Pediatrics Adolescent Practice Exam

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• In Kohlberg's theory, which stage involves following rules to avoid punishment?
• Which drug blocks folic acid metabolism to cause early abortion?
• Punishment and obedience orientation corresponds to which stage in Kohlberg's theory?
• Which arterial blood gas result indicates metabolic acidosis typical of diabetic ketoacidosis?
• Which statement is NOT a factor that may contribute to an adolescent starting to smoke?
• Which medication blocks progesterone receptors to terminate a pregnancy?
• Which statement describes early puberty in females?
• Which method provides the longest duration of contraception?
• What is the most major cause of acne in adolescent women?
• What is the most major cause of acne in adolescent women?
• Which is NOT a medical concern in adolescent pregnancies?
• Which of the following is not used to treat endometriosis?
• Which antibiotic is contraindicated during pregnancy due to safety concerns?
• Which gland does not secrete GnRH?
• Which herb is an antispasmodic used to relieve breast pain?
• During treatment for idiopathic scoliosis, which approach helps the adolescent maintain a positive self-image?
• Which statement best describes acne vulgaris in adolescents?
• Which statement best reflects adolescence, according to the material?
• Which herbal therapy can be recommended for breast pain?
• Which factor is commonly associated with delivering a low birthweight infant in adolescent pregnancies?
• According to Erikson's theory, which situation predisposes an adolescent to confusion?
• Which stage of Kohlberg's theory emphasizes acting to maintain laws and social order?
• Which herbal medication is used to reduce premenstrual discomfort and tension associated with menstrual disorders?
• Which drug acts to terminate pregnancy by stimulating uterine contractions via prostaglandin action?
• Arrange the steps involved in puberty in the correct order.
• Which statement about vitamin supplements in teenagers is true?
• During an allergy workup, which laboratory finding indicates an allergic response is in progress?
• Which drug is used to induce abortion by blocking progesterone receptors?
• What is the average systolic blood pressure in a 13-year-old adolescent?
• Which symptom is most characteristic of testicular torsion?
• Which term describes the belief that others are constantly scrutinizing a teen's appearance and actions?
• Which eating disorder is characterized by binge eating followed by compensatory behaviors such as self-induced vomiting or excessive exercise?
• A 15-year-old undergoing chemotherapy is most concerned about which issue related to health problems?
• At Kohlberg's conventional level, which statement best describes moral reasoning?
• Which Piaget period is characterized by egocentrism and animism?
• What is the average optimal blood pressure of an adolescent?
• Which term describes the adolescent belief that others are constantly watching and judging them?
• Which feature is typical of late puberty in females?
• An adolescent with inflamed, red, and painful lesions on the forehead and low self-esteem most likely has which condition?
• Which trait is associated with middle adolescence?
• Which behavior pattern may be exhibited by teenagers in their late adolescence?
• By the end of high school, approximately what percent of adolescents experiment with marijuana?
• Which drug used to treat syphilis is contraindicated in pregnancy?
• A 15-year-old plans to go to a nightclub without telling parents but fears being caught. Which adolescent cognitive phenomenon does this illustrate?
• Which statement correctly describes outcomes for infants of adolescent mothers?
• When an adolescent says, 'But you don't understand,' what is the nurse's best response?
• An adolescent girl undergoes a leg amputation for cancer; after obtaining her consent, what nursing action is most therapeutic?
• Which medication is the first-line treatment for acne in adolescents?
• An obese adolescent with short stature and hyperphagia is diagnosed with hypogonadism. Which congenital disorder is most likely?
• A 16-year-old with sickle cell disease uses a PCA pump for a vaso-occlusive crisis. The pump is locked out for 10 minutes. What action should the nurse take first?
• Which test is used to diagnose bacterial vaginosis?
• Which hormones directly stimulate the gonadal glands to produce sex steroids?
• Which statement reflects the developmental description for toddlers in the material?
• Infants born to adolescent mothers are at increased risk for which outcome?
• Which statement about the female athlete triad is true?
