RN Health Promotion and Maintenance 1 — Questions and Answers
Question 1: A nurse is teaching a 52-year-old woman about breast cancer screening. According to the American Cancer Society, mammograms should begin at what age for average-risk women?
- 35 years
- 40 years
- 45 years (Correct answer)
- 50 years
Correct answer: 45 years
The American Cancer Society recommends that average-risk women begin annual mammography at age 45, with the option to start at 40.
Question 2: Which vaccine is recommended for all adults 65 years and older who have never been vaccinated against pneumococcal disease?
- PCV15 followed by PPSV23 (Correct answer)
- Varicella vaccine only
- Influenza vaccine only
- Hepatitis B vaccine series
Correct answer: PCV15 followed by PPSV23
CDC recommends PCV15 (or PCV20) for adults 65 and older; if PCV15 is used, it should be followed by PPSV23 to provide broader coverage against pneumococcal strains.
Question 3: A nurse is conducting a well-child visit for a 2-month-old. Which vaccines are due at this visit?
- MMR, varicella, hepatitis A
- DTaP, IPV, Hib, PCV13, rotavirus, hepatitis B (Correct answer)
- Influenza and meningococcal only
- HPV and Tdap
Correct answer: DTaP, IPV, Hib, PCV13, rotavirus, hepatitis B
The 2-month immunization schedule includes DTaP, IPV, Hib, PCV13, rotavirus, and hepatitis B as the standard CDC-recommended vaccines.
Question 4: A nurse is counseling a patient who smokes about cessation. Which approach is most evidence-based?
- Telling the patient to quit 'cold turkey' without medication
- Recommending a combination of NRT and behavioral counseling (Correct answer)
- Prescribing bupropion without counseling
- Advising the patient to switch to e-cigarettes
Correct answer: Recommending a combination of NRT and behavioral counseling
Evidence consistently shows that combining pharmacotherapy (such as NRT, varenicline, or bupropion) with behavioral counseling yields the highest smoking cessation success rates.
Question 5: A nurse is teaching a pregnant patient about folic acid. How much folic acid should a woman consume daily before and during early pregnancy?
- 100 mcg
- 200 mcg
- 400 mcg (Correct answer)
- 1,000 mcg
Correct answer: 400 mcg
The CDC recommends 400 mcg of folic acid daily for all women of childbearing age to prevent neural tube defects, ideally starting at least one month before conception.
Question 6: Which lifestyle modification has the greatest impact on reducing cardiovascular disease risk in a patient with hypertension?
- Eliminating all dietary fat
- Following the DASH diet and reducing sodium intake to less than 2,300 mg/day (Correct answer)
- Taking daily aspirin without physician guidance
- Avoiding all forms of exercise
Correct answer: Following the DASH diet and reducing sodium intake to less than 2,300 mg/day
The DASH diet combined with sodium restriction of less than 2,300 mg/day is the most evidence-based lifestyle intervention for reducing blood pressure and cardiovascular risk.
RN Health Promotion and Maintenance 1
A nurse is teaching a 52-year-old woman about breast cancer screening.
According to the American Cancer Society, mammograms should begin at what age for average-risk women?