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HESI Patient Review--Pediatrics-Out-patient Peds (Adolescents) exam questions and answers
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HESI Patient Review--Pediatrics-Out-patient Peds (Adolescents) exam questions and answers
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HESI Patient Review--Pediatrics-Out-patient Peds (Adolescents)
exam questions and answers
1. Ashley (11 years) and Mark (12 years) are both considered adolescents.
Adolescence includes three developmental phases: early, middle, and late
adolescence. Ashley and Mark are in which phase of adolescence? -
answer Early adolescence
2. Ashley and Mark are prepubescent, meaning that they are: - answer
Beginning to develop physical secondary sex characteristics
3. Which of the following will be used to assess physical sexual maturity? -
answer Tanner stages
4. For girls, Tanner's sexual maturity ratings evaluate: (Select 2) - answer
-Pubic hair growth and distribution
-Breast changes and growth
5. For boys, Tanner's sexual maturity ratings evaluate: (Select 4) - answer
-Pubic hair growth and distribution
-Penis growth and development
-Testes growth and development
-Scrotum growth and development
6. Referring to Tanner's stages, Ashley's sexual maturity (breasts) is rated
as: - answer Tanner stage 2
7. Ashley's exam also includes assessment of pubic hair distribution. A
small amount of fine straight hair is noted along her labia. Referring to
Tanner's stages, Ashley's sexual maturity (pubic hair) is rated as: - answer
Tanner stage 2
, 8. Ashley wants to know when she will get her "period." You correctly tell
her that there is no way of knowing for sure, but commonly menstruation
begins: - answer 1-2 years after breast tissue starts to develop
9. You review Ashley's immunization history with her mother. Ashley has
not received the hepatitis B vaccine series. Which of the following
approaches is likely to be taken by the Nurse Practitioner today? - answer
The hepatitis B vaccine series will be started today
10. The adolescent's right to confidentiality is designed to: (Select 2) -
answer -Encourage the adolescent to seek healthcare and advice without
fear
-Support the adolescent's growing sense of autonomy
11. As Ashley and Mark experience their adolescent years, risk-taking and
risk for injury may increase. This is because adolescents: (Select 4) -
answer -May test their independence from parents by participating in
behaviors disapproved of by parents
-Often feel indestructible and invincible
-Have a strong need for peer approval
-Have a strong need to discharge energy
12. Because Ashley is not currently participating in any high-risk
behaviors, you should: - answer Initiate a discussion of high-risk
behaviors and their consequences, in hope of preventing them
13. Taking a preventive approach, you discuss with Ashley some of the
risks associated with smoking, alcohol, and drug use. Which of the
following are accurately included in your discussion? (Select 4) - answer -
Many young people who try cigarettes become regular users
-The younger a person is when she starts smoking, the harder it is to quit
in the future
-The younger a person is when she starts smoking, the greater the chance
of developing serious health problems
-Once drugs or alcohol are used, it becomes very hard to quit
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