Nclex-Rn Practice Questions-Health Promotıon And Maıntenance - Part 2
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Question 1 |
The definition of “family” has evolved as society has changed. The most comprehensive definition of the term includes:
A | A unit of people related by birth or adoption or by marriage. |
B | Two or more emotionally involved people. |
C | Related people who live in close proximity to each other. |
D | A changing group of people. |
Question 2 |
The component of a person’s lifestyle that primarily affects health status is:
A | Patterns of eating. |
B | Having earned at least a high school diploma. |
C | Owning a pet. |
D | Possessing computer skills. |
Question 3 |
A student nurse asks the clinical instructor where there is an accurate place to obtain information regarding immunizations. The instructor recommends:
A | Looking up each vaccine in a current drug handbook. |
B | The Centers for Disease Control and Prevention website. |
C | Seeking information from the pharmaceutical manufacturer of each vaccine. |
D | Asking a physician colleague. |
Question 4 |
The most common side effects of vaccine administration are:
A | Unconsolable crying for several hours and refusal to eat. |
B | Anaphylaxis and shock. |
C | Soreness at the injection site and fever. |
D | Sleepiness and mild rash. |
Question 5 |
The nurse explains to a client that a vaccine is:
A | A medication that prevents an immune response. |
B | A serum protein noted with immunologic deficiencies. |
C | A suspension of bacteria or viruses that are nonpathogenic. |
D | A substance which destroys invading organisms. |
Question 6 |
A client is exposed to an organism that causes disease. The physician prescribes an immunoglobulin to prevent illness. This is an example of:
A | Passive immunity. |
B | Active immunity. |
C | Acquired immunity. |
D | Herd immunity. |
Question 7 |
Human sexuality education for clients with special needs:
A | Is not appropriate, especially for clients with intellectual disabilities. |
B | Is time consuming and often frustrating for client and educator. |
C | Should focus on genital sex rather than the expanded attributes of body image and social relationships. |
D | Improves social skills, reduces the risk of sexual abuse and sexually transmitted disease, and prepares clients for adulthood. |
Question 8 |
A male client asks the nurse about the use of withdrawal (coitus interruptus) as a method for birth control. The nurse advises the client:
A | To use this method as a reliable form of birth control. |
B | That the effectiveness of this method is poor. |
C | That the sexual experience will not be altered. |
D | That coitus interruptus prevents sexually transmitted infections. |
Question 9 |
The nurse counsels a postmenopausal client:
A | It would be advisable to continue to use birth control. |
B | The risk of sexually transmitted infections decreases as age increases. |
C | Abstinence from sexual intercourse is advised. |
D | After menopause, sexually transmitted infections can still occur. |
Question 10 |
A female, teenage client is seen in clinic today for a routine physical examination. During the screening for high-risk behaviors, the client tells the nurse that while she does not drink alcoholic beverages, her boyfriend does prior to driving an automobile. The nurse counsels the client to:
A | Quit dating the boyfriend. |
B | Refuse to ride with anyone who has been drinking alcoholic beverages. |
C | Drive herself home even though the client does not have a valid driver’s license yet. |
D | Threaten to call the police. |
Question 11 |
The adventure-seeking teenager who gets bored easily and requires action, movement, and quick changes is at risk for drug and sexual experimentation. The nurse counsels the client and family to avert these high-risk behaviors by:
A | Getting an after-school job. |
B | Working with a mental health specialist. |
C | Engaging in physical activities that allow the client to push the limits. |
D | Volunteering at a homeless shelter. |
Question 12 |
The nurse overhears the spouse of an alcoholic client telling the client to “be quiet and don’t tell the physician anything about your drinking problem.” The nurse recognizes:
A | The spouse is exhibiting codependent behavior. |
B | The spouse is the person of authority in this marriage. |
C | The client has no choice but to follow the spouse’s instructions. |
D | The nurse must pretend not to have overheard this private conversation. |
Question 13 |
A client reports to the nurse in a college student health clinic for minor injuries associated with a fall. Upon further questioning, the client states she is a freshman and that he also misses class usually on Monday mornings. The nurse should screen this client for:
A | Binge drinking. |
B | Sleep disorder. |
C | Unsafe sex practices. |
D | Suicidal tendency. |
Question 14 |
The most prevalent screening procedure for colorectal cancer includes:
A | Exploratory laparotomy. |
B | Sigmoidoscopy. |
C | DNA stool test for genetic changes. |
D | Laparoscopic examination. |
Question 15 |
The nurse understands that the best predictor of health behavior and long-lasting successful behavior change is the:
A | Culture in which a client lives. |
B | Age of the client. |
C | Reading level and education of the client. |
D | Diagnosis of a chronic illness. |
Question 16 |
A client asks the nurse, “Will my immune system be weaker by relying on a vaccine for protection?” The nurse informs the client that:
A | The immune system works in healthy people but not in those with illness. |
B | A vaccine offers some degree of immunity for a limited time. |
C | Exposure to the natural disease strengthens the immune system better than a vaccine. |
D | The immune system makes antibodies against a germ whether the germ is encountered naturally or by receiving a vaccine. |
Question 17 |
Female clients are encouraged to receive regularly scheduled health care screenings and examinations throughout each pregnancy. The primary value of prenatal care is to:
A | Detect clients who are at risk for preterm delivery. |
