The nurse has seen a 15-year-old girl and a 16-year-old boy during health surveillance visits. Which physical characteristics would be seen in both teenagers?

Eruption of the last four molars

Increased shoulder, chest, and hip widths

Decreased respiratory rates of 15 to 20 breaths per minute

Fully functioning sweat and sebaceous glands

Answer and Explanation

The Correct Answer is B

A. Eruption of the last four molars: This characteristic typically occurs during adolescence but may vary individually. However, it is not universal among all teenagers and does not apply to both genders equally.

B. Increased shoulder, chest, and hip widths: During adolescence, both boys and girls experience growth spurts, leading to increased shoulder, chest, and hip widths as part of their overall physical development.

C. Decreased respiratory rates of 15 to 20 breaths per minutE. Respiratory rates in teenagers generally remain within the normal adult range, typically between 12 and 20 breaths per minute. There is no consistent decrease in respiratory rates during adolescence.

D. Fully functioning sweat and sebaceous glands: Sweat and sebaceous glands are typically fully developed and functional by adolescence. This characteristic is not specific to teenagers but applies to individuals of all ages once these glands have matured.

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Correct Answer is B

Explanation

A. Significant increase in brain sizE. While brain development continues during adolescence, the most significant increase in brain size occurs during early childhood rather than adolescence.

B. Ossification completed later in girls: Ossification, the process of bone formation, typically continues into late adolescence or early adulthood, and completion may occur later in girls compared to boys. This process contributes to changes in height and bone density during adolescence.

C. Decrease in heart ratE. During adolescence, there may be some changes in heart rate due to

the influence of hormones and physical growth, but a decrease in heart rate is not a consistent or universal characteristic of this developmental stage.

D. Decrease in activity of sebaceous glands: Adolescence is typically associated with an increase rather than a decrease in the activity of sebaceous glands, leading to increased oil production and the potential for acne development. Hormonal changes during puberty stimulate the sebaceous

glands, contributing to changes in skin texture and appearance.

A. Tympanic B. Oral C. Axillary D. Rectal

Correct Answer is D

Explanation

A. TympaniC. Tympanic temperature measurement using an ear thermometer is a convenient and accurate method for assessing temperature in children, including toddlers.

B. Oral: Oral temperature measurement using a digital thermometer placed under the tongue is a commonly used method for children who can cooperate with the procedure and keep the

thermometer in their mouth.

C. Axillary: Axillary temperature measurement using a thermometer placed in the armpit is a non-invasive method suitable for children who cannot cooperate with oral or tympanic

measurements or when rectal measurement is contraindicated.

D. Rectal: Rectal temperature measurement is generally considered the most accurate method for assessing temperature in infants and young children, especially when accuracy is critical.

However, it may be less appropriate in the emergency department setting due to its invasive nature and potential discomfort for the child, especially in cases of diarrhea or vomiting where rectal temperature measurement may be difficult or impractical.

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The nurse has seen a 15-year-old girl and a 16-year-old boy during health surveillance visits. Which physical characteristics would be seen in both teenagers?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When describing the various changes that occur in organ systems during adolescence, what would the nurse include?

Correct Answer is B

Explanation

A mother brings her 3-year-old daughter to the emergency department because the child has been vomiting and having diarrhea for the past 36 hours. When assessing this child'stemperature, which method would be least appropriate?

Correct Answer is D

Explanation

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