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NCLEX RN· Health Promotion and Maintenance · NCLEX RN Health Promotion and Maintenance Practice Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is teaching health education classes to a group of expectant parents, and the topic is preventing cognitive impairment caused by congenital hypothyroidism. What should the nurse tell the parents is the most effective means of promoting early intervention?

A. Vitamin intake
B. Neonatal screening
C. Adequate protein intake
D. Limiting alcohol consumption

Expert Explanatory Rationale

Correct Answer: Neonatal screening

Question 2 of 5

The nurse is percussing the anterior thorax and the abdomen for tones and expects to note dullness in which anatomic location? (Refer to figure.)

A. Location 1
B. Location 2
C. Location 3
D. Location 4

Expert Explanatory Rationale

Correct Answer: Location 3

Question 3 of 5

A first-time parent is discussing developmental milestones with a nurse. The nurse tells the client she can reasonably expect her child to achieve which of the following by the time the child is 2 years old?

A. is left-hand dominant
B. clings to caregivers in new situations
C. walks with assistance of another
D. says several single words

Expert Explanatory Rationale

Correct Answer: says several single words

Question 4 of 5

The nurse is reviewing home care instructions with a client who has been diagnosed with type 1 diabetes mellitus and has a history of diabetic ketoacidosis (DKA). The client's spouse is present when the instructions are given. Which statement by the spouse indicates that further teaching is necessary?

A. If he is vomiting, I shouldn't give him any insulin.
B. I should bring him to the doctor if he develops a fever.
C. If our grandchildren are sick, they probably shouldn't come to visit.
D. I should call the doctor if he has nausea or abdominal pain lasting for more than 1 or 2 days.

Expert Explanatory Rationale

Correct Answer: If he is vomiting, I shouldn't give him any insulin.

Question 5 of 5

The home care nurse visits a child diagnosed with scarlet fever who is being treated with penicillin G potassium. The mother tells the nurse that the child has only voided a small amount of tea-colored urine since the previous day. The mother also reports that the child's appetite has decreased and that the child's face was swollen this morning. How should the nurse interpret these new signs/symptoms?

A. Nothing to be concerned about
B. Signs/symptoms of acute glomerulonephritis
C. Signs/symptoms of the normal progression of scarlet fever
D. Symptoms of an allergic reaction to penicillin G potassium

Expert Explanatory Rationale

Correct Answer: Signs/symptoms of acute glomerulonephritis

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