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 A

Explanation

Choice A reason: A complete fracture occurs when bone fragments are fully separated, disrupting the bone’s continuity. This aligns with orthopedic definitions, as separation indicates a break through the entire bone, requiring intervention. The nurse’s explanation matches this, making it the correct term for separated fracture fragments in children, consistent with pediatric trauma care.

Choice B reason: An incomplete fracture involves a partial break, with fragments not fully separated, common in children’s flexible bones. The question specifies separated fragments, which does not fit this definition. This choice is incorrect, as it contradicts the description of a complete separation of bone fragments in the context of fracture classification.

Choice C reason: A spiral fracture is caused by twisting, with a helical break pattern, but separation of fragments is not its defining feature. Complete fractures specifically describe separated fragments, making this incorrect, as spiral refers to shape, not the extent of fragment separation in fractures, per orthopedic terminology.

Choice D reason: A greenstick fracture is an incomplete break where one side bends and the other cracks, typical in children. Separated fragments indicate a complete fracture, not a greenstick, making this incorrect, as greenstick fractures do not involve full separation of bone fragments as described in the nurse’s explanation.

A. Instruct the parents to allow the nurse to do everything for the child to aid in attachment. B. Tell the child what is expected of him to help with compliance. C. Follow the child’s home routines as much as possible while in the hospital. D. Allow the child to dictate when and what they want to do and adhere to their requests.

Correct Answer is C

Explanation

Choice A reason: Having the nurse do everything may disrupt the toddler’s trust in parents, hindering adaptation. Following home routines provides familiarity, making this counterproductive and incorrect compared to maintaining continuity to ease the toddler’s transition from home to the hospital environment.

Choice B reason: Telling a toddler expectations assumes cognitive understanding beyond their developmental stage, potentially increasing anxiety. Home routines offer comfort, making this less effective and incorrect compared to the nurse’s focus on familiarity to support the toddler’s hospital adaptation process.

Choice C reason: Following home routines maintains familiarity, reducing stress and aiding a toddler’s adaptation to the hospital. This aligns with pediatric psychosocial care principles, making it the most beneficial action for the nurse to implement to ease the toddler’s transition from home to hospital.

Choice D reason: Allowing a toddler to dictate actions disregards necessary medical routines, potentially compromising care and safety. Home routines provide structure, making this impractical and incorrect compared to the nurse’s role in maintaining familiarity to support the toddler’s hospital adaptation.

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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 working with a group of caregivers of school-aged children discussing fractures. The nurse explains that if the fragments of fractured bone are separated, the fracture is said to be:

Correct Answer is A

Explanation

A toddler is hospitalized and the nurse wants to make the transition from home to hospital as easy as possible for him. Which action by the nurse would be most beneficial to assist the toddler in adapting to the hospital?

Correct Answer is C

Explanation

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