NACE Nursing Acceleration Challenge Exam I PN-RN Health Promotion and Maintenance 4 — Questions and Answers
Question 1: A nurse is teaching a group of parents about childhood immunizations. Which vaccine is recommended at birth in the US?
- Hepatitis B (Correct answer)
- DTaP
- MMR
- Varicella
Correct answer: Hepatitis B
The Hepatitis B vaccine is administered at birth as part of the recommended immunization schedule in the United States.
Question 2: A 45-year-old female client asks when she should begin routine mammography screening. According to the American Cancer Society, what is the nurse's best response?
- Age 40 with the option to start at 40 (Correct answer)
- Age 50 for all women
- Age 35 for women with no risk factors
- Age 55 only if symptomatic
Correct answer: Age 40 with the option to start at 40
The American Cancer Society recommends women have the option to start annual mammography screening at age 40 and should begin by age 45.
Question 3: Which behavior modification technique is MOST appropriate when counseling a client about smoking cessation?
- Setting a specific quit date (Correct answer)
- Gradually reducing cigarettes daily
- Switching to a lower-nicotine brand
- Avoiding all social situations
Correct answer: Setting a specific quit date
Setting a specific quit date is a proven behavioral strategy that increases commitment and success in smoking cessation programs.
Question 4: A nurse is assessing a newborn's Apgar score at 5 minutes. The infant has a heart rate of 110, strong cry, active motion, grimaces with stimulation, and is completely pink. What is the Apgar score?
- 10 (Correct answer)
- 9
- 8
- 7
Correct answer: 10
Each of the five criteria (heart rate, respiratory effort, muscle tone, reflex, color) scores 2, giving a total Apgar score of 10.
Question 5: Which primary prevention strategy is most appropriate for a community at high risk for Type 2 diabetes?
- Weight management and physical activity programs (Correct answer)
- Annual fasting glucose screening
- Insulin sensitizer prophylaxis for all adults
- Early initiation of metformin therapy
Correct answer: Weight management and physical activity programs
Primary prevention focuses on reducing risk before disease onset; lifestyle modification through diet and exercise is the most effective intervention for Type 2 diabetes prevention.
Question 6: A nurse is educating a client about testicular self-examination (TSE). When should TSE be performed?
- Monthly after a warm shower (Correct answer)
- Weekly before going to bed
- Annually during a physical exam only
- Monthly before a shower
Correct answer: Monthly after a warm shower
TSE should be performed monthly after a warm shower when scrotal skin is relaxed, making abnormalities easier to detect.
Question 7: Which developmental milestone is expected in a healthy 12-month-old child?
- Walking with assistance or independently (Correct answer)
- Running without falling
- Riding a tricycle
- Jumping with both feet
Correct answer: Walking with assistance or independently
Most children begin walking with assistance or independently around 12 months of age as a normal gross motor developmental milestone.
NACE Nursing Acceleration Challenge Exam I PN-RN Health Promotion and Maintenance 4
A nurse is teaching a group of parents about childhood immunizations.
Which vaccine is recommended at birth in the US?