NACE Nursing Acceleration Challenge Exam I PN-RN Health Promotion and Maintenance 5 — Questions and Answers
Question 1: A nurse is conducting a health fair for adults over 65. Which intervention represents secondary prevention?
- Blood pressure screening (Correct answer)
- Flu vaccination
- Teaching fall prevention strategies
- Referral to a smoking cessation program
Correct answer: Blood pressure screening
Secondary prevention involves early detection of disease; blood pressure screening identifies hypertension before complications arise.
Question 2: A nurse is providing anticipatory guidance to parents of a 2-year-old. Which safety measure is the highest priority?
- Installing safety locks on cabinets containing cleaning products (Correct answer)
- Enrolling the child in swimming lessons immediately
- Teaching the child not to touch the stove
- Removing all toys with small parts from the home
Correct answer: Installing safety locks on cabinets containing cleaning products
Toddlers are at high risk for poisoning; securing household chemicals in locked cabinets is the highest priority safety measure for this age group.
Question 3: A nurse is teaching a pregnant client about neural tube defect prevention. Which nutrient is most important to emphasize?
- Folic acid (Correct answer)
- Calcium
- Iron
- Vitamin D
Correct answer: Folic acid
Adequate folic acid intake (400–800 mcg/day) before and during early pregnancy significantly reduces the risk of neural tube defects such as spina bifida.
Question 4: A school nurse notices a 10-year-old with a BMI at the 88th percentile. Which is the most appropriate initial nursing action?
- Assess the child's dietary habits and physical activity level (Correct answer)
- Immediately refer the child to a dietitian
- Notify the parents that the child is obese
- Recommend a 1,200-calorie diet
Correct answer: Assess the child's dietary habits and physical activity level
A comprehensive assessment of diet and activity is the first step before planning any intervention for a child with an elevated BMI.
Question 5: Which finding during a well-child visit in a 6-month-old warrants further evaluation by the nurse?
- Absence of babbling (Correct answer)
- Presence of Moro reflex
- Inability to sit without support
- Weight doubled from birth weight
Correct answer: Absence of babbling
Babbling is an expected developmental milestone by 6 months; its absence may indicate hearing loss or developmental delay requiring further evaluation.
Question 6: A nurse is teaching an adult client about colorectal cancer screening. At what age should average-risk individuals begin screening colonoscopy?
- 45 years (Correct answer)
- 50 years
- 40 years
- 55 years
Correct answer: 45 years
The American Cancer Society updated its guideline to recommend colorectal cancer screening beginning at age 45 for average-risk adults.
Question 7: A nurse is assessing a client's readiness to change dietary habits using the Transtheoretical Model. The client states, 'I know I should eat better, but I'm not ready to change yet.' In which stage is this client?
- Contemplation (Correct answer)
- Precontemplation
- Preparation
- Action
Correct answer: Contemplation
The contemplation stage is characterized by awareness of the need to change but ambivalence or lack of commitment to taking action within the next 30 days.
NACE Nursing Acceleration Challenge Exam I PN-RN Health Promotion and Maintenance 5
A nurse is conducting a health fair for adults over 65.
Which intervention represents secondary prevention?