ATI RN
Nursing Care of Vulnerable Populations Questions
Question 1 of 5
What is the initial indication of puberty in girls?
Correct Answer: D
Rationale: The correct answer is D: Breast development. Breast development is typically the initial indication of puberty in girls, known as thelarche. It is usually the first visible sign of puberty and is triggered by hormonal changes. Menarche (A) refers to the onset of menstruation, which typically occurs later in puberty. Growth spurt (B) typically occurs after breast development. Growth of pubic hair (C) is also a sign of puberty, but it usually follows breast development.
Question 2 of 5
Parents are concerned about the number of hours their teenage daughter spends with peers. The nurse explains that peer relationships are important during adolescence for which reason?
Correct Answer: C
Rationale: The correct answer is C: They provide adolescents with a feeling of belonging. During adolescence, peer relationships play a crucial role in providing emotional support, a sense of identity, and social connection. This feeling of belonging helps teenagers develop self-esteem and confidence. Option A is incorrect because not all adolescents dislike their parents. Option B is incorrect as parental guidance and control are still important during adolescence. Option D is incorrect as peer relationships typically help adolescents explore their identity within a social context rather than promoting individuality.
Question 3 of 5
Which predisposes the adolescent to feel an increased need for sleep?
Correct Answer: B
Rationale: The correct answer is B: Rapid physical growth. During adolescence, there is a significant growth spurt that requires the body to devote more energy to physical development. This increased growth and development can lead to feelings of fatigue and an increased need for sleep to support the body's growth and repair processes. Choice A (An inadequate diet) is incorrect because while diet can impact energy levels, rapid physical growth is the primary factor contributing to the increased need for sleep in adolescents. Choice C (Decreased activity that contributes to a feeling of fatigue) is incorrect as physical inactivity would not directly lead to an increased need for sleep; rather, it could lead to feelings of lethargy. Choice D (The lack of ambition typical of this age group) is incorrect as ambition levels do not directly correlate with the need for sleep during adolescence. Rapid physical growth is the key factor influencing the increased need for sleep in this age group.
Question 4 of 5
A nurse is caring for an adolescent hospitalized for cellulitis. The nurse notes that the adolescent experiences many “mood swings†throughout the day. How should the nurse interpret this behavior?
Correct Answer: C
Rationale: The correct answer is C: It is normal behavior. Adolescents often experience mood swings due to hormonal changes and stress. The nurse should interpret this behavior as a normal part of adolescence. Referring to a mental health counselor (choice A) is not necessary unless there are other concerning symptoms. Further lab testing (choice B) is not indicated for mood swings. While feelings of depression (choice D) can cause mood swings, it is important to first consider the normal developmental changes in adolescents.
Question 5 of 5
should be given to adolescents 11 to 12 years of age with a booster dose at age 16 years. Annual influenza vaccination with either the live attenuated influenza vaccine or trivalent influenza vaccine is recommended for all children and adolescents. The
Correct Answer: A
Rationale: The correct answer is A because it accurately states the recommended vaccination schedule for adolescents aged 11 to 12 years with a booster dose at age 16. This aligns with current CDC guidelines for influenza vaccination. Choice A provides a clear and concise explanation of the correct vaccination protocol based on age group. The other choices do not address the specific age group or vaccination schedule mentioned in the question, making them incorrect. Choice B, C, and D do not provide the recommended information for adolescents aged 11 to 12 years.