LPN Health Promotion and Maintenance 3 — Questions and Answers
Question 1: A nurse is providing anticipatory guidance to parents of a 2-year-old. Which safety topic is MOST relevant at this developmental stage?
- Driving safety and seatbelt use
- Poisoning prevention and childproofing cabinets (Correct answer)
- Sports-related concussion awareness
- Reproductive health education
Correct answer: Poisoning prevention and childproofing cabinets
Toddlers are at high risk for accidental poisoning due to their exploratory nature; parents should secure all medications and chemicals out of reach.
Question 2: During a well-child visit for a 4-year-old, which vaccine should the nurse anticipate administering according to the CDC immunization schedule?
- Hepatitis B booster
- Varicella (second dose) and DTaP booster (Correct answer)
- HPV series initiation
- Meningococcal conjugate vaccine
Correct answer: Varicella (second dose) and DTaP booster
The CDC schedule recommends the second dose of varicella vaccine and a DTaP booster at the 4–6-year well-child visit.
Question 3: A nurse is counseling a 16-year-old about sun exposure. Which statement by the teenager indicates a need for further teaching?
- I will reapply sunscreen every two hours when outdoors.
- A base tan will protect me from sunburn and skin cancer. (Correct answer)
- I should wear UV-protective sunglasses when outside.
- I should seek shade between 10 AM and 4 PM.
Correct answer: A base tan will protect me from sunburn and skin cancer.
There is no safe base tan; any tan represents UV damage and increases the risk of skin cancer and premature aging.
Question 4: A postpartum nurse is promoting breastfeeding. Which instruction should be given to a new mother about infant feeding frequency?
- Feed every 4–6 hours to allow breast milk to replenish
- Feed on demand, approximately 8–12 times per 24 hours (Correct answer)
- Supplement with formula after each breastfeeding session
- Limit each feeding session to 5 minutes per breast
Correct answer: Feed on demand, approximately 8–12 times per 24 hours
Newborns should breastfeed on demand, approximately 8–12 times in 24 hours, to establish adequate milk supply and meet nutritional needs.
Question 5: A nurse is performing a developmental screening on a 6-month-old infant. Which finding is EXPECTED at this age?
- Walking with support
- Saying 'mama' and 'dada' with meaning
- Rolling from back to front and sitting with support (Correct answer)
- Pincer grasp well-established
Correct answer: Rolling from back to front and sitting with support
At 6 months, infants typically roll over in both directions and can sit with support; independent sitting and pincer grasp develop later.
Question 6: A nurse is teaching a client about the importance of blood pressure monitoring. Which blood pressure reading would the nurse classify as Stage 1 hypertension according to current guidelines?
- 110/70 mmHg
- 119/79 mmHg
- 132/84 mmHg (Correct answer)
- 145/95 mmHg
Correct answer: 132/84 mmHg
According to ACC/AHA guidelines, Stage 1 hypertension is defined as systolic 130–139 mmHg or diastolic 80–89 mmHg.
Question 7: A nurse is educating a client about osteoporosis prevention. Which combination of interventions is MOST effective?
- High sodium diet and swimming
- Adequate calcium/vitamin D intake and weight-bearing exercise (Correct answer)
- Bed rest and calcium supplements alone
- Low-fat diet and avoidance of all sun exposure
Correct answer: Adequate calcium/vitamin D intake and weight-bearing exercise
Optimal osteoporosis prevention combines adequate calcium and vitamin D intake with weight-bearing physical activity to maximize and maintain bone density.
LPN Health Promotion and Maintenance 3
A nurse is providing anticipatory guidance to parents of a 2-year-old.
Which safety topic is MOST relevant at this developmental stage?