VNSG 1462 Health Promotion Exam Questions with Correct Solutions

VNSG 1462 Health Promotion Exam Questions with Answers Question 1 See full question 20s An adolescent with well-controlled type 1 diabetes has assumed complete management of his disease and wants to participate in gymnastics after school. To ensure safe participation, the nurse should instruct him to adjust his therapeutic regimen by: You Selected: • increasing his morning dosage of intermediate-acting insulin. Correct response: • eating a snack before each gymnastics practice. Explanation: Remediation: Question 2 See full question 18s The nurse is developing a community health education program about sexually transmitted infections. Which information about women who acquire gonorrhea should be included? You Selected: • Women with gonorrhea are usually asymptomatic. Correct response: • Women with gonorrhea are usually asymptomatic. Explanation: Remediation: Question 3 See full question 33s College freshmen are participating in a study abroad program. When teaching them about hepatitis B, the nurse should instruct the students on the need for: You Selected: • safe sexual practices. Correct response: • safe sexual practices. Explanation: Remediation: Question 4 See full question 34s A group has asked the nurse to discuss how lifestyle factors affect heart health. Which of the following statements by members of the group would indicate that the teaching was effective? Select all that apply. You Selected: • “As a borderline diabetic, if I lose weight and lessen my intake of simple carbohydrates, this should benefit my heart.” • “Walking is excellent exercise to strengthen my heart.” • “Gradually increasing my exercise levels will help enhance circulation through the heart.” • “If I change my diet and lessen my intake of saturated fats and trans fatty acids, this may decrease my cholesterol levels.” Correct response: • “Gradually increasing my exercise levels will help enhance circulation through the heart.” • “If I change my diet and lessen my intake of saturated fats and trans fatty acids, this may decrease my cholesterol levels.” • “As a borderline diabetic, if I lose weight and lessen my intake of simple carbohydrates, this should benefit my heart.” • “Walking is excellent exercise to strengthen my heart.” Explanation: Remediation: Question 5 See full question 22s A client with a panic disorder describes a sensation of being choked or trapped after experiencing a panic attack. To assist the client in understanding his/her situation, what could the nurse anticipate including in the teaching plan? You Selected: • Identifying areas of the client's life that the client can control Correct response: • Identifying areas of the client's life that the client can control Explanation: Remediation: Question 6 See full question 26s The nurse is caring for a client recently diagnosed with hepatitis C. In reviewing the client’s history, what information will be most helpful as the nurse develops a teaching plan? The client: You Selected: • traveled to Central America recently and ate uncooked vegetables. Correct response: • has a known history of sexually transmitted disease. Explanation: Remediation: Question 7 See full question 40s Before supper, an adult client who has type-2 diabetes and requires insulin tells the nurse about having tremors, being weak and anxious. The nurse should: You Selected: • have the client drink a glass of milk or orange juice. Correct response: • have the client drink a glass of milk or orange juice. Explanation: Remediation: Question 8 See full question 1m 25s A client is at risk for acute pyelonephritis. The nurse should instruct the client about which health promotion behaviors that will be most effective in preventing pyelonephritis? You Selected: • Wash the perineum with warm water and soap, cleaning from front to back. Correct response: • Wash the perineum with warm water and soap, cleaning from front to back. Explanation: Remediation: Question 9 See full question 33s A 92-year-old is being discharged following a repair of an inguinal hernia. The client is independent and lives alone, and the client’s family lives 60 miles from the client’s house. When at home, the client is to cleanse and inspect the incision for signs of infection. The client and family are able to read and understand written instructions. When giving discharge instructions, what should the nurse do? Select all that apply. You Selected: • Provide written instructions for the client. • Explain the instructions to a family member. • Ask the client to demonstrate the procedure. • Explain the instructions to the client. Correct response: • Explain the instructions to the client. • Ask the client to demonstrate the procedure. • Provide written instructions for the client. Explanation: Remediation: Question 10 See full question 22s A nurse is providing health teaching on female sexuality and provides illustration for education on the female anatomy. When discussing problems with sexual excitation, the nurse is correct to indicate which site as the area of sexual stimulation? You Selected: • Your selection and the correct area, market by the green box. Explanation: Question 1 See full question 2m 16s A client who is 18 weeks pregnant is losing weight. She tells a nurse that she's out of work and, after paying bills, has no money to buy healthy food. The nurse should offer the client information about: You Selected: • Women, Infants, and Children (WIC). Correct response: • Women, Infants, and Children (WIC). Explanation: Remediation: Question 2 See full question 16s Before discharge from the hospital after a myocardial infarction, a client