The first and most obvious sign of precocious puberty in a 7-year-old female is:

pubarche.

leukorrhea.

rapid onset acne.

breast enlargement.

Answer and Explanation

The Correct Answer is D

Rationale:
A. Pubarche (development of pubic hair) may occur, but it is not usually the first sign in girls.
B. Leukorrhea (vaginal discharge) can appear later but is not the initial sign of puberty.
C. Rapid onset acne may accompany puberty but is not the earliest or most obvious sign.
D. Breast enlargement (thelarche) is typically the first and most noticeable sign of precocious puberty in girls.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

Rationale:
A. In a healthy 10-year-old, a heart rate of 60 beats per minute at rest is concerning because the normal resting heart rate for this age group ranges from approximately 70–120 bpm. A heart rate below 70 bpm (bradycardia) may indicate an underlying cardiac conduction issue or other pathology, particularly if symptomatic.
B. 73 bpm is within the normal range for a 10-year-old at rest.
C. 100 bpm is normal and can be expected depending on activity, anxiety, or mild stress.
D. 120 bpm is at the upper limit of normal for a 10-year-old and may be appropriate depending on recent activity or emotional state.

A. radioactive iodine. B. propylthiouracil (PTU). C. methimazole (Tapazole). D. levothyroxine (Synthroid).

Correct Answer is C

Explanation

Rationale:
A. Radioactive iodine is generally reserved for older children or adolescents when medical therapy fails, due to potential long-term effects on growth and fertility.
B. Propylthiouracil (PTU) is avoided in children as first-line therapy because of the risk of severe liver toxicity.
C. Methimazole (Tapazole) is the preferred initial treatment for pediatric hyperthyroidism, as it effectively controls thyroid hormone production with a safer side effect profile.
D. Levothyroxine (Synthroid) is used to treat hypothyroidism, not hyperthyroidism.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The first and most obvious sign of precocious puberty in a 7-year-old female is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following heart rates would be of concern in an otherwise healthy 10-year-old patient?

Correct Answer is A

Explanation

When considering medications for an 8-year-old diagnosed with hyperthyroidism, the initial recommended treatment in this patient is:

Correct Answer is C

Explanation

When assessing a 5-year-old male child suspected of having acute myeloid leukemia (AML), the nurse practitioner should expect:

A 16-year-old patient diagnosed and treated for chlamydia infection should return for retesting:

An adolescent was diagnosed with primary syphilis. He has no known drug allergies. The most appropriate treatment would be:

A sexually active 18-year-old female presents to the nurse practitioner for abnormal uterine bleeding. A finding that does not usually suggest cervical cancer is:

A thrill palpated in the right clavicular region or in the upper right sternal border area is suggestive of.

Initial pharmacologic treatment for pain in an adolescent recently diagnosed with epicondylitis is:

The nurse practitioner suspects congenital hypothyroidism because a 3-week-old infant presents with:

A 10-year-old patient presents with a 2.5-cm laceration on the right upper arm. Prior to suturing the laceration, the nurse practitioner should cleanse the wound with: