Professional Nurse Exam 2
Goals for Healthy People 2020 include which of the following? SELECT ALL THAT APPLY A. Eliminate health disparities among various groups B. Decrease the cost of healthcare related to tobacco use C. Increase the quality and years of healthy life D. Decrease the number of inpatient days annually
A, C
A nurse is giving a presentation about accident prevention to a group of parents of toddlers. Which of the following accident-prevention strategies should the nurse include? (Select all that apply.) A. Keep toxic agents in locked cabinets. B. Keep toilet seats up. C. Turn pot handles toward the back of the stove. D. Place safety gates across stairways. E. Make sure balloons are fully in ated.
A, C, D
A nurse in a clinic is caring for a client who has multiple risk factors for cardiovascular disease. When planning health promotion and disease prevention strategies for this client, which of the following interventions should the nurse include? (Select all that apply.) A. Help the client see the bene ts of her actions. B. Identify the client's support systems. C. Suggest and recommend community resources. D. Devise and set goals for the client. E. Teach stress management strategies.
A, C, D, E
What is the process of enabling people to increase control over and improve their health? A. Community care B. Health promotion C. High-level wellness D. Primary prevention
B
A nurse is planning diversionary activities for preschoolers on an inpatient pediatric unit. Which of the following activities should the nurse include? Select all that apply A. Assembling puzzles B. Pulled wheeled toys C. Using musical toys D. Playing with puppets E. Coloring with crayons
A, C, D, E
Which tertiary prevention measure is included in the plan of care for a patient newly diagnosed with asthma? A. Cholesterol screening B. Eliminating allergens C. Glaucoma screening D. Safe sex practices
B
A nurse is reviewing modi able variables affecting health and wellness with clients at a health fair. The nurse should identify which of the following as modi able variables? (Select all that apply.) A. A male who smokes on social occasions B. A female who has a BMI of 28 C. An adult who has alopecia D. An adolescent who has trisomy 21 E. An infant who has reflux
A, B, E
A nurse is assessing from a 2-week-old newborn during a routine checkup. Which of the following findings should the nurse expect? Select all that apply A. Sleep 14 to 16 hr each day B. Posterior fontanels has close C. Pincer grasp present D. Hands remain in closed position E. Current weight is same as birth weight
A, D, E
A nurse is preparing a wellness presentation for families at a community center. When discussing health screenings for adolescents, which of the following information about scoliosis should the nurse include? (Select all that apply.) A. Scoliosis is more common among girls than it is among boys. B. Loss of height is often the rst sign of scoliosis. C. Scoliosis screening is essential during the adolescent growth spurt. D. Slouching is a common cause of scoliosis, especially in adolescents. E. Scoliosis is a forward curvature of the spine.
A, C
A mother tells the nurse that her 2-year-old child has temper tantrums. The child says "no" every time the mother tries to help her get dressed. The nurse explains that, developmentally, the toddler is A. Trying to increase her independence. B. Developing a sense of trust. C. Manifesting an anger management problem. D. Attempting to master a skill E. Developing a sense of trust
A
A new mother informs the nurse that a neighbor just lost her baby to sudden infant death syndrome (SIDS). She is requesting information on ways she can prevent her baby from dying of SIDS. Which response of the nurse would be best? A. "Always be sure to put your baby to sleep on her back" B. "We do not know the cause of SIDS and there is really nothing you can do to prevent it" C. "Breastfeeding an infant for 6 months of life is the best start a mother can give her baby" D. "Always make sure your baby is on her abdomen after feeding so she will not choke if she vomits"
A
A nurse in a health clinic is caring for a 21-year-old client who reports a sore throat. The client tells the nurse that he has not seen a doctor since high school. Which of the following health screenings should the nurse expect the provider to perform for this client? A. Testicular examination B. Blood glucose C. Fecal occult blood D. Prostate-speci c antigen
A
A nurse is cautioning the mother of an 8-month-old infant about safety. Which of the following statements by the mother indicates an understanding of safety for the infant? A. "My baby loved to play with his crib gym, but I took it away from him." B. "I just bought a soft mattress so my baby will sleep better." C. "My baby really likes sleeping on the fluffy pillow we just got for him." D. "I just bought a child-safety gate that folds like an accordion."
