been caring for an adolescent client in a residential facility. The child has been
through a series of foster placements since infancy with no success in any placement until the
age of 7 when placed with a middle-age single woman. The client thrived there until the woman
was killed in a car accident. The client attempted suicide after their foster parent died and was
subsequently placed in the residential facility. The nurse has become close to this client and
wants to help them address their issues and move on with their life. Which comment to the
,manager demonstrates that the nurse understands the client's issues and is able to respond
appropriately to the client's needs?
"It's difficult for the client to love and trust again after their losses. In this facility, they can learn
to deal with their loss in a less emotionally charged environment than a foster home."
An adolescent presents with a large round ring with a swollen border on the left arm. The
adolescent often plays ball games in a field behind the school. What condition does the nurse
suspect?
Lyme disease
A nurse is preparing a health promotion program for teenagers focusing on lifestyle choices.
Which of the following methods used by the nurse will best ensure the success of the program?
creating a safe environment for sharing information
An adolescent client who has been taking an antidepressant for 6 weeks has returned to the
clinic for a medication check. When the nurse talks with the client and their parent, the parent
reports that they have to remind the client to take the antidepressant every day. The client says,
"Yeah, I'm pretty bad about remembering to take my meds, but I never miss a dose because my
parent always bugs me about taking it." Which response would be effective for the nurse to
make to the client?
"It seems there are some difficulties with being responsible for your medications that we need
to address."
A nurse teaches an adolescent client with asthma to independently administer breathing
treatments. Which principle should the nurse keep in mind when planning the teaching session?
Adolescents are worried about appearing different from their peers.
A nurse is caring for a 16-year-old male client who needs an appendectomy. His parents are not
present at the hospital. Prior to the surgery, the nurse needs to ensure that informed consent is
obtained. Which situations allows the healthcare provider to obtain an informed consent from
an adolescent?
The adolescent has declared himself emancipated.
, The parent of an adolescent girl with Down syndrome tells the nurse that their daughter
recently stated that they have a boyfriend. The parent is concerned that their daughter might
become pregnant. Which is the most appropriate suggestion made by the nurse?
"I understand your concern; you may want to start your child on long-acting contraception."
The nurses discusses the onset of pubescence with parents. The nurse should explain that
pubescence occurs at what time?
1 to 2 years earlier in girls than in boys
The nurse discovers that an adolescent client with anorexia nervosa is taking diet pills rather
than complying with the diet. What should the nurse do first?
Listen to the client discuss fears of losing control of eating while being treated.
An adolescent is diagnosed with iron deficiency anemia. After emphasizing the importance of
consuming dietary iron, the nurse asks the client to select iron-rich breakfast items from a
sample menu. Which selection demonstrates knowledge of dietary iron sources?
ham and eggs
A nurse is caring for an adolescent involved in a motor vehicle crash. The adolescent has a chest
tube in place. If the chest tube is accidentally removed, the nurse should immediately:
cover the opening with petroleum gauze.
We have an expert-written solution to this problem!
An adolescent presents to a community clinic for treatment of vulvar lesions associated with
Type 2 herpes simplex. Which action does the nurse take?
Show the adolescent to a private examination room for further assessment.
A nurse is caring for an adolescent after surgery. Which post-operative teaching statement
is best to use for the adolescent?
"The instructions that I give you will help you get back to your regular activities quickly."
with solutions
The school nurse is counseling a female client who is concerned about an incident that occurred
at a school dance. The young client describes becoming drowsy and disoriented after drinking
punch and waking up hours later in the back of a stranger’s car. What is the most appropriate
advice for the nurse to give the adolescent?
"It's possible that you were raped and will need information on pregnancy testing."
An adolescent with well-controlled type 1 diabetes has assumed complete management of the
disease and wants to participate in gymnastics after school. To ensure safe participation, the
nurse should instruct the client to adjust the therapeutic regimen by:
eating a snack before each gymnastics practice.
