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A nurse is counseling a 40-year-old person who is going to start an exercise program. Which of the following heart rate ranges would the nurse encourage the person to maintain while exercising?
- A. 70 to 140 beats/min
- B. 80 to 143 beats/min
- C. 90 to 153 beats/min
- D. 100 to 180 beats/min
Correct Answer: C
Rationale: Exercise intensity should be 50% to 85% of maximum heart rate, which for a 40-year-old is 90 to 153 beats per minute.
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A nurse is completing an initial genetic counseling interview with a couple. Which of the following data would be collected during the interview?
- A. Paternal age
- B. Maternal age
- C. Family history
- D. Religious affiliation
Correct Answer: B
Rationale: Maternal age and family history are key factors collected during genetic counseling to assess genetic risks.
The question, “What is the experience of teenagers who lose a sibling to cancer?” can best be answered by using which research methodology?
- A. Evidence-based practice research
- B. Qualitative research
- C. Quantitative research
- D. Clinical judgment research
Correct Answer: B
Rationale: Qualitative research explores experiences and subjective phenomena, such as the emotional response of teenagers to losing a sibling.
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.
The nurse is conducting a physical exam on a 3-year-old child. Which of the following would be the best way for the nurse to approach the child during the exam?
- A. Let the child listen to the nurse’s heart with the stethoscope.
- B. Tell him to sit quietly while the nurse examines him.
- C. Ask his parents to leave the room to minimize distractions.
- D. Ask another nurse to hold him while the nurse examines him.
Correct Answer: A
Rationale: Allowing the child to use the stethoscope helps engage them and makes the experience more comfortable.
A teenager has been using acne medications for the last 14 days. Her acne is no better, and in fact, it is a little worse. What information should the nurse offer this girl?
- A. Wash your face at least four times a day, making sure to scrub well.
- B. The medications can make acne appear worse at first; try to give it a few more weeks.
- C. Avoid all chocolate products.
- D. Because it is summertime, it would be good for your skin if you lie out in the sun for a few hours each day.
Correct Answer: B
Rationale: Acne medications can worsen acne initially; improvement occurs slowly.