Pediatric Development: Practice Test 2 (Units 8-13) - Questions
with Correct Answers
100 questions
1. An emancipated minor is:
A. Any 16-year-old
B. A minor who disagrees with parents
C. A minor in foster care
D. A minor legally freed from parental control who can consent to his or her own care
Correct Answer: D. A minor legally freed from parental control who can consent to his or her
own care
Rationale: Emancipation, through means such as marriage, military service or court order, gives
legal decision-making rights. Age alone, disagreement or foster care do not confer
emancipation.
2. An adolescent athlete who restricts food to make weight and has stopped menstruating may
have:
A. Normal athletic adaptation
B. Early pregnancy only
C. Improved performance
D. Relative energy deficiency in sport (the female athlete triad), with risk to bone health
Correct Answer: D. Relative energy deficiency in sport (the female athlete triad), with risk to
bone health
Rationale: Low energy availability causes menstrual dysfunction and low bone density.
Amenorrhea is not a normal adaptation, although pregnancy should be ruled out.
,3. Marcia described identity statuses in adolescence. An adolescent who has explored options
and made firm commitments has reached:
A. Identity diffusion
B. Identity achievement
C. Foreclosure
D. Moratorium
Correct Answer: B. Identity achievement
Rationale: Identity achievement follows a period of exploration and results in commitment.
Diffusion involves neither, foreclosure involves commitment without exploration, and
moratorium is active exploration without commitment.
4. A 15-year-old says, "My parents don't understand anything." The nurse recognizes this as:
A. A sign of psychosis
B. Proof of abuse
C. A reason to stop family involvement
D. A common feeling as teens seek independence, which can be supported by open
communication
Correct Answer: D. A common feeling as teens seek independence, which can be supported
by open communication
Rationale: Conflict and feeling misunderstood are common in adolescence, and listening
without judgment helps. It does not alone indicate psychosis or abuse.
5. Body image concerns in adolescence are influenced by:
A. Only genetics
B. Rapid body changes, peer comparison and media images
C. Only parents' height
D. Nothing external
Correct Answer: B. Rapid body changes, peer comparison and media images
Rationale: Pubertal changes plus social and media pressures shape body satisfaction.
Supportive messaging and media literacy help.
,6. Adolescent cognitive development allows teens to:
A. Think only concretely
B. Lose memory
C. Consider multiple viewpoints and think about abstract concepts such as justice
D. Return to animistic thinking
Correct Answer: C. Consider multiple viewpoints and think about abstract concepts such as
justice
Rationale: Abstract thinking expands, allowing debate about ideals and values. Concrete-only
thinking and animism belong to earlier stages.
7. Adolescents seek increasing independence from parents, which may show as:
A. Wanting parents to make all decisions
B. Avoiding all peers
C. Spending more time with friends and questioning family rules
D. Losing interest in identity
Correct Answer: C. Spending more time with friends and questioning family rules
Rationale: Seeking autonomy is a key task, and conflict with parents over rules is common.
Adolescents want less parental control and more peer involvement.
8. Adolescent girls should be taught about menstrual products and hygiene, including that
tampons should be:
A. Left in overnight for 24 hours
B. Used only by adults
C. Avoided by all teens
D. Changed every 4 to 8 hours to reduce the risk of toxic shock syndrome
Correct Answer: D. Changed every 4 to 8 hours to reduce the risk of toxic shock syndrome
Rationale: Changing tampons regularly and using the lowest absorbency needed lowers toxic
shock risk. Teens can use tampons safely with education.
, 9. Primary dysmenorrhea in adolescents is best treated first with:
A. NSAIDs such as ibuprofen started at the onset of pain or bleeding
B. Opioids
C. Antibiotics
D. Bed rest for the entire period
Correct Answer: A. NSAIDs such as ibuprofen started at the onset of pain or bleeding
Rationale: NSAIDs block prostaglandins that cause cramping. Opioids are not first-line,
antibiotics do not treat cramps, and activity is generally encouraged.
10. Adolescents who are sexually active should receive counseling on:
A. Abstinence only with no other information
B. Nothing unless parents consent
C. Contraception, condom use and STI testing in a confidential, nonjudgmental way
D. Avoiding all health care
Correct Answer: C. Contraception, condom use and STI testing in a confidential,
nonjudgmental way
Rationale: Comprehensive, confidential counseling reduces pregnancy and STIs. Withholding
information or requiring parental consent for discussion is not recommended.
