MULTIPLE CHOICE

1. Which statement is true about smoking in adolescence?

a. Smoking is related to other high-risk behaviors.

b. Smoking will not continue unless peer pressure continues.

c. Smoking is less common when the adolescent’s parent(s) smokes.

d. Smoking among adolescents is becoming more prevalent.

2. Smokeless tobacco is:

a. not addicting.

b. proven to be carcinogenic.

c. easy to stop using.

d. a safe alternative to cigarette smoking.

3. A child has been diagnosed with enuresis. TCA imipramine (Tofranil) has been prescribed for the child. The nurse understands that this medication is in which category?

a. Antidepressant

b. Antidiuretic

c. Antispasmodic

d. Analgesic

4. A 12-year-old male has short stature because of a constitutional growth delay. The nurse should be the most concerned about which of the following?

a. Proper administration of thyroid hormone

b. Proper administration of human growth hormones

c. Child’s self-esteem and sense of competence

d. Helping child understand that his height is most likely caused by chronic illness and is not his fault

5. Which syndrome involves a common sex chromosome defect?

a. Down

b. Turner

c. Marfan

d. Hemophilia

6. Turner syndrome is suspected in an adolescent girl with short stature. This is caused by:

a. absence of one of the X chromosomes.

b. presence of an incomplete Y chromosome.

c. precocious puberty in an otherwise healthy child.

d. excess production of both androgens and estrogens.

7. An adolescent asks the nurse what causes primary dysmenorrhea. The nurse’s response should be based on which statement?

a. It is an inherited problem.

b. Excessive estrogen production causes uterine pain.

c. There is no physiologic cause; it is a psychological reaction.

d. There is a relation between prostaglandins and uterine contractility.

8. An adolescent girl asks the school nurse for advice because she has dysmenorrhea. She says that a friend recommended she try an over-the-counter nonsteroidal anti-inflammatory drug (NSAID). The nurse’s response should be based on which statement?

a. Aspirin is the drug of choice for the treatment of dysmenorrhea.

b. Over-the-counter NSAIDs are rarely strong enough to provide adequate pain relief.

c. NSAIDs are effective because of their analgesic effect.

d. NSAIDs are effective because they inhibit prostaglandins, leading to reduction in uterine activity.

9. The school nurse is discussing testicular self-examination with adolescent boys. Why is this important?

a. Epididymitis is common during adolescence.

b. Asymptomatic sexually transmitted diseases may be present.

c. Testicular tumors during adolescence are generally malignant.

d. Testicular tumors, although usually benign, are common during adolescence.

10. Which is the usual presenting symptom for testicular cancer?

a. Hard, painful mass

b. Hard, painless mass

c. Epididymis easily palpated

d. Scrotal swelling and pain