HESI-CASE STUDY:
ADOLESCENTS exam questions
and answers
Ashley (11 years) and Mark (12 years) are both considered adolescents.
Adolescence includes three developmental phases: early, middle, and late
adolescence. Ashley and Mark are in which phase of adolescence? -
answer - Early adolescence
Ashley and Mark are prepubescent, meaning that they are: - answer -
beginning to develop physical secondary sex characteristics
Which of the following will be used to assess physical sexual maturity? -
answer -Tanner stages
For girls, Tanner's sexual maturity ratings evaluate: - answer - pubic hair
growth and distribution
- breast changes and growth
For boys, Tanner's sexual maturity ratings evaluate: - answer -pubic hair
growth and distribution
-penis growth and development
-testes growth and development
-scrotum growth and development
Referring to Tanner's stages, Ashley's sexual maturity (breasts) is rated
as: - answer -Tanner Stage 2
Ashley's exam also includes assessment of pubic hair distribution. A small
amount of fine straight hair is noted along her labia. Referring to Tanner's
stages, Ashley's sexual maturity (pubic hair) is rated as: - answer -Tanner
Stage 2.
, Ashley wants to know when she will get her "period." You correctly tell her
that there is no way of knowing for sure, but commonly menstruation
begins - answer -1-2 years after breast tissue starts to develop
You review Ashley's immunization history with her mother. Ashley has not
received the hepatitis B vaccine series. Which of the following approaches
is likely to be taken by the Nurse Practitioner today? - answer - The
hepatitis B vaccine series will be started today
The adolescent's right to confidentiality is designed to: - answer -
encourage the adolescent to seek healthcare and advice without fear
- support the adolescent's growing sense of autonomy
As Ashley and Mark experience their adolescent years, risk-taking and risk
for injury may increase. This is because adolescents - answer -may test
their independence from parents by participating in behaviors
disapproved of by parents
-often feel indestructible and invincible
-have a strong need for peer approval
-have a strong needs to discharge energy
Because Ashley is not currently participating in any high-risk behaviors,
you should: - answer -initiate a discussion of high-risk behaviors and
their consequences, in hope of preventing them
Taking a preventive approach, you discuss with Ashley some of the risks
associated with smoking, alcohol, and drug use. Which of the following are
accurately included in your discussion? - answer -Many young people who
try cigarettes become regular users
-The younger a person is when she starts smoking, the harder it is to quit
smoking in the future
-The younger a person is when she starts smoking, the greater the chance
of developing serious health problems
-Once drugs or alcohol are used, it becomes very hard to quit
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