11. Nocturnal emissions (wet dreams) in adolescent boys are:
A. A sign of infection
B. Abnormal and need treatment
C. Caused by poor hygiene
D. A normal part of puberty
Correct Answer: D. A normal part of puberty
Rationale: Ejaculation during sleep is a normal pubertal event, and preparing boys in advance
reduces embarrassment. It is not infection or abnormal.
with Correct Answers
100 questions
1. An emancipated minor is:
A. Any 16-year-old
B. A minor who disagrees with parents
C. A minor in foster care
D. A minor legally freed from parental control who can consent to his or her own care
Correct Answer: D. A minor legally freed from parental control who can consent to his or her
own care
Rationale: Emancipation, through means such as marriage, military service or court order, gives
legal decision-making rights. Age alone, disagreement or foster care do not confer
emancipation.
2. An adolescent athlete who restricts food to make weight and has stopped menstruating may
have:
A. Normal athletic adaptation
B. Early pregnancy only
C. Improved performance
D. Relative energy deficiency in sport (the female athlete triad), with risk to bone health
Correct Answer: D. Relative energy deficiency in sport (the female athlete triad), with risk to
bone health
Rationale: Low energy availability causes menstrual dysfunction and low bone density.
Amenorrhea is not a normal adaptation, although pregnancy should be ruled out.
,3. Marcia described identity statuses in adolescence. An adolescent who has explored options
and made firm commitments has reached:
A. Identity diffusion
B. Identity achievement
C. Foreclosure
D. Moratorium
Correct Answer: B. Identity achievement
Rationale: Identity achievement follows a period of exploration and results in commitment.
Diffusion involves neither, foreclosure involves commitment without exploration, and
moratorium is active exploration without commitment.
4. A 15-year-old says, "My parents don't understand anything." The nurse recognizes this as:
A. A sign of psychosis
B. Proof of abuse
C. A reason to stop family involvement
D. A common feeling as teens seek independence, which can be supported by open
communication
Correct Answer: D. A common feeling as teens seek independence, which can be supported
by open communication
Rationale: Conflict and feeling misunderstood are common in adolescence, and listening
without judgment helps. It does not alone indicate psychosis or abuse.
5. Body image concerns in adolescence are influenced by:
A. Only genetics
B. Rapid body changes, peer comparison and media images
C. Only parents' height
D. Nothing external
Correct Answer: B. Rapid body changes, peer comparison and media images
Rationale: Pubertal changes plus social and media pressures shape body satisfaction.
Supportive messaging and media literacy help.
,6. Adolescent cognitive development allows teens to:
A. Think only concretely
B. Lose memory
C. Consider multiple viewpoints and think about abstract concepts such as justice
D. Return to animistic thinking
Correct Answer: C. Consider multiple viewpoints and think about abstract concepts such as
justice
Rationale: Abstract thinking expands, allowing debate about ideals and values. Concrete-only
thinking and animism belong to earlier stages.
7. Adolescents seek increasing independence from parents, which may show as:
A. Wanting parents to make all decisions
B. Avoiding all peers
C. Spending more time with friends and questioning family rules
D. Losing interest in identity
Correct Answer: C. Spending more time with friends and questioning family rules
Rationale: Seeking autonomy is a key task, and conflict with parents over rules is common.
Adolescents want less parental control and more peer involvement.
8. Adolescent girls should be taught about menstrual products and hygiene, including that
tampons should be:
A. Left in overnight for 24 hours
B. Used only by adults
C. Avoided by all teens
D. Changed every 4 to 8 hours to reduce the risk of toxic shock syndrome
Correct Answer: D. Changed every 4 to 8 hours to reduce the risk of toxic shock syndrome
Rationale: Changing tampons regularly and using the lowest absorbency needed lowers toxic
shock risk. Teens can use tampons safely with education.
, 9. Primary dysmenorrhea in adolescents is best treated first with:
A. NSAIDs such as ibuprofen started at the onset of pain or bleeding
B. Opioids
C. Antibiotics
D. Bed rest for the entire period
Correct Answer: A. NSAIDs such as ibuprofen started at the onset of pain or bleeding
Rationale: NSAIDs block prostaglandins that cause cramping. Opioids are not first-line,
antibiotics do not treat cramps, and activity is generally encouraged.
10. Adolescents who are sexually active should receive counseling on:
A. Abstinence only with no other information
B. Nothing unless parents consent
C. Contraception, condom use and STI testing in a confidential, nonjudgmental way
D. Avoiding all health care
Correct Answer: C. Contraception, condom use and STI testing in a confidential,
nonjudgmental way
Rationale: Comprehensive, confidential counseling reduces pregnancy and STIs. Withholding
information or requiring parental consent for discussion is not recommended.
11. Nocturnal emissions (wet dreams) in adolescent boys are:
A. A sign of infection
B. Abnormal and need treatment
C. Caused by poor hygiene
D. A normal part of puberty
Correct Answer: D. A normal part of puberty
Rationale: Ejaculation during sleep is a normal pubertal event, and preparing boys in advance
reduces embarrassment. It is not infection or abnormal.
