Chapter 9 Practice Test

Question 1 of 31

1

Which is an example of asymptomatic pathogenesis?

Select one of the following:

Blood pressure of 170/98 experiencing headaches
Positive finding on colonoscopy and blood in his or her stool
Elevated prostate-specific antigen (PSA)
Elevated TSH who is always tired

Explanation

Question 2 of 31

1

An occupational health nurse is planning a cholesterol screening with the employees at the factory. Which of the following would be an advantage of conducting this screening?

Select one of the following:

Allows for the beginning of a multiple test screening process
Provides an opportunity for health education
Allows for preliminary diagnosis of coronary artery disease
Provides the opportunity for a referral to a physician

Explanation

Question 3 of 31

1

Influenza occurs among Americans at a rate of 36 per 100 people annually. Which type of rate is this statement describing?

Select one of the following:

Prevalence rate
Incidence rate
Morbidity rate
Mortality rate

Explanation

Question 4 of 31

1

A nurse is examining the incidence, prevalence, and mortality rates of colon cancer in the community. Which of the following measures of life is being investigated?

Select one of the following:

Quality adjusted life year (QALY)
Quantity of life
Disability adjusted life year (DALY)
Satisfaction of life

Explanation

Question 5 of 31

1

Which represents a disadvantage of screening?

Select one of the following:

Utilization of group screening methods
Utilization of multiple test screening
Utilization of a test with high specificity
Utilization of a test with low sensitivity

Explanation

Question 6 of 31

1

The nurse is examining the ability of a phenylketonuria (PKU) screening test to distinguish correctly between newborns who have and who do not have the disease. Which of the following measures of accuracy of the instrument is being evaluated?

Select one of the following:

Sensitivity
Specificity
Validity
Efficacy

Explanation

Question 7 of 31

1

The proportion of people with a condition who correctly test positive when screened is known as:

Select one of the following:

sensitivity
specificity
validity
efficacy

Explanation

Question 8 of 31

1

The Denver Developmental Screening Test (DDST) has been said to have excellent test specificity. What does this statement mean?

Select one of the following:

Rarely identifies children who have developmental delays
Rarely identifies children who do not actually have developmental delays
Has a large number of false positive results
Has a large number of false negative results

Explanation

Question 9 of 31

1

A nurse determined the interobserver reliability of a blood pressure reading. Which of the following describes the method that was used by the nurse?

Select one of the following:

Blood pressure readings of 124/82 were obtained two days in a row by two different nurses
Three consecutive blood pressure readings of 124/82 were obtained by the same nurse
Blood pressure readings of 124/82 in the right arm and 124/82 in the left arm were obtained
A blood pressure reading of 124/82 was obtained immediately followed by another blood
pressure reading of 147/92

Explanation

Question 10 of 31

1

A nurse is using a sweat test to screen people for cystic fibrosis. Which of the following results demonstrates poor sensitivity?

Select one of the following:

When 6 out of every 10 sweat tests performed are negative, but the six individuals actually have cystic fibrosis
When 6 out of every 10 sweat tests performed are positive, but the six individuals do not actually have cystic fibrosis
When 6 out of every 10 sweat tests performed are negative, and the six individuals really do not have cystic fibrosis
When 6 out of every 10 sweat tests performed are positive, and the six individuals really do have cystic fibrosis

Explanation

Question 11 of 31

1

A nurse is creating a hypertension screening program. Which of the following methods would be the best way to design a successful program?

Select one of the following:

Work with stakeholders to conduct a community assessment
Purchase state-of-the-art sphygmomanometers to measure blood pressures
Use the program developed at a previous place of employment
Contact a local church to see if the program can be implemented there

Explanation

Question 12 of 31

1

A nurse is planning to offer a depression screening at a local community center. Which of the following should be considered prior to implementation of the program?

Select one of the following:

Limited referral sources in the community
Limited support groups in the community
Insufficient evidence that depression screening tools are cost effective
Insufficient evidence mental health screening is appropriate

Explanation

Question 13 of 31

1

A nurse is implementing a test that screens for hypercholesterolemia. Which of the following parameters should this test have?

Select one of the following:

No cutoff point
Low cutoff point
Intermediate cutoff point
High cutoff point

Explanation

Question 14 of 31

1

During a screening, a test with a high specificity and low sensitivity is utilized. Which of the following issues could arise by using this test?

