Ch. 12 Physical Activity

Question 1

Activity that uses large muscle groups in a repetitive, rhythmic fashion over an extended period to improve the efficiency of the oxidative energy producing system and improve cardio respiratory endurance is known as

A. Aerobic activity
B. Anaerobic activity
C. Flexibility
D. Muscular fitness

Answer 1

A. Aerobic activity

Question 2

A nurse is working with a group of individuals to start an exercise program. Which of the following would require the most attention and assistance?

A. White man who works 50 to 60 hours a week as a business executive
B. Unemployed, obese Hispanic woman
C. Employed white woman with hypertension
D. White man with a high school diploma

Answer 2

B. Unemployed, obese Hispanic woman

Question 3

According to the physical activity and fitness section of the Healthy People 2020 report, what percentage of adults 18 years of age or older report no leisure-time physical activity?

A. 16%
B. 26%
C. 30%
D. 46%

Answer 3

C. 30%

Question 4

Which of the following is the definition of physical fitness?

A. Painless joint mobility and muscle flexibility when engaging in exercise
B. The ability to perform physical activity without undue fatigue or risk of injury
C. Achieving at least 85% of age-specific activity levels
D. Heart rate and respiratory rate returning to baseline within 30 seconds after exercise

Answer 4

B. The ability to perform physical activity without undue fatigue or risk of injury

Question 5

A nurse is providing care for a 10-year old child with a BMI at the 80th percentile. Which of the following best describes this child?

A. Normal weight
B. Overweight
C. Obese
D. Morbidly obese

Answer 5

A. Normal weight

Question 6

Which of the following statements regarding childhood obesity is correct according to the 2011-2014 National Health and Nutrition Examination Survey (NHANES)?

A. The prevalence of obese children, adolescents, and adults has increased and is epidemic
B. Ten percent (10%) of children and adolescents are obese
C. The rate of childhood obesity shows sex differences
D. All of the above statements are correct

Answer 6

A. The prevalence of obese children, adolescents, and adults has increased and is epidemic

Question 7

A nurse is providing care for a 40-year old adult with a BMI of 32. Which of the following best describes this person?

A. Normal weight
B. Overweight
C. Obese
D. Morbidly

Answer 7

C. Obese

Question 8

During an office visit, a nurse meets with a woman who states she doesn’t have time to exercise. Which of the following actions should the nurse take next?

A. Respect her decision in the name of honoring patient autonomy
B. Provide her with information on the benefits of exercising
C. Develop an exercise prescription with her
D. Schedule a follow-up in 2 months to see if she still feels the same way

Answer 8

B. Provide her with information on the benefits of exercising

Question 9

During an office visit, a nurse provides counseling to a 70-year old woman with osteoporosis. The patient is otherwise very healthy. Which of the following information should the nurse provide to the woman?

A. Osteoporosis is an exception to the rule of exercise due to risk of fracture
B. Walk, preferably with a partner, at least 30 minutes a day 5 days a week
C. Use a scooter where feasible in the interest of preventing falls
D. Use non-weight bearing exercise like swimming to avoid stressing the bones

Answer 9

B. Walk, preferably with a partner, at least 30 minutes a day 5 days a week

Question 10

A nurse is providing health education for a group of older adults about the risks of developing coronary heart disease. Which of the following group members is at highest risk?

A. A person who takes a beta-blocker for HTN
B. A person who has a total cholesterol level of 201
C. A person who does not participate in any form of regular physical activity
D. A person who has a family history of type 2 diabetes mellitus

Answer 10

C. A person who doesn’t participate in any form of regular physical activity

Question 11

During a home visit, a nurse notes that a person with HTN lives on the third floor of a subsidized housing project, located, on a busy road with no sidewalks and few street lights. Which of the following would be the best recommendation for exercise which the nurse could offer this individual

A. Join a gym to provide for a safer environment to exercise
B. Use the stairs whenever you are entering or leaving the building
C. Go for short walks around the block but during the daytime hours only
D. Purchase an exercise bike

Answer 11

B. Use the stairs whenever you are entering or leaving the building

Question 12

A 51-year old woman has begun menopause. The nurse emphasizes the importance of a diet high in calcium and vitamin D, as well as exercise for this woman. This recommendation is important because bone loss accelerates rapidly during the first 5 years after menopause and can approach a _____ loss of peak over a woman’s lifetime

A. 3%
B. 7%
C. 15%
D. 40%

Answer 12

D. 40%

Question 13

A nurse is educating a 35-year old woman about the best type of exercises to choose in an effort to prevent bone loss. Which of the following exercise would the nurse recommend?

A. Walking
B. Swimming
C. Bike riding
D. The type does not matter — the key is for the person to engage in exercise

Answer 13

A. Walking

Question 14

A nurse is developing an exercise program for a person with moderate osteoarthritis of the knees. Which of the following forms of exercise would the nurse include in this program?

A. Step aerobics
B. Running
C. Water aerobics
D. Bike riding

Answer 14

C. Water aerobics

Question 15

Which of the following statements is correct regarding exercise for persons with low back pain?

A. Exercise that strengthens paraspinal muscles has been shown to be effective
B. Unweighted or suspended exercise should be avoided
C. Limit physical therapy referrals o the more severe cases of back pain
D. All of the above statements are correct

Answer 15

A. Exercise that strengthens paraspinal muscles has been shown to be effective

Question 16

Which of the following statements concerning the effects of exercise on the immune system is correct?