• Which stage explains the influence of moral values on an individual's thought?
• An 18-year-old male complains of painful urination and yellow-green discharge from the urethra, not associated with abdominal pain. What condition is most likely?
• Which organism proliferates during the development of acne?
• Intense daydreaming is associated with which period of adolescence?
• Folic acid deficiency during pregnancy is most closely linked to which condition?
• Which statement best describes 3- to 5-year-olds' development according to the material?
• Among adolescents, which of the following is NOT among the greatest risks of injury?
• In which period of Piaget's theory does the adolescent feel a sense of invulnerability?
• For an adolescent with idiopathic scoliosis, which sport is most therapeutic to strengthen back muscles before bracing or surgery?
• In Kohlberg's theory, which stage is followed by the 'society-maintaining orientation'?
• Which event is considered the hallmark of late puberty in young girls?
• Which of the following is a manifestation of hypoestrogenism?
• Which sign indicates uterine development early in puberty?
• Which pathogen most commonly causes ophthalmia neonatorum in newborns?
• What is the most major factor contributing to acne in adolescent women?
• What is the maximum recommended length for insertion of an enema tube in an adolescent?
• Which factor has not been demonstrated to have a clear association with acne in adolescents?
• At what age does the pubertal growth spurt reach its peak in males?
• Which age group is described as acquiring a sense of identity through decision-making?
• After a cast is applied, pruritus around the edges is best managed with which measure?
• During puberty, which physiologic change is most accurate?
• Which medication is the first-line treatment for acne in adolescents?
• During adolescence, marked physical changes help the adolescent build which aspect of identity?
• What is the most effective realistic way to increase physical activity in overweight adolescents?
• When a patient's PCA analgesia is locked out, which action should the nurse perform first?
• Which bacterium proliferates in acne vulgaris?
• When teaching a adolescent with type 1 diabetes about dietary management, what instruction should the nurse include?
• Which test is least useful for assessing the effectiveness of glucose management over time in a child with type 1 diabetes?
• Glycosylated hemoglobin reflects an average blood glucose level over which time period before the test, according to the source?
• At what age does the pubertal growth spurt peak in males?
• What is the minimum respiratory rate in a normal adolescent?
• Which test is used to diagnose trichomoniasis?
• Which drug is used as a prostaglandin analog to induce abortion?
• In an adolescent with newly diagnosed type 1 diabetes, what is the primary long-term goal for self-care?
• Which test is used to diagnose candidiasis?
• Which statement about teenage diet is true?
• Which of the following is not caused by a virus?
• Which condition is characterized by elongated, dilated veins near the spermatic cord above the testicle?
• What is the average systolic blood pressure in a 15-year-old? Answer in millimeters of mercury.
• A 15-year-old with cystic fibrosis is admitted for a respiratory infection and presents with cyanosis, a barrel-shaped chest, and growth at the 10th percentile. What is the priority nursing intervention?
• Arrange the examination steps for a rape victim to test for sexually transmitted infections in correct order.
• Varicocele occurs most often on which side?
• Which is NOT a pathophysiologic factor of acne?
• Which stage of Kohlberg's theory explains the influence of moral values on an individual's thought?
• What happens to basal body temperature during puberty?
• With a varicocele, what happens to dihydrotestosterone levels over time?
• In adolescent education, what is the primary effect of mutual goal-setting?
• Which hormones stimulate the gonadal response during puberty?
• Which age group is described as developing a superego or conscience in the material?
• A 12-year-old learning to crutch-walk shows which sign indicating the need for more teaching?
• According to current studies, what percentage of adolescents has used alcohol by the end of high school?
• After bariatric surgery in adolescents, how long should pregnancy be avoided?
• Which statement is NOT supported as a characteristic of adolescence in Erikson's framework, according to the material?
• Which antibiotic is the drug of choice for treating gonorrhea?
• In the pathophysiology of acne, which event occurs after excessive sebum production?
• After a teaching session, what is the next nursing action for an adolescent with newly diagnosed type 1 diabetes?
