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Chapter 11 Practice Test

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NCLEX Nursing (N14 Health Promotion) Quiz on Chapter 11 Practice Test, created by N R on 06/07/2021.
N R
Quiz by N R, updated more than 1 year ago
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Created by N R over 3 years ago
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Question 1

Question
Which of the following statements about the current prevalence of obesity is accurate?
Answer
  • The current generation of children may be less healthy and have a shorter life expectancy than their parents.
  • The current incidence of obesity among American adults has stabilized
  • The current statistics show that greater than 75% of American adults are either overweight or obese
  • The current statistics report that about 50% of American children are either overweight or obese

Question 2

Question
A nurse is working with a family that is experiencing food insecurity. Which of the following statements best describes this family?
Answer
  • Members of this family are susceptible to food-borne illness
  • This familys access to adequate food is limited by lack of money
  • This family is unable to purchase fresh fruits and vegetables
  • Members of this family are obese

Question 3

Question
Which of the following statements about the Dietary Reference Intakes (DRI) is correct?
Answer
  • The DRI is used to monitor deficiencies in nutritional intakes of obese populations
  • The DRI is used to establish minimal amounts of nutrients needed to protect against nutrient deficiency
  • The DRI is used to plan and assess diets of healthy people
  • The DRI is used to set minimal guidelines to reduce risk of adverse outcomes from inadequate consumption of nutrients

Question 4

Question
A community health nurse is using the Dietary Reference Intakes (DRIs) as a guide while developing an education presentation about nutrition for a community group. How will the use of the DRIs be helpful in developing this presentation?
Answer
  • It considers the unique differences among children, pregnant women, and elderly people
  • It contains well-researched data that are reviewed on an annual basis
  • It is prescriptive in the amount of nutrients that are needed on a daily basis
  • It serves as an overall guideline for the population.

Question 5

Question
After the 2010 Dietary Guidelines were released, a community health nurse updated a nutrition presentation that was being used to educate various community groups about healthy eating habits. Which of the following information would have been added to the presentation?
Answer
  • Consumption of increased amounts of carbohydrates
  • Impact of the environment on the publics food, drink, and activity choices
  • Revised guidelines for the use of MyPyramid
  • Inclusion of physical activity standards

Question 6

Question
A community health nurse is educating a community group about the 2010 Dietary Guidelines for Americans. Which of the following information would be included in this presentation?
Answer
  • Limit consumption of dairy products
  • Purchase organic fruits and vegetables
  • Make at least half of your grains whole grains
  • Consume fish on a daily basis

Question 7

Question
A person states to the nurse, The guidelines for what we should eat as Americans is constantly changing, just when I got used to using MyPyramid they changed it to MyPlate. I wonder what will be next and if they really know what they are doing with all of this change. Which of the following would be the best response from the nurse?
Answer
  • The USDA is constantly making changes in order to decrease the alarming rates of obesity in our country
  • MyPyramid was developed in 2005, so it was time for this graphic to be revised
  • The creation of MyPlate has decreased the need for additional teaching resources for nutrition
  • MyPlate serves as a better visual aid, reminding Americans what a healthy plate looks like

Question 8

Question
A person asks the nurse if it is safe to use dietary supplements. Which of the following would be the best reply from the nurse?
Answer
  • It is important to be cautious when using any supplements
  • All dietary supplements must be approved by the FDA before they can be sold and are safe
  • No, dietary supplements have very limited regulations and should not be used
  • Be sure to read the product label before using the supplement to see what health claims have been made by the product

Question 9

Question
A woman has asked the nurse about the benefits and risks of using ginseng to control her hot flashes associated with menopause. Which of the following governmental offices would most likely serve as a resource to answer the womans question?
Answer
  • American Dietetic Association (ADA)
  • National Center for Complementary and Alternative Medicine (NCCAM)
  • Food and Drug Administration (FDA)
  • United States Department of Agriculture (USDA)

Question 10

Question
A 37-year-old woman asks the nurse if she should take a daily nutritional supplement. Which of the following would be the best reply by the nurse?
Answer
  • Postmenopausal women should take a calcium supplement to prevent osteoporosis
  • Many people use supplements as drugs instead of as supplements
  • Supplements can enhance the medications that you take
  • The best way to obtain nutrients is by eating a variety of foods