Select one of the following:

Ethical issues
Race issues
Gender issues
Cultural issues

Explanation

Question 15 of 31

1

A nurse is educating a group of community members about how hypertension screening is effective in reducing the rate of cardiovascular disease, thus reducing the expenses that are spent on management of this disease. Which of the following ratios is being described?

Select one of the following:

Cost-disease analysis
Cost-efficiency analysis
Cost-benefit ratio analysis
Cost-effectiveness analysis

Explanation

Question 16 of 31

1

Which of the following analyses is used to determine the optimal use of resources to reach a predetermined constant end point or the desired health outcome?

Select one of the following:

Cost-benefit ratio analysis
Cost-effectiveness analysis
Cost-efficiency analysis
Cost-disease analysis

Explanation

Question 17 of 31

1

Which of the following is an example of a screenable population for hypertension?

Select one of the following:

High school students
Professional hockey players
High-level business executives attending an annual conference
Cardiac rehabilitation clients

Explanation

Question 18 of 31

1

A nurse is assessing a low-income population in a community. Which of the following would be most appropriate for this population?

Select one of the following:

HIV screening
Blood pressure screening
Colorectal cancer screening
Breast cancer mammography screening

Explanation

Question 19 of 31

1

A nurse is working at a womens health clinic and is asked by a client when she should return for her next Pap smear. Which of the following resources would the nurse use to find the most current recommendations?

Select one of the following:

National Health Information Center
Healthy People 2020
U.S. Preventive Services Task Force (USPSTF) website
Centers for Disease Control and Prevention (CDC) website

Explanation

Question 20 of 31

1

A nurse is educating a 26-year-old, sexually active, female client about the screening tests that are now covered without a copayment or co-insurance because of the Affordable Care Act. Which of the following preventive services would the nurse include in this discussion?

Select one of the following:

Tobacco use screening
HIV screening
Cervical cancer screening
Breast cancer mammography screening

Explanation

Question 21 of 31

1

A nurse is planning a comprehensive health promotion activity to provide community members with a better opportunity to manage their own risk. Which of the following activities would be most appropriate for the nurse to perform?

Select one of the following:

Obtaining blood pressures and cholesterol levels during a screening
Obtaining blood pressures and family histories during a screening
Obtaining blood pressures and discussing the importance of exercise during a screening
Obtaining blood pressures, cholesterol levels, and glucose levels during a screening

Explanation

Question 22 of 31

1

Which of the following is an example of screening? (SELECT all that apply)

Select one or more of the following:

Asking if someone performs self-breast exam
Performing a self-breast exam
Obtaining a mammogram
Undergoing a needle biopsy

Explanation

Question 23 of 31

1

A nurse is assessing a community and is trying to determine the appropriateness of conducting a Type 2 diabetes screening in the community. Which of the following questions would the nurse need to answer when making this decision? (SELECT all that apply)

Select one or more of the following:

Is Type 2 diabetes considered a community problem?
What are the health benefits of screening for Type 2 diabetes?
Can Type 2 diabetes be detected by screening?
What is the cost-benefit ratio of implementing this screening?

Explanation

Question 24 of 31

1

Researchers are studying a particular disease which occurs among Americans at a rate of 36 per 100 annually. What type of rate is this statement describing?

Select one of the following:

Prevalence rate
Incidence rate
Morbidity rate
Mortality rate

Explanation

Question 25 of 31

1

Which type of cases tends to be expressed in terms of incidence?

Select one of the following:

Chronic conditions
Acute conditions
Diseases which target primarily children
Conditions where full recovery is expected

Explanation

Question 26 of 31

1

Which of the following statements regarding screening for Down’s Syndrome via blood work is NOT accurate?

Select one of the following:

It is an invasive but highly accurate test.
It can detect occult maternal cancer.
It is a form of genomic testing
It has decreased the incidence of amniocentesis

Explanation

Question 27 of 31

1

Which of the following plans is appropriate when planning and implementing a health screening event directed at diverse and minority populations?

Select one of the following:

Provide a standard care approach for everyone in the interest of equality for all persons.
Partner with key individuals and organizations
Provide pre-screening sessions to help diverse populations integrate with the mainstream culture
Insure that all personnel at the screening site are members of minority populations

Explanation

Question 28 of 31

1

Which of the following goals would be consistent with Healthy People 2020, as it pertains to screening and health promotion?

