Nclex-Rn Practice Questions-Health Promotıon And Maıntenance - Part 1
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Question 1 |
The spouse of an elderly client dies. The nurse understands that this client faces the task of:
A | Balancing freedom and responsibility. |
B | Adjusting to living alone. |
C | Promoting joint decision-making. |
D | Considering the economic ramifications. |
Question 2 |
A female client comes to the student health clinic with concerns about unprotected sex experienced last night. The nurse:
A | Reassures the client that the chances of pregnancy are exceedingly small and that the client should not worry. |
B | Asks the client to return to clinic if she experiences a missed menstrual period. |
C | Obtains a pregnancy test on the client. |
D | Knows that emergency contraception is an option to prevent pregnancy. |
Question 3 |
A male client and his partner have decided not to have more children. The client requests information about permanent, male birth control options. The nurse explains:
A | Vasectomy is a highly effective and safe surgical procedure. |
B | Abstinence should be considered rather than vasectomy. |
C | Permanent solutions, such as vasectomy, cannot be reversed. |
D | Vasectomy is a surgical procedure covered by insurance. |
Question 4 |
New parents ask the nurse how to predict the adult height of their new baby. The nurse knows the major factors which determine adult height are:
A | Intrauterine growth and maternal health. |
B | Chromosome abnormalities in the parents. |
C | Genetics and chronic illness. |
D | Parental genetics and nutrition. |
Question 5 |
The most effective method to decrease morbidity and mortality of stroke is prevention. What is the most effective method of stroke prevention?
A | Administering platelet inhibitors to prevent clot formation. |
B | Undergoing transluminal angioplasty to open a stenosed artery and improve blood flow. |
C | Maintaining normal weight, exercising, and controlling comorbid conditions. |
D | Administering tissue plasminogen activator (tPA). |
Question 6 |
As a nurse working in a chronic obstructive pulmonary disease (COPD) clinic, you advise clients daily about health care matters. The most important factor in prevention and treatment of COPD is:
A | Controlling asthma. |
B | Receiving an influenza shot annually. |
C | Taking a daily multivitamin containing antioxidants. |
D | Ceasing cigarette smoking. |
Question 7 |
At a health fair, a nurse encourages an older adult male to be screened for prostate cancer. The client is apprehensive and asks the nurse about the methods used to detect prostate cancer. The nurse explains that the detection process involves:
A | An abdominal x-ray to detect lesions and masses. |
B | A serum calcium test to detect elevated levels, which may indicate bone metastasis. |
C | A digital rectal exam (DRE) and prostate-specific antigen (PSA) test to evaluate the prostate. |
D | A magnetic resonance image (MRI) study to detect tumors and other abnormal growths. |
Question 8 |
A family member is involuntarily admitted to the psychiatric mental health unit. As a psychiatric mental health nurse you know that clients are involuntarily admitted when behavior is driven by mental illness and:
A | An imminent threat of self-harm. |
B | Refusal to bathe. |
C | Anger toward government officials. |
D | Refusal to take prescribed psychiatric medications. |
Question 9 |
Parents are reluctant to immunize their child. They feel that since the majority of children with whom their child will interact have been vaccinated, there is no need for their child to be immunized. The nurse:
A | Files a report with social services. |
B | Understands that the organisms which cause disease are still prevalent in the environment and may cause illness in this child. |
C | Counsels the parents that refusal to vaccinate their child may result in legal charges. |
D | Notifies the school system that the child is not in compliance with immunization regulations. |
Question 10 |
In young adulthood, the expected developmental tasks include:
A | Satisfying and supporting the next generation. |
B | Formulating a sense of oneself and feeling fulfilled. |
C | Developing peer relationships. |
D | Giving and sharing with an individual without asking what will be given or shared in return. |
Question 11 |
A client reports a diminished ability to visually focus on close objects and has also noticed a need for a well lit environment to enhance vision. The nurse is aware that:
A | These are normal changes associated with aging. |
B | A cataract is the likely etiology for these symptoms. |
C | This client may be experiencing symptoms of a brain tumor. |
D | These changes are precipitated by diabetic retinopathy. |
Question 12 |
A female client considers using spermicidal agents because she wants both birth control and protection from sexually transmitted infections (STIs). The nurse educates the client that spermicidal agents:
A | Are also effective in reducing vaginal fungal infections such as Candida albicans. |
B | Eliminate bacterial and viral STIs. |
C | Are more effective when used in conjunction with barrier methods, such as the diaphragm or condom. |
D | Are used on an “as-needed” basis and exhibit few side effects. |
Question 13 |
An elderly client is approaching death and expresses intense despair and anxiety. Based on Erikson’s theory of ego integrity versus despair, this client’s despair and anxiety may be based on:
A | An inappropriate desire for youthfulness and staying young. |
B | The decision to never marry. |
C | Lack of a sense of wholeness, purpose, and a life well lived. |
D | The fear of experiencing a painful death. |
Question 14 |
A home health nurse visits a recently discharged client with right-sided paresis due to a stroke. The nurse discovers that the spouse has been feeding the client. The nurse:
A | Instructs the spouse to require the client to feed independently. |
B | Suggests the spouse hire an aide to feed and bathe the client. |
C | Advises the spouse to consider an extended care facility for the client. |
D | Determines why the spouse is not encouraging self-care by the client. |
Question 15 |
A pregnant client in labor receives an epidural and anesthetic for pain control. The most important, initial nursing action is to:
A | Perform a thorough skin prep of the insertion site. |
B | Obtain the client’s consent for the procedure. |
C | Assure the client that residual effects of the procedure won’t be felt. |
