ATI RN
Care of Vulnerable Populations Questions
Question 1 of 5
A school nurse is teaching a group of preadolescent boys about puberty. By which age should concerns about pubertal delay be considered?
Correct Answer: B
Rationale: The correct answer is B (13 years) because concerns about pubertal delay should be considered if no signs of puberty (e.g., testicular enlargement) are present by this age. Delayed puberty can have underlying medical causes that need early intervention. Choice A (12 years) is too early to raise concerns as puberty onset varies. Choices C and D (14 and 15 years) are too late to address potential issues with delayed puberty, as early intervention is crucial for optimal outcomes.
Question 2 of 5
A 14-year-old boy seems to be always eating, although his weight is appropriate for his height. What is the best explanation for this?
Correct Answer: A
Rationale: The correct answer is A. At the age of 14, boys typically experience a growth spurt and increase in body mass due to puberty. This increased growth and development require more energy, leading to increased appetite. As the boy's weight is appropriate for his height, his eating habits are likely normal for his stage of development. Explanation for other choices: B: This is premature as the boy's weight is appropriate and does not suggest future obesity. C: Without knowing the specifics of his caloric intake, it is not accurate to assume it is excessive. D: Incomplete option.
Question 3 of 5
A young adolescent boy tells the nurse he “feels gawky.†How should the nurse explain why this occurs in adolescents?
Correct Answer: A
Rationale: The correct answer is A because during adolescence, growth of the extremities and neck typically precedes growth in other areas due to the rapid bone growth that occurs during puberty. This can result in a period of awkwardness or feeling gawky as the body adjusts to these rapid changes. Incorrect choices: B: Growth in the trunk and chest - While trunk and chest growth do occur during adolescence, it is not the primary reason for feeling gawky. C: Hip and chest breadth increases - While this is true, it does not fully explain why adolescents may feel gawky. D: Growth spurt occurs earlier in boys - This is not directly related to the feeling of gawkiness and does not explain the specific growth patterns in adolescents.
Question 4 of 5
A 13-year-old is being seen in the clinic for a routine health check. The adolescent has not been in the clinic for 3 years but was up
Correct Answer: A
Rationale: Rationale: 1. Adolescents require catch-up immunizations to maintain protection against various diseases. 2. Recommended vaccines for 13-year-olds include Tdap, MCV4, HPV, Influenza, etc. 3. Selecting all applicable immunizations ensures comprehensive protection. 4. Other choices lack the breadth of coverage needed for a routine health check in a 13-year-old.
Question 5 of 5
Which screening tests should the school nurse perform for the adolescent? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Vision. Vision screening is important for adolescents to detect any visual impairments early. Regular vision checks can help identify issues like nearsightedness or astigmatism. Glucose, hearing, and cholesterol tests are not typically performed by school nurses as routine screenings for adolescents. Glucose testing is more relevant for diabetes screening, hearing tests are usually done by audiologists, and cholesterol screening is typically recommended later in life. Vision screening is the most appropriate choice for school nurses to perform for adolescents to ensure their visual health.