AGNP BOARD EXAM HEALTH PROMOTION
ASSESSMENT (52 QUESTIONS WITH ANSWERS
AND EXPLANATIONS).
Question:1
According to the U.S. Preventive Services Task Force, older adults should be screened for
colorectal cancer with sigmoidoscopy every:
a) 1 year.
b) 2 years.
c) 5 years. Correct
d) 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:2
Which topic should be a priority when providing anticipatory guidance to an 8-year-old
child?
a) Screening for scoliosis
b) Advising the parent to protect the child from sunburn with sunscreen
c) Recommending that the child receive another varicella vaccine now
d) 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:3
All of the following strategies are useful for assessing older adults at high risk for falls
except:
a) reviewing the medication history.
b) obtaining a functional history.
c) assessing immunization history. Correct
d) 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:4
Higher level self-care functioning activities are referred to as:
a) activities of daily living.
b) instrumental activities of daily living. Correct
c) necessary activities of daily living.
d) 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:5
Which of the following would help a 9-year-old develop a sense of industry?
, a) Providing large plastic blocks for him to build things
b) Helping him make a collection of several objects Correct
c) Encouraging running for short distances
d) 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:6
Which technique would be least effective in gaining the cooperation of a toddler during a
physical exam?
a) Tell the child that another child the same age was not afraid. Correct
b) Allow the child to hold and touch the equipment when possible.
c) Permit the child to sit on the parent's lap during the examination.
d) Give the child immediate praise for holding still or doing what was asked.
Explanation:
Telling the child that another child the same age was not afraid would not be an effective
technique as a toddler is unable to process that concept. The other choices are appropriate
techniques.
Question:7
The first sign of puberty in a male is:
a) increased vertical height.
b) a change in voice.
c) testicular enlargement. Correct
d) facial hair.
Explanation:
Puberty begins sexual maturity. It is a process that usually occurs between ages 10 and 14
for girls, and ages 12 and 16 for boys. It causes physical changes, and affects boys and girls
ASSESSMENT (52 QUESTIONS WITH ANSWERS
AND EXPLANATIONS).
Question:1
According to the U.S. Preventive Services Task Force, older adults should be screened for
colorectal cancer with sigmoidoscopy every:
a) 1 year.
b) 2 years.
c) 5 years. Correct
d) 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:2
Which topic should be a priority when providing anticipatory guidance to an 8-year-old
child?
a) Screening for scoliosis
b) Advising the parent to protect the child from sunburn with sunscreen
c) Recommending that the child receive another varicella vaccine now
d) 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:3
All of the following strategies are useful for assessing older adults at high risk for falls
except:
a) reviewing the medication history.
b) obtaining a functional history.
c) assessing immunization history. Correct
d) 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:4
Higher level self-care functioning activities are referred to as:
a) activities of daily living.
b) instrumental activities of daily living. Correct
c) necessary activities of daily living.
d) 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:5
Which of the following would help a 9-year-old develop a sense of industry?
, a) Providing large plastic blocks for him to build things
b) Helping him make a collection of several objects Correct
c) Encouraging running for short distances
d) 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:6
Which technique would be least effective in gaining the cooperation of a toddler during a
physical exam?
a) Tell the child that another child the same age was not afraid. Correct
b) Allow the child to hold and touch the equipment when possible.
c) Permit the child to sit on the parent's lap during the examination.
d) Give the child immediate praise for holding still or doing what was asked.
Explanation:
Telling the child that another child the same age was not afraid would not be an effective
technique as a toddler is unable to process that concept. The other choices are appropriate
techniques.
Question:7
The first sign of puberty in a male is:
a) increased vertical height.
b) a change in voice.
c) testicular enlargement. Correct
d) facial hair.
Explanation:
Puberty begins sexual maturity. It is a process that usually occurs between ages 10 and 14
for girls, and ages 12 and 16 for boys. It causes physical changes, and affects boys and girls
