Question 1

Which assessment data indicates that an adult male client has metabolic syndrome?
A) Waist circumference of 35 inches, triglyceride level of 150 mg/dL, high-density lipoprotein level of 50 mg/dL
B) Fasting blood glucose level of 90 mg/dL, waist circumference of 41 inches, blood pressure of 120/20 mmHg
C) Waist circumference of 41 inches, triglyceride level of 151 mg/dL, blood pressure 140/86 mmHg
D) Waist circumference of 34 inches, fasting blood glucose level of 100 mg/dL, triglyceride level of 148 mg/dL

Accepted Answer

Metabolic syndrome is diagnosed when a person has at least three of the following: increased waist circumference (≥40 inches for men), elevated triglycerides (≥150 mg/dL), high blood pressure (≥130/85 mmHg), elevated fasting glucose (≥100 mg/dL), or low HDL cholesterol. Choice C meets three criteria: increased waist circumference, elevated triglycerides, and high blood pressure.

Question 2

The public health nurse is preparing community programming on obesity following the Healthy People 2020 guidelines. Which of the following would the nurse include?
A) Increase the consumption of calories from fats in those 2 years old and older.
B) Reduce iron intake in pregnant females.
C) Reduce consumption of whole grains in those 2 years and older.
D) Eliminate food insecurity in children.

Accepted Answer

Healthy People 2020 includes objectives to eliminate food insecurity among children, as it is a significant factor in promoting healthy growth and preventing obesity.

Question 3

The nurse would expect a client with a body mass index of 21.2 to be classified as:
A) underweight.
B) normal weight.
C) overweight.
D) obese.

Accepted Answer

A BMI of 21.2 falls within the normal weight range, which is typically defined as a BMI of 18.5 to 24.9.

Question 4

The nurse is teaching an obese client about dietary changes to achieve weight loss. Which statement indicates to the nurse that the client understands the dietary instructions?
A) "I will eat an unlimited amount of fruits and vegetables."
B) "I will limit my intake of fat and follow recommendations for daily calorie intake."
C) "I will eat only protein."
D) "I will avoid antioxidants."

Accepted Answer

Limiting fat intake and following recommended daily calorie intake are key components of a balanced diet for weight loss.

Question 5

In evaluating the effectiveness of an exercise program in an obese client, the nurse should expect the following outcomes:
A) reduced bone density.
B) reduced insulin sensitivity.
C) increased joint pain.
D) enhanced feelings of well-being.

Accepted Answer

Exercise programs typically enhance feelings of well-being due to the release of endorphins and improvements in physical health.

Question 6

A client is preparing for a laparoscopic gastric banding procedure to promote weight loss. Which statement indicates to the nurse that the client understands the procedure?
A) "Food will bypass my stomach."
B) "My stomach will be vertically divided."
C) "An adjustable silicone band will be placed around my stomach."
D) "My stomach will be removed."

Accepted Answer

Laparoscopic gastric banding involves placing an adjustable silicone band around the upper part of the stomach to create a small pouch, which limits food intake and promotes weight loss.

Question 7

The nurse explains to the parents of an obese child with congenital leptin deficiency that treatment includes:
A) subcutaneous injections of recombinant leptin.
B) oral doses of recombinant leptin.
C) subcutaneous long-acting insulin.
D) oral hypoglycemic agents.

Accepted Answer

Recombinant leptin is administered via subcutaneous injections to treat congenital leptin deficiency, as oral administration is not effective due to degradation in the digestive system.

Question 8

When taking a health history from a client with increased visceral fat as determined by waist size, the nurse would also expect to find an increased possibility of which of the following conditions?
A) Type 2 diabetes
B) Hyperthyroidism
C) Chronic renal disease
D) Hypotension

Accepted Answer

Increased visceral fat is associated with insulin resistance, which can lead to type 2 diabetes.

Question 9

In formulating a plan of care for an obese woman who is trying to conceive, the nurse should include which information?
A) It is preferred that weight loss occur prior to becoming pregnant.
B) It is safe to pursue weight loss during pregnancy.
C) Weight loss should not be pursued until after delivery of the baby.
D) Obesity will have no effect on the fetus or newborn.

Accepted Answer

Weight loss prior to pregnancy is preferred as obesity can lead to complications during pregnancy and affect both the mother and the fetus.

Question 10

The public health nurse serves a population where food insecurity is prevalent. When assessing for food insecurity, the nurse is likely to observe which behavior?
A) A lack of knowledge about proper nutrition
B) A lack of cooking skills
C) Making poor food choices at the grocery store
D) An inability to secure nutritious food

Accepted Answer

Food insecurity is characterized by the inability to secure nutritious food due to financial constraints or lack of access, rather than a lack of knowledge or skills.

Question 11

What is the best response by the nurse when the obese mother of an obese child asks if she passed on the gene for obesity to her child?
A) "Obesity is due to multiple factors, including heredity."
B) "Obesity is only due to behavioral factors."
C) "Only Environmental factors cause obesity."
D) "Only Lifestyle factors cause obesity."

Accepted Answer

Obesity is influenced by a combination of genetic, environmental, and lifestyle factors. Heredity can play a role in a person's predisposition to obesity.

Question 12

Which assessment data indicates to the nurse that a 10-year-old child is obese?
A) A body mass index at or below the 95th percentile on the CDC growth chart for a child of the same age and sex.
B) A body mass index at or above the 95th percentile on the CDC growth chart for a child of the same age and sex.
C) A body mass index at or below the 85th percentile on the CDC growth chart for a child of the same age and sex.
D) A body mass index in the 100th percentile on the CDC growth chart for a child of the same age and sex.

