CSLB General Building (B) — All Questions
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A nurse is teaching an adult about routine health screening. Which recommendation is appropriate for colorectal cancer screening in average-risk adults?
- a.Begin screening only after age 70
- b.Screening is unnecessary without symptoms
- c.Begin screening at age 45✓
- d.Begin screening at age 25
Current guidelines recommend that average-risk adults begin colorectal cancer screening at age 45. Waiting for symptoms delays detection of early, treatable disease.
A pregnant client at 12 weeks' gestation asks about weight gain. Which teaching is appropriate for a client of normal pre-pregnancy weight?
- a.Weight gain should be avoided during pregnancy
- b.A gain of 50 to 60 pounds is expected
- c.Weight should be gained only in the first trimester
- d.A total gain of 25 to 35 pounds is recommended✓
A woman with a normal pre-pregnancy body mass index is advised to gain about 25 to 35 pounds. Adequate, gradual gain supports fetal growth without excess maternal risk.
The nurse is teaching parents about infant nutrition. When is it generally appropriate to introduce solid foods?
- a.Around 6 months of age✓
- b.At 2 months of age
- c.At 12 months of age
- d.As soon as the newborn shows hunger cues
Solid foods are typically introduced around 6 months, when the infant can sit with support and has lost the tongue-thrust reflex. Earlier introduction increases the risk of choking and allergies.
A nurse is providing immunization teaching. Which vaccine is a live attenuated vaccine that is contraindicated during pregnancy?
- a.Inactivated influenza vaccine
- b.Measles, mumps, and rubella (MMR) vaccine✓
- c.Tetanus, diphtheria, and pertussis (Tdap) vaccine
- d.Hepatitis B vaccine
MMR is a live attenuated vaccine and is contraindicated during pregnancy. Inactivated influenza and Tdap are recommended in pregnancy to protect the mother and infant.
The nurse is assessing developmental milestones. Which gross motor skill is expected of a typical 12-month-old?
- a.Walking up stairs independently
- b.Riding a tricycle
- c.Pulling to stand and cruising along furniture✓
- d.Skipping on alternating feet
By about 12 months, infants typically pull to stand and cruise while holding furniture, and many take their first independent steps. Stair climbing, tricycle riding, and skipping are later skills.
A nurse teaches a postmenopausal client about osteoporosis prevention. Which action best supports bone health?
- a.Avoiding all weight-bearing activity
- b.Limiting sun exposure completely
- c.Increasing caffeine and carbonated soda intake
- d.Performing regular weight-bearing exercise and ensuring adequate calcium and vitamin D✓
Weight-bearing exercise plus adequate calcium and vitamin D strengthens bone. Inactivity and excess caffeine or soda contribute to bone loss.
A nurse is counseling an adult on tobacco cessation. Which statement reflects effective health promotion?
- a.Setting a quit date and using support resources improves success✓
- b.You must quit immediately or it is not worth trying
- c.Nicotine replacement never helps people quit
- d.Cutting back is impossible, so do not attempt it
Setting a specific quit date combined with behavioral support and, when appropriate, nicotine replacement improves cessation success. Supportive, nonjudgmental counseling promotes readiness to change.
The nurse teaches a new mother about breastfeeding. Which sign indicates the infant is adequately hydrated?
- a.Fewer than two wet diapers per day
- b.Six or more wet diapers per day✓
- c.Dark, concentrated urine
- d.A sunken anterior fontanel
Six or more wet diapers a day indicate adequate intake and hydration in a breastfeeding infant. Few wet diapers, concentrated urine, and a sunken fontanel suggest dehydration.
A nurse provides teaching about a heart-healthy diet. Which choice best fits this diet?
- a.Fried chicken with buttered mashed potatoes
- b.A cheeseburger with bacon and fries
- c.Baked salmon with steamed vegetables✓
- d.A processed deli meat sandwich with chips
Baked fish rich in omega-3 fatty acids with vegetables supports cardiovascular health. Fried, high-saturated-fat, and processed high-sodium foods increase cardiac risk.
The nurse is teaching an older adult about safe physical activity. Which recommendation is appropriate for most healthy older adults?
- a.Avoid all exercise to prevent injury
- b.Only exercise if pain is present
- c.Perform only high-intensity workouts
- d.Aim for about 150 minutes of moderate activity weekly plus balance exercises✓
Most healthy older adults benefit from about 150 minutes of moderate aerobic activity weekly plus muscle-strengthening and balance exercises to reduce falls and chronic disease risk.
A nurse assesses a 4-year-old's language development. Which finding is expected?
- a.Speaks in sentences of three to four words and is understood by strangers✓
- b.Speaks in single words only
- c.Uses no recognizable words
- d.Reads simple sentences fluently
A typical 4-year-old speaks in short sentences that strangers can generally understand. Single-word speech is expected earlier, and fluent reading comes later.
A nurse is teaching about skin cancer prevention. Which statement indicates correct understanding?
- a.Sunscreen is only needed on very hot days
- b.I will apply broad-spectrum sunscreen and reapply every two hours outdoors✓
- c.A base tan protects me from sun damage
- d.I only need sunscreen at the beach
Broad-spectrum sunscreen reapplied every two hours, plus protective clothing and shade, reduces skin cancer risk. Ultraviolet exposure occurs on cloudy and cool days, and a tan is a sign of skin damage.
The nurse discusses recommended cervical cancer screening. Which schedule is generally appropriate for an average-risk woman aged 30?
- a.No screening is needed at any age
- b.Daily self-testing at home
- c.A Papanicolaou (Pap) test every three years, or co-testing options per guidelines✓
- d.Screening only after menopause
Average-risk women aged 30 may have a Pap test every three years or human papillomavirus co-testing at extended intervals. Screening should not be delayed until menopause.
A nurse counsels an adult on alcohol use. Which statement reflects moderate drinking guidelines for health promotion?
- a.Any amount of alcohol is required for heart health
- b.Binge drinking on weekends is safe if avoided on weekdays
- c.There is no upper limit to safe alcohol intake
- d.Moderate intake means up to one drink per day for women and two for men✓
Moderate drinking is defined as up to one drink per day for women and two for men. Binge drinking is harmful, and lower intake is generally healthier.