1. Which of the following statements about ethnic minorities in
the United States is accurate?
a. It is estimated that the percentage of ethnic minorities will
decrease during the next 30 years.
b. It is estimated that ethnic minorities will increase to one in
two by 2050.
c. The increasing population of refugees has been a significant
contributor to the increase in ethnic minorities.
d. The increasing population of ethnic minorities has helped
decrease the health disparities faced by this population. Correct
Answer ANS: B
It is estimated that the number of ethnic minorities will increase
to one in two by 2050. In 2010, it was estimated that 33% of the
population was from an ethnic minority. The increasing
population of immigrants has been a significant contributor to
the increasing populations of major ethnic groups. The
increasing populations of ethnic groups is one factor that is
producing disparities in health status and access of the health
care system.
A -year-old toddler is in for an office visit. He was born at 6
pounds, 10 ounces. At todays visit, the nurse expects his weight
to be:
a. 13 pounds, 4 ounces.
b. 19 pounds, 14 ounces.
c. 26 pounds, 8 ounces.
d. 33 pounds, 2 ounces. Correct Answer ANS: C
Birth weight usually quadruples by years of age: 6 pounds, 10
ounces 4 = 26 pounds 8 ounces.
,A 2-year-old child has hives. Of the following items ingested,
which is most likely to have caused the allergic reaction?
a. Apple juice
b. Oatmeal raisin cookies
c. Jelly sandwich
d. Banana Correct Answer ANS: B
Oatmeal raisin cookies are most likely to have caused the
allergic reaction. Nuts are a food that is likely to cause allergic
reactions, and oatmeal raisin cookies often contain nut products.
A 26-year-old client has a total cholesterol of 206 mg/dL and an
LDL of 110. Which of the following conclusions can be drawn
by the nurse?
a. The client has achieved the target levels for cholesterol in
young adults.
b. The client has a very low risk of developing heart disease.
c. The client requires counseling about cardiac disease risk
factors.
d. The client has early-onset cardiac disease. Correct Answer
ANS: C
Cardiovascular assessment of the young adult includes
determining the presences of hyperlipemia, hypertension,
diabetes, chest pain, or heart disease. This client has an elevated
cholesterol levels and requires additional education about risk
factors that may lead to cardiac disease. The Healthy People
2020 target is to reduce the mean total blood cholesterol levels
among adults to 177.9 mg/dL. A diagnosis of heart disease
cannot be made on the basis of these lab values.
,A 30-year-old woman with a BMI of 36 is counseled by the
nurse regarding interventions to assist with weight reduction. In
which order would the nurse discuss the implementation of these
interventions?
1. Gastric stapling
2. Medication to reduce appetite
3. Nutrition and exercise education
4. Assessment of lipid profile and blood pressure
a. 4, 3, 2, 1
b. 4, 2, 3, 1
c. 3, 4, 2, 1
d. 3, 2, 1, 4 Correct Answer ANS: A
Assessment data must be complete before intervention. Diet and
exercise are used first, and then pharmaceutical agents to reduce
appetite. Bariatric surgery is used when all other options have
failed.
A 35-year-old person asks the nurse working in a dermatology
clinic what causes skin to wrinkle. Which of the following
statements would be most appropriate way for the nurse to
reply?
a. There is really nothing you can do to prevent a lot of wrinkles.
It is part of aging.
b. As we age, we lose fat beneath the skin so wrinkles appear.
There is nothing we can do to prevent it.
c. Wrinkles appear for a number of reasons, including loss of fat
beneath your skin and too much sun exposure.
d. Wrinkles are caused by genetic factors. Correct Answer
ANS: C
Loss of subcutaneous fat and collagen damage related to sun
exposure cause wrinkles.
, A 45-year-old client who has experienced a ten pound weight
gain during the past year asks the nurse if she thinks iron
supplements would help increase her energy. Which of the
following would be the most appropriate action for the nurse to
take?
a. Ask the client to describe her daily activity and diet
b. Leave a note requesting an iron supplement on the clients
chart for the doctor
c. Provide the client with information related to aerobic exercise
classes
d. Ask the client if she is still menstruating Correct Answer
ANS: A
A lack of routine exercise and activity plus a diet high in
calories contributes to weight gain and a lack of energy. The
priority action by the nurse is assessment, which will reveal the
reason for a lack of energy.
A 5-year-old is consuming a daily caloric intake of 1400
calories. Approximately what portion of the diet should be
comprised of carbohydrates?
a. 300 calories
b. 700 calories
c. 900 calories
d. 1200 calories Correct Answer ANS: B
Preschoolers should consume approximately half of their diet in
carbohydrates. Children ages 3 to 5 years old should receive
1200 to 1600 calories per day depending on their activity level
and gender.
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