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 most common intraocular tumor in young children?
- A. Neuroblastoma
- B. Wilms tumor
- C. Retinoblastoma
- D. Leukemia
Correct Answer: C
Rationale: Retinoblastoma is the most common intraocular tumor in young children.
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.
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.
A nurse is caring for a man who states he is ready to start exercising. Which of the following actions should the nurse take next?
- A. Do nothing because he has already made the decision to implement a change.
- B. Provide him with information on the benefits of exercising.
- C. Develop an exercise prescription with him.
- D. Schedule a follow-up in 2 months to see if he still feels the same way.
Correct Answer: C
Rationale: Since the person is in the action phase of behavior change, the nurse should proceed to develop an exercise prescription to support the transition into the maintenance phase.
A 14-year-old female is in for a physical exam. Which finding requires further investigation?
- A. A height spurt since her last visit
- B. Facial acne
- C. The lack of breast buds
- D. Noticeable sweating and body odor with activity
Correct Answer: C
Rationale: Lack of breast buds by age 14 requires further investigation, as puberty should have begun by this age.