Nokea
Approximately how much sleep do toddlers require each day?
- A. 10 hours
- B. 11 hours
- C. 12 hours
- D. 13 hours
Correct Answer: C
Rationale: Toddlers require about 12 hours of sleep per day to support their growth and development.
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Which of the following is the third leading cause of death in adolescents between 10 and 24 years of age?
- A. Accidents
- B. Suicide
- C. Cancer
- D. Sport injuries
Correct Answer: B
Rationale: Suicide is the third leading cause of death in adolescents.
A health care provider is working with an African American woman who has recently suffered a stroke and is homebound. She insists that she must get out of the house and attend Sunday worship services. What is the most likely explanation for her insisting that she participate in this cultural practice?
- A. The church is the only place where prayer can be performed.
- B. The church serves as a social support for its members.
- C. The church is the place where the family meets on a weekly basis.
- D. The church serves as a site for folk healing practices.
Correct Answer: B
Rationale: The church is a significant support system for many African Americans, providing not just religious activities, but also social support and emotional strength.
At 1 minute of age, an infant has a heart rate of 95, a strong cry, some flexion of extremities, a cry reflex, and is completely pink. Which of the following is a correct assessment of the infant’s Apgar score?
- A. 4
- B. 6
- C. 8
- D. 10
Correct Answer: C
Rationale: The Apgar score is calculated by adding the scores for heart rate, cry, reflex, extremity movement, and color: 1 + 2 + 1 + 2 + 2 = 8.
An 18-year-old woman in whom a sexually transmitted disease (STD) was recently diagnosed asks the nurse not to tell her mother that she has an STD. Her mother asks the nurse what is causing her daughter’s vaginal discharge. Which of the following actions should the nurse take?
- A. Follow the principle of veracity and tell the mother the diagnosis.
- B. Respect the principle of confidentiality and support the client’s request not to tell her mother the diagnosis.
- C. Tell the client’s mother that she has a urinary tract infection, to protect the client’s privacy and honor the mother’s request.
- D. Ignore the mother’s request for information.
Correct Answer: B
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) guarantees client confidentiality. The nurse must maintain confidentiality unless the client permits disclosure.
A nurse working with a Hispanic family is explaining the plan for managing a child’s asthma to the child’s mother, father, and grandmother. To whom should the nurse direct the education?
- A. Mother
- B. Father
- C. Grandmother
- D. Parents and grandmother
Correct Answer: D
Rationale: In Hispanic culture, both the parents and elders may have influence in decision-making, so the nurse should educate all relevant family members.