Health Promotion And Maintenance Practice Quiz 4
Is your knowledge about the foundation of nursing well and sound? This quiz will question your ability to handle different nursing procedures, and other concepts covered by Fundamentals of Nursing.
Topics
Topics or concepts included in this exam are:
- Health Promotion
- Health Maintenance
Guidelines
To make the most out of this exam, follow the guidelines below:
- Read each question carefully and choose the best answer.
- You are given one minute per question. Spend your time wisely!
- Answers and rationales (if any) are given below. Be sure to read them.
- If you need more clarifications, please direct them to the comments section.
What does Health Promotion and Maintenance Mean?
Let’s start at the beginning. What does Health Promotion and Maintenance mean from a nursing perspective? Nurses are engaged with clients in all aspects of development. From in utero development through the process of death and dying, nurses are there. One way of thinking of health promotion and maintenance is to think about these stages of development and consider the role of the nurse in identifying norms in development, promotion of healthy behaviors, and early disease detection and intervention. This is indeed a big umbrella of information but we can take apart nursing knowledge to put it into this context.
Q.1 A student nurse interns at an outpatient health center. Which of the following responsibilities of the student nurse are considered tertiary prevention strategies?
A. The student nurse administers a PPD test for employment.
B. The student nurse prepares a sterile field before cleaning the inner cannula of a tracheostomy.
C. The student nurse gives Bactrim to a patient with a UTI.
D. The student nurse gives a presentation on diet and exercise.
View AnswerQ.2 A patient with rheumatoid arthritis complains to the nurse that exercise is very painful for her. What does the nurse recommend to the patient?
A. “Use ice packs on the joints that hurt after you exercise.”
B. “Try taking a warm bath in the morning before you begin your exercise.”
C. “Do not exercise if your joints hurt. Instead, try again the next day.”
D. “I’m sure it doesn’t hurt that much to exercise, right?”
View AnswerQ.3 The home health nurse visits a patient with HIV who lives alone in her apartment. Which of the following observations the nurse makes while in the patient’s home is MOST concerning?
A. The dishwasher is broken and the patient complains that she has low water pressure throughout the whole apartment.
B. The patient has a cat who purrs loudly.
C. The patient has a bowl of fake fruit on the table.
D. There is an open container of food in the refrigerator.
View AnswerQ.4 An adolescent male tells the nurse that he recently found out his friend has testicular cancer and he is worried he has it too. He describes a soft, movable mass that has not altered in size and is not painful. What is the nurse’s BEST response?
A. “Uh-oh. Do you have a family history of testicular cancer?”
B. “Even though the lump is not painful now, I am still worried. Let’s get it checked out.”
C. “That must have been scary when you found out your friend had cancer.”
D. “I can’t say whether or not you could have cancer, but it is best for me to take a look and schedule you for a few tests.”
View AnswerQ.5 The nurse is discharging a patient who had recurrent kidney stones. Which of the following statements, if made by the patient to the nurse, would be considered correct?
A. “I will eat a low-calcium diet because kidney stones are made of calcium.”
B. “I will restrict my water intake to 1500mL per day.”
C. “I will make it my goal to drink two to three liters of water per day.”
D. “I will eat a high sodium diet.”
View AnswerQ.6 The nurse in the neurology unit cares for a patient diagnosed with CVA who is ready to go home today. The patient suffers from hemiplegia and dysphagia. Which of the following statements, if made by the patient’s wife, indicates that further teaching is necessary?
A. “A peanut butter sandwich and tall, cold glass of milk is Bob’s favorite lunch.”
B. “We will change our daily schedule to six meals per day, rather than our usual three.”
C. “I will have Bob sit up for about twenty minutes before we start eating and for an hour afterward.”
D. “I will always ensure that Bob is finished chewing before I give him another bite of food.”
View AnswerQ.7 A five-month-old boy is brought to the clinic by his parents for a routine visit. Which of the following observations would require an intervention by the nurse?
A. The child cannot walk.
B. The infant has gained 7 pounds since birth.
C. The child abducts his extremities and fans his fingers when he hears a loud noise.
D. The child cries when he sees the nurse.
View AnswerQ.8 The nurse works at an outpatient health center and receives a call from an adolescent girl who was recently prescribed the birth control pill. She describes “an awful leg cramp that turned the skin red.” Which of the following statements, if made by the nurse to the patient, is CORRECT?
A. “This is a normal side effect with the pill and should go away after the first month.”
B. “We’ll need you to come in to the clinic to be evaluated immediately.”
C. “Do you play any sports where you could have injured yourself?”
D. “Has this happened before?”
View AnswerQ.9 A five-month-old boy is brought to the doctor’s office by his mother for a well-child visit. Which of the following, if observed by the nurse, would reflect a developmental delay?
A. The child, when lifted by the arms, displays head lag.
B. The child is able to sit with support on the examination table.
C. The child babbles, but cannot speak any real words yet.
D. The child’s weight has increased, from birth, by about seven pounds.
View AnswerQ.10 The nurse teaches a 20-year-old female how to perform SBE (self breast exams). Which of the following instructions, if given by the nurse, is INCORRECT?
A. “Use your index, pointer, and ring fingers to firmly palpate the breast in a circular motion.”
B. “The first position you will use to inspect your breasts is to stand with your arms at your sides.”
C. “The best time to perform your SBE is at the end of the month.”
D. “Remember that breast tissue may feel tender at times, and this is normal.”
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