Question 11

Question
A client who is taking Coumadin tells the nurse that she has started taking a vitamin E supplement as she has heard that this will help decrease the likelihood of her developing cancer. Which of the following would be the most appropriate response by the nurse?
Answer
  • Vitamin E supplements are unnecessary, so I dont recommend you use this supplement
  • Vitamin E can interfere with the actions of vitamin K and enhance the effects of Coumadin
  • Vitamin E supplements can interfere with the absorption of iron and create additional health problems
  • Vitamin E must be used cautiously, as it is easy to experience a toxicity of this nutrient

Question 12

Question
A nurse is investigating an outbreak of a food-borne illness occurring at a local school. Which of the following would contribute to a chemical contamination resulting in food-borne illness?
Answer
  • Unintended allergen added to food
  • Bacteria on the countertops
  • Pesticide on the fresh fruit
  • Metal shavings in the food from a dull can opener

Question 13

Question
A school nurse is preparing to discuss food safety practices with high school students enrolled in a family and consumer science foods course. Which of the following information would be included in the presentation?
Answer
  • Wash hands thoroughly with running warm water with soap for 30 seconds
  • Scrub firm services of all fruits and vegetables with a produce brush before eating
  • Pay close attention to assure that meat is cooked all of the way through.
  • Refrigerate leftovers within 30 minutes of serving.

Question 14

Question
A community health nurse is working with a low-income family who is experiencing food insecurity. To assist the family in getting nutritious foods in their home, the family should be referred to which of the following programs?
Answer
  • Nutrition Service Incentive Program (NSIP)
  • Supplemental Nutrition for Women Infants and Children (WIC)
  • National School Lunch Program (NSLP)
  • Supplemental Nutrition Assistance Program (SNAP)

Question 15

Question
A school nurse is discussing the income eligibility requirements for free and reduced-price school meals with a family who is new to the school district. Which of the following statements would the nurse most likely make?
Answer
  • If the employed member of your family earns less than $50,000 per year, your child will qualify for reduced-price meals.
  • If your familys income is less than 185% above the federal poverty level, your child will qualify for free or reduced-price meals.
  • If you have more than five members living in your household, your child will qualify for reduced-price meals.
  • If your family has an income above the federal poverty level, your child will not qualify for free or reduced-price meals.

Question 16

Question
A nurse is counseling a person with heart disease. Which of the following statements made by the individual would require the nurse to provide additional education?
Answer
  • I drink skim milk on a regular basis.
  • I try not to eat foods that have added salt on the label.
  • I eat American cheese about once every 2 weeks.
  • I add salt to many of the food that I eat to enhance the flavor

Question 17

Question
A 45-year-old man has been diagnosed with metabolic syndrome. Which of the following characteristics would this man exhibit?
Answer
  • Blood pressure: 146/88 mm Hg
  • Waist measurement: 36 inches
  • HDL: 48 mg/dL
  • Triglycerides: 140 mg/dL

Question 18

Question
Which of the following individuals has a modifiable, nutrition-related risk factor for stroke?
Answer
  • African American man, age 65, who has a low salt intake
  • White woman, age 32, who follows the MyPlate recommendations
  • Russian man, age 40, who drinks 3 oz of vodka daily
  • Hispanic man, age 42, who exercises regularly

Question 19

Question
A community health nurse is providing education about the Dietary Approaches to Stop Hypertension (DASH) eating plan to people attending cardiac rehabilitation. Which of the following recommendations would be included in this presentation?
Answer
  • The use of this dietary plan has the same health effects as a daily exercise program
  • The use of this dietary plan will eliminate the need for medication to treat hypertension
  • This dietary plan is excludes the consumption of processed foods
  • This dietary plan includes eating greater amounts of fruits and vegetables

Question 20

Question
A man states that he would like to change his dietary habits to decrease his risk of developing cancer in the future. Which of the following statements would be the best response for the nurse?
Answer
  • Consume at least cups of fruits and vegetables each day
  • Dietary habits have minimal effect in reducing your risk of developing cancer
  • A glass of red wine should be consumed daily
  • Dietary supplements of specific nutrients will maximize the effects of dietary changes