A
A nurse is talking with parents of a 12 year old child. Which of the following issues verbalized by the parents should the nurse identify as the priority? A. We just don't understand why our son can't keep up with the other kids in simple activities like running and jumping. B. Our son keeps trying to find ways around our household rules. He always want to make deals with us. C. We think our son is trying too hard to excel in math just to get the top grades in his class. D. Our son is always afraid the kids in school wi laugh at him because he likes to sing.
A
A nurse is talking with the parents of toddler. Which of the following should the nurse suggest regarding discipline? A. Establish consistent boundaries. B. Place him in a room with the door closed. C. Have him learn by trial and error. D. Use favorite snacks as rewards.
A
Anticipatory guidance for parents of children age 0 to 5 includes information about all of the following topics EXCEPT A. Locating quality daycare providers B. Positive parenting strategies C. Counseling to promote the 5 "R's" of early education D. Sudden Infant Death Syndrome (SIDS)
A
Interrelated concepts regarding patient attributes that a nurse manager would consider when addressing concerns about the quality of health promotion include which type of attribute? A. Culture B. Evidence C. Health policy D. Nutrition
A
The nurse is planning a health promotion class for adolescents. The presentation is too long. Which topic would be least important and therefore appropriate for the nurse to delete? A. Stranger Danger B. Motor Vehicle Safety C. Firearms Safety D. Alcohol and drug use
A
The nurse teaches a class for the community discussing routine screening tests for different types of cancer. What level of health prevention would the nurse classify this activity? A. Secondary B. Primary C. Tertiary D. Maintenance
A
The school nurse incorporates seatbelt and helmet use in a high school class on health promotion as examples of which strategies? A. Primary prevention B. Rehabilitation C. Secondary prevention D. Tertiary prevention
A
Which of the following statements about the current prevalence of obesity is accurate?A. The current generation of children may be less healthy and have a shorter life expectancy than their parents. B. The current incidence of obesity among American adults has stabilized. C. The current statistics show that greater than 75% of American adults are either overweight or obese. D. The current statistics report that about 50% of American children are either overweight or obese
A
The nurse working in an ambulatory care program asks questions about the client's focus of control as a part of his assesment because of which of the following? SELECT ALL THAT APPLY A. People who feel in charge of their own health are the easiest to motivate towards change B. People who feel powerless about preventing illness are least likely to engage in health promoting activities C. People who respond to direction from respected authorities often prefer a health promotion program supervised by a health provider D. People who feel in charge of their own health are less motivated by health promotion activities.
A, B, C
A nurse is planning a health promotion and primary prevention class for the parents of school age children. Which of the following information should the nurse include? (Select all that apply). A. Provide information about the risk of childhood obesity. B. Discuss the danger of substance use disorders. C. Promote discussion about sexual issues. D. Recommend the school age child sit in the front seat of the car. E. Reinforce stranger awareness.
A, B, C, E
A nurse is talking with the parents of a 6-month-old infant about gross motor development. Which of the following gross motor skills are expected ndings in the next 3 months? (Select all that apply.) A. Rolls from back to front B. Bears weight on legs C. Walks holding onto furniture D. Sits unsupported E. Sits down from a standing position
A, B, D
A nurse is caring for an older adult client who has a new diagnosis of type 2 diabetes mellitus and reports dif culty following the diet and remembering to take the prescribed medication. Which of the following nursing interventions are appropriate to promote client compliance? (Select all that apply.) A. Ask the dietitian to assist with meal planning. B. Contact the client's support system. C. Check for age-related cognitive awareness. D. Encourage the use of a daily medication dispenser. E. Provide educational materials for home use.
A, B, D, E
A community health nurse is implementing health programs with several populations in the local area. In which of the following situtations is the nurse using primary prevention? A. Teaching healthy nutrition to clients who have hypertension B. Providing influenza immunizations to employees at a local preschool C. Performing a home safety check at a client's home D. Implementing a program to notify individuals exposed to a communicable disease.
B
A local hospital has offered a reduction in insurance premiums for employees who enroll in an on-site fitness program. This strategy supports the Healthy People 2010 initiative by: A. Addressing access to health care B. Encouraging healthy lifestyles C. Reducing healthcare costs D. Enhancing screening opportunities
B
A nurse is caring for a client who was just told she has breast cancer, and the nurse evaluates the client's response. Which of the following statements by the client should the nurse identify as a negative influence on the client's ability to respond to disease? A. "I have no family history of breast cancer." B. "I need a second opinion. There is no lump." C. "I am glad we live in the city near several large hospitals." D. "I will schedule surgery next week, over the holidays."