• How many hours after intercourse should levonorgestrel be taken for emergency contraception?
• What is the preferred drug for treatment of syphilis in a pregnant adolescent?
• Which action helps adolescents establish group identity?
• Which statement describes a characteristic of adolescence according to Erikson's theory?
• In Erikson's theory, how does an adolescent typically develop a sense of identity?
• Which GnRH agonist is used to treat endometriosis?
• During which stage are changes in dressing and dominant peer orientation most evident?
• To promote safe prenatal care, which statement best describes prenatal care among pregnant adolescents?
• Which of the following is a gonadotropin-releasing hormone agonist used to treat endometriosis?
• In Piaget's concrete operational stage, which ability becomes possible for the child?
• Which statement is true regarding primary dysmenorrhea?
• Which characteristic best explains an adolescent who tries dangerous stunts on a bike without fearing life-threatening injury?
• During mid-puberty in a normally developing adolescent female, which transformation occurs?
• What should be emphasized for lifelong management of type 1 diabetes in an adolescent?
• Which statement about varicoceles is true?
• What is the minimum respiratory rate in a normal adolescent? 4 options.
• Which characteristic change is observed during late adolescence stage?
• An 18-year-old with new-onset type 1 diabetes reports stress and amenorrhea. Which condition best explains the absence of menses?
• In Kohlberg's theory, which statement describes preconventional reasoning?
• The pubertal growth spurt in females peaks at what age?
• Which statement about levonorgestrel requires correction?
• During puberty, which change is most characteristic regarding hematologic values?
• An adolescent girl is concerned about her body image after leg amputation for bone cancer. After obtaining consent, which nursing action is most therapeutic?
• Which statement about the teenage diet is true?
• What is the maximum heart rate of a 16-year-old?
• Which maternal age is associated with an increased risk for chromosomal defects?
• Which drug is used to prevent mother-to-child transmission of HIV?
• Which factor precipitates painful episodes in sickle cell anemia?
• Which breakfast choice provides the highest iron content for an adolescent with iron-deficiency anemia?
• What is the best response by the nurse when a parent expresses concern that an antidepressant has been prescribed for her adolescent son?
• Marked physical changes during adolescence contribute to the development of which identity?
• Arrange the pathophysiologic events of acne in the correct sequence.
• Which period of Piaget's theory marks the end of cognitive development?
• A clinic nurse is teaching an adolescent about preventing hyperlipidemia. Which statement indicates a need for further teaching?
• Excessive pubic and axillary hair in a female adolescent is most likely due to elevated androgens.
• Which statement aligns with adolescence characteristics described in the material?
• What should a nurse emphasize when teaching lifelong management of type 1 diabetes to an adolescent?
• An adolescent with terminal cancer asks about obtaining a GED certificate. What is the best approach for the nurse to take in response to the adolescent's question?
• Which adolescent age group has the highest risk of prolonged labor?
• Gonorrhea is caused by which organism?
• Which gland secretes gonadotropin-releasing hormone (GnRH) to help control the events of puberty?
• Which contraceptive must be replaced every three weeks?
• Which medication is used to treat endometriosis?
• Which of the following is NOT a medical concern in adolescent pregnancies?
• Which of the following is NOT part of Kohlberg's conventional level of moral reasoning?
• Which of the following is a criterion for bariatric surgery in adolescents?
• Which herb is used to reduce prolactin levels and relieve breast pain?
• Which statement about teenage energy needs is true?
• What is the average systolic blood pressure in a 15-year-old?
• In Kohlberg's theory of moral development, at which stage does the individual show concerns about society?
• Which statement is true about how adolescents establish health identity?
• A nurse is preparing a cleansing enema for a 15-year-old. What volume of solution is appropriate?
• An adolescent presents with scrotal pain and fever; which condition is most likely?
• Which statement correctly contrasts glycosylated hemoglobin (GHb) with serum glucose for monitoring diabetes?
• Which is the nurse's priority goal when providing pin care for an external fixation device?
