NCLEX RN· Health Promotion and Maintenance · Health Promotion NCLEX RN Exam Questions
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
A client who sustained a thoracic cord injury a year ago returns to the clinic for a follow-up visit, and the nurse notes a small reddened area on the coccyx. The client is not aware of the reddened area. After counseling the client to relieve pressure on the area by adhering to a turning schedule, which action by the nurse is most appropriate?
Expert Explanatory Rationale
Correct Answer: Teaching the client to use a mirror for skin assessment
The nurse provides discharge instructions to the mother of a child who was hospitalized for heart surgery. Which instruction should the nurse provide to the mother?
Expert Explanatory Rationale
Correct Answer: Notify the primary health care provider if the child develops a fever greater than 100.5°F (38°C).
A client is receiving lipids (fat emulsion) intravenously at home, and the client's spouse manages the infusion. The home care nurse makes a visit and discusses potential side and adverse effects of the therapy with the client and the spouse. After the discussion, the nurse expects the spouse to verbalize that, in case of a suspected adverse effect, which action is the priority?
Expert Explanatory Rationale
Correct Answer: Stop the infusion.
The school nurse teaches an athletic coach how to prevent dehydration among athletes practicing in the hot weather. What is the best advice for the nurse to give to the coach?
Expert Explanatory Rationale
Correct Answer: Provide a fluid break every 30 minutes during practice.
The nurse provides information to a client who is scheduled for the implantation of an implantable cardioverter defibrillator (ICD) regarding care after implantation. The nurse tells the client that there is a need to keep a diary. What information should the nurse provide concerning the primary purpose of the diary?
Expert Explanatory Rationale
Correct Answer: Record a variety of data that are useful for the primary health care provider during medical management.
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