B
A nurse is reviewing car-seat safety with parents of a 1-month-old infant. When reviewing car-seat use, which of the following instructions should the nurse include? A. Use a car seat that has a three-point harness system. B. Position the car seat so that the infant is rear-facing. C. Secure the car seat in the front passenger seat of the vehicle. D. Put soft padding in the car seat behind the infant's back and neck.
B
A nurse is talking with a 45-year-old female client who has no specifc family history of cancer or diabetes mellitus about planning her routine screeings. Which of the following client statements indicates that the client understands how to proceed? A. "So I don't need the colon cancer procedure for another 2 or 3 years." B. "For now, I should continue to have a mammogram each year." C. "Because the doctor just did a Pap smear, I'll come back next year for another one." D. "I had my blood glucose test last year, so I won't need it again till next year."
B
A nurse is talking with a client who recently attended a cholesterol screening event and a heart-healthy nutrition presentation at a neighborhood center. His total cholesterol result from the screening was 248 mg/dL, so he saw his provider and received a medication prescription to improve his cholesterol level. The client was later hospitalized for severe chest pain, and subsequently enrolled in a cardiac rehabilitation program. Which of the following activities of this client is an example of primary prevention? A. Cholesterol screening B. Nutrition presentation C. Medication therapy D. Cardiac rehabilitation
B
A nurse is talking with a parent who is concerned about several issues with her preschooler. Which of the following issues should the nurse identify as the priority? A. "My son mimics my husband getting dressed" B. "My son has temper tantrums every time we tell him to do something he doesn't want to do" C. "I think my son truly believes that his toys have personalities and talk to him" D. "I feel bad when i see my son trying so hard to button his shirt"
B
A teenager has a family history of Type 2 Diabetes Mellitus. He asks the nurse what he can do to try to prevent developing it himself. Which of the following instructions should the nurse give this client? A. Tell him to avoid any and all sweets B. Tell him to be active and eat a balanced diet C. Tell him he should talk to his physician about genetic testing D. Tell him that very little can be done to avoid developing this disorder.
B
Blood pressure screening in a Senior Center is an example of which type of healthcare? A. Primary prevention B. Secondary prevention C. Tertiary prevention
B
Karen conducts an assessment of the need for nutrition counseling for her older clients. This is an example of nutrition _________. A. Education B. Screening C. Balance D. Insecurity
B
The nurse is planning a health promotion class for young adult women. What topic would be most important for the nurse to include for this group? A. Immunizations B. Pap test every 2 or 3 years C. Annual mammograms D. Screening colonoscopies
B
The nurse teaches a class for the community discussing routine screening tests for different types of cancer. What level of health prevention would the nurse classify this activity? A. Primary B. Secondary C. Tertiary D. Maintenance
B
The patient newly diagnosed with Type II DM needs to make lifestyle changes. In relationship to the trans-theoretical model of change, which nursing action would best support the patient during the "contemplation" stage? A. Showing the patient how to use the fingerstick blood glucose monitor B. Providing information about various types of exercise to facilitate weight loss C. Teaching the patient about the purpose for having his HbA1C tested monthly D. Telling the patient that if he does not change his lifestyle, he will die
B
The mother of a 7-month-old infant tells the nurse at the pediatric clinic that her baby has been fussy with occasional loose stools since she started feeding him fruits and vegetables. Which of the following responses by the nurse are appropriate? (Select all that apply.) A. "It might be good to add bananas, as they can help with loose stools." B. "Let's make a list of the foods he is eating so we can spot any problems." C. "Did the changes begin after you started one particular food?" D. "Has he been vomiting since he started these new foods?" E. "Most babies react with a little indigestion when you start new foods."
