Page 8 - Exhibit No. 11 Samples of teacher-made tests in the current school year

37. Which patient is at highest risk for complications of obesity?
A. A 30-year-old woman who is 5 ft (151 cm) tall, weighs 140 lb (63 kg), and carries
weight in her thighs.
B. A 56-year-old woman with a BMI of 38 kg/m2, a waist measurement of 38 in (96
cm), and a hip measurement of 36 in (91 cm)
C. A 42-year-old man with a waist measurement of 36 in (91 cm) and a hip
measurement of 36 in (91 cm) who is 5 ft, 6 in (166 cm) tall and weighs 150 lb
(68.2 kg)
D. A 68-year-old man with a waist measurement of 38 in (96 cm) and a hip
measurement of 42 in (76 cm) who is 5 ft, 11 in (179 cm) tall and weighs 200 lb
(90.9 kg)

38. A woman is 5 ft, 6 in (166 cm) tall and weighs 200 lb (90.9 kg) with a waist-to-hip ratio
of 0.7. The nurse counsels the patient with the knowledge that the patient is at greatest
risk for:
A. heart disease.
B. osteoporosis.
C. diabetes mellitus.
D. endometrial cancer.

39. Priority Decision: Before selecting a weight reduction plan with an obese patient, what
is most important for the nurse to first assess?
A. The patient's motivation to lose weight
B. The length of time that the patient has been obese
C. Whether financial considerations will affect the patient's choices
D. The patient's anthropometric measures of height, weight, BMI, waist-to-hip ratio,
and skinfold thickness

40. Priority Decision: The nurse is teaching a moderately obese woman intervention for
the management of obesity. Initially, which strategy will support restricting dietary
intake to below energy requirements?
A. Limit alcohol and determine portion sizes
B. Rest when fatigued
C. 1800- to 2200-calorie diet
D. Attend Overeaters Anonymous

41. Which explanation about weight reduction should be included when teaching the
obese patient and her obese husband?
A. Weight gain is caused by psychologic factors.
B. Daily weighing is recommended to monitor weight loss.
C. Fat is not burned until the glycogen-water pool is depleted.
D. Men lose weight less quickly than women because they have a higher percentage
of metabolically less-active fat.

42. A patient has been on a 1000-calorie diet with a daily exercise routine. In 2 months,
the patient has lost 20 lb (9kg) toward a goal of 50 lb (23 kg) but is now discouraged
that no weight has been lost in the last 2 weeks. What should the nurse tell the patient
about this?
A. Plateaus where no weight is lost normally occur during a weight-loss program.
B. A weight considered by the body to most efficient for functioning has been reached.
C. A return to former eating habits is the most common cause of not continuing to
lose weight.
D. A steady weight may be due to water gain from eating foods high in sodium.

43. Nurse Florentin is caring for a post-op bariatric surgery patient. Which of the following
will alert her to inform the physician immediately?
A. Pain on the operative site