Question 21

Question
Which of the following people is at greatest risk for a hip fracture secondary to osteoporosis?
Answer
  • A 66-year-old White woman
  • A 66-year-old African American woman
  • A 66-year-old White man
  • A 66-year-old African American man

Question 22

Question
A school nurse is using height and weight measurements to calculate the body mass index (BMI) of the students. How will the nurse use these data?
Answer
  • BMI can be correlated to a specific percentage of body fat
  • BMI can be used to determine if a child is obese or underweight
  • BMI can be used to determine if a child will develop Type 2 diabetes
  • BMI can be compared with others of the same ethnic background

Question 23

Question
Which of the following causes of death is/are directly associated with diet? (SELECT ALL THAT APPLY)
Answer
  • Diabetes mellitus
  • Cirrhosis of the liver
  • Stroke
  • Coronary heart disease (CHD)

Question 24

Question
A community health nurse is preparing an educational brochure about improving the nutritional behaviors of Americans. Which of the following topics would most likely be included in the brochure? (SELECT ALL THAT APPLY)
Answer
  • Increasing daily intake of milk and dairy products
  • Decreasing daily sodium intake
  • Increasing daily intake of fruits and vegetables
  • Decreasing daily intake of sugar-sweetened drinks

Question 25

Question
A community health nurse is developing educational materials related to nutrition. Which of the following resources would be most appropriate for the nurse to use? (SELECT ALL THAT APPLY)
Answer
  • Recommended dietary allowances (RDAs)
  • MyPyramid
  • Dietary reference intakes (DRIs)
  • MyPlate

Question 26

Question
After the 2015–2020 Dietary Guidelines were released, a community health nurse updated a nutrition presentation that was being used to educate various community groups about healthy eating habits. Which of the following information would have been added to the presentation?
Answer
  • Consumption of increased amounts of carbohydrates
  • Follow healthy eating patterns across the life span
  • Revised guidelines for the use of MyPyramid
  • Inclusion of physical activity standards

Question 27

Question
A community health nurse is educating a community group about the 2015–2020 Dietary Guidelines for Americans. Which of the following information would be included in this presentation?
Answer
  • Limit consumption of dairy products.
  • Purchase organic fruits and vegetables
  • Choose nutritionally dense food and beverages.
  • Consume fish on a weekly basis.

Question 28

Question
A community health nurse is educating health care providers in a local clinic about steps to take to help their care recipients improve their health-related behaviors. Which of the following would be included as the nurse teaches about the acronym LEARN?
Answer
  • Explain how small changes can affect health
  • Acknowledge that action needs to be taken
  • Negotiate an agreement
  • Refer to community resources

Question 29

Question
Which of the following individuals would be at greatest risk to develop Type 2 diabetes?
Answer
  • White, 50-year-old woman, obese, second child weighed 10 pounds at birth
  • African American, 55-year-old man, hypertension, exercises regularly
  • Hispanic, 22-year-old woman, healthy weight, family history of diabetes
  • White, 75-year-old man, history of prostate cancer and high triglycerides

Question 30

Question
A nurse is counseling a person who was recently diagnosed with diabetes about how to prevent the complications of this disease. Which of the following interventions would be stressed the most by the nurse?
Answer
  • Adjusting sliding scale insulin therapy as needed
  • Taking oral hypoglycemic medication as prescribed
  • Monitoring blood glucose daily
  • Adhering to medical nutrition therapy

Question 31

Question
A nurse is conducting an initial nutritional assessment on a person who is HIV positive. Which of the following questions would be most important for the nurse to ask?
Answer
  • What fresh fruits and vegetables do you like to eat?
  • Are you taking a daily multivitamin?
  • How often do you eat at restaurants?
  • Do you have any questions about your current medications?

Question 32

Question
A person has been diagnosed with salmonellosis. Which of the following symptoms would the person most likely exhibit? (Select all that apply.)
Answer
  • Bloody diarrhea
  • Vomiting
  • Hypoactive bowel sounds
  • Abdominal cramping
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