AGNP BOARD EXAM QUESTIONS Health Promotion Assessment (51
Questions with Answers and Explanations).
Question:
According to the U.S. Preventive Services Task Force, older adults should be screened for
colorectal cancer with sigmoidoscopy every:
year.
2 years.
5 years. Correct
10 years.
Explanation:
The Task Force recommends screening with colonoscopy every 10 years, sigmoidoscopy every 5
years with high-sensitivity fecal occult blood tests (FOBTs) every 3 years, or FOBTs every year
beginning age 50 years through age 75 years. Recommends against routine screening for adults
ages 76 to 85 years, due to moderate certainty that the net benefit is small.
Question:
Which topic should be a priority when providing anticipatory guidance to an 8-year-old child?
Screening for scoliosis
Advising the parent to protect the child from sunburn with sunscreen
Recommending that the child receive another varicella vaccine now
Assessing child care arrangements for before and after school Correct
Explanation:
School age children may not want to go to daycare, but are not old enough to stay home
unsupervised. Help the parent to problem solve. Scoliosis is screened in 10-12-year-old children.
Applying sunscreen should start at an earlier age than 8 years. Varicella vaccine is first given
between 12 and 15 months and repeated at 4-6 years (before entering elementary school -
kindergarten).
,Question:
All of the following strategies are useful for assessing older adults at high risk for falls except:
reviewing the medication history.
obtaining a functional history.
assessing immunization history. Correct
conducting an environmental assessment.
Explanation:
Strategies for assessing older adults at high risk for falls include: obtaining a detailed fall history,
medication review, and history of relevant risk factors (such as acute and chronic medical
problems). Other assessments should include: gait, balance, mobility, and lower extremity joint
function, neurologic function, lower extremity muscle strength, cardiovascular status, visual
acuity, and examination of the feet and footwear. A functional and environmental assessment as
well as implementing multifactorial / multicomponent interventions to address identified risks
will help to prevent falls.
Question:
Higher level self-care functioning activities are referred to as:
activities of daily living.
instrumental activities of daily living. Correct
necessary activities of daily living.
required activities of daily living.
Explanation:
, Activities of daily living (ADLs) consist of basic self-care abilities: bathing, dressing, toileting,
transferring, continence, and feeding. Higher level functions are referred to as the instrumental
activities of daily living (IADLs) and include: using the telephone, shopping, preparing food,
laundry, and taking medicine.
Question:
Which of the following would help a 9-year-old develop a sense of industry?
Providing large plastic blocks for him to build things
Helping him make a collection of several objects Correct
Encouraging running for short distances
Explaining the workings of his heart
Explanation:
The school age child likes to collect things and keep them as memoirs. Large plastic blocks are
characteristic of preschoolers and would not accomplish this task. Running short distances is a
more appropriate activity for this child. Explaining how the heart works requires more cognitive
abilities than a 9-year-old may have.
Question:
Which technique would be least effective in gaining the cooperation of a toddler during a
physical exam?
Tell the child that another child the same age was not afraid. Correct
Allow the child to hold and touch the equipment when possible.
Permit the child to sit on the parent's lap during the examination.
Give the child immediate praise for holding still or doing what was asked.
Questions with Answers and Explanations).
Question:
According to the U.S. Preventive Services Task Force, older adults should be screened for
colorectal cancer with sigmoidoscopy every:
year.
2 years.
5 years. Correct
10 years.
Explanation:
The Task Force recommends screening with colonoscopy every 10 years, sigmoidoscopy every 5
years with high-sensitivity fecal occult blood tests (FOBTs) every 3 years, or FOBTs every year
beginning age 50 years through age 75 years. Recommends against routine screening for adults
ages 76 to 85 years, due to moderate certainty that the net benefit is small.
Question:
Which topic should be a priority when providing anticipatory guidance to an 8-year-old child?
Screening for scoliosis
Advising the parent to protect the child from sunburn with sunscreen
Recommending that the child receive another varicella vaccine now
Assessing child care arrangements for before and after school Correct
Explanation:
School age children may not want to go to daycare, but are not old enough to stay home
unsupervised. Help the parent to problem solve. Scoliosis is screened in 10-12-year-old children.
Applying sunscreen should start at an earlier age than 8 years. Varicella vaccine is first given
between 12 and 15 months and repeated at 4-6 years (before entering elementary school -
kindergarten).
,Question:
All of the following strategies are useful for assessing older adults at high risk for falls except:
reviewing the medication history.
obtaining a functional history.
assessing immunization history. Correct
conducting an environmental assessment.
Explanation:
Strategies for assessing older adults at high risk for falls include: obtaining a detailed fall history,
medication review, and history of relevant risk factors (such as acute and chronic medical
problems). Other assessments should include: gait, balance, mobility, and lower extremity joint
function, neurologic function, lower extremity muscle strength, cardiovascular status, visual
acuity, and examination of the feet and footwear. A functional and environmental assessment as
well as implementing multifactorial / multicomponent interventions to address identified risks
will help to prevent falls.
Question:
Higher level self-care functioning activities are referred to as:
activities of daily living.
instrumental activities of daily living. Correct
necessary activities of daily living.
required activities of daily living.
Explanation:
, Activities of daily living (ADLs) consist of basic self-care abilities: bathing, dressing, toileting,
transferring, continence, and feeding. Higher level functions are referred to as the instrumental
activities of daily living (IADLs) and include: using the telephone, shopping, preparing food,
laundry, and taking medicine.
Question:
Which of the following would help a 9-year-old develop a sense of industry?
Providing large plastic blocks for him to build things
Helping him make a collection of several objects Correct
Encouraging running for short distances
Explaining the workings of his heart
Explanation:
The school age child likes to collect things and keep them as memoirs. Large plastic blocks are
characteristic of preschoolers and would not accomplish this task. Running short distances is a
more appropriate activity for this child. Explaining how the heart works requires more cognitive
abilities than a 9-year-old may have.
Question:
Which technique would be least effective in gaining the cooperation of a toddler during a
physical exam?
Tell the child that another child the same age was not afraid. Correct
Allow the child to hold and touch the equipment when possible.
Permit the child to sit on the parent's lap during the examination.
Give the child immediate praise for holding still or doing what was asked.
