Deck 5: Health Risks of Obesity and Physical Inactivity

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

Answer 1

Waist circumference of 41 inches, triglyceride level of 151 mg/dL, blood pressure 140/86 mmHg

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.

Answer 2

Eliminate food insecurity in children.

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.

Answer 3

normal weight.

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."

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.

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."

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.

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

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.

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

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."

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.

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

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

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.

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

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

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.

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."

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.