The nurse is meeting with a group of high school boys to discuss various health topics. After the session on testicular self-exam, the nurse determines the session is successful when one of the students responds with which comment?

“Men my grandfather’s age will probably die if they don’t do these exams.”

“I am almost 15 now, so that means I could possibly get this disease.”

“My uncle had testicular cancer after he got married and had my cousin.”

“It sounds like we will need to know how to do this when we are in our 20s, so we might as well learn now.”

Answer and Explanation

The Correct Answer is B

Choice A reason: Stating that older men will die without exams exaggerates the risk, as testicular cancer is rare in the elderly and treatable. Awareness at age 15 is more relevant, making this inaccurate and incorrect for indicating a successful understanding of self-exam importance in the session.

Choice B reason: Recognizing that testicular cancer can affect teens (peak incidence in young males) shows understanding of personal risk at age 15. This aligns with health education goals for testicular self-exams, making it the correct comment indicating a successful session outcome for the high school boys.

Choice C reason: Mentioning a family history is relevant but does not show understanding of the need for self-exams at a young age. Awareness of personal risk at 15 is more direct, making this less indicative and incorrect for session success in teaching testicular self-examination.

Choice D reason: Delaying self-exams to the 20s underestimates the risk in teens, where testicular cancer incidence peaks. Recognizing risk at 15 reflects better comprehension, making this incorrect, as it misaligns with the urgency of early self-exam education for the high school students.

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Correct Answer is C

Explanation

Choice A reason: Living with grandparents while the mother works two jobs provides potential supervision, reducing developmental risks compared to homelessness. Sleeping in a car disrupts stability and safety, making this less challenging and incorrect for the situation most likely to impact children’s growth and development.

Choice B reason: An empty house after school poses risks but offers a stable home environment, unlike sleeping in a car, which lacks safety and consistency. Latchkey situations are less severe, making this incorrect compared to the extreme instability of homelessness affecting children’s developmental outcomes.

Choice C reason: Sleeping in a car at night indicates homelessness, severely disrupting children’s physical, emotional, and cognitive development due to lack of stable housing, nutrition, and safety. This situation poses the greatest challenge, aligning with pediatric social determinants of health, making it the correct choice.

Choice D reason: Sharing an apartment with another family provides housing stability, unlike sleeping in a car, which severely impacts development. Crowded living is less detrimental than homelessness, making this incorrect for the situation most likely to challenge children’s growth and development in the care plan.

A. Hemophilia. B. Congestive heart failure. C. Kawasaki disease. D. Rheumatic fever.

Correct Answer is C

Explanation

Choice A reason: Hemophilia causes bleeding issues, not a strawberry tongue, which is a mucosal symptom. Kawasaki disease’s characteristic tongue appearance matches the description, making this unrelated and incorrect compared to the specific disorder associated with the child’s reported tongue manifestation in the assessment.

Choice B reason: Congestive heart failure affects cardiac function, not oral mucosa, and doesn’t cause a strawberry tongue. Kawasaki disease is the condition linked to this symptom, making this irrelevant and incorrect for the nurse’s recognition of the child’s tongue appearance in data collection.

Choice C reason: A strawberry tongue, with a red, bumpy appearance, is a hallmark of Kawasaki disease, often seen with fever and rash. This aligns with pediatric infectious disease criteria, making it the correct disorder the nurse recognizes based on the caregiver’s description of the child’s tongue.

Choice D reason: Rheumatic fever may cause oral symptoms but not a classic strawberry tongue, which is specific to Kawasaki disease. The latter’s mucosal findings are distinctive, making this less accurate and incorrect compared to identifying Kawasaki disease as the cause of the tongue manifestation.

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The nurse is meeting with a group of high school boys to discuss various health topics. After the session on testicular self-exam, the nurse determines the session is successful when one of the students responds with which comment?

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Naxlex Comprehensive Predictor Exams

The nurse is developing a care plan for several clients who were seen in the clinic that day. Which situation will the nurse conclude is most likely to experience challenges in the growth and development of the children?

Correct Answer is C

Explanation

The nurse is collecting data from a caregiver, and the caregiver states that the child has had a “strawberry-colored tongue.” The nurse recognizes this as a manifestation of which disorder?

Correct Answer is C

Explanation

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The nurse is meeting with a group of high school boys to discuss various health topics. After the session on testicular self-exam, the nurse determines the session is successful when one of the students responds with which comment?

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