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Chapter 22 Practice Test

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NCLEX Nursing (N14 Health Promotion) Quiz on Chapter 22 Practice Test, created by N R on 21/07/2021.
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Quiz by N R, updated more than 1 year ago
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Question 1

Question
A nurse is planning a community health-education program for young adults. Which of the following considerations should be made by the nurse?
Answer
  • The age span encompassing young adulthood is between 20 and 30 years of age.
  • The number one cause of death for young adults is injury
  • The number of young adults in the United States is increasing
  • The maternal mortality rate is at its lowest point since 1980

Question 2

Question
A nurse is completing a health counseling session with a 25-year-old woman. Which of the following statements should be made by the nurse during this session?
Answer
  • “A yearly Pap test is recommended for detection of ovarian cancer.”
  • “Research supports that breast self-exams reduce breast cancer mortality.”
  • “The incidence of cervical cancer is very low in your age group.”
  • “Daily physical activity and weight control is one way to stay healthy.”

Question 3

Question
A 26-year-old care recipient has a total cholesterol of 206 mg/dL and an LDL of 110. Which of the following conclusions can be drawn by the nurse?
Answer
  • The care recipient has achieved the target levels for cholesterol in young adults
  • The care recipient has a very low risk of developing heart disease
  • The care recipient requires counseling about cardiac disease risk factors
  • The care recipient has early-onset cardiac disease

Question 4

Question
The public health nurse is conducting a screening of young adults for metabolic syndrome. When asked about the syndrome, which of the following responses should be made by the nurse?
Answer
  • “Anyone who has low blood sugar, high cholesterol, and high blood pressure has this syndrome and is at risk for cardiac disease.”
  • “This syndrome helps predict heart disease. Once it is diagnosed, the correct medication can be prescribed and heart disease avoided.”
  • “This syndrome is a warning sign that the person could develop heart disease. When someone has metabolic syndrome, dietary and activity level changes are recommended.”
  • “Anyone who has high cholesterol, high blood pressure, and high blood sugar has coronary artery disease. Once we make the diagnosis, we can begin to treat the disease.”

Question 5

Question
The university health services nurse is preparing a disease prevention program for college students. Which of the following information should the nurse include in the program?
Answer
  • Living in the dorm increases one’s risk of developing meningococcal disease
  • The mortality rate from meningococcal disease is very low
  • There are no antiviral medications that can treat meningococcal outbreaks
  • A vaccine for meningococcal disease has not been developed.

Question 6

Question
A 30-year-old woman with a BMI of 36 is counseled by the nurse regarding interventions to assist with weight reduction. In which order would the nurse discuss the implementation of these interventions? 1. Gastric stapling 2. Medication to reduce appetite 3. Nutrition and exercise education 4. Assessment of lipid profile and blood pressure
Answer
  • 4, 3, 2, 1
  • 4, 2, 3, 1
  • 3, 4, 2, 1
  • 3, 2, 1, 4

Question 7

Question
Which of the following statements is correct concerning aerobic exercise for young adults?
Answer
  • Exercise improves cardiovascular function by decreasing capillary diameter in the muscles and heart
  • Raising heart rate to 150 beats per minute is not recommended for persons over the age of 25
  • Young adults are encouraged to engage in activity that raises heart rate to 150 beats per minute
  • Aerobic exercise should not be paired with muscle-strengthening activities so as to avoid over-taxing the heart

Question 8

Question
The nurse working at the college health center is asked about tanning. Which of the following statements is correct concerning sun exposure?
Answer
  • Good quality sun-block agents protect for the entire day and should be applied in the morning
  • Tanning beds are much safer than exposure to actual sunlight
  • Sun tanning should be avoided between 10 am and 2 pm
  • All of the above statements are correct

Question 9

Question
A nurse is working in the community to prevent bicycle and motorcycle fatalities. Which of the following measures would be most effective for the nurse to promote?
Answer
  • Use of helmets
  • Increasing the minimum age for motorcycle licensure
  • Construction of bike paths along busy roads
  • Right-of-way laws for bicyclists

Question 10

Question
Which of the following reflects Piaget’s theory as applied to young adults?
Answer
  • Voting for a candidate based on popularity
  • Voting for a candidate based on media advertisements
  • Voting for a candidate based on support of the candidate by peers
  • Voting for a candidate based on analysis of views about various issues

Question 11

Question
Which of the following adults has transitioned to Erikson’s intimacy versus isolation and loneliness stage of development?
Answer
  • A 21-year-old man who has had multiple intimate relationships with women over the course of one year
  • A 25-year-old man who makes no effort to date anyone of either gender but he is very close to his two dogs
  • A stable young couple with a long-term close relationship who has decided not to marry
  • All of the above meet the criteria on one level or another

Question 12

Question
Which of the following young adults exemplifies Kohlberg’s postconventional level of moral reasoning?
Answer
  • 28-year-old person who calls in sick so as to help a friend move to a new location
  • 22-year-old man who uses marijuana on the weekends with friends
  • 30-year-old woman who volunteers at a soup kitchen several days a month
  • 35-year-old who works long hours so as to be considered for a promotion

Question 13

Question
Which of the following statements is correct concerning young adults in the workforce?
Answer
  • Women generally experience less workplace stress than do men.
  • The trend has been toward shorter hours and shorter work weeks
  • With better job prospects, young adults will be ahead in wages for years to come
  • Work is of primary importance to young adults and helps form their self-image

