LPN Health Promotion and Maintenance 2

Question 1

A nurse is teaching a 45-year-old male client about colorectal cancer screening. Which recommendation aligns with current US Preventive Services Task Force guidelines?

Accepted Answer

Begin screening at age 45 with stool-based tests or colonoscopy every 10 years

Answer

Begin screening at age 40 with annual colonoscopy

Answer

Begin screening at age 50 only if family history is positive

Answer

Screening is only necessary after age 60

Question 2

A nurse is counseling a pregnant client in her first trimester about nutrition. Which supplement is MOST critical to recommend to prevent neural tube defects?

Accepted Answer

Folic acid

Answer

Iron

Answer

Calcium

Answer

Vitamin D

Question 3

When performing developmental screening on a 12-month-old, which milestone would the nurse expect the child to have achieved?

Accepted Answer

Standing while holding on to furniture

Answer

Speaking in two-word phrases

Answer

Walking independently without support

Answer

Drawing a circle

Question 4

A nurse is educating a community group about primary prevention strategies for type 2 diabetes. Which intervention BEST represents primary prevention?

Accepted Answer

Teaching weight management and physical activity to at-risk individuals

Answer

Monitoring HbA1c every 3 months in diagnosed diabetics

Answer

Conducting fasting blood glucose screenings at health fairs

Answer

Providing insulin education to newly diagnosed patients

Question 5

A client asks a nurse what age women should begin receiving mammography screening for breast cancer according to current recommendations. What is the best response?

Accepted Answer

Age 40, every two years based on shared decision-making

Answer

Age 30, annually

Answer

Age 50, annually with no exceptions

Answer

Age 60, only if symptomatic

Question 6

A nurse is assessing a newborn 24 hours after birth. Which finding requires IMMEDIATE follow-up regarding hearing health?

Accepted Answer

Failure to pass the newborn hearing screening

Answer

Mild jaundice of the face

Answer

Feeding every 2–3 hours

Answer

Moro reflex present bilaterally

Question 7

A nurse is teaching a group of elderly clients about fall prevention at home. Which instruction is MOST appropriate?

Accepted Answer

Remove throw rugs and secure electrical cords

Answer

Wear loose slippers to keep feet comfortable

Answer

Keep hallways dimly lit to avoid disturbing sleep

Answer

Avoid using handrails to build leg strength