A. Care recipients with impaired immune systems need to take a cautious approach to exercise
B. Exercise may be protective vs. some types of cancer
C. Recommended parameters are that HIV patients limit exercise to 30 minutes weekly
D. All of the above statements are correct.

Answer 16

B. Exercise may be protective vs. some types of cancer

Question 17

A nurse is monitoring the exercise of a 42-year old woman. Which of the following would be the estimated maximum heart rate (MHR) for this woman?

A. 126
B. 142
C. 178
D. 184

Answer 17

C. 178

Question 18

A nurse is counseling a 40-year old person who is going to start an exercise program. The nurse will base her guidance on a goal of the patient achieving the recommended RPE of 11 to 14, while exercising. Accordingly, which of the following heart rate ranges would the nurse encourage the person to maintain while exercising?

A. 70 to 140 beats/min
B. 80 to 143 beats/min
C. 90 to 153 beats/min
D. 100 to 180 beats/min

Answer 18

C. 90 to 153 beats/min

Question 19

The nurse is counseling a care recipient who prefers to exercise every day of the week. Accordingly the nurse has recommended that the care recipient to perform different types of exercises on different days of the week. This practice is commonly called

A. Multiple aerobic practice
B. Cross training
C. Diverse exercising
D. Bimodal exercise patterning

Answer 19

B. Cross training

Question 20

A nurse is discussing exercise intensity with a client. Which of the following medications that the client is taking may limit the usefulness of heart rate as an indicator of exercise intensity?

A. Ciprofloxacin (Cipro)
B. Metoprolol (Toprol)
C. Atorvastatin (Lipitor)
D. Lansoprazole (Prevacid)

Answer 20

B. Metoprolol (Toprol)

Question 21

The nurse is discussing an exercise prescription with a person. To help him determine the appropriate intensity, the nurse tells him that he should monitor his rate of perceived exertion. Which of the following should the nurse tell the man he should experience while exercising?

A. Talking and singing without difficulty
B. Feeling extremely fatigued
C. Having mild musculoskeletal discomfort
D. Being out of breath

Answer 21

C. Having mild musculoskeletal discomfort

Question 22

Which of the following statements is accurate concerning yoga as a form of exercise?

A. It is too mild a form of exercise to be beneficial
B. It is suitable for warm up periods prior to exercise
C. Too frequent practice will compromise joint flexibility
D. All of the above

Answer 22

B. It is suitable for warm up periods prior to exercise

Question 23

An inborn set of physiological changes that offset those of the fight or flight response is known as

A. Self-efficacy
B. Catecholamine surge
C. Relaxation response
D. Catabolic response

Answer 23

C. Relaxation response

Question 24

A nurse is caring for a man who states he is ready to start exercising. Which of the following actions should the nurse take next?

A. Ask questions to test his sincerity
B. Provide him with information on the benefits of exercising
C. Develop an exercise prescription with him
D. Refer the patient to a professional trainer

Answer 24

C. Develop an exercise prescription with him

Question 25

A nurse is counseling a 19-year old person who has recently been diagnosed with Type 1 diabetes mellitus. He will be injecting prescribed insulin twice daily. The care recipient asks if there is anything specific concerning his insulin which should be done before playing tennis with a friend. Which of the following instructions should the nurse give the person to avoid hypoglycemia?

A. Inject the insulin into the abdomen
B. Inject the insulin into the arm
C. Inject the insulin into the thigh
D. Skip taking any insulin before exercising

Answer 25

A. Inject the insulin into the abdomen

Question 26

A woman is going for a 2-h hike in the Grand Canyon and she asks the nurse how much fluid she should take along with her. Which of the following recommendations would be the most appropriate response?

A. Bring at least 24 oz of water
B. Bring at least 72 oz of water
C. Bring at least 24 oz of sports drink
D. Bring at least 72 oz of sports drink

Answer 26

D. Bring at least 72 oz of sports drink

Question 27

An occupational health nurse is trying to promote regular activity at her institution. Which of the following interventions would most likely be the most successful?

A. Educate all employees regarding the benefits of exercise
B. Initiate a lunchtime walking group that employees can join
C. Provide all employees with an exercise prescription
D. Recommend that employees who don’t exercise be held accountable

Answer 27

B. Initiate a lunchtime walking group that employees can join

Question 28

A nurse is providing an educational program addressing the importance of being physically active. The nurse states that individuals should engage in exercise for a minimum of 30 minutes of activity on most days of the week. For which of the following individuals is that recommendation appropriate? Select all that apply.

A. A 54-year old with hypercholesterolemia
B. A 66-year old with hypertension
C. A 48-year old with obesity
D. A 58-year old with Type 2 diabetes mellitus

Answer 28

A. A 54-year old with hypercholesterolemia
B. A 66-year old with HTN
D. A 58-year old with Type 2 diabetes mellitus

Question 29

A nurse is reviewing an exercise prescription for a person. Which of the following aspects should be included? Select all that apply.

A. Frequency of exercise
B. Intensity level of exercise
C. Time and duration of exercise
D. Type of exercise

Answer 29

A. Frequency of exercise
B. Intensity level of exercise
C. Time and duration of exercise
D. Type of exercise