AGNP BOARD EXAM HEALTH PROMOTION
ASSESSMENT (52 QUESTIONS WITH ANSWERS
AND EXPLANATIONS).
Question:1
According to the U.S. Preventive Services Task
... [Show More] Force, older adults should be screened for
colorectal cancer with sigmoidoscopy every:
a) 1 year.
b) 2 years.
c) 5 years. Correct
d) 10 years.
Explanation:
The Task Force recommends screening with colonoscopy every 10 years, sigmoidoscopy
every 5 years with high-sensitivity fecal occult blood tests (FOBTs) every 3 years, or FOBTs
every year beginning age 50 years through age 75 years. Recommends against routine
screening for adults ages 76 to 85 years, due to moderate certainty that the net benefit is
small.
Question:2
Which topic should be a priority when providing anticipatory guidance to an 8-year-old
child?
a) Screening for scoliosis
b) Advising the parent to protect the child from sunburn with sunscreen
c) Recommending that the child receive another varicella vaccine now
d) Assessing child care arrangements for before and after school Correct
Explanation:
School age children may not want to go to daycare, but are not old enough to stay home
unsupervised. Help the parent to problem solve. Scoliosis is screened in 10-12-year-old
children. Applying sunscreen should start at an earlier age than 8 years. Varicella vaccine is
first given between 12 and 15 months and repeated at 4-6 years (before entering
elementary school - kindergarten).
Question:3
All of the following strategies are useful for assessing older adults at high risk for falls
except:
a) reviewing the medication history.
b) obtaining a functional history.
c) assessing immunization history. Correct
d) conducting an environmental assessment.
Explanation:
Strategies for assessing older adults at high risk for falls include: obtaining a detailed fall
history, medication review, and history of relevant risk factors (such as acute and chronic
medical problems). Other assessments should include: gait, balance, mobility, and lower
extremity joint function, neurologic function, lower extremity muscle strength,
cardiovascular status, visual acuity, and examination of the feet and footwear. A functional
and environmental assessment as well as implementing multifactorial / multicomponent
interventions to address identified risks will help to prevent falls [Show Less]