Nursing Acceleration Challenge Exam I PN-RN Nursing Acceleration Challenge Exam I PN-RN Health Promotion and Maintenance 2 — Questions and Answers
Question 1: A nurse is conducting a health history. The client reports smoking 1 pack of cigarettes per day for 20 years. How many pack-years does this represent?
- 10 pack-years
- 20 pack-years (Correct answer)
- 30 pack-years
- 40 pack-years
Correct answer: 20 pack-years
Pack-years are calculated by multiplying packs smoked per day by years smoked: 1 pack/day × 20 years = 20 pack-years.
Question 2: Which teaching point should a nurse include when instructing a client about breast self-examination (BSE)?
- Perform BSE 1 week before the menstrual period
- Perform BSE on the same day each month (Correct answer)
- BSE should be performed only by women over 50
- BSE replaces annual clinical breast exams
Correct answer: Perform BSE on the same day each month
BSE should be performed consistently on the same day each month; for menstruating women, performing it 5–7 days after the period begins is ideal.
Question 3: A nurse is teaching a client about colon cancer screening. At what age should average-risk adults begin colorectal cancer screening?
- 40 years
- 45 years (Correct answer)
- 50 years
- 55 years
Correct answer: 45 years
Current US guidelines recommend colorectal cancer screening beginning at age 45 for average-risk adults.
Question 4: A client asks the nurse about sun safety to reduce skin cancer risk. Which statement by the nurse is most accurate?
- SPF 15 sunscreen is sufficient for all-day outdoor activities
- Sunscreen should be applied 30 minutes before sun exposure (Correct answer)
- Tanning beds are safer than direct sunlight
- A base tan provides adequate UV protection
Correct answer: Sunscreen should be applied 30 minutes before sun exposure
Sunscreen should be applied 15–30 minutes before sun exposure to allow it to bind effectively to the skin.
Question 5: A nurse is providing well-child teaching to parents of a 12-month-old. Which food should the nurse instruct parents to avoid until the child is at least 12 months old?
- Pureed vegetables
- Whole cow's milk (Correct answer)
- Mashed bananas
- Soft cooked pasta
Correct answer: Whole cow's milk
Whole cow's milk should not be introduced until 12 months of age because it can cause intestinal bleeding and does not provide adequate nutrition for infants.
Question 6: A nurse is assessing a client for osteoporosis risk. Which client is at highest risk?
- A 55-year-old Black male who exercises regularly
- A 60-year-old Asian female with a low BMI who smokes (Correct answer)
- A 50-year-old Hispanic female who takes calcium supplements
- A 65-year-old White male with a history of high dairy intake
Correct answer: A 60-year-old Asian female with a low BMI who smokes
Risk factors for osteoporosis include female sex, Asian ethnicity, low body weight, smoking, and postmenopausal status — this client has multiple risk factors.
Nursing Acceleration Challenge Exam I PN-RN Nursing Acceleration Challenge Exam I PN-RN Health Promotion and Maintenance 2
A nurse is conducting a health history.
The client reports smoking 1 pack of cigarettes per day for 20 years.
How many pack-years does this represent?