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Chapter 12 Practice Test

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NCLEX Nursing (N14 Health Promotion) Quiz on Chapter 12 Practice Test , created by N R on 06/07/2021.
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Quiz by N R, updated more than 1 year ago
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Created by N R almost 3 years ago
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Question 1

Question
Activity that uses large muscle groups in a repetitive, rhythmic fashion over an extended period to improve the efficiency of the oxidative energy producing system and improve cardiorespiratory endurance is known as:
Answer
  • aerobic activity.
  • anaerobic activity
  • flexibility
  • muscular fitness

Question 2

Question
A nurse is working with a group of individuals to start an exercise program. Which of the following would require the most attention and assistance?
Answer
  • White man who works 50 to 60 hours a week as a business executive
  • Unemployed, obese Hispanic woman
  • Employed White woman with hypertension
  • White man with a high school diploma

Question 3

Question
According to the physical activity and fitness section of the Healthy People 2020 report, what percentage of adults 18 years of age or older report no leisure-time physical activity?
Answer
  • 16%
  • 26%
  • 36%
  • 46%

Question 4

Question
A nurse is developing a primary prevention strategy to address the problem of obesity. Which of the following interventions is being created?
Answer
  • Encouraging an active lifestyle during childhood years
  • Prescribing orlistat (Alli)
  • Recommending the Jenny Craig program
  • Recommending gastric banding surgery

Question 5

Question
A nurse is providing care for a 10-year-old child with a BMI at the 80th percentile. Which of the following best describes this child?
Answer
  • Normal weight
  • Overweight
  • Obese
  • Morbidly obese

Question 6

Question
According to the 2009-2010 National Health and Nutrition Examination Survey, what percentage of 6- to 11-year-old children are overweight?
Answer
  • 14%
  • 18%
  • 24%
  • 28%

Question 7

Question
A nurse is providing care for a 40-year-old adult with a BMI of 32. Which of the following best describes this person?
Answer
  • Normal weight
  • Overweight
  • Obese
  • Morbidly obese

Question 8

Question
During an office visit, a nurse meets with a woman who states she does not have time to exercise. Which of the following actions should the nurse take next?
Answer
  • Do nothing because she has already made the decision to not exercise.
  • Provide her with information on the benefits of exercising.
  • Develop an exercise prescription with her.
  • Schedule a follow-up in 2 months to see if she still feels the same way

Question 9

Question
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?
Answer
  • Avoid all forms of exercise because of the risk of fractures
  • Walk with a partner at least 30 minutes a day 5 days a week
  • Use a wheelchair to get around so that she can prevent falls
  • Take a step aerobics class 5 days a week

Question 10

Question
A nurse is providing health education for a group of older adults about the risks of developing coronary heart disease. Which of the following group members is at highest risk?
Answer
  • Takes a beta-blocker for hypertension
  • Has a total cholesterol level of 201
  • Doesnt participate in any form of regular physical activity
  • Has a family history of Type 2 diabetes mellitus

Question 11

Question
During a home visit, a nurse notes that a person with hypertension lives on the third floor of a subsidized housing project on a busy road with no sidewalks and few street lights. Which of the following would be the best recommendation for exercise for the nurse to make to the person?
Answer
  • Do not exercise because you have high blood pressure
  • Use the stairs whenever you are entering or leaving the building
  • Go for short walks around the block during the daytime only
  • Purchase an exercise bike

Question 12

Question
A 51-year-old woman has begun menopause. The nurse emphasizes the importance of a diet high in calcium and vitamin D as well as exercise for this woman. This recommendation is important because by the time the client is 56, she will have experienced another _____ bone loss.
Answer
  • 3%
  • 7%
  • 10%
  • 15%

Question 13

Question
A nurse is educating a 35-year-old woman about the best exercises to engage in to prevent bone loss. Which of the following exercises would the nurse recommend?
Answer
  • Walking
  • Swimming
  • Weight training
  • Bike riding

Question 14

Question
A nurse is developing an exercise program for a person with moderate osteoarthritis of the knees. Which of the following forms of exercise would the nurse include in this program?
Answer
  • Step aerobics
  • Running
  • Water aerobics
  • Bike riding

Question 15

Question
A nurse is providing care to a person who has lower back pain. Which of the following exercises would the nurse recommend to assist with pain reduction?
Answer
  • Walking
  • Pilates
  • Swimming
  • Bike riding

Question 16

Question
Which of the following statements about exercise is true?
Answer
  • People who engage in high-intensity exercise are at lowest risk for illness
  • Aerobic exercise should be part of daily exercise routines
  • Regular exercise may cause people to experience fatigue and increased susceptibility to mental health disorders
  • Low-level physical activity may have a protective effect on gastric and pancreatic cancer

Question 17

Question
A nurse is monitoring the exercise of a 42-year-old woman. Which of the following would be the estimated maximum heart rate (MHR) for this woman?
Answer
  • 126
  • 142
  • 178
  • 184

Question 18

Question
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?
Answer
  • 70 to 140 beats/min
  • 80 to 143 beats/min
  • 90 to 153 beats/min
  • 100 to 180 beats/min

Question 19

Question
A nurse is discussing exercise intensity with a client. Which of the following medications that the client is taking may limit the usefulness of heart rate as an indicator of exercise intensity?
Answer
  • Ciprofloxacin (Cipro)
  • Metoprolol (Toprol)
  • Atorvastatin (Lipitor)
  • Lansoprazole (Prevacid)

