The school nurse is teaching a group of female students about the female reproductive system. A student asks how she will know she is starting puberty. Which information should the nurse discuss?

A dark line of pigmentation occurs along the midline of the abdomen.

Weight gain becomes obvious as the hip circumference increases.

The areolar color of the nipples changes from pink to dark brown.

The development of breast buds will form under the nipples.

Answer and Explanation

The Correct Answer is D

A. A dark line of pigmentation occurs along the midline of the abdomen: This refers to linea nigra, which is more commonly associated with hormonal changes during pregnancy rather than puberty. It is not a typical sign of puberty in adolescent females.

B. Weight gain becomes obvious as the hip circumference increases: While changes in body shape and fat distribution occur during puberty especially with increased fat around the hips and thighs, it is usually a gradual process and not the first noticeable sign.

C. The areolar color of the nipples changes from pink to dark brown: Areolar pigmentation may darken with puberty in some individuals, but it varies by skin tone and is not a reliable or universal first sign of puberty.

D. The development of breast buds will form under the nipples: The appearance of breast buds or thelarche, small, firm lumps form under the nipples, which can sometimes be tender, is typically the first visible sign of puberty in girls, usually occurring around ages 8–13. It signals the beginning of hormonal changes and physical development.

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Correct Answer is D

Explanation

A. Have you tried any generic brands of cough syrup? This question is too narrow and focuses on a specific form of medication (cough syrup) rather than all potential treatments. It limits the information and does not capture the full range of medications that may be used for a chronic cough.

B. Have you been prescribed any medications for your cough? While this question is useful, it only addresses prescribed medications and may overlook over-the-counter or alternative treatments that the client might be using, which are also important to know for comprehensive care.

C. What medications have you taken for your cough? This is a good question but may not capture all medications the client is currently taking. It focuses more on past treatments, which may not fully reflect the client's current regimen.

D. What medications are you currently taking? This open-ended question provides the most comprehensive answer. It allows the client to discuss all medications, including those prescribed, over-the-counter, and even any supplements, which might be relevant in the management of a chronic cough. It gives the nurse a fuller picture of the client's medication use.

A. Observe the client's eye movements through the cardinal fields of vision. B. Observe the client's pupillary response to a penlight. C. Observe the client's optic disc through an ophthalmoscope. D. Assess the client's ability to read a Snellen chart from a distance of 20 feet.

Correct Answer is D

Explanation

A. Observe the client's eye movements through the cardinal fields of vision: This test evaluates extraocular muscle function and cranial nerves III, IV, and VI. It helps detect muscle weakness or nerve damage but does not measure visual acuity or diagnose legal blindness.

B. Observe the client's pupillary response to a penlight: This assesses the integrity of the optic and oculomotor nerves and reflexes, such as pupil constriction. While useful in neurological assessments, it does not determine the level of visual acuity needed to confirm legal blindness.

C. Observe the client's optic disc through an ophthalmoscope: Direct visualization of the optic disc can reveal issues like glaucoma or optic atrophy. However, it does not quantify vision loss or determine functional blindness as defined by acuity measurements.

D. Assess the client's ability to read a Snellen chart from a distance of 20 feet: This is the standard method for evaluating visual acuity. Legal blindness is defined in the U.S. as visual acuity of 20/200 or worse in the better eye with corrective lenses, making this test the most appropriate for supporting the client’s statement.

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The school nurse is teaching a group of female students about the female reproductive system. A student asks how she will know she is starting puberty. Which information should the nurse discuss?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which question by the nurse is likely to elicit the most information regarding a client's use of medications to treat a chronic cough?

Correct Answer is D

Explanation

A client states, "I am legally blind." Which assessment technique should the nurse use to obtain data to support the client's statement?

Correct Answer is D

Explanation

An adult male client tells the nurse that he smokes approximately one pack of cigarettes daily. How can the nurse expect smoking to affect this client's sleep?

While assessing a client who is obese, the nurse is unable to locate the gallbladder when palpating below the liver margin at the lateral border of the rectus abdominal muscle. Which is the most likely explanation for failure to locate the gallbladder by palpation?

When conducting a physical examination, the nurse uses a tuning fork to assess for which condition?

The nurse observes generalized weakness and diminished deep tendon reflexes on the right side of an older adult client who has a history of a cerebrovascular accident. Which deep tendon reflex response should the nurse document to support the client's clinical assessment?

A nurse performs a Tinetti assessment on an older adult client and calculates a balance score of 12 and a gait score of 8. Which do these results indicate?

The nurse notes an enlarged, visible lymph node on the client's neck. Which action should the nurse take next?