AGNP BOARD EXAM QUESTIONS Health Promotion Assessment (51 Questions),100% CORRECT

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. 10 years. 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 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. conducting an environmental assessment. Question: Higher level self-care functioning activities are referred to as: activities of daily living. instrumental activities of daily living. necessary activities of daily living. required activities of daily living. 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 Encouraging running for short distances Explaining the workings of his heart 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. 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. Question: The first sign of puberty in a male is: increased vertical height. a change in voice. testicular enlargement. facial hair. Question: At what age would a baby first be expected to locate an object hidden from view? At 4 months of age At 9 months of age At 13 months of age At 20 months of age Question: The 10 minute geriatric screener is a tool used to assess: smoking habits. alcohol consumption. functionality. dementia. Question: Part of the nutritional assessment includes anthropometric measurements. These measurements include all of the following except: height and weight. blood pressure, pulse, and respiration. body mass index (BMI). basal metabolic rate (BMR). Question: The first sign of puberty in females is: appearance of body odor. increased energy and appetite. occurrence of first menses. appearance of breast buds. Question: Sarcopenia is: cancer of the muscle sheath. loss of lean body mass and strength with aging. atrophy of voluntary muscles. loss of bone production. Question: When palpating the carotid pulse, it is important to: place the fingers on the upper third of the neck. palpate both carotids simultaneously. position the patient in the lying or sitting positions. position the patient's chin on the chest. Question: Which activity would be most appropriate to promote the growth and development of a 3-year-old boy with hemophilia who is one week post hemarthrosis episode of his left knee? Allow the child to play with building blocks. Allow the child to ride a tricycle. Allow the child to play with a toy telephone. Allow the child to ride in a motorized car. Question: Of the five percussion notes, which one produces a drum-like sound heard over air filled structures during the abdominal examination? Tympany Dullness Flatness Hyperresonance Question: According to U.S. Preventive Services Task Force, an adult aged 60 years should be screened for colorectal cancer with colonoscopy: annually. every 2 years. every 5 years. every 10 years. Question: Several interventions have been known to prevent falls in the older adult. These interventions include all of the following except: minimizing medications. managing hypotension. managing footwear and foot problems. discouraging exercise programs. Question: Basic self-care activities are referred to as: activities of daily living. instrumental activities of daily living. necessary activities of daily living. required activities of daily living. Question: The most appropriate approach to use when teaching a preschooler safety education would be to: teach using a calm, understanding voice. teach parents by introducing one concept at a time. teach the child, giving concrete rationales when questions are asked. teach the child and parents with activities that last approximately one hour. Question: The goal of palliative care is to: initiate discussions for end-of-life decisions. relieve pain. avoid elder abuse. relieve suffering and improve quality of life. Question: Which one of the following is an appropriate type of play for a 6-month-old infant? Pat-a-cake and peek-a-boo Ball rolling and hide and seek game Pots and pans with wooden spoons Push-pull toys Question: When obtaining information from an adolescent who has likely been sexually abused, the most appropriate action initially is to: notify the parent. call child protective services. ask open-ended questions. tell the adolescent that his/her story will be believed. Question: Which one of the following would be an abnormal finding in a 6-month-old? Presence of a positive Babinski reflex Extrusion reflex occurs when feeding Able to voluntarily grasp objects Rolls from abdomen to back at will Question: In which of the following situations would a one-year-old child be at risk for lead poisoning? Ceiling tiles have just been replaced in the child's home. Refinishing of all painted woodwork has occurred recently in the child's home. The family moved into a twenty-year- old brick house. The family moved from a trailer home to a new apartment complex. Question: According to the most recent recommendation from U.S. Preventive Services Task Force, screening healthy older adult men for prostate cancer by prostate specific antigen should occur: annually. every 2 years. every 5 years. never. Question: During the concrete operational period of middle childhood, which of the following is the expected cognitive development? The child is: able to follow directions but unable to verbalize the actions involved in a process. able to use thought processes to experience events and actions and make judgments based on what they reason. able to view from an egocentric outlook that is rigidly developed around the actions to be completed. able to progress from conceptual thinking to perceptual thinking when making judgments. Question: Toilet training is most appropriately initiated when the child: is 18-months-old. wakes up dry from a nap. is 24- months- old. exhibits the ability to sit on the potty for 10-15 minutes. Question: According to the 2008 