Question 14

Question
Which of the following scenarios is outcome for the dissolution of families or divorce in young adults?
Answer
  • There has been a movement toward increased church membership for solace
  • Many women will be forced to shelter in welfare hotels and group shelters
  • Marital counseling tends to be ineffective in this age group
  • All of the above statements are correct

Question 15

Question
A 19-year-old college student is seen by the health services nurse. The young woman is distraught that she had unprotected sex 4 days ago and is afraid she may have become pregnant. Which of the following statements should be made by the nurse?
Answer
  • “You must be 21 years of age to purchase emergency contraception.”
  • “You can purchase Plan B without a prescription; it will terminate the pregnancy.”
  • “Let’s talk about how to deal with an unplanned pregnancy and childbirth."
  • “You have several options. Let’s discuss what would be the best thing for you to do next.”

Question 16

Question
The nurse working in the college health center is planning a program about sexually transmitted diseases (STDs). Which of the following information should the nurse include in the program?
Answer
  • STDs are the second most common infection in persons aged 15 to 24
  • STDs can be transmitted by any intimate contact, not just sexual intercourse
  • Multiple STDs increases the risk of ovarian cancer
  • Untreated genital herpes virus is a risk factor for invasive cervical cancers

Question 17

Question
A 32-year-old woman visits the occupational health nurse because of malaise. Which of the following assessment data indicates that the client may be experiencing achievement-oriented stress?
Answer
  • Sleeping 10 h/day
  • Unintentional loss of 10 pounds in the past 4 weeks
  • Expressed fear of company layoffs
  • Calling in sick once every 2 weeks for the past month

Question 18

Question
A nurse volunteered to work at a natural disaster site. Which of the following questions should the nurse ask to determine if the 26-year-old individual, being screened for depression, has suicide ideation?
Answer
  • “Tell me about your pets.”
  • “What do you do for work? How has your work been affected by this disaster?”
  • “Have you thought of harming yourself?”
  • “Have you seen your friends since the disaster?”

Question 19

Question
Which of the following statements is correct concerning health services and health delivery system?
Answer
  • Young adults have the highest emergency room visits.
  • The Affordable Care Act exempts young adults up to age 26 from insurance
  • Young adults should be screened for cardiovascular disease starting at age 30.
  • Young adults, as a group, have a high rate of outpatient healthcare visits

Question 20

Question
Which of the following circumstances accounts for one of the leading cause of death in young adults?
Answer
  • Tobacco use
  • Binge drinking and driving
  • Illegal drug use
  • HIV infection

Question 21

Question
A nurse is counseling a 23-year-old woman about hormone-containing (estrogen or estrogen/progestin) contraceptive methods: oral, transdermal, injectable, vaginal ring, and implant methods. Which of the following risks of using these methods should be stressed by the nurse?
Answer
  • Toxic shock syndrome
  • Heavy menses
  • Thromboembolic disorders (blood clots)
  • Ectopic pregnancy

Question 22

Question
Which of the following statements is correct concerning genetics as it pertains to childbearing?
Answer
  • Genetic testing is available for just under 50 diseases
  • Genetic impairments or congenital defects account for 4% to 6% of perinatal deaths
  • Most of the genetic testing offered is for diseases with multi-gene etiologies
  • Genetic testing provides useful information but it cannot predict the probability of disease transmission

Question 23

Question
An occupational health nurse is conducting a blood pressure screening. Which of the following clients is at greatest risk of mortality from cardiac disease? (SELECT ALL THAT APPLY.)
Answer
  • Black man with a blood pressure of 130/80
  • Mexican American man with a blood pressure of 110/60
  • White woman with a bold pressure of 120/80
  • Black woman with a blood pressure of 128/78

Question 24

Question
A public health nurse is interested in writing a grant to improve vaccination rates of young adults. His focus should be on obtaining funding to support which of the following vaccination initiatives? (SELECT ALL THAT APPLY.)
Answer
  • Pertussis
  • Lyme disease prevention
  • Hepatitis B prevention
  • Human papilloma virus (HPV) prevention

Question 25

Question
A nurse is conducting a community health-education program for Hispanic women ages 18 to 35. Which of the following items should the nurse recommend that they increase in their diet on a daily basis? (SELECT ALL THAT APPLY.)
Answer
  • Calcium
  • Folic acid
  • Iron
  • Sodium

Question 26

Question
A community health nurse has received a grant to present a program about violence prevention. Which of the following individuals has a higher than average risk of homicide? (SELECT ALL THAT APPLY.)
Answer
  • 33-year-old woman who served 5 years in prison
  • 20-year-old homeless man
  • 28-year-old man with a history of bipolar disorder
  • 24-year-old woman who has a female partner

Question 27

Question
A nurse is working in a domestic violence shelter. Which of the following individuals would the nurse expect to encounter? (SELECT ALL THAT APPLY.)
Answer
  • 34-year-old White woman who is vice president of a communications company
  • 26-year-old Black woman who has a live-in boyfriend
  • 29-year-old Hispanic man who has been married for 2 years
  • 21-year-old unemployed White woman who has been with her boyfriend for 3 years

Question 28

Question
A nurse is planning community health programming for young adults. Based on the objectives for Healthy People 2020, which of the following topics would be priority areas for programming? (SELECT ALL TAHT APPLY.)
Answer
  • Prenatal care
  • Physical activity
  • HIV
  • Suicide
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