• Bacterial vaginosis in pregnancy is associated with postpartum endometritis.
• Which statement best describes adolescent cognitive changes?
• In the described scenario, who may sign the consent for treatment for a baby when the mother is an emancipated minor?
• Which nutrient deficiency in a pregnant adolescent may result in decreased birth weight due to low bone mineral density in the fetus?
• In an adolescent with type 1 diabetes, which statement best describes exercise?
• Piaget's theory indicates egocentric thought is prevalent in which stage?
• Which drug used to treat syphilis is contraindicated in pregnancy?
• Gynecomastia is best defined as which of the following?
• Which drug is used to prevent vertical transmission of HIV from mother to fetus?
• During the follicular phase of the menstrual cycle, the dominant ovarian follicle primarily produces which hormone?
• An adolescent who has had a leg amputated reports phantom limb pain and requests pain medication. Which response is appropriate?
• Which factor is NOT a risk factor for ectopic pregnancy in adolescents?
• Glycosylated hemoglobin reflects the average blood glucose level over approximately how many days?
• Which statement BEST describes a function of group identity in adolescent psychosocial development?
• In Kohlberg's stages, which stage is characterized by wanting to win approval from others and follow the expectations of one's immediate group?
• Which statement best describes how adolescents establish health identity?
• Which nutrient deficiency in the pregnant adolescent may result in decreased birth weight due to low bone mineral density in the fetus?
• Which gland is directly stimulated by GnRH to release FSH and LH?
• Which of the following is NOT a factor associated with adolescent smoking initiation?
• Which statement describes postconventional reasoning in Kohlberg's theory?
• What is the best method to remove a tick from an adolescent's skin?
• Which guideline reduces injury risk for adolescents when walking?
• Which is within the normal range for arterial carbon dioxide (PaCO2) in blood gas values?
• An unconscious 16-year-old with type 1 diabetes has a blood glucose level of 742 mg/dL. Which finding is expected during the initial assessment?
• The average systolic blood pressure for children aged 6 to 13 years is approximately which value?
• Which sequence correctly represents the order of pubertal hormonal changes?
• Which Kohlberg stage involves seeking the approval of one's immediate group?
• Which test is used to diagnose trichomoniasis?
• Which Piaget period includes animism, where children personify objects?
• Which laboratory finding indicates an allergic response is in progress?
• Which Piaget stage is associated with the development of conservation concepts?
• In Piaget's theory, which period involves the formation of schemas for interacting with the environment?
• Which cardiovascular finding is most likely in a hyperglycemic dehydrated adolescent with type 1 diabetes?
• Which age group is described as developing a superego or conscience in the material?
• Which statement describes stage 4 of Kohlberg's theory?
• Which characteristic describes the late-adolescent relationship with parents?
• How does exercise help relieve menstrual discomfort in adolescents?
• To ensure accuracy of a pulse oximeter reading in an adolescent, where should the probe be placed?
• A adolescent with seizure disorder refuses to wear a medical alert bracelet. Which approach is most likely to improve adherence?
• When a 17-year-old mother is to sign consent for her son's myringotomy, which is the appropriate nurse response?
• Which organ produces gonadotropin-releasing hormone (GnRH)?
• Arrange the stages of the menstrual cycle in sequential order.
• A 14-year-old with type 1 diabetes wants to go out to eat with friends after a volleyball game. Which teaching is most appropriate regarding this situation?
• Which of the following is a primary treatment goal in anorexia nervosa?
• What is the drug of choice for treating chlamydia?
• Premenstrual flares of acne in adolescents are most commonly related to what?
• Which phase begins the menstrual cycle?
• Which statement about adolescence is true according to the material, when choices are limited to the four options?
• A whiff test is used to diagnose which condition?
• At what age does the pubertal growth spurt peak in females?
• Which statement correctly reflects identity formation in adolescence, according to the material?
• Which pairing correctly matches an age group to a described trait in the material?
• What is the best recommendation for overweight adolescents?
