PreparU IZZ 1

Question 10 A nurse is working on a neurological unit with a nursing student who asks the difference between primary and secondary headaches. The nurse's correct response will include which of the following statements?

"A secondary headache is associated with an organic cause, such as a brain tumor."

Question 7 A nurse working in a community clinic is discussing lifestyle modifications with a client. The client has been advised to lose weight because of a BMI greater than 25. Which statement by the nurse would be most therapeutic in helping the client?

"I can offer you some information outlining a variety of ways to lose weight."

Question 8 A client asks the nurse what the difference is between osteoarthritis (OA) and rheumatoid arthritis (RA). Which response is correct?

"OA is a noninflammatory joint disease. RA is characterized by inflamed, swollen joints."

Question 1 The adult child of a client with end-stage Alzheimer disease asks the nurse if Alzheimer disease can be passed on to him or her. What is the nurse's most accurate response?

"Research supports a possible genetic link with an early onset."

Question 14 The nurse is assessing a client at her first prenatal visit and notes that she is exposed to various chemicals at her place of employment. Which statement by the client would indicate she needs additional health education to protect her and her fetus?

"The gloves they provide irritate my hands, so I don't use them."

Question 15 A young child develops type 1A diabetes. The parents ask, "They tell us this is genetic. Does that mean our other children will get diabetes?" The best response by the health care provider would be:

"This autoimmune disorder causes destruction of the beta cells, placing your children at high risk of developing diabetes."

Question 18 A client who has been confined to bed for more than 1 year is concerned about the shrinking size of his legs. How will the nurse respond to the client's concern?

"With decreased use of your legs, the cell size reduces."

Question 3 A client has been admitted with primary syphilis. Which signs or symptoms should the nurse expect to see with this diagnosis?

A painless genital ulcer that appeared about 3 weeks after unprotected sex

Question 5 A nurse is caring for a client at 30 weeks' gestation who has tested positive for the human immunodeficiency virus (HIV). What should the nurse tell the client when the client says that she wants to breast-feed her neonate?

Discourage breast-feeding because HIV can be transmitted through breast milk.

Question 20 A nurse is speaking to a group of women about early detection of breast cancer. The average age of the women in the group is 47. Following the American Cancer Society (Canadian Cancer Society) guidelines, the nurse should recommend that the women

Have a mammogram annually.

Question 13 What is a current trend in child health care?

Health promotion rather than health restoration is stressed.

Question 19 A 62-year-old man who is overweight has just been diagnosed with type 2 diabetes. The nurse educator is instructing him in the ways his diabetes can be controlled. The nurse should initially prioritize which action?

Helping the client make meaningful changes to his diet and activity level.

Question 11 Nonadherence to therapeutic regimens is a significant problem, especially in the elderly population. Nonadherence can lead to which outcome?

Increased cost of treatment

Question 16 A husband and wife who both have type 2 diabetes are taking part in a weight loss program. The woman asks why her husband, who has the same starting height and weight, has lost more weight than her despite identical interventions. What is the nurse's best response?

Men burn more calories than women as part of their metabolism.

Question 2 A nurse working at a clinic interprets which treatment plan as a sign that clinic has transitioned to a genomic approach to personalized medicine?

Treatment of underlying genetic causes of disease

Question 9 A nurse is preparing a health promotion program for teenagers focusing on lifestyle choices. Which of the following methods used by the nurse will best ensure the success of the program?

creating a safe environment for sharing information

Question 6 A client with cirrhosis of the liver is in the hospital. The nurse involves the client in developing a plan of care. What would be important aspects to include in this plan?

discussing collaborative goals and involving the client in identifying and prioritizing important interventions

Question 17 A nurse is caring for a client who has a body mass index (BMI) of 26.5. Which category should the nurse understand this client would be placed in?

overweight

Question 4 A client is discharged to a heart rehabilitation program. What lifestyle changes would be appropriate for the nurse to review?

reducing cholesterol levels, increasing activity levels progressively, and coping strategies

Question 12 A client is recovering from an attack of gout. Client teaching should include the need to lose weight because

weight loss will reduce uric acid levels and reduce stress on joints.