Nokea
During the physical examination of an adolescent with significant weight loss, what finding may indicate an eating disorder?
- A. Diarrhea
- B. Amenorrhea
- C. Appetite suppression
- D. Erosion of tooth enamel
Correct Answer: D
Rationale: Erosion of tooth enamel is a sign of bulimia nervosa due to repeated vomiting. Amenorrhea may occur in anorexia nervosa but is less specific, diarrhea relates to other conditions, and appetite suppression is not a physical exam finding.
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The management of a child who has just been stung by a bee or wasp should include applying what?
- A. Cool compresses
- B. Antibiotic cream
- C. Warm compresses
- D. Corticosteroid cream
Correct Answer: A
Rationale: Cool compresses reduce swelling and pain from bee or wasp stings. Antibiotic cream is unnecessary unless infection occurs, warm compresses are not recommended, and corticosteroid cream is not part of initial treatment unless a severe reaction occurs.
Parents phone the nurse and say that their child just knocked out a permanent tooth. What should the nurses instructions to the parents include?
- A. Place the tooth in a dry container for transport.
- B. Hold the tooth by the crown and not by the root area.
- C. Transport the child and tooth to a dentist within 18 hours.
- D. Take the child to hospital emergency department if his or her mouth is bleeding.
Correct Answer: B
Rationale: Holding the tooth by the crown prevents damage to the root, which is critical for reimplantation. The tooth should be kept moist in milk or saline, seen by a dentist immediately, and bleeding is expected but not the primary reason for emergency care.
Descriptions of young people with anorexia nervosa (AN) often include which criteria?
- A. Impulsive
- B. Extroverted
- C. Perfectionist
- D. Low achieving
Correct Answer: C
Rationale: Individuals with AN are often perfectionists, striving for control and high academic achievement. Impulsivity and extroversion are more characteristic of bulimia nervosa, not AN.
An adolescent girl is brought to the hospital emergency department by her parents after being raped. The girl is calm and controlled throughout the interview and examination. The nurse should recognize this behavior is what?
- A. A sign that a rape has not actually occurred
- B. One of a variety of behaviors normally seen in rape victims
- C. Indicative of a higher than usual level of maturity in the adolescent
- D. Suggestive that the adolescent had severe emotional problems before the rape occurred
Correct Answer: B
Rationale: Rape victims exhibit varied responses, including calm behavior, which may mask inner turmoil. This is a normal coping mechanism, not indicative of the event?s validity, maturity, or pre-existing emotional issues.
The nurse has determined that an adolescents body mass index (BMI) is in the 90th percentile. What information should the nurse convey to the adolescent?
- A. The adolescent is overweight.
- B. The adolescent has maintained weight within the normal range.
- C. The adolescent is at risk for becoming overweight.
- D. Nutritional supplementation should occur at least three times per week
Correct Answer: C
Rationale: A BMI in the 85th-94th percentile indicates a risk for becoming overweight, requiring monitoring and lifestyle changes. A BMI ?95th percentile denotes overweight, and supplementation is not indicated.