Ricci Chapter 29 - Test Bank - 4th Edition
UPDATED ACTUAL Exam Questions and
CORRECT Answers
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) Promoting adequate physical growth
C) Maximizing learning potential
D) Teaching personal hygiene routines - CORRECT ANSWER - Ans: A
Feedback:
The adolescent experiences drastic changes in the physical, cognitive, psychosocial,
and psychosexual areas. With this rapid growth during adolescence, the development
of secondary sexual characteristics, 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. Promoting physical growth, maximizing learning
potential, 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 characteristics would be seen in both teenagers?
A) Decreased respiratory rates of 15 to 20 breaths per minute
B) Eruption of the last four molars
C) Increased shoulder, chest, and hip widths
D) Fully functioning sweat and sebaceous glands - CORRECT ANSWER - 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 functioning sweat and sebaceous glands. Eruption of the last
four molars occurs in late adolescence.
3. The nurse is performing an assessment of the reproductive 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 distribution and coarseness of pubic hair
C) Developed breast tissue
D) Absence of first menstrual period - CORRECT ANSWER - 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 after menarche and usually ceases
immediately after 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 after menarche.
D) Boys reach PHV and peak weight velocity (PWV) at about 16 years of age. - CORRECT
ANSWER - Ans: C
Feedback:
PHV occurs at approximately 12 years of age in girls or about 6 to 12 months after
menarche. Height in girls increases rapidly after menarche and usually ceases 2 to
21/2 years after menarche. Boys' growth spurt occurs later than girls' and usually
, begins between the ages of 101/2 and 16 years and ends sometime between the ages
of 131/2 and 171/2 years. Boys reach PHV at about 14 years of age. PWV occurs about
6 months after menarche in girls and at about 14 years of age in boys.
5. After assessing a 10-year-old girl, the nurse documents the appearance of breast
buds, identifying this as what body change?
A) Menarche
B) Thelarche
C) Puberty
D) Tanner stage 5 - CORRECT ANSWER - 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 maturation of the breast tissue to adult
configuration.
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) Ossification completed later in girls
C) Decrease in heart rate
D) Decrease in activity of sebaceous glands - CORRECT ANSWER - Ans: C
Feedback:
During adolescence, the heart rate decreases while the systolic blood pressure
increases. Brain growth continues, but the size of the brain does not increase
significantly. Ossification is more advanced in girls and occurs at an earlier age.
Sebaceous gland activity increases during adolescence.
UPDATED ACTUAL Exam Questions and
CORRECT Answers
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) Promoting adequate physical growth
C) Maximizing learning potential
D) Teaching personal hygiene routines - CORRECT ANSWER - Ans: A
Feedback:
The adolescent experiences drastic changes in the physical, cognitive, psychosocial,
and psychosexual areas. With this rapid growth during adolescence, the development
of secondary sexual characteristics, 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. Promoting physical growth, maximizing learning
potential, 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 characteristics would be seen in both teenagers?
A) Decreased respiratory rates of 15 to 20 breaths per minute
B) Eruption of the last four molars
C) Increased shoulder, chest, and hip widths
D) Fully functioning sweat and sebaceous glands - CORRECT ANSWER - 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 functioning sweat and sebaceous glands. Eruption of the last
four molars occurs in late adolescence.
3. The nurse is performing an assessment of the reproductive 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 distribution and coarseness of pubic hair
C) Developed breast tissue
D) Absence of first menstrual period - CORRECT ANSWER - 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 after menarche and usually ceases
immediately after 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 after menarche.
D) Boys reach PHV and peak weight velocity (PWV) at about 16 years of age. - CORRECT
ANSWER - Ans: C
Feedback:
PHV occurs at approximately 12 years of age in girls or about 6 to 12 months after
menarche. Height in girls increases rapidly after menarche and usually ceases 2 to
21/2 years after menarche. Boys' growth spurt occurs later than girls' and usually
, begins between the ages of 101/2 and 16 years and ends sometime between the ages
of 131/2 and 171/2 years. Boys reach PHV at about 14 years of age. PWV occurs about
6 months after menarche in girls and at about 14 years of age in boys.
5. After assessing a 10-year-old girl, the nurse documents the appearance of breast
buds, identifying this as what body change?
A) Menarche
B) Thelarche
C) Puberty
D) Tanner stage 5 - CORRECT ANSWER - 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 maturation of the breast tissue to adult
configuration.
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) Ossification completed later in girls
C) Decrease in heart rate
D) Decrease in activity of sebaceous glands - CORRECT ANSWER - Ans: C
Feedback:
During adolescence, the heart rate decreases while the systolic blood pressure
increases. Brain growth continues, but the size of the brain does not increase
significantly. Ossification is more advanced in girls and occurs at an earlier age.
Sebaceous gland activity increases during adolescence.
