SCHOOL NURSE CERTIFICATION EXAM 2026
| COMPLETE STUDY GUIDE & PRACTICE
QUESTIONS
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,What age does sperm emission start? age 13
What is the first sign of puberty in males, and around Testicular enlargement - around age 11-15
what age?
What is LH? Luteninizing hormone (LH)
What does LH do? stimulates testosterone release from leydig cells
(testicular enlargement)
Does sperm emission happen before or after pubic hair Before
development and growth spurt
Role of Pituitary gland in puberty Releases Luteninizing hormone (LH) and follicle stimulating hormone (FSH)
Role of Hypothalamus in puberty produces gonadotropin-releasing hormone. starts the process.
this tells the Pituitary gland to start
Define Puberty the physical changes to the body due to hormone activity as per the Tanner Scale
What is the Tanner Scale The hormone activity which produces secondary sex characteristics.
13-19 Developmental Tasks - Rapid period of growth, completes physical growth
- Physical
(2 major answers) - May appear clumsy while adjusting
Young males and breast growth Some kids may have growth and tenderness. Will resolve as testosterone level
increase.
ASSURE child this is normal
When does growth spurt start and stop for males? 2 years after girls
increases until age 20
When does growth spurt start and stop for females? during puberty
finished 2 years after menarche
What are secondary sex characteristics for males? chest growth, facial hair, deep voice
,Define secondary sex characteristics Physical traits that are not directly involved in reproduction but that indicate
sexual maturity.
Difference of body fat changes in boys vs girls Boys - decrease body fat from 14.3% at Tanner Stage 1 to 11.2%
Girls - INCREASE body fat from 15.7% (Tanner 1) to 26.7% (Tanner 4)
What are secondary sex characteristics for females? fatty tissue on thighs, hips, breasts, hips broaden,
What body fat is needed for Menarche? 17% to start, but need 22% to maintain menstruation.
What are secondary sex characteristics for both? pubic hair, increase of sweat glands --> body odor, increase activity of sebaceous
glands --> acne
Psychosocial growth ages 10-13 (early adolescence) copes with changes in physical self
- fantasy role play in different situations
- test their independence
- peers are important
Psychosocial growth ages 14-17 (middle adolescence) explores and identifies personal values and defines self
- influenced by peers and their values, fads
- need to conform
- interest in sex increases, attraction
- may initiate sexual relationships
- family tensions may increase
Psychosocial growth ages 18-19 (late adolescence) independence from parents
developing a plan for the future
participating in society
gender identity the gender with which you identify and feel most comfortable regardless of
biologic gender
sexual orientation the gender(s) that a person is attracted to emotionally, physically, sexually, and
romantically
Cis-gender Individuals whose gender identity corresponds to their biological sex
, Transgender umbrella term for all gender-variant people who by nature do not conform to
gender-based expectations
Bisexual a person who is sexually attracted to both sexes
Cognitive development for adolescence abstract thinking
ability to analyze and synthesize
use logic
Begins awareness of the long-term consequences of their actions.
Nutritional intake influences adult health status how? Calcium - needed for bone health
High cholesterol can compromise cardiovascular health
Diet habits of teens skipping meals (esp bkst)
increased snacking
fast food
- a social event, influenced by peers
May become weight-conscious and develop unhealthy dieting habits
Dental concerns for teens good oral hygiene
bi-annual dentist appts
final molars (wisdom teeth) may finally erupt
Most common childhood chronic disease Dental Caries
Health promotion for teens internet safety (sexting, cyberbullying)
attention to body hygiene, self-care
pregnancy
STI
focus on personal responsibility for health
Methods to talk to teens motivational interviewing
active listening
open-ended questions
remain nonjudgmental
obtain health-related information
maintain privacy, modesty
| COMPLETE STUDY GUIDE & PRACTICE
QUESTIONS
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,What age does sperm emission start? age 13
What is the first sign of puberty in males, and around Testicular enlargement - around age 11-15
what age?
What is LH? Luteninizing hormone (LH)
What does LH do? stimulates testosterone release from leydig cells
(testicular enlargement)
Does sperm emission happen before or after pubic hair Before
development and growth spurt
Role of Pituitary gland in puberty Releases Luteninizing hormone (LH) and follicle stimulating hormone (FSH)
Role of Hypothalamus in puberty produces gonadotropin-releasing hormone. starts the process.
this tells the Pituitary gland to start
Define Puberty the physical changes to the body due to hormone activity as per the Tanner Scale
What is the Tanner Scale The hormone activity which produces secondary sex characteristics.
13-19 Developmental Tasks - Rapid period of growth, completes physical growth
- Physical
(2 major answers) - May appear clumsy while adjusting
Young males and breast growth Some kids may have growth and tenderness. Will resolve as testosterone level
increase.
ASSURE child this is normal
When does growth spurt start and stop for males? 2 years after girls
increases until age 20
When does growth spurt start and stop for females? during puberty
finished 2 years after menarche
What are secondary sex characteristics for males? chest growth, facial hair, deep voice
,Define secondary sex characteristics Physical traits that are not directly involved in reproduction but that indicate
sexual maturity.
Difference of body fat changes in boys vs girls Boys - decrease body fat from 14.3% at Tanner Stage 1 to 11.2%
Girls - INCREASE body fat from 15.7% (Tanner 1) to 26.7% (Tanner 4)
What are secondary sex characteristics for females? fatty tissue on thighs, hips, breasts, hips broaden,
What body fat is needed for Menarche? 17% to start, but need 22% to maintain menstruation.
What are secondary sex characteristics for both? pubic hair, increase of sweat glands --> body odor, increase activity of sebaceous
glands --> acne
Psychosocial growth ages 10-13 (early adolescence) copes with changes in physical self
- fantasy role play in different situations
- test their independence
- peers are important
Psychosocial growth ages 14-17 (middle adolescence) explores and identifies personal values and defines self
- influenced by peers and their values, fads
- need to conform
- interest in sex increases, attraction
- may initiate sexual relationships
- family tensions may increase
Psychosocial growth ages 18-19 (late adolescence) independence from parents
developing a plan for the future
participating in society
gender identity the gender with which you identify and feel most comfortable regardless of
biologic gender
sexual orientation the gender(s) that a person is attracted to emotionally, physically, sexually, and
romantically
Cis-gender Individuals whose gender identity corresponds to their biological sex
, Transgender umbrella term for all gender-variant people who by nature do not conform to
gender-based expectations
Bisexual a person who is sexually attracted to both sexes
Cognitive development for adolescence abstract thinking
ability to analyze and synthesize
use logic
Begins awareness of the long-term consequences of their actions.
Nutritional intake influences adult health status how? Calcium - needed for bone health
High cholesterol can compromise cardiovascular health
Diet habits of teens skipping meals (esp bkst)
increased snacking
fast food
- a social event, influenced by peers
May become weight-conscious and develop unhealthy dieting habits
Dental concerns for teens good oral hygiene
bi-annual dentist appts
final molars (wisdom teeth) may finally erupt
Most common childhood chronic disease Dental Caries
Health promotion for teens internet safety (sexting, cyberbullying)
attention to body hygiene, self-care
pregnancy
STI
focus on personal responsibility for health
Methods to talk to teens motivational interviewing
active listening
open-ended questions
remain nonjudgmental
obtain health-related information
maintain privacy, modesty
