HEALTH PROMOTION AND DISEASE
PREVENTION CHAPTER 1 EXAM PRACTICE
QUESTIONS WITH VERIFIED SOLUTIONS
NEW MODIFIED!!
An 18-year-old woman with allergic rhinitis presents for primary care. She is
sexually active with a male partner and is 1 year post-coitarche; during that time
she had two sex partners. An example of a primary prevention activity for this
patient is:
A. screening for sexually transmitted infection.
B. counseling about safer sexual practices.
C. prescribing therapies for minimizing allergy.
D. obtaining a liquid-based Papanicolaou (Pap) test. --CORRECT ANSWER--B
When a critical portion of a population is immunized against a contagious
disease, most members of the group, even the unimmunized, are protected
against that disease because there is little opportunity for an outbreak. This is
known as ______ immunity.
A. passive
B. humoral
C. epidemiologic
D. community --CORRECT ANSWER--D
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,When advising a patient about injectable influenza immunization, the nurse
practitioner (NP) considers the following about the use of this vaccine:
A. Its use is not recommended in sickle cell anemia.
B. Its use is limited to children older than 2 years.
C. Its use is limited because it contains live virus.
D. Its use is recommended for virtually all members of the population. --
CORRECT ANSWER--D
A middle-aged man with chronic obstructive pulmonary disease who is about to
receive injectable influenza vaccine should be advised that:
A. it is more than 90% effective in preventing influenza.
B. its use is contraindicated in the presence of psoriasis vulgaris.
C. localized reactions such as soreness and redness at the site of the
immunization are fairly common.
D. a short, intense, flu-like syndrome typically occurs after immunization. --
CORRECT ANSWER--C
An example of a primary prevention measure for a 78-year-old man with
chronic obstructive pulmonary disease is:
A. reviewing the use of prescribed medications.
B. conducting a home survey to minimize fall risk.
C. checking FEV1 (force expired volume at 1 second) to FVC (forced vital
capacity) ratio.
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, D. ordering fecal occult blood test (FOBT). --CORRECT ANSWER--B
Which of the following is an example of a primary prevention activity in a 76-
year-old woman with osteoporosis?
A. bisphosphonate therapy
B. calcium supplementation
C. ensuring adequate illumination in the home
D. use of a back brace --CORRECT ANSWER--C
Secondary prevention measures for a 78-year-old man with chronic obstructive
pulmonary disease include:
A. screening for mood disorders.
B. administering influenza vaccine.
C. obtaining a serum theophylline level.
D. advising about appropriate use of car passenger restraints. --CORRECT
ANSWER--A
Tertiary prevention measures for a 69-year-old woman with heart failure
include:
A. administering pneumococcal vaccine.
B. adjusting therapy to minimize dyspnea.
C. surveying skin for precancerous lesions.
D. reviewing safe handling of food. --CORRECT ANSWER--B
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PREVENTION CHAPTER 1 EXAM PRACTICE
QUESTIONS WITH VERIFIED SOLUTIONS
NEW MODIFIED!!
An 18-year-old woman with allergic rhinitis presents for primary care. She is
sexually active with a male partner and is 1 year post-coitarche; during that time
she had two sex partners. An example of a primary prevention activity for this
patient is:
A. screening for sexually transmitted infection.
B. counseling about safer sexual practices.
C. prescribing therapies for minimizing allergy.
D. obtaining a liquid-based Papanicolaou (Pap) test. --CORRECT ANSWER--B
When a critical portion of a population is immunized against a contagious
disease, most members of the group, even the unimmunized, are protected
against that disease because there is little opportunity for an outbreak. This is
known as ______ immunity.
A. passive
B. humoral
C. epidemiologic
D. community --CORRECT ANSWER--D
Page 1 of 27
,When advising a patient about injectable influenza immunization, the nurse
practitioner (NP) considers the following about the use of this vaccine:
A. Its use is not recommended in sickle cell anemia.
B. Its use is limited to children older than 2 years.
C. Its use is limited because it contains live virus.
D. Its use is recommended for virtually all members of the population. --
CORRECT ANSWER--D
A middle-aged man with chronic obstructive pulmonary disease who is about to
receive injectable influenza vaccine should be advised that:
A. it is more than 90% effective in preventing influenza.
B. its use is contraindicated in the presence of psoriasis vulgaris.
C. localized reactions such as soreness and redness at the site of the
immunization are fairly common.
D. a short, intense, flu-like syndrome typically occurs after immunization. --
CORRECT ANSWER--C
An example of a primary prevention measure for a 78-year-old man with
chronic obstructive pulmonary disease is:
A. reviewing the use of prescribed medications.
B. conducting a home survey to minimize fall risk.
C. checking FEV1 (force expired volume at 1 second) to FVC (forced vital
capacity) ratio.
Page 2 of 27
, D. ordering fecal occult blood test (FOBT). --CORRECT ANSWER--B
Which of the following is an example of a primary prevention activity in a 76-
year-old woman with osteoporosis?
A. bisphosphonate therapy
B. calcium supplementation
C. ensuring adequate illumination in the home
D. use of a back brace --CORRECT ANSWER--C
Secondary prevention measures for a 78-year-old man with chronic obstructive
pulmonary disease include:
A. screening for mood disorders.
B. administering influenza vaccine.
C. obtaining a serum theophylline level.
D. advising about appropriate use of car passenger restraints. --CORRECT
ANSWER--A
Tertiary prevention measures for a 69-year-old woman with heart failure
include:
A. administering pneumococcal vaccine.
B. adjusting therapy to minimize dyspnea.
C. surveying skin for precancerous lesions.
D. reviewing safe handling of food. --CORRECT ANSWER--B
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