Nursing Acceleration Challenge Exam I PN-RN Nursing Acceleration Challenge Exam I PN-RN Health Promotion and Maintenance 1 — Questions and Answers
Question 1: A nurse is teaching a 45-year-old female client about recommended health screenings. Which screening should the nurse prioritize for this age group?
- Annual mammogram (Correct answer)
- Colonoscopy every 5 years
- Pap smear every 2 years
- Bone density scan annually
Correct answer: Annual mammogram
The American Cancer Society recommends annual mammograms for average-risk women beginning at age 45.
Question 2: A PN-RN is providing anticipatory guidance to parents of a 2-year-old. Which developmental milestone should the nurse expect the child to have achieved?
- Speaking in complete sentences
- Using a spoon with some spilling (Correct answer)
- Riding a tricycle independently
- Tying shoelaces
Correct answer: Using a spoon with some spilling
By age 2, children typically can use a spoon and fork, though some spilling is expected as fine motor skills are still developing.
Question 3: A nurse is counseling a client about primary prevention of type 2 diabetes. Which recommendation is most appropriate?
- Monitor blood glucose weekly
- Maintain a healthy weight and exercise regularly (Correct answer)
- Take metformin prophylactically
- Limit fluid intake to 1 liter per day
Correct answer: Maintain a healthy weight and exercise regularly
Primary prevention of type 2 diabetes centers on lifestyle modifications including maintaining a healthy weight and regular physical activity.
Question 4: Which immunization is recommended for all adults aged 65 and older to prevent pneumococcal disease?
- PPSV23 (Pneumovax) (Correct answer)
- MMR booster
- Varicella vaccine
- Hepatitis B series
Correct answer: PPSV23 (Pneumovax)
PPSV23 is recommended for all adults aged 65 and older to protect against pneumococcal pneumonia and bacteremia.
Question 5: A nurse is teaching a pregnant client about nutrition. Which nutrient is most critical during the first trimester to prevent neural tube defects?
- Iron
- Calcium
- Folic acid (Correct answer)
- Vitamin D
Correct answer: Folic acid
Folic acid (400–800 mcg daily) is essential in early pregnancy to prevent neural tube defects such as spina bifida.
Question 6: A PN-RN is assessing a client's readiness to learn about a new low-sodium diet. Which factor most directly affects learning readiness?
- The client's age
- The client's current pain level (Correct answer)
- The client's educational background
- The number of family members present
Correct answer: The client's current pain level
Uncontrolled pain significantly impairs concentration and information retention, making it the most direct barrier to learning readiness.
Nursing Acceleration Challenge Exam I PN-RN Nursing Acceleration Challenge Exam I PN-RN Health Promotion and Maintenance 1
A nurse is teaching a 45-year-old female client about recommended health screenings.
Which screening should the nurse prioritize for this age group?