NSG6430 WEEK 4 QUIZ EXAMINATION
TEST 2026 FULL QUESTIONS AND
ACCURATE ANSWERS GRADED A+
⩥ Adolescent family HX. Answer: (1) age and health status of family
members;
(2) significant medical illnesses in the family, such as diabetes, cancer,
heart disease, tuberculosis, hypertension, and stroke;
(3) history of mental illness in the family, such as mood disorders,
anxiety disorders, schizophrenia, and alcoholism; and
(4) vocational status of parents.
⩥ Adolescent physchosocial HX. Answer: 1. Home: Family
configuration and family members, living arrangements, relationships
among the adolescent and family members
2. Education/Employment: Academic or vocational success, future
plans, and safety at school or in the workplace
3. Eating: Brief nutrition history, risk factor for obesity, concerns about
weight or body image, disordered eating behaviors
4. Activities: Friendships with peers of the same and opposite sex,
recreational activities, dating activity and relationships, sexual activity
5. Drugs: Personal use of tobacco, alcohol, illicit drugs, anabolic
steroids; peer substance use; family substance use; driving while
intoxicated
,6. Sexuality: Sexual orientation, sexual activity, sexual abuse
7. Suicide (Mental Health): Feelings of sadness, loneliness, depression;
pervasive boredom; inappropriately high levels of anxiety; suicidal
thoughts 8. Safety: Risk of unintentional injury, risk from violence,
fighting or weapon carrying, abuse
⩥ Adolescent ROS. Answer: 1. Vision: Trouble reading or watching
television, vision correction
2. Hearing: Infections, trouble hearing, earaches 3. Dental: Prior care,
pain, concerns (e.g., braces)
4. Head: Headaches, dizziness
5. Nose and throat: Frequent colds or sore throats, respiratory allergies
6. Skin: Acne, moles, rashes, warts
7. Cardiovascular: Exercise intolerance, shortness of breath, chest pain,
palpitations, syncope, physical activity
8. Respiratory: Asthma, cough, smoking, exposure to tuberculosis
9. Gastrointestinal: Abdominal pain, reflux, diarrhea, vomiting, bleeding
10. Genitourinary: Dysuria, bed-wetting, frequency, bleeding
11. Musculoskeletal: Limb pain, joint pain, or swelling
12. Central nervous system (CNS): Seizures, syncope
13. Menstrual: Menarche, frequency of menses, duration, menorrhagia
or metrorrhagia, pain 14. Sexual: Sexual activity, contraception,
pregnancy, abortions, sexually transmitted diseases (STDs) or STD
symptoms
,⩥ (P. 34) At what point can HTN be diagnosed in adolescents? Answer:
If blood pressure is elevated, it should be rechecked on at least three
separate visits before a diagnosis of hypertension is considered
⩥ Vision Screening. Answer: Adolescents should have a vision
screening on their initial evaluation and every 2 to 3 years thereafter.
⩥ Hearing Screening Answer: Adolescents should have a vision
screening on their initial evaluation and every 2 to 3 years thereafter.
⩥ Teeth and Gums Answer: Check for evidence of dental caries or gum
infection. Look for signs of smokeless tobacco use. Enamel erosions are
sometimes the first clue to the vomiting associated with some eating
disorders. Regular checkups with a dentist should be encouraged.
⩥ Musculoskeletal Answer: The musculoskeletal examination is
especially important in adolescent athletes, in whom instabilities or other
evidence of previous injury is the best predictor of future injury. Check
for signs of overuse syndromes or osteochondroses. Check for scoliosis,
particularly in premenarchal females.
⩥ Genitalia Male Answer: Examine the penis and testicles. Assess SMR.
Look for signs of STDs. Retract the foreskin in uncircumcised patients.
Check for hernia.
, ⩥ Pelvic Examination (Female). Answer: "Annual" pelvic examination
and PAP screening are now recommended beginning 3 years after
coitarche or age 21, whichever comes earlier. Annual screening for
STDs is clearly recommended for sexually active female patients
⩥ Laboratory tests should be kept to a minimum in the asymptomatic
adolescent. Suggested screening tests include the following. Answer:
H&H, Urinalysis
⩥ What screening is recommended at the first visit with an African-
American adolescent if it has not been documented already. Answer:
Sickle Cell Screening.
⩥ What testing should sexually Active Adolescent females have?
Answer: Cervical gonorrhea and chlamydial culture or nonculture test
and vaginal wet mount are recommended. Syphilis serology should be
considered in high-risk populations or where syphilis is prevalent.
Screening for the human immunodeficiency virus (HIV) should be
offered to all sexually active adolescents and should be encouraged for
adolescents with any history of STD. Begin annual Pap smears 3 years
after coitarche or at age 21.
