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Using developmental theory, a community nurse assesses the community and determines that the majority of residents who are 45 years of age or older lead sedentary lives. Which of the following would be the priority for this nurse to promote?
- A. Health promotion activities
- B. Accident prevention activities
- C. Drug prevention activities
- D. Pregnancy prevention activities
Correct Answer: A
Rationale: The priority would be health promotion activities to encourage physical activity, especially for older adults.
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A nurse is assessing a woman for positive signs of pregnancy. Which of the following assessment findings would the nurse discover?
- A. Positive test for HCG in the maternal urine
- B. Detection of fetal heart tones
- C. Enlargement of the uterus
- D. Palpation of fetal body parts
Correct Answer: B
Rationale: Positive signs of pregnancy include detection of fetal heart tones and palpation of fetal body parts.
During an office visit, a nurse provides counseling to a 70-year-old woman with osteoporosis who is otherwise very healthy. Which of the following information should the nurse provide to the woman?
- A. Avoid all forms of exercise because of the risk of fractures.
- B. Walk with a partner at least 30 minutes a day 5 days a week.
- C. Use a wheelchair to get around so that she can prevent falls.
- D. Take a step aerobics class 5 days a week.
Correct Answer: B
Rationale: Walking with a partner is a safe, weight-bearing activity that can help improve bone density and prevent falls.
When assessing a person’s nutritional-metabolic pattern, which objective finding would have implications for nursing intervention?
- A. The person’s 24-hour diet diary
- B. The person’s dentition
- C. The person’s food preferences
- D. The person’s financial status
Correct Answer: B
Rationale: The dentition can be directly observed and physically examined, making it an objective measure relevant to nursing intervention.
A nurse is using a functional focus to assess a person. Which of the following will the nurse be evaluating?
- A. Visual acuity
- B. Pupil reactivity
- C. Ability to drive
- D. The red reflex
Correct Answer: C
Rationale: A functional focus assesses how visual abilities affect a person's lifestyle, such as driving.
A nurse is completing a home visit of a new mother who is breast-feeding her infant. Which of the following instructions should the nurse provide during this visit?
- A. Consume 500 kcal/day above pre-pregnancy energy intake to avoid excessive weight loss.
- B. Drink 1 quart of fluids daily to produce sufficient quantity of breast milk.
- C. Use formula to provide the infant supplementation between feedings.
- D. Use a pacifier to help the infant to fall asleep so he does not fall asleep when breast-feeding.
Correct Answer: B
Rationale: Adequate fluid intake is essential for breastfeeding mothers to produce sufficient milk.