Accepted Answer

A BMI at or above the 95th percentile on the CDC growth chart indicates obesity in children.

Question 13

The nurse explains to parents of an obese child that which of the following methods is most successful in treating obesity?
A) Only increased physical activity
B) Only reduced caloric intake
C) Use of peer support groups
D) Family behavioral therapy

Accepted Answer

Family behavioral therapy is most successful because it involves the entire family in making lifestyle changes, which supports the child in adopting healthier habits and maintaining them long-term.

Question 14

Which manifestation would the nurse expect to find in a client with nonalcoholic fatty liver disease?
A) Ventricular hypertrophy
B) Splenomegaly
C) Hepatomegaly
D) Hydronephrosis

Accepted Answer

Hepatomegaly, or an enlarged liver, is a common manifestation of nonalcoholic fatty liver disease due to the accumulation of fat in liver cells.

Question 15

In planning a program of health-related physical fitness, the nurse explains to the obese client that a goal of this program is to:
A) increase cardiorespiratory endurance.
B) improve agility.
C) increase speed of movement.
D) build muscle strength and power.

Accepted Answer

The primary goal of a health-related physical fitness program for an obese client is to increase cardiorespiratory endurance, which helps improve overall health and supports weight management.

Question 16

Which of the following outcomes should a nurse expect in a client who exercises regularly? A) Reduced glucose transport into cells B) Reduced cardiorespiratory fitness (VO₂ max) C) Increased insulin sensitivity D) Reduced metabolic rate

Accepted Answer

Regular exercise increases insulin sensitivity, allowing cells to use blood glucose more effectively, reducing blood sugar levels.

Question 17

Which musculoskeletal finding should the nurse expect in a client who engages in regular physical activity?
A) Increased skeletal muscle mass
B) Prevention of osteoarthritis
C) Reduced bone mineral density of the hip
D) Increased risk of hip fractures

Accepted Answer

Regular physical activity typically leads to increased skeletal muscle mass due to muscle hypertrophy and improved muscle strength.

Question 18

In evaluating the effectiveness of lorcaserin for a client with obesity, the nurse should expect the client to report:
A) increased hunger.
B) a decreased consumption of food.
C) an increased sense of well-being.
D) reduced satiety.

Accepted Answer

Lorcaserin is a weight-loss medication that works by activating serotonin receptors in the brain, which helps decrease appetite and increase feelings of fullness, leading to reduced food consumption.

Question 19

Which statement by a client indicates that a nurse's teaching about obesity has been effective?
A) "Obesity is an increase in weight."
B) "Obesity is excessive accumulation of fat."
C) "Obesity in an excessive intake of calories."
D) "Obesity is an accumulation of triglycerides."

Accepted Answer

Obesity is excessive accumulation of fat.

Question 20

The nurse is planning an education program on nutrition and weight management following the Healthy People 2020 guidelines. Which of the following would be an appropriate primary objective for the nurse to use in planning this program?
A) Increase the number of countries with nutrition standards for foods and beverages provided to preschool-age children in child care.
B) Increase the proportion of schools that offer nutritious foods and beverages outside school meals.
C) Increase the number of federal policies that incentivize food retail outlets to provide foods that are encouraged by the Dietary Guidelines for Americans.
D) Increase the proportion of people globally who have access to a food retail outlet that sells a variety of foods that are encouraged by the Dietary Guidelines for Americans.

Accepted Answer

The primary objective related to nutrition and weight management in the context of Healthy People 2020 would focus on increasing the availability of nutritious foods and beverages in schools, as this directly impacts the target population's health and aligns with national health objectives.

Quiz 5: Health Risks of Obesity and Physical Inactivity

Which assessment data indicates that an adult male client has metabolic syndrome?

The public health nurse is preparing community programming on obesity following the Healthy People 2020 guidelines. Which of the following would the nurse include?

The nurse would expect a client with a body mass index of 21.2 to be classified as:

The nurse is teaching an obese client about dietary changes to achieve weight loss. Which statement indicates to the nurse that the client understands the dietary instructions?

In evaluating the effectiveness of an exercise program in an obese client, the nurse should expect the following outcomes:

A client is preparing for a laparoscopic gastric banding procedure to promote weight loss. Which statement indicates to the nurse that the client understands the procedure?

The nurse explains to the parents of an obese child with congenital leptin deficiency that treatment includes:

When taking a health history from a client with increased visceral fat as determined by waist size, the nurse would also expect to find an increased possibility of which of the following conditions?

In formulating a plan of care for an obese woman who is trying to conceive, the nurse should include which information?

The public health nurse serves a population where food insecurity is prevalent. When assessing for food insecurity, the nurse is likely to observe which behavior?

What is the best response by the nurse when the obese mother of an obese child asks if she passed on the gene for obesity to her child?

Which assessment data indicates to the nurse that a 10-year-old child is obese?

The nurse explains to parents of an obese child that which of the following methods is most successful in treating obesity?

Which manifestation would the nurse expect to find in a client with nonalcoholic fatty liver disease?

In planning a program of health-related physical fitness, the nurse explains to the obese client that a goal of this program is to:

Which of the following outcomes should a nurse expect in a client who exercises regularly?

Which musculoskeletal finding should the nurse expect in a client who engages in regular physical activity?

In evaluating the effectiveness of lorcaserin for a client with obesity, the nurse should expect the client to report:

Which statement by a client indicates that a nurse's teaching about obesity has been effective?

The nurse is planning an education program on nutrition and weight management following the Healthy People 2020 guidelines. Which of the following would be an appropriate primary objective for the nurse to use in planning this program?