B | Assess the client and baby for genetic defects. |
C | Monitor the health of the mother and baby. |
D | Determine if a vaginal birth is expected. |
Question 18 |
A client delivered a healthy newborn. As part of discharge teaching the nurse informs the client about the need for well child check-ups. The client asks for an explanation. A well child check-up is:
A | A clinic visit of a sick child in an attempt to return her to health. |
B | A rapid in-and-out visit where only the child’s weight and height are determined and plotted on a growth chart. |
C | The administration of routine childhood vaccinations. |
D | Regularly scheduled clinic visits encompassing various aspects of health promotion. |
Question 19 |
A nurse moves to a rural area and becomes aware that medical services are limited. An initial method to improve the health of rural clients includes:
A | Apply for a grant from the Department of Health and Human Resources, which will allow for the hiring of additional health care providers. |
B | Use innovative models of care including videotapes, health fairs, radio, and church social events to promote healthful practices. |
C | Organize a van pool to transport clients to urban medical facilities for care. |
D | Conduct door-to-door visits to assess the needs of clients in the community. |
Question 20 |
To enhance adaptive language skills in a young client, the nurse educates parents to foster appropriate language in social situations. An example is:
A | Effective persuasion, such as polite versus impolite language. |
B | Direct versus indirect language when demanding action. |
C | Correction of pronunciation or grammar errors. |
D | Introduction of new topics. |
Question 21 |
A client delivers healthy twin infants. In educating the client on how to care for twins, the nurse:
A | Teaches the client to feed one infant while propping the bottle for the other infant to minimize feeding time, thus allowing the client more time to rest. |
B | Instructs the client to add cereal to the nighttime bottle so the infants will sleep longer. |
C | Educates the client to feed each infant individually rather than simultaneously. |
D | Informs the client that warming bottles in the microwave is rapid and provides more time to bond with the infant. |
Question 22 |
A client who will be flying nonstop from New York to Tokyo is seen in the travel clinic today. The nurse knows the client understands the teaching regarding deep vein thrombosis (DVT) prevention when he replies:
A | I will take an aspirin prior to departure. |
B | I need to stretch and move about the plane every 1 to 2 hours. |
C | I should drink 8 ounces of water midway through the flight. |
D | I should drink an alcoholic beverage to relax. |
Question 23 |
A client is perimenopausal. She asks the nurse about the need for birth control. The nurse knows:
A | Birth control should continue until menstrual periods have been absent for at least 1 year. |
B | The client requires evaluation of folliclestimulating and leutinizing hormone levels. |
C | Estrogen replacement therapy is warranted. |
D | Sexual activity should be avoided during this time. |
Question 24 |
A pregnant client with a positive history for untreated gonorrheal infection delivers a full-term infant. Initially, the most important nursing action is to:
A | Notify the health department of this reportable sexually transmitted infection (STI). |
B | Determine all sexual contacts of the infected client. |
C | Instill erythromycin (0.5%) ophthalmic ointment or silver nitrate (0.1%) aqueous solution into the infant’s eyes. |
D | Administer prescribed antibiotics to the mother. |
Question 25 |
The most accurate information to give parents regarding when to engage a child in an organized athletic activity is:
A | Participation depends on the ability to run without falling. |
B | A child with impaired vision should not play sports. |
C | The parents should wait until the child asks to play sports. |
D | The average child is ready to participate in sports at 6 to 7 years of age. |
Question 26 |
At the beginning of the 20th century the average lifespan was 45 years. One-hundred years later, the average lifespan increased to 78 years. The most accurate reason for this is:
A | Decreasing infant and childhood mortality. |
B | Improved sanitation. |
C | Better nutrition. |
D | The ability to access health care more easily. |
Question 27 |
The incidence of melanoma rises rapidly in Caucasians after age 20. Clients at high risk require screening. The greatest risk for melanoma development is in clients with:
A | Fair skin who experience sun exposure. |
B | Pigmented lesions such a dysplastic or atypical nevi. |
C | Several large nondysplastic nevi. |
D | Many small nevi or moderate freckling. |
Question 28 |
A monthly testicular self-exam is recommended for males to permit early detection and treatment of testicular cancer. Testicular cancer is more prevalent:
A | As male clients age with the highest incidence in the elderly. |
B | In male clients who have a second type of cancer. |
C | Among young, adult male clients between 20 and 35 years of age. |
D | In male clients with mental retardation. |
Question 29 |
A client tells the nurse,“There’s no point in quitting cigarette smoking at my age. I have smoked for 40 years.” The nurse:
A | Understands that this is accurate since the client already has pulmonary disease. |
B | Tells the client that the progression of pulmonary disease may be halted with smoking cessation. |
C | Encourages the client to switch to smokeless tobacco use. |
D | Discusses the combination of pulmonary diseases that are the result of cigarette smoking. |
Question 30 |
All 50 states perform some type of newborn screening on each newborn client. The main purpose of this blood test procedure is:
A | Assessment of the visual acuity of the newborn client. |
B | Screening the newborn client for hearing loss. |
C | Evaluation of each newborn client for autism. |
D | Detection of disorders not readily apparent at birth. |
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