U.S. Preventive Services Task Force, older adults should be screened for colorectal cancer yearly using high-sensitivity fecal occult blood tests (FOBTs) between: 50 and 60 years of age. 50 and 75 years of age. 55 and 80 years of age. 65 and 85 years of age. Question: Which one of the following statements indicates a developmental delay? A 9-month-old infant responds consistently to the sound of his name A 6-week-old infant smiles in response to the mother's face A 6-month-old infant's eyes appear crossed A 2 1/2-month-old infant is not reaching for or grasping objects Question: A 6-month-old presents today for a well child visit. He is sitting in his mother's lap. Assessment should begin with: eliciting reflexes. palpating the liver and spleen sizes. auscultating the heart and lungs. examining the head and eyes. Question: Which one of the following statements is true about immunity? Passive immunity develops in response to an infant receiving immunizations. Infants acquire active immunity from the mother which lasts 6 to 7 months. Infants acquire active immunity in response to infections and immunizations. Maternal antibodies that pass to the infant ensure active immunity up to 12 months age. Question: Which one of the following statements made by a mother indicates that her 5-month-old infant is ready for solid foods? I find that she really has to be encouraged to eat. She has just started to sit up without support. When I give my baby solid foods, she has difficulty getting it to the back of her throat to swallow. She is in the 50th percentile on the growth chart. Question: According to the most recent recommendation from U.S. Preventive Services Task Force, healthy women older than 65 years of age should be screened for cervical cancer: annually. every 2 years. every 5 years. no longer. Question: Which one of the following positions is the most accurate regarding infant car seat placement? The car seat should: be rear-facing in the back seat until the infant is 12 months and 20 pounds. be forward-facing in the back seat until the infant is 12 months and 20 pounds. be rear-facing in the front seat until the infant is 12 months and 20 pounds. be forward-facing in the front seat until the infant is 12 months and 20 pounds. Question: When assessing a normal 5-year-old, the last site to assess would be the: heart. lungs. throat. abdomen. Question: The assessment finding that would necessitate a need for additional follow-up in a preschooler would be if the child: is able to dress independently. rides a tricycle. has an imaginary friend. has a hundred word vocabulary. Question: A characteristic finding in the elderly population is: the increase in diastolic blood pressure after the sixth decade. a tendency toward developing postural hypertension. the development of heart rhythm changes leading to syncope. the susceptibility to hyperthermia. Question: At what age is it considered normal for a child to pick up objects using the palm of the hand only? At 2 months of age At 6 months of age At 12 months of age At 18 months of age Question: In the older adult, the term "Sixth Vital Sign" assesses: incontinence. functional status. sensorium. muscle strength. Question: According to the U.S. Preventive Services Task Force, older adults should be screened for colorectal cancer with high-sensitivity fecal occult blood tests (FOBTs) every: year. 2 years. 5 years. 10 years. Question: According to the most recent recommendation from U.S. Preventive Services Task Force, an adult aged 65 should be screened for breast cancer: annually. every 2 years. every 5 years. never. Question: Which of the following is considered an extrinsic risk factor for falls in the older adult? Postural hypotension Psychoactive medications Previous falls Fear of falling Question: The formula used to guide "time out" as a disciplinary method is: Length of "time out" is related to the severity of the behavior The length of "time out" is determined by using one minute per year of the child's age Use "time out" in children over the age of 6 years The length of the "time out" should not exceed 4 minutes Question: Which one of the following choices would NOT be recommended for effective communication for an older adult? Allow time for open ended questions and reminiscing Use brief screening instruments Face the patient and speak in high tones Adjust pace and content of the interview to the stamina of the patient Question: To assess for strabismus in a child, use the: Snellen eye chart. cover-uncover test. ophthalmoscope. test for pupillary reaction. Question: An infant weighed 8 pounds at birth. According to the principles of normal growth and development, how much should he weigh at 12 months of age? 16 pounds 24 pounds 29 pounds 32 pounds Question: Which of the following is the most age appropriate play for an 8-year-old girl? Dress up A board game Experiment with make-up Assemble a puzzle with 50 large pieces Question: When assessing a preschooler's mouth, the number of deciduous teeth seen should be: Up to 10. 11 to 15. 16-20. up to 32. Question: Which of the following milestones is developmentally appropriate for a 2-month-old infant when pulled to a sitting position? The infant shows persistent head lag when the trunk is lifted. The infant is completely able to support the head when the trunk is lifted. The infant is able to hold the head in a straight line. The infant is briefly able to hold the head erect. Question: During the first 6 months of life, an infant will: grow 1 cm in length per month. gain 1.5 pounds per month. regain weight lost after birth within 2 months. have a 1-inch increase in head circumference per month. Question: A five year old will engage in what type of play? Parallel play Solitary play Team play Cooperative play