Adolescent (teenager) growth and developmental milestones NCLEX questions quiz for nursing students!
In pediatric nursing, you must be familiar with the developmental milestones. These milestones are routinely assessed by the nurse to ensure the adolescent is developing properly. This developmental milestones quiz will assess your knowledge on body changes, milestone achievement, nursing interventions for the hospitalized adolescent, eating plan etc.
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Adolescent (Teenager) Growth Development NCLEX Questions Quiz
Adolescent Growth and Development NCLEX Questions Quiz
1. Tanner Stages can be used to help determine an adolescent’s stage of puberty. You have a 13-year-old female patient. What information does the nurse need to collect in order to use this scale for puberty determination? Select all that apply:
A. pubic hair growth
B. hip girth
C. age of menarche
D. breast development
E. BMI
The answers are A and D. Tanner Stages is a 5-point scale that can be used to help determine how far along a person is in the puberty period. This scale goes from 1 to 5 (with 5 being mature). It grades girls based on breast development and pubic hair growth, and it grades boys based on genital (penis and scrotum) development and pubic hair growth.
2. What change during puberty typically happens first for girls?
A. pubic hair growth
B. increase in fat on abdomen and thighs
C. widen hip girth
D. breast development
The answer is D: breast development
3. Which statement below is false about the puberty changes for the adolescent?
A. Males can keep growing in height until about 20 years of age.
B. Due to the activation of the apocrine glands, acne can develop in the teenager.
C. Females stop increasing in height about 2 years after the onset of menstruation.
D. Females tend to start puberty 2 years earlier than males.
The answer is B. The statement should say: Due to the activation of the sebaceous glands (NOT apocrine glands…these are sweat glands) acne can develop in the teenager.
4. A 15-year-old patient is struggling with body image. The patient verbalizes they are not happy with how they look and feel “ugly”. The nurse knows that what factors below can affect an adolescent’s body image? Select all that apply:
A. Peers
B. Puberty changes
C. Media
D. Competitive sports
The answers are A, B, and C. Due to all the changes that occur during puberty and major peer influence in the teen’s life, body image can be affected which can affect the teen’s self-esteem and self-concept. This can lead to depression, eating disorders, and more. The teenager will compare their body changes to their peers. In addition social media and regular media (magazines, tv etc.) does not help with this because it gives a false perception of what is real vs. filtered/fake. This isn’t just a girl thing but boys also struggle too.
5. True or False: The leading cause of accident death among teenagers is due to motor vehicle accidents.
The answer is true.
6. The mental health nurse is assessing an adolescent patient for signs of risk of suicide. Which statement by the patient requires immediate intervention?
A. “I’m so tired lately.”
B. “I’ve got out a plan on how to get out of this life.”
C. “People are such a drain on my life.”
D. “All I do is make a mess for everyone.”
The answer is B. This statement is the most alarming because the patient is communicating they have a plan on how to end their life. This requires immediate intervention and should be taken seriously. Other signs of risk of suicide: leaving messages on social media or hints that they want to die, expressing they hate life, telling people goodbye, outburst of anger or depression, giving away things they own, have a plan (written it or shared it), recent traumatic event (death, bullied, rejection)
7. A 14-year-old male has a BMI (Body Mass Index) of 70th percentile based on their age, height, and gender. How would the nurse interpret this BMI for this patient?
A. Underweight
B. Normal
C. Overweight
D. Obese
The answer is B: Normal. Underweight: BMI less that 5th percentile for age, height, and gender, Normal: BMI is 5th percentile or greater but not higher than 85th percentile, Overweight: BMI is 85th percentile or greater but less than 95th percentile, Obese: BMI is 95th percentile or greater
8. The nurse is providing education to the adolescent on sleep practices. Which statement by the adolescent demonstrates they need re-education on this topic?
A. “I need around 8-10 hours of sleep per night.”
B. “Surfing my phone at night helps me fall asleep.”
C. “I always go to bed at 8 pm and wake up at 6 am.”
D. “I don’t drink caffeinated products anymore.”
The answer is B. Light exposure (especially blue light from phones and other electronic items) can affect the sleep and be avoided 1-2 around before bedtime. The teen should get 8-10 hours of sleep per night.
9. According to Erikson’s Stages of Psychosocial Development, the adolescent is in the ________ vs. __________ stage with a goal to develop ____________.
A. Identity vs. Role Confusion; fidelity
B. Industry vs. Inferiority; competence
C. Intimacy vs. Isolation; fidelity
D. Initiative vs. Guilt; purpose
The answer is A: Identity vs. Role Confusion; fidelity
10. A 15-year-old patient is hospitalized for treatment of cancer. The patient has started to refuse medications and other treatments. In addition, the patient is yelling and screaming at staff. This patient may be experiencing what type of fear associated with this age group?
A. Separation Anxiety
B. Loss of Control
C. Invasion of Privacy
D. Fear of death
The answer is B: loss of control. When the adolescent experience a loss of control they may start to act out and refused procedures/medications…by doing this it gives them a sense of control. Therefore, the medical team should allow the teen to have control with certain situations so this doesn’t occur.
11. What interventions below should the nurse implement to help the adolescent cope with prolonged hospitalization? Select all that apply:
A. Allow the patient to wear their own clothes.
B. Reassure the patient that procedures are not meant as punishment.
C. Restrict visitors to family members.
D. Encourage the patient to participate in recreational room activities.
The answers are A an D. Option A allows the patient to have control and option D allows the teen to socialize which is very important to them.
12. The adolescent patient can now think abstractly and see other possible outcomes. In addition, they can start planning for the future and analyze how decisions affect them and others. According to Piaget’s Theory on Cognitive Development, the adolescent is in what stage?
A. Sensorimotor
B. Preoperational
C. Concrete Operational
D. Formal Operational
The answer is D: formal operational
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