B, C, D
A nurse is reviewing the CDC's immunization recommendations with the parents of preschoolers. Which of the following vaccines should the nurse include in this discussion? Select all that apply A. Haemophilus influenzae type B B. Varicella C. Polio D. Hepatitis A E. Seasonal influenza
B, C, E
A nurse is reviewing the Centers for Disease Control and Prevention's (CDC's) immunization recommendations with the parents of an adolescent. Which of the following recommendations should the nurse include in this discussion? (Select all that apply.) A. Rotavirus B. Varicella C. Herpes zoster D. Human papilloma virus E. Seasonal in uenza
B, D, E
A nurse on a pediatric unit is caring for an adolescent who has multiple fractures. Which of the following interventions are appropriate for this client? (Select all that apply.) A. Suggest that his parents room in with him. B. Provide a television and DVDs for him to watch. C. Limit visitors to immediate family. D. Devise a regular schedule for inpatient routines. E. Allow him to perform his own morning care.
B, E
A 55 year old man has suffered a myocardial infraction (heart attack) 3 months ago. During his hospitalization, he had stents inserted into two sites in the coronary arteries. He was also placed on a cholesterol-lowering agent and two antihypertensives. What type of care is he receiving? A. Primary Prevention B. Secondary Prevention C. Tertiary Prevention D. Health Promotion
C
A nurse is caring for a 19-year-old client who is sexually active and has come to the college health clinic for the first time for a checkup. Which of the following interventions should the nurse perform first to determine the client's need for health promotion and disease prevention? A. Measure the client's vital signs. B. Encourage HIV screening. C. Determine the client's risk factors. D. Instruct the client to use condoms.
C
A nurse is reviewing nutritional guidelines with the parents of a 2-year-old toddler. Which of the following parents' statements should indicate to the nurse that they understand the feeding guidelines for this age group? A. "I should keep feeding my son whole milk until he is 3 years old." B. "It's okay for me to give my son a cup of apple juice with each meal." C. "I'll give my son about 2 tablespoons of each food at mealtimes." D. "My son loves popcorn, and I know it is better for him than sweets."
C
A nurse is talking with an adolescent who describes having dif culty dealing with several issues. Which of the following problems the client verbalized should the nurse identify as the priority for further assessment and intervention? A. "I kind of like this girl in my class. She doesn't like me back, though, not that way." B. "I like hanging out with the guys in the science club, but the jocks pick on them." C. "I just don't seem to be any good at anything. I can't play any sports at all." D. "My dad wants me to be a lawyer like him, but I don't want to learn all that stuff."
C
A nurse is talking with the father of a 12-year-old boy who is concerned that he hasn't observed any indications that his son is approaching puberty. The nurse should explain that the first sign of sexual maturation in boys is A. the appearance of downy hair on the upper lip. B. hair growth in the axillae. C. enlargement of the testes and the scrotum. D. deepening of the voice.
C
A nurse is talking with the parent of a 4-year-old child who states that his child is waking up at night with nightmares. Which of the following should the nurse suggest? A. Offer the child a large snack before bedtime B. Allow the child to watch an extra 30 min of TV in the evening C. Have the child take an afternoon nap D. Increase physical activity before bedtime.
C
A nurse is talking with the parents of a 10 year old child who is concerned that their son is becoming secretive, such as closing the door when he showers, and dresses. Which of the following responses should the nurse make? A. Perhaps you should try to find out what he is doing behind those closed doors. B. Suggest that he leave the door ajar for his own safety. C. At this age, children tend to become modest and value their privacy. D. You should establish a disciplinary plan to stop this behavior.
C
A primary health care provider has recommended a mammogram and a Papanicolaou (pap) smear for a 50-year-old female patient. In response to questions, the nurse teaches the patient about health promotion activities, describing the mammogram and pap smear as which forms of prevention? A. Illness prevention B. Primary prevention C. Secondary prevention D. Tertiary prevention
C
A state of physical, mental, spiritual, and social functioning that realizes a person's potential and is experienced within a developmental context is known as: A. Growth and Development B. Functioning C. Health D. High-level wellness
C
An education session offered at a local middle school for parents of pre-teen girls regarding the HPV vaccine is an example of what type of activity on the part of the nurse? A. Tertiary B. Screening C. Primary Prevention D. Secondary Prevention
C
At a well-child visit, the parents of a toddler ask the nurse how they should teach their toddler the importance of dental hygiene. Which of the following actions should the nurse recommend to the parents? A. Remind the toddler to brush his teeth once a week B. Have the dentist tell the toddler about the importance of dental hygiene C. Schedule a time to brush their own teeth with the toddler D. Have the toddler watch an educational cartoon video on teeth brushing.