The nurse cares for an adolescent after an appendectomy. Which client action would the nurse
judge to be a healthy coping behavior?
insisting on wearing a T-shirt and gym shorts rather than pajamas
A 17-year-old adolescent with acute lymphocytic leukemia is discharged with written
information about chemotherapy administration and an outpatient appointment schedule. The
client now is in the maintenance phase of chemotherapy but has missed clinic appointments for
blood work and admits to omitting some chemotherapy doses. To improve the client's
compliance, the nurse should include which intervention in the care plan?
letting the adolescent participate in planning and scheduling of treatments
A nurse has been caring for an adolescent client in a residential facility. The child has been
through a series of foster placements since infancy with no success in any placement until the
age of 7 when placed with a middle-age single woman. The client thrived there until the woman
was killed in a car accident. The client attempted suicide after their foster parent died and was
subsequently placed in the residential facility. The nurse has become close to this client and
wants to help them address their issues and move on with their life. Which comment to the
,manager demonstrates that the nurse understands the client's issues and is able to respond
appropriately to the client's needs?
"It's difficult for the client to love and trust again after their losses. In this facility, they can learn
to deal with their loss in a less emotionally charged environment than a foster home."
An adolescent presents with a large round ring with a swollen border on the left arm. The
adolescent often plays ball games in a field behind the school. What condition does the nurse
suspect?
Lyme disease
A nurse is preparing a health promotion program for teenagers focusing on lifestyle choices.
Which of the following methods used by the nurse will best ensure the success of the program?
creating a safe environment for sharing information
An adolescent client who has been taking an antidepressant for 6 weeks has returned to the
clinic for a medication check. When the nurse talks with the client and their parent, the parent
reports that they have to remind the client to take the antidepressant every day. The client says,
"Yeah, I'm pretty bad about remembering to take my meds, but I never miss a dose because my
parent always bugs me about taking it." Which response would be effective for the nurse to
make to the client?
"It seems there are some difficulties with being responsible for your medications that we need
to address."
A nurse teaches an adolescent client with asthma to independently administer breathing
treatments. Which principle should the nurse keep in mind when planning the teaching session?
Adolescents are worried about appearing different from their peers.
A nurse is caring for a 16-year-old male client who needs an appendectomy. His parents are not
present at the hospital. Prior to the surgery, the nurse needs to ensure that informed consent is
obtained. Which situations allows the healthcare provider to obtain an informed consent from
an adolescent?
The adolescent has declared himself emancipated.
, The parent of an adolescent girl with Down syndrome tells the nurse that their daughter
recently stated that they have a boyfriend. The parent is concerned that their daughter might
become pregnant. Which is the most appropriate suggestion made by the nurse?
"I understand your concern; you may want to start your child on long-acting contraception."
The nurses discusses the onset of pubescence with parents. The nurse should explain that
pubescence occurs at what time?
1 to 2 years earlier in girls than in boys
The nurse discovers that an adolescent client with anorexia nervosa is taking diet pills rather
than complying with the diet. What should the nurse do first?
Listen to the client discuss fears of losing control of eating while being treated.
An adolescent is diagnosed with iron deficiency anemia. After emphasizing the importance of
consuming dietary iron, the nurse asks the client to select iron-rich breakfast items from a
sample menu. Which selection demonstrates knowledge of dietary iron sources?
ham and eggs
A nurse is caring for an adolescent involved in a motor vehicle crash. The adolescent has a chest
tube in place. If the chest tube is accidentally removed, the nurse should immediately:
cover the opening with petroleum gauze.
We have an expert-written solution to this problem!
An adolescent presents to a community clinic for treatment of vulvar lesions associated with
Type 2 herpes simplex. Which action does the nurse take?
Show the adolescent to a private examination room for further assessment.
A nurse is caring for an adolescent after surgery. Which post-operative teaching statement
is best to use for the adolescent?
"The instructions that I give you will help you get back to your regular activities quickly."