⩥ What testing should sexually active adolescent males have? Answer:
A leukocyte esterase test on the first 15 mL of a random urine sample is
recommended to screen for chlamydial infection. However, there is
concern about the sensitivity and specificity of this test. In high-risk
TEST 2026 FULL QUESTIONS AND
ACCURATE ANSWERS GRADED A+
⩥ Adolescent family HX. Answer: (1) age and health status of family
members;
(2) significant medical illnesses in the family, such as diabetes, cancer,
heart disease, tuberculosis, hypertension, and stroke;
(3) history of mental illness in the family, such as mood disorders,
anxiety disorders, schizophrenia, and alcoholism; and
(4) vocational status of parents.
⩥ Adolescent physchosocial HX. Answer: 1. Home: Family
configuration and family members, living arrangements, relationships
among the adolescent and family members
2. Education/Employment: Academic or vocational success, future
plans, and safety at school or in the workplace
3. Eating: Brief nutrition history, risk factor for obesity, concerns about
weight or body image, disordered eating behaviors
4. Activities: Friendships with peers of the same and opposite sex,
recreational activities, dating activity and relationships, sexual activity
5. Drugs: Personal use of tobacco, alcohol, illicit drugs, anabolic
steroids; peer substance use; family substance use; driving while
intoxicated
,6. Sexuality: Sexual orientation, sexual activity, sexual abuse
7. Suicide (Mental Health): Feelings of sadness, loneliness, depression;
pervasive boredom; inappropriately high levels of anxiety; suicidal
thoughts 8. Safety: Risk of unintentional injury, risk from violence,
fighting or weapon carrying, abuse
⩥ Adolescent ROS. Answer: 1. Vision: Trouble reading or watching
television, vision correction
2. Hearing: Infections, trouble hearing, earaches 3. Dental: Prior care,
pain, concerns (e.g., braces)
4. Head: Headaches, dizziness
5. Nose and throat: Frequent colds or sore throats, respiratory allergies
6. Skin: Acne, moles, rashes, warts
7. Cardiovascular: Exercise intolerance, shortness of breath, chest pain,
palpitations, syncope, physical activity
8. Respiratory: Asthma, cough, smoking, exposure to tuberculosis
9. Gastrointestinal: Abdominal pain, reflux, diarrhea, vomiting, bleeding
10. Genitourinary: Dysuria, bed-wetting, frequency, bleeding
11. Musculoskeletal: Limb pain, joint pain, or swelling
12. Central nervous system (CNS): Seizures, syncope
13. Menstrual: Menarche, frequency of menses, duration, menorrhagia
or metrorrhagia, pain 14. Sexual: Sexual activity, contraception,
pregnancy, abortions, sexually transmitted diseases (STDs) or STD
symptoms
,⩥ (P. 34) At what point can HTN be diagnosed in adolescents? Answer:
If blood pressure is elevated, it should be rechecked on at least three
separate visits before a diagnosis of hypertension is considered
⩥ Vision Screening. Answer: Adolescents should have a vision
screening on their initial evaluation and every 2 to 3 years thereafter.
⩥ Hearing Screening Answer: Adolescents should have a vision
screening on their initial evaluation and every 2 to 3 years thereafter.
⩥ Teeth and Gums Answer: Check for evidence of dental caries or gum
infection. Look for signs of smokeless tobacco use. Enamel erosions are
sometimes the first clue to the vomiting associated with some eating
disorders. Regular checkups with a dentist should be encouraged.
⩥ Musculoskeletal Answer: The musculoskeletal examination is
especially important in adolescent athletes, in whom instabilities or other
evidence of previous injury is the best predictor of future injury. Check
for signs of overuse syndromes or osteochondroses. Check for scoliosis,
particularly in premenarchal females.
⩥ Genitalia Male Answer: Examine the penis and testicles. Assess SMR.
Look for signs of STDs. Retract the foreskin in uncircumcised patients.
Check for hernia.
, ⩥ Pelvic Examination (Female). Answer: "Annual" pelvic examination
and PAP screening are now recommended beginning 3 years after
coitarche or age 21, whichever comes earlier. Annual screening for
STDs is clearly recommended for sexually active female patients
⩥ Laboratory tests should be kept to a minimum in the asymptomatic
adolescent. Suggested screening tests include the following. Answer:
H&H, Urinalysis
⩥ What screening is recommended at the first visit with an African-
American adolescent if it has not been documented already. Answer:
Sickle Cell Screening.
⩥ What testing should sexually Active Adolescent females have?
Answer: Cervical gonorrhea and chlamydial culture or nonculture test
and vaginal wet mount are recommended. Syphilis serology should be
considered in high-risk populations or where syphilis is prevalent.
Screening for the human immunodeficiency virus (HIV) should be
offered to all sexually active adolescents and should be encouraged for
adolescents with any history of STD. Begin annual Pap smears 3 years
after coitarche or at age 21.
⩥ What testing should sexually active adolescent males have? Answer:
A leukocyte esterase test on the first 15 mL of a random urine sample is
recommended to screen for chlamydial infection. However, there is
concern about the sensitivity and specificity of this test. In high-risk