C
The first step in Building a partnership with an obese individual who is trying to lose weight requires the nurse to: A. Schedule a day to exercise with the individual. B. Go grocery shopping for the individual. C. Establish a trusting relationship with the client. D. Give the individual a weight loss goal.
C
The nurse meets with a patient who quit smoking or are planning to quit. Which statement made by the patient would lead the nurse to conclude that the patient is in the maintenance stage of change? A. "I haven't smoked in 2 weeks, but I have to constantly resist the urge to light a cigarette" B. "I think about smoking constantly, I don't know if i can do this" C. "Each day I don't smoke, I put my money that I would have spent in a jar to pay for a vacation" D. " I am chewing gum and eating carrot sticks to keep myself from lighting a cigarette"
C
The nurse working in an acute care setting provides what level of health promotion most often? A. Primary B. Secondary C. Tertiary D. Assessment
C
Which food group are beans and peas counted in? A. Vegetable group B. Protein foods group C. Both D. Neither
C
Which of these nutrients can you get from eating whole fruit that is not usually found in juice? A. Vitamins B. Minerals C. Fiber D. Sugar
C
Which would be an appropriate topic for the elementary school nurse to include in health promotion activities for students? A. Housing conditions B. Poor sanitation C. Stranger Danger D. Preventing STI's
C
A nurse is planning diversionary activities for children on an inpatient unit. Which of the following should the nurse incorporate as appropriate play activities for a toddler? (Select all that apply.) A. Building simple models B. Working with clay C. Filling and emptying containers D. Playing with blocks E. Looking at books
C, D, E
A nurse is planning diversionary activities for school age children on an inpatient pediatric unit. Which of the following activities should the nurse include? (Select all that apply). A. Building models B. Playing video games C. Reading books D. Using toy carpentry tools E. Playing board games
C, D, E
A nurse is preparing to administer medications to a preschooler. Which of the following strategies should the nurse implement to increase the child's cooperation in taking medications? Select all that apply A. Reassure the child an injection will not hurt B. Mix oral medications in a large glass of milk C. Offer the child choices when possible D. Have the parents bring in a favorite toy from home E. Engage the child in pretend play with a toy medical kit
C, D, E
A nurse in a health care clinic is evaluating the level of wellness for clients using the health/wellness/ illness continuum tool. Which of the following clients is measured at the center of the continuum? A. A college student who has in uenza B. An older adult who has a new diagnosis of type 2 diabetes mellitus C. A new mother who has a urinary tract infection D. A young male who has a long history of well-controlled rheumatoid arthritis
D
A nurse is evaluating teaching about nutrition with the parents of an 11 year old child. Which of the following statements should indicate to the nurse an understanding of the teaching? A. She wants to eat as much as we do, but we are afraid she will be soon overweight. B. She skips lunch sometimes, but we figure its okay as long as she has a healthy breakfast and dinner. C. We limit fast food restaurant meals to three times a week now. D. We reward her school achievements with a point system instead of a pizza or ice cream.
D
A young woman is seen in the emergency room for an upper respiratory infection. When the triage nurse asks why she did not seek care from her own physician, the woman responds the doctor's office is only open during hours when she is at work. This situation may be considered to be: A. A burden of disease B. Health disparity C. A risk factor D. Barrier to care
D
An example of a secondary health prevention activity would be: A. Chemotherapy IV infusion B. Hepatitis B vaccine series C. Gallbladder surgery D. Flexible sigmoidoscopy at age 50
D
How much of your plate should be fruits and vegetables? A. The whole plate B. Three-quarters C. Two-thirds D. One-half
D
The nurse is working with a client who is obese and reports having a sedentary lifestyle. What is the nurse's first action to promote the client's health? A. Teach the client how to follow a low calorie diet B. Assist the client in a plan to increase his activity level. C. Explain the risks associated with the client's weight and lifestyle D. Help the client identify goals for health promotion
D
Which of the following demonstrates a nurse taking action to promote health and prevent disease (primary prevention) A. Making a home visit to a person who is recovering from a heart attack B. Administering medications to a cardiac client in the hospital C. Providing cardiopulmonary resuscitation during a heart attack D. Educating a person about the advantages of a heart-healthy diet during a home visit
D