is taught to exercise by gradually increasing the distance walked. Which vital sign should the nurse teach the client to monitor to determine whether to increase or decrease the exercise level? You Selected: • pulse rate Correct response: • pulse rate Explanation: Remediation: Question 3 See full question 35s A client with schizophrenia is responding well to risperidone and is no longer psychotic. After teaching the client about managing the illness, which statement reflects a need for further intervention? You Selected: • “I just do not know if I can afford to keep taking medicines every day.” Correct response: • “I just do not know if I can afford to keep taking medicines every day.” Explanation: Remediation: Question 4 See full question 17s A client undergoing chemotherapy tells the nurse, “I do not want to get out of bed in the morning, because I am so tired.” The nursing plan of care should include: You Selected: • individually tailored exercise program. Correct response: • individually tailored exercise program. Explanation: Remediation: Question 5 See full question 1m 13s A client with diabetes mellitus that is well controlled reports that she participated in strenuous aerobic exercise before becoming pregnant. She asks the nurse if she can continue exercising. What should be the nurse’s best response? You Selected: • “You can continue exercising while pregnant, but make sure that you eat a carbohydrate or protein snack before exercising.” Correct response: • “You can continue exercising while pregnant, but make sure that you eat a carbohydrate or protein snack before exercising.” Explanation: Remediation: Question 6 See full question 45s The nurse is planning an educational program about the prevention of osteoporosis for a group of women. Which preventive measures would be appropriate for the nurse to include in the teaching plan? You Selected: • encouraging weight-bearing exercise on a regular basis Correct response: • encouraging weight-bearing exercise on a regular basis Explanation: Remediation: Question 7 See full question 13s Which health promotion activity should the nurse to suggest that the client with cirrhosis add to the daily routine at home? You Selected: • Abstain from drinking alcohol. Correct response: • Abstain from drinking alcohol. Explanation: Remediation: Question 8 See full question 41s The nurse is working at the local family planning clinic completing family education. When devising a teaching plan, in which client group would the nurse stress the importance of an annual Papanicolaou test? You Selected: • Clients with a history of recurrent candidiasis Correct response: • Clients infected with the human papillomavirus (HPV) Explanation: Remediation: Question 9 See full question 12s The nurse is discharging an older adult to home after hospitalization for cellulitis of the right foot. The client originally scraped the foot on a rock while walking barefoot outside; the scrape became infected and eventually required hospitalization for wound care and several days of IV antibiotics. After reviewing discharge instructions, what statement by the client indicates the need for further teaching by the nurse? You Selected: • “I will take the antibiotics until the redness goes away and my foot feels better.” Correct response: • “I will take the antibiotics until the redness goes away and my foot feels better.” Explanation: Question 10 See full question 1m 18s A female client who is 32 years of age has been diagnosed with stage 1 hypertension. The client’s height is 5 feet 5 inches (165 cm), and her weight is recorded as 125 pounds (56.6 kg); she reports that she frequently eats at “fast food” restaurants and enjoys a glass of wine to relax on weekends. In developing a teaching plan for this client, the nurse should address which topic? You Selected: • low-sodium food choices Correct response: • low-sodium food choices Explanation: Remediation: Question 1 See full question 40s A client says he's stressed by his job but enjoys the challenge. What should the nurse suggest? You Selected: • Leave work at work. Correct response: • Take stress-management classes. Explanation: Remediation: Question 2 See full question 54s As part of a relapse prevention plan, a nurse is teaching a client about Alcoholics Anonymous. Which information should the nurse include in the teaching? You Selected: • Members of Alcoholics Anonymous (AA) support each other and understand what it takes to achieve and maintain sobriety. Correct response: • Members of Alcoholics Anonymous (AA) support each other and understand what it takes to achieve and maintain sobriety. Explanation: Remediation: Question 3 See full question 42s A community health nurse is planning to address the physical needs of older adults living in their homes. What primary areas would be included in this discussion? You Selected: • Importance of exercise, balanced nutrition, mobility and safety needs Correct response: • Importance of exercise, balanced nutrition, mobility and safety needs Explanation: Remediation: Question 4 See full question 1m 31s Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used in the treatment of musculoskeletal conditions. It is important for the nurse to remind the client to: You Selected: • take NSAIDs with food. Correct response: • take NSAIDs with food. Explanation: Remediation: Question 5 See full question 1m 25s A clinically obese client with moderately painful varicose veins chooses self-care options for managing the varicosities. The nurse should coach the client to follow which health care practices? Select all that apply. You Selected: • Wear compression stockings. • Elevate the legs.