A mother expresses her concern and frustration over the fact that her toddler has not been successful at toilet training yet. Which of the following would be the best response by the nurse?
- A. “Don’t worry; it will happen eventually.”
- B. “How long does the child stay dry during the day?”
- C. “Train him on a regular toilet instead of a potty chair.”
- D. “Here is a training schedule to follow.”
Correct Answer: B
Rationale: It's important to assess developmental readiness before beginning toilet training.
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Which question should a nurse ask a 26-year-old individual being screened for depression or suicide ideation?
- A. “Tell me about your pets.”
- B. “What do you do for work? How has your work been affected by this disaster?”
- C. “Have you thought of harming yourself?”
- D. “Have you seen your friends since the disaster?”
Correct Answer: C
Rationale: Direct questioning about harm to oneself is critical when screening for depression or suicide ideation.
Which stage of male genital development is characterized by initial enlargement of the penis?
- A. 1
- B. 2
- C. 3
- D. 4
Correct Answer: C
Rationale: Stage 3 is marked by the initial enlargement of the penis and further growth of the testes and scrotum.
Which of the following statements about financing health care in the US is accurate?
- A. Insurance premiums increased minimally
- B. State tax dollars fund 50% of Medicaid
- C. Largest spending is on hospital care
- D. Most workers enroll in PPOs
Correct Answer: C
Rationale: In 2010, a third of health care spending was on hospital care.
A pregnant woman reports to the nurse that the first day of her last menstrual period was January 22. Using Nägele’s rule, which of the following dates would be the most accurate estimated date of delivery?
- A. September 16
- B. September 22
- C. October 29
- D. October 17
Correct Answer: C
Rationale: Adding 7 days to January 22 (January 29) and subtracting 3 months gives the estimated delivery date of October 29.
Osteoporosis risk: Who is at risk?
- A. A 55-year-old man on a low dose of prednisone daily
- B. A 40-year-old woman who works as a secretary
- C. A 60-year-old woman who walks three miles a day
- D. A 50-year-old man who works as a mason
Correct Answer: A
Rationale: Long-term prednisone use increases osteoporosis risk, especially in men.