Question 20

Question
The nurse is discussing an exercise prescription with a person. To help him determine the appropriate intensity, the nurse tells him that he should monitor his rate of perceived exertion. Which of the following should the nurse tell the man he should experience while exercising?
Answer
  • Talking and singing without difficulty
  • Feeling extremely fatigued
  • Having mild musculoskeletal discomfort
  • Being out of breath

Question 21

Question
A nurse is discussing resistance training with a 24-year-old woman. The woman is resistant to weight lifting because she does not want to get too muscular. She prefers a program that is strictly aerobic. Which of the following would be the most appropriate response from the nurse?
Answer
  • Ok, just make sure you perform one hour of aerobics every day
  • Lifting weights is a necessary part of exercise
  • Weight lifting has many purposes and benefits; can we talk about them?
  • Looking muscular at your age is attractive

Question 22

Question
An inborn set of physiological changes that offset those of the fight or flight response is known as:
Answer
  • Self-efficacy
  • Catecholamine surge
  • Relaxation response
  • Metabolism

Question 23

Question
A nurse is caring for a man who states he is ready to start exercising. Which of the following actions should the nurse take next?
Answer
  • Do nothing because he has already made the decision to implement a change.
  • Provide him with information on the benefits of exercising
  • Develop an exercise prescription with him
  • Schedule a follow-up in 2 months to see if he still feels the same way

Question 24

Question
A nurse is counseling a 19-year-old person who has recently been diagnosed with Type 1 diabetes mellitus. The person asks if there is anything specific that should be done before going to play tennis with a friend. Which of the following instructions should the nurse give the person to avoid hypoglycemia?
Answer
  • Inject the insulin into the abdomen.
  • Inject the insulin into the arm
  • Inject the insulin into the thigh.
  • Skip taking any insulin before exercising

Question 25

Question
A woman is going for a 2-hour hike in the Grand Canyon and she asks the nurse how much fluid she should take along with her. Which of the following recommendations should be given by the nurse?
Answer
  • Bring at least 24 ounces of water.
  • Bring at least 72 ounces of water.
  • Bring at least 24 ounces of sports drink.
  • Bring at least 72 ounces of sports drink.

Question 26

Question
An occupational health nurse is trying to promote regular activity at her institution. Which of the following interventions would most likely be the most successful?
Answer
  • Educate all employees regarding the benefits of exercise
  • Initiate a lunchtime walking group that employees can join
  • Provide all employees with an exercise prescription
  • Recommend that employees who do not exercise be terminated from their positions

Question 27

Question
A nurse is providing an educational program addressing the importance of being physically active. The nurse states that individuals should engage in exercise for a minimum of 30 minutes of activity on most days of the week. For which of the following individuals is that recommendation appropriate? (SELECT ALL THAT APPLY)
Answer
  • A 54-year-old with hypercholesterolemia
  • A 66-year-old with hypertension
  • A 48-year-old with obesity
  • A 58-year-old with Type 2 diabetes mellitus

Question 28

Question
A nurse is reviewing an exercise prescription for a person. Which of the following aspects should be included? (SELECT ALL THAT APPLY)
Answer
  • Frequency of exercise
  • Intensity level of exercise
  • Time and duration of exercise
  • Type of exercise

Question 29

Question
Which of the following is the definition of physical fitness?
Answer
  • Painless joint mobility and muscle flexibility when engaging in exercise
  • The ability to perform physical activity without undue fatigue or risk of injury
  • Achieving at least 85% of age-specific activity levels
  • Heart rate and respiratory rate returning to baseline within 30 seconds after exercise

Question 30

Question
Which of the following statements regarding childhood obesity is correct according to the 2011–2014 National Health and Nutrition Examination Survey (NHANES)?
Answer
  • The prevalence of obese children, adolescents, and adults has increased and is epidemic.
  • Ten percent (10%) of children and adolescents are obese
  • The rate of childhood obesity shows sex differences
  • All of the above statements are correct

Question 31

Question
Which of the following statements is correct regarding exercise for persons with low back pain?
Answer
  • Exercise that strengthens paraspinal muscles has been shown to be effective
  • Unweighted or suspended exercise should be avoided
  • Limit physical therapy referrals to the more severe cases of back pain
  • All of the above statements are correct

Question 32

Question
Which of the following statements concerning the effects of exercise on the immune system is correct?
Answer
  • Care recipients with impaired immune systems need to take a cautious approach to exercise
  • Exercise may be protective versus some types of cancer
  • Recommended parameters are that HIV patients limit exercise to 30 minutes weekly
  • All of the above statements are correct

Question 33

Question
The nurse is counseling a care recipient who prefers to exercise every day of the week. Accordingly the nurse has recommended that the care recipient to perform different types of exercises on different days of the week. This practice is commonly called
Answer
  • multiple aerobic practice
  • cross training
  • diverse exercising
  • bimodal exercise patterning

Question 34

Question
Which of the following statements is accurate concerning yoga as a form of exercise?
Answer
  • It is too mild a form of exercise to be beneficial
  • It is suitable for warm up periods prior to exercise.
  • Too frequent practice will compromise joint flexibility
  • All of the above

Question 35

Question
According to the physical activity and fitness section of the Healthy People 2020 report, what percentage of adults 18 years of age or older report no leisure-time physical activity?
Answer
  • 16%
  • 26%
  • 30%
  • 46%

Question 36

Question
A 51-year-old woman has begun menopause. The nurse emphasizes the importance of a diet high in calcium and vitamin D, as well as exercise for this woman. This recommendation is important because bone loss accelerates rapidly during the first 5 years after menopause and can approach a _____ loss of peak over a woman’s lifetime.
Answer
  • 3
  • 7
  • 15
  • 40
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