ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 15 : Health Promotion of the Adolescent and Family Questions
Question 1 of 5
The school nurse recognizes that pubertal delay in girls is considered if breast development has not occurred by which age?
Correct Answer: D
Rationale: Girls may be considered to have pubertal delay if breast development has not occurred by age 13 years or if menarche has not occurred within 2 to 2 1/2 years of the onset of breast development.
Question 2 of 5
The school nurse recognizes that pubertal delay in boys is considered if no enlargement of the testes or scrotal changes have occurred by what age?
Correct Answer: C
Rationale: Concerns about pubertal delay should be considered for boys who exhibit no enlargement of the testes or scrotal changes by ages 13 1/2 to 14 years or if genital growth is not complete 4 years after the testicles begin to enlarge.
Question 3 of 5
The school nurse is teaching an adolescent about social networking and texting on phones. What statement by the adolescent indicates a need for further teaching?
Correct Answer: C
Rationale: Internet chatrooms and social networking sites have created a more public arena for trying out identities and developing interpersonal skills with a wider network of people, occasionally with anonymity. This can create opportunities for young people who have a limited access to friends (because of rural location, shyness, or rare chronic conditions) to interact with people like themselves. Both the online and text environment can create opportunities for cyberbullying, in which teens engage in insults, harassment, and publicly humiliating statements online or on cell phones. Text messaging and instant messaging via cell phones has become a common activity and can sometimes be disruptive during school. If the adolescent indicates it will not be disruptive, further teaching is needed.
Question 4 of 5
The school nurse recognizes that adolescents should get how many hours of sleep each night?
Correct Answer: D
Rationale: Adolescents should generally get around 9 hours of sleep each night.
Question 5 of 5
The nurse is assessing the Tanner stage in an adolescent female. The nurse recognizes that the stages are based on which?
Correct Answer: C
Rationale: In females, the Tanner stages describe pubertal development based on breast size and the shape and distribution of pubic hair. The stages of vaginal changes, progression of menstrual cycles to regularity, and the development of fat deposits occur during puberty but are not used for the Tanner stages.