Select one of the following:

Promoting mammography for all women
Encourage colonoscopy to screen for colorectal cancer for all adults
Educate high-school students regarding sun safety
Increase screening via cat scans to detect for brain tumors

Explanation

Question 29 of 31

1

Which of the following screening parameters is NOT included among recommended preventative screening services for children and adolescents?

Select one of the following:

Anemia screening
Screening for high blood pressure in children
Screening or major depressive disorder
Screening for IQ in children

Explanation

Question 30 of 31

1

Which of the following statements is correct regarding the Pender Health Promotion model?

Select one of the following:

The model assists to identify factors which will influence behavioral changes
The model promotes health through standard, time-tested strategies
The model avoids asking subjective questions thus is non-threatening to the care recipient
The model is excellent for screening but less useful for teaching or primary
prevention

Explanation

Question 31 of 31

1

REACH (Racial and Ethnic Approaches to Community Health) provides strategies to facilitate health promotion within to diverse populations. The common thread to all of these strategies is

Select one of the following:

providing mentorship
building trust
creating safe and crime-free communities
decreasing poverty and economic disparities

	Created by N R almost 3 years ago

NCLEX Nursing (N14 Health Promotion) Quiz on Chapter 9 Practice Test, created by N R on 04/07/2021.

Chapter 9 Practice Test

Question 1 of 31

Which is an example of asymptomatic pathogenesis?

Select one of the following:

Explanation

Question 2 of 31

An occupational health nurse is planning a cholesterol screening with the employees at the factory. Which of the following would be an advantage of conducting this screening?

Select one of the following:

Explanation

Question 3 of 31

Influenza occurs among Americans at a rate of 36 per 100 people annually. Which type of rate is this statement describing?

Select one of the following:

Explanation

Question 4 of 31

A nurse is examining the incidence, prevalence, and mortality rates of colon cancer in the community. Which of the following measures of life is being investigated?

Select one of the following:

Explanation

Question 5 of 31

Which represents a disadvantage of screening?

Select one of the following:

Explanation

Question 6 of 31

The nurse is examining the ability of a phenylketonuria (PKU) screening test to distinguish correctly between newborns who have and who do not have the disease. Which of the following measures of accuracy of the instrument is being evaluated?

Select one of the following:

Explanation

Question 7 of 31

The proportion of people with a condition who correctly test positive when screened is known as:

Select one of the following:

Explanation

Question 8 of 31

The Denver Developmental Screening Test (DDST) has been said to have excellent test specificity. What does this statement mean?

Select one of the following:

Explanation

Question 9 of 31

A nurse determined the interobserver reliability of a blood pressure reading. Which of the following describes the method that was used by the nurse?

Select one of the following:

Explanation

Question 10 of 31

A nurse is using a sweat test to screen people for cystic fibrosis. Which of the following results demonstrates poor sensitivity?

Select one of the following:

Explanation

Question 11 of 31

A nurse is creating a hypertension screening program. Which of the following methods would be the best way to design a successful program?

Select one of the following:

Explanation

Question 12 of 31

A nurse is planning to offer a depression screening at a local community center. Which of the following should be considered prior to implementation of the program?

Select one of the following:

Explanation

Question 13 of 31

A nurse is implementing a test that screens for hypercholesterolemia. Which of the following parameters should this test have?

Select one of the following:

Explanation

Question 14 of 31

During a screening, a test with a high specificity and low sensitivity is utilized. Which of the following issues could arise by using this test?

Select one of the following:

Explanation

Question 15 of 31

A nurse is educating a group of community members about how hypertension screening is effective in reducing the rate of cardiovascular disease, thus reducing the expenses that are spent on management of this disease. Which of the following ratios is being described?

Select one of the following:

Explanation

Question 16 of 31

Which of the following analyses is used to determine the optimal use of resources to reach a predetermined constant end point or the desired health outcome?

Select one of the following:

Explanation

Question 17 of 31

Which of the following is an example of a screenable population for hypertension?

Select one of the following:

Explanation

Question 18 of 31

A nurse is assessing a low-income population in a community. Which of the following would be most appropriate for this population?

Select one of the following:

Explanation

Question 19 of 31

A nurse is working at a womens health clinic and is asked by a client when she should return for her next Pap smear. Which of the following resources would the nurse use to find the most current recommendations?

Select one of the following:

Explanation

Question 20 of 31

A nurse is educating a 26-year-old, sexually active, female client about the screening tests that are now covered without a copayment or co-insurance because of the Affordable Care Act. Which of the following preventive services would the nurse include in this discussion?