D | Monitor maternal blood pressure. |
Question 16 |
A client is determined to be newly pregnant and is prescribed prenatal vitamins by the physician. The nurse knows further teaching is necessary when the client states:
A | My husband is not the father of this baby. |
B | My first baby was perfectly normal. |
C | I eat a balanced diet. I don’t need vitamins. |
D | I only eat organic foods. Are vitamins organic? |
Question 17 |
A pregnant client is admitted to the hospital. On initial assessment the client is determined to be febrile. The nurse should:
A | Administer aspirin, an antipyretic agent. |
B | Ascertain simultaneous and separate fetal and maternal heart rates. |
C | Hydrate the mother by infusing intravenous fluids. |
D | Institute isolation procedures until the etiology of the fever is determined. |
Question 18 |
A client with gestational diabetes delivers a macrosomic infant. The nurse understands that the most vital component of the infant’s assessment is:
A | Evaluation of the infant for tethered spinal cord. |
B | Determining if the infant sustained a clavicle fracture. |
C | Observing for arm movement to evaluate for Erb’s palsy. |
D | Frequent blood glucose monitoring to ensure stable values. |
Question 19 |
Cellular damage related to oxidative stress (free radicals) is associated with degenerative diseases that affect older clients, such as atherosclerosis and cancer. Antioxidants may slow the oxidative process. The client obtains benefit from antioxidants by:
A | Avoiding harmful substances such as tobacco smoke and radiation. |
B | Taking a multivitamin daily and eating a balanced diet. |
C | Engaging in regular exercise and physical activity. |
D | Maintaining a normal body weight. |
Question 20 |
Ageism is a negative attitude toward older adults. To prevent ageism when working with older adult clients, the nurse should:
A | Have knowledge about normal aging while maintaining contact with healthy, independent, older clients. |
B | Speak slowly with increased volume while providing educational pamphlets and brochures. |
C | Limit the client’s activities to prevent injury and promote rest. |
D | Involve the family in decision making and financial concerns. |
Question 21 |
An adult client presents with a new onset of a chronic disease. The nurse can benefit the client most by:
A | Teaching the client that the disease will never resolve. |
B | Instructing the client that lifestyle changes must be made. |
C | Treating the client as a competent manager of the disease. |
D | Encouraging the client to prepare for custodial care. |
Question 22 |
As individuals move through life, predictable changes occur. When the nurse assists the client in understanding these predictable changes, the client:
A | Accepts biologic aging. |
B | Experiences a reduced risk of chronic illness. |
C | Looks forward to retirement and “letting go” of work-related responsibility. |
D | Redirects growth and goals. |
Question 23 |
A female client comes to the family planning clinic. The client is a smoker and doubts the ability to stop smoking. The nurse recommends which form of birth control based on the client’s history?
A | Female sterilization. |
B | Depo-Provera injection. |
C | Oral contraceptive pills. |
D | The Ortho Evra patch. |
Question 24 |
A middle-aged client has a strong positive family history of type 2 diabetes mellitus. The best method to prevent or delay the development of this disease in this client is to:
A | Test serum glucose values monthly. |
B | Avoid starches and sugars in the diet. |
C | Obtain a normal body weight and exercise regularly. |
D | Maintain a normal serum lipid panel. |
Question 25 |
A 2-year-old client is seen in the clinic for a wellchild visit. Which denotes an abnormal finding for an average client of this age?
A | The client pulls a toy across the room. |
B | The client uses one- to two-word sentences. |
C | The client shows defiant behavior. |
D | The client imitates the behavior of others. |
Question 26 |
A female client has used Depo-Provera injections for birth control for several years. For the past 6 months, attempts to become pregnant have been unsuccessful. The nurse advises the client:
A | To be seen in the fertility clinic. |
B | To have a sperm count performed on the client’s partner. |
C | Ovulation may not occur for many months after using Depo-Provera. |
D | To ensure proper nutrition and rest. |
Question 27 |
A 10-year-old female client is seen in the clinic. The client’s mother asks the nurse when puberty will begin and what corresponding signs will be evident. The nurse replies:
A | It is difficult to predict since each child develops at their own rate. |
B | Your daughter should already have breast buds and sparse genital hair. |
C | Between ages 10 and 14 years, expect papilla elevation and short “peach fuzz” genital hair. |
D | The average age for puberty is approximately 11 years old. Breast buds, enlarged aerolae, and a small amount of pigmented labial hair are typically seen. |
Question 28 |
Elderly clients who take several medications are at risk for adverse drug reactions and interactions. The most important nursing action to prevent such risk is:
A | Implementing a thorough client assessment. |
B | Instructing the client about adverse drug reactions. |
C | Explaining to the client that approximately 12% of hospital admissions of older adults are due to a drug reaction. |
D | Teaching the client that the chances of adverse drug reactions are directly proportional to the number of medications taken. |
Question 29 |
In the office for a yearly physical examination, a 30-year-old client reports that the client and husband used to be very happy before the children were born. Now the client is struggling with the current situation. The nurse understands that:
A | The client is probably having an extramarital affair. |
B | The developmental task at this stage is adjusting to the needs of more than two family members. |
C | A relative or close friend should be consulted for help so the client can pursue activities outside the home. |
D | The client should be referred to a psychotherapist for evaluation and care. |
Question 30 |
A 40-year-old client is curious about visible appearance changes related to menopause. In general, menopausal clients experience:
A | Bone loss and fractures. |
B | Loss of muscle mass and increased fat tissue. |
C | Improved skin turgor and elasticity. |
D | A reduction in waist size. |
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