• Which condition is commonly treated with miconazole or clotrimazole?
• What is the most therapeutic nurse response when parents suspect their adolescent is a hypochondriac?
• In scoliosis management, which factor should the nurse focus on?
• During mid-puberty in a normally developing adolescent female, which transformation occurs?
• A 14-year-old with type 1 diabetes wants to eat out after a volleyball game. How should the nurse respond?
• During the middle adolescent period (ages 15–17), what happens to growth?
• Delayed prenatal care in adolescent pregnancies increases the risk of which neonatal outcome?
• Arrange the pathophysiologic events of acne in the correct sequence.
• Arrange the stages of the menstrual cycle in sequential order.
• Which statement best describes the necessary components to achieve glycemic control in a teenager with Type 1 diabetes?
• What is the most therapeutic nurse response when parents express concern that their adolescent may be hypochondriacal?
• Which statement identifies a postconventional stage in Kohlberg's theory of moral development?
• Which breakfast option provides the highest iron content for an adolescent with iron-deficiency anemia?
• Which test is considered the most accurate in evaluating the effectiveness of diet and insulin therapy over time in a 13-year-old with type 1 diabetes?
• An 18-year-old male presents with painful urination and yellow-green urethral discharge without abdominal pain. The most likely diagnosis is which of the following?
• Which of the following represents a major injury risk for adolescents?
• According to current statistics, what percent of adolescents have used alcohol by the end of high school?
• A nurse teaches a teenager undergoing chemotherapy about mouth care. Which statement suggests the patient understands the instructions?
• Which adolescent age group has the highest risk of prolonged labor?
• Which contraceptive method provides protection for up to three years?
• In Piaget's theory, which period is characterized by formal operational thinking, including abstract reasoning?
• In Duchenne muscular dystrophy, which body system should the nurse focus on to identify life-threatening complications as the disease progresses?
• What is the role of eosinophils in allergic reactions?
• Which period of Piaget's theory explains self-consciousness in an adolescent?
• Which of the following represents a normal arterial pH range?
• What is the female athlete triad?
• What test is considered the most accurate in evaluating the effectiveness of diet and insulin therapy over time in a 13-year-old with type 1 diabetes?
• What is the priority goal when providing pin care for a 13-year-old with an external fixation device?
• Late puberty in adolescent females is most associated with which finding?
• Which statement about adolescent mortality is accurate?
• Which Kohlberg stage is characterized by seeking consequences or self-interest in actions (instrumental relativist orientation)?
• Excessive sebum production in acne is associated with the maturation of which glands?
• Which contraception provides protection for up to five years when placed in the uterus and releases levonorgestrel?
• During which stage of Piaget's theory do adolescents develop abstract thinking?
• In Erikson’s theory, which stage describes the adolescent's struggle to establish a personal identity and direction?
• Which behavior is typical of adolescents?
• Which statement best describes the focus of 3- to 5-year-olds in the material?
• Why is swimming often recommended as therapeutic for scoliosis in adolescents?
• In tuberculin testing, what induration size in a 16-year-old is considered positive?
• Which sexually transmitted disease is caused by a motile spirochete bacterium Treponema pallidum?
• Trichomoniasis is caused by what type of organism?
• Which statement reflects the focus of 3- to 5-year-olds as described in the material?
• What is the average diastolic pressure for a 16-year-old?
• Which factor is most strongly associated with adolescent smoking initiation?
• Which of the following is a medical concern in adolescent pregnancies?
• In adolescents with cystic fibrosis, which dietary guidance is appropriate?
• For adolescents with cystic fibrosis, what is the recommended dietary approach?
• An 18-year-old high school student arrives at a local blood drive center to donate blood for the first time. As the site is being prepared for needle insertion, the student becomes agitated, starts to hyperventilate, and complains of dizziness and tingling of the hands. What should the nurse instruct the student to do?
• What is the drug of choice for treating chlamydia infections?
• In a pregnant adolescent with bacterial vaginosis, which complication is most associated?