NURS360 HESI Adolescents level 2 Exam

A 15-year-old adolescent is diagnosed with endometriosis. The client has severe, acute, and incapacitating symptoms. What would be the anticipated line of treatment? - surgical intervention A 15-year-old is grounded for 2 weeks by her parents for smoking in school. The adolescent tells the school nurse, "It's not fair that I get punished when my friends get away with doing the same thing." What is the best response by the nurse? - Answer: 3. "When errors in judgment are made, people must be prepared to take the consequences for their actions." A 16-year-old girl has been admitted to the pediatric eating disorders unit with a diagnosis of anorexia and is undergoing behavioral therapy. Unit privileges are based on weight gain and have been explained to the client. What is the most appropriate intervention for the nurse to use when taking the lunch tray to the client's room? - Answer: 1. Setting the tray down and saying nothing A 16-year-old male asks the nurse about the use of condoms. He states, "I've used condoms in the past, but I'm not sure I'm using them correctly." What should be included as part of the teaching plan about condoms? - Answer: 2. The condom must be positioned after an erection has occurred. A 17-year-old adolescent with a history of asthma is brought to the emergency department in respiratory distress. A nurse immediately places the client in a bed with the head of the bed elevated and administers oxygen with a facemask. The primary healthcare provider performs a physical assessment and admits the adolescent to the pediatric unit. What is the priority nursing intervention in regard to the primary healthcare provider's prescriptions? - Answer: 1. Administering the nebulizer treatment to facilitate breathing An 18-year-old adolescent reports irregularity in menses. Physical examination reveals decreased blood pressure. Her mother complains that her child often fears gaining weight and has a distorted self-image. What could be the reason for irregular menses? - Answer: 2. anorexia A 19-year old client is diagnosed with a heavy and palpable hard mass on the anterior aspect of the testis. Which treatment would be appropriate? - Answer: 4. Radical inguinal orchiectomy A 19-year-old primigravida in the first trimester of pregnancy is diagnosed with gonorrhea. What dosage of ceftriaxone is recommended to prevent the transmission of gonorrhea? - Answer: 250 mg started immediately A client's body mass index (BMI) is 31. This client has a history of hyperinsulinemia caused by an intracranial tumor. Which treatment strategies would be beneficial? Select all that apply. - Answers: 3. Octreotide, 4. Metformin A client currently taking medication for bacterial vaginosis complaints of an unpleasant metallic taste, nausea, and vomiting. Which medication would be responsible for this condition? - Metronidazole A client visits a primary healthcare provider because of painful urination. The primary healthcare provider confirms that the client has candidiasis. Which medications would be prescribed? Select all that apply. - Answers: 2. Miconazole, 3. Clotrimazole A client with recurrent episodes of nausea, vomiting, and abdominal pain arrives at the hospital. Assessments by the primary healthcare provider reveal that the cremasteric reflex is absent, and emergency surgery is performed. What is the likely diagnosis? - Answer: 4. Testicular torsion A female adolescent with comedonal acne has been prescribed tretinoin gel. What treatment-specific instructions should be given to the adolescent? Select all that apply. - Answers: 1. Apply the medication at night., 2. Use a scarf to avoid sun exposure on the face., 5. Apply a pea-sized dot of medication on the three main areas of the face and gently rub. A girl comes to the physician's office for her 14-year-old check-up. What is the most important anticipatory guidance that can be offered to the client? - Answer: 3. Ways to prevent accidents A male adolescent going through puberty worries about breast enlargement. Which nursing interventions would benefit the adolescent? Select all that apply. - Answers: 2. Suggest that the client gets a medical evaluation, 3. Advise the adolescent to talk to his peers, 5. Assure the adolescent that the situation is temporary and benign A nurse educates a group of parents about the psychosocial changes of adolescents. Which statement made by parents indicates inadequate learning? - Answer: 3. "Adolescents love their parents in every situation." A nurse educates parents about how to communicate with their 14-year-old. Which statement should the nurse make? - Answer: 4. "You should look for the meaning behind your child's words or actions." A nurse educates a group of teenagers about the physical changes they will experience. What statement made by the teenager shows inadequate learning? - Answer: 4. "My bones will grow at a decreased rate." A nurse explains the physical sensation that a 13-year-old client will feel when a needle punctures the skin to draw blood. What instructional method would the nurse use? - Answer: 4. Preparatory instruction A nurse in the clinic is taking the health history of a 16-year-old. When the nurse asks questions concerning sexual activity, the adolescent begins to perspire and hyperventilate. As her anxiety increases, she indicates that she feels dizzy and short of breath and that her heart is racing. What condition does the nurse identify? - Answer: 4. Hyperventilation syndrome A nurse involved in a health promotional program educates a group of adolescents at school. Which of these measures is the nurse unlikely to adopt? Select all that apply. - Answers: 2. The nurse should treat the adolescents as small children, 3. The nurse should carry out an open discussion in a group A nurse is assessing the impact of pregnancy on the social aspect of an adolescent girl's life. Which statement by the adolescent indicates that the pregnancy is affecting the social aspect of her life directly? - Answer: 1. "I am having a lot of trouble in school." A nurse is caring for a client who is diagnosed with syphilis and has to administer a daily dose of the prescribed medication. Which medication is the nurse administering to the client? - Answer: 2. Penicillin G A nurse is educating a group of teenage girls about dietary sources of iron. Which statement by one of the teenagers indicates to the nurse the need for more instruction? - Answer: 2. "We need 8 mg of iron each day." A nurse is conducting a health class for adolescents. What modifiable risk factor, most closely associated with the development of coronary heart disease (CHD) in both men and women, should the nurse discuss? - Answer: 2. Cigarette smoking A nurse is counselling the parents of a 13-year-old child. Which of these behaviors will the nurse include in the discussion? Select all that apply. - Answers: 2. Egocentrism, 3. Logical reasoning, 5. Imaginary audience A nurse is planning to discuss the importance of following the prescribed course of treatment with a group of adolescent clients. What is the nurse's priority consideration regarding these clients? - Answer: They are involved more with the present than with the future. A nurse is teaching a group of students about the characteristics of adolescence. Which statements made by the students indicate adequate learning? Select all that apply. - Answers: 1. Body fat distribution affects the adolescent's self-concept, 2. Accidents are the leading cause of death among adolescents, 3. A negative body image leads to suicidal thoughts in the adolescent. A nurse teaches a group o