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 B

Explanation

Choice A reason: 300-800 ml/day is too low for a child with sickle cell disease, risking dehydration and sickling crises. 1500-2000 ml maintains hydration, making this insufficient and incorrect compared to the adequate fluid intake needed to prevent complications in the child’s home care.

Choice B reason: 1500-2000 ml/day ensures adequate hydration for a child with sickle cell disease, reducing blood viscosity and sickling risk. This aligns with pediatric hematology guidelines for preventing crises, making it the correct fluid intake recommendation for the caregiver to support the child’s health at home.

Choice C reason: 2500-3200 ml/day exceeds typical needs for a child, risking fluid overload without added sickle cell benefit. 1500-2000 ml is optimal, making this excessive and incorrect compared to the recommended fluid range for managing sickle cell disease effectively at home.

Choice D reason: 1000-1200 ml/day is below the optimal range for a child with sickle cell disease, increasing dehydration and crisis risk. 1500-2000 ml better supports hydration, making this inadequate and incorrect compared to the fluid intake needed to prevent sickle cell complications.

A. Ask the child if she would like to see her mother. B. Tell the mother what room the child is in. C. Ask the mother if she is allowed to see the child. D. Check to see who is allowed to have contact with the child.

Correct Answer is D

Explanation

Choice A reason: Asking the child about seeing her mother places an unfair burden on her, especially post-accident when she may be distressed. Verifying legal contact permissions ensures compliance with custody agreements, making this inappropriate and incorrect compared to confirming authorized visitors in this sensitive situation.

Choice B reason: Directing the mother to the room without checking custody status risks violating legal restrictions, potentially escalating conflict. Confirming who is allowed contact protects the child, making this hasty and incorrect compared to the nurse’s responsibility to verify permissions in a divorce-related hospital scenario.

Choice C reason: Asking the mother about her permission may be unreliable, as agitation could lead to inaccurate claims. Checking official records ensures adherence to custody orders, making this inadequate and incorrect compared to the nurse’s duty to verify authorized contact for the hospitalized child objectively.

Choice D reason: Checking who is allowed contact verifies legal custody arrangements, ensuring the child’s safety and compliance with court orders in a divorce situation. This aligns with pediatric hospital protocols, making it the most appropriate action to address the mother’s demand while protecting the injured daughter.

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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 caregiver of a child with sickle cell disease asks the nurse how much fluid her child should have each day after the child goes home. In response to the caregiver’s question, the nurse would explain that for the child with sickle cell disease, it is best that the child have:

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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