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A nurse is providing teaching about expected changes during puberty to
a group of guardians of early adolescent girls. Which of the following
statements by one of the guardians indicates an understanding of the
teaching?
A. Girls usually stop growing about 2 years after menarche
B. Girls are expected to gain about 65 pounds during puberty
C. Girls experience menstruation prior to breast development
D. Girls typically grow more than 10 inches during puberty - ✔✔✔
Correct Answer > A. Girls usually stop growing about 2 years after
menarche
A nurse in the ED is caring for a child whose parent reports the child has
swallowed paint thinner. The child is lethargic, gagging, and cyanotic.
Which of the following actions should the nurse take?
A. Induce vomiting with syrup of ipecac
B. Insert a NG tube and administer activated charcoal
C. Prepare for intubation with a cuffed endotracheal tube
,D. Administer chelation therapy using deferoxamine mesylate - ✔✔✔
Correct Answer > C. Prepare for intubation with a cuffed ET tube
A nurse is providing anticipatory guidance to the caregiver of a 13 year
old adolescent. Which of the following screenings should the nurse
recommend for the adolescent? (Select all that apply)
A. BMI
B. Blood lead level
C. 24 hour dietary recall
D. Weight
E. Scoliosis - ✔✔✔ Correct Answer > A. BMI
D. Weight
E. Scoliosis
A nurse is teaching a class about puberty in boys. Which of the
following should the nurse include as the first manifestation of sexual
maturation?
A. Pubic hair growth
B. Vocal changes
D. Testicular enlargement
E. Facial hair growth - ✔✔✔ Correct Answer > C. Testicular
enlargement
, A nurse is caring for an adolescent whose guardian expresses concerns
about the child sleeping such long hours. Which of the following
conditions should the nurse inform the guardian as a requiring
additional sleep during adolescence?
A. Sleep terrors
B. Rapid growth
C. Elevated zinc levels
D. Slowed metabolism - ✔✔✔ Correct Answer > B. Rapid growth
A nurse is planning to administer the influenza vaccine to a toddler.
Which of the following actions should the nurse take?
A. Administer SubQ in the abdomen
B. Use a 20 gauge needle
C. Divide the medication into two injections
D. Place the child in the supine position - ✔✔✔ Correct Answer > D.
Place the child in the supine position
A nurse is preparing to administer an IM injection to a child. Which of
the following muscle groups is contraindicated?
A. Deltoid
B. Ventrogluteal
C. Vastus lateralis
D. Dorsogluteal - ✔✔✔ Correct Answer > D. Dorsogluteal