NCLEX RN Review for Health Promotion and Maintenance

These questions are one of the NCLEX prep samples for Health Promotion and Maintenance. This post has a 15 set of questions with the accompanying answers and rationale located at the bottom. If you want to answer all of our NCLEX questions interactively then be one of our member today. Click here to join. It’s Free.

1. Which of the following statements indicates that a client with gout understands his discharge instructions?

a. “I will restrict meats and fish in my diet.”
b. “I will restrict foods high in sodium.”
c. “I will report any side effects of aspirin.”
d. “I will increase my intake of fluids.”

2. The nurse explains to the mother of a 1 year old that the child is more likely to have otitis media than her 13-year-old brother because

a. Her hands are often contaminated when she crawls on the floor.
b. She is not old enough to have learned how to “clear” her nasal passages.
c. The angle of the child’s eustachian tube is straighter than her brother’s.
d. She is still “cutting” new teeth.

3. Amniocentesis would not be performed on a woman if the nurse assesses that she

a. Has a family history of genetic disorders.
b. Will not consider an elective abortion.
c. Is an Ashkenazic Jew.
d. Is carrying twins.

4. Which of the following statements regarding postoperative nutrition is correct?

a. Clear liquids are started after bowel sounds are assessed following major surgical procedures.
b. Clear liquid diets are provided for 2-3 days following minor surgical procedures.
c. Soft diets are initiated the first postoperative day for major surgical conditions.
d. Clients may have water on awakening from major surgical procedures.

5. The client, age 86, has a fractured hip and his physician has applied Buck’s traction preoperatively. The nursing assessment is to ensure that there is adequate countertraction and will include

a. Weights hanging freely off the floor and bed.
b. Checking that the client is pulled down on the bed, using the end board as a foot rest.
c. Ropes knotted to prevent them from moving through the pulleys.
d. Checking that the foot of the bed is elevated to provide countertraction.

6. The exercise that would be most beneficial for a client with COPD is

a. Controlled coughing.
b. Deep breathing.
c. Whistling while exhaling.
d. Use of the incentive spirometer.

7. Following a cardiac catheterization procedure in a child, the nurse will test the specific gravity of urine. The rationale for this test is to

a. Evaluate the child’s hydration status.
b. Determine if the kidneys are functioning.
c. Identify possible complications.
d. Determine if the dye is being excreted.

8. A client is scheduled for colostomy surgery. An appropriate preoperative diet will include

a. Broiled chicken, baked potato, and wheat bread.
b. Broiled fish, rice, squash, and tea.
c. Steak, mashed potatoes, raw carrots, and celery.
d. Ground hamburger, rice, and salad.

9. A young client, age 14, will receive a Milwaukee Brace to correct for scoliosis, 24 degree curve. Reviewing her discharge instructions, the nurse will know she does not require more teaching when she says she will

a. Wear the brace all day and remove it only to bathe.
b. Put the brace on a minimum of 1 hour 3 times per day.
c. Wear the brace after school and at night.
d. Take off the brace if her skin gets sore or starts to break down.

10. A client is scheduled for a kidney transplant. A medication she will probably take on a long-term basis that will require specific client teaching to ensure compliance is

a. Anticoagulants.
b. Gamma globulin.
c. Antibiotics.
d. Corticosteroids.

11. The nurse is assigned to work with a client diagnosed as having pernicious anemia. The nurse will know the client requires more teaching if the client says that she should include in her diet more

a. Meat, milk, cheese.
b. Whole grains, cereals.
c. Organ meats, yellow vegetables.
d. Fruits, green leafy vegetables.

12. The nurse is teaching a diabetic client to monitor her blood glucose using a glucometer. The nurse will know the client is competent in performing her finger-stick to obtain blood when she

a. Avoids using the fingers of her dominant hand as puncture sites.
b. Uses the side of a fingertip as the puncture site.
c. Avoids using the thumbs as puncture sites.
d. Uses the ball of a finger as the puncture site.

13. If a client has an injury to the seventh cranial nerve, the nursing assessment will identify an abnormality in

a. Tongue control.
b. Hearing.
c. Trapezius muscle movement.
d. Closing the eyelid.

14. A patient has attended a medication class for tricyclic antidepressants. He demonstrates he understands the teaching by stating:

a. “I must exercise and eat foods high in fiber.”
b. “I must have my blood drawn at least once a month after discharge.”
c. “I must stay out of the sun or wear sun block.”
d. “I cannot eat cheese or drink wine.“

15. Heart rates vary according to age. In assessing the heart rate of a one year old, the nurse would expect to find a normal rate of

a. 120-130 beats per minute.
b. 110 beats per minute.
c. 140-190 beats per minute.
d. 100 beats per minute.

ANSWERS and RATIONALE for Health Promotion and Maintenance NCLEX RN Review

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