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NCLEX-RN Health Promotion & Maintenance Exam

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Question 1 of 20

1. Question

A nurse is preparing educational materials for a women’s health class on reducing the risk of breast cancer.

> Which factors should the nurse identify as increasing an individual’s risk for breast cancer? Select all that apply.

1. Late onset of menopause
Correct Incorrect Correct answer

2. First pregnancy at age 22
Correct Incorrect Correct answer

3. Family history of breast cancer in a first-degree relative
Correct Incorrect Correct answer

4. History of high-dose chest radiation
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5. Prior diagnosis of endometrial or ovarian cancer
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6. Regular physical activity and exercise
Correct Incorrect Correct answer

Correct / 4 Points

Incorrect / 4 Points
Question 2 of 20

2. Question

The nurse is counseling a client with coronary artery disease (CAD) who expresses uncertainty about quitting smoking.

> Which statement by the nurse is most accurate and motivating?

1. "Cutting down gradually is fine because most of the damage can’t be reversed anyway."
Correct Incorrect Correct answer

2. "Stopping now won’t change your heart risk, but it may protect your lungs."
Correct Incorrect Correct answer

3. "Quitting today will completely eliminate your heart disease risk within a few months."
Correct Incorrect Correct answer

4. "If you quit now, your heart-disease risk will approach that of a nonsmoker within a few years."
Correct Incorrect Correct answer

Correct

Incorrect
Question 3 of 20

3. Question

A nurse provides education to a client with type 1 diabetes who is starting a new exercise routine.

> Which instruction is most appropriate?

1. Exercise before meals to prevent high glucose levels
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2. Delay insulin until after exercise
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3. Check blood glucose before beginning exercise
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4. Plan exercise during insulin peak action
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Correct

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Question 4 of 20

4. Question

A nurse reviews postoperative instructions with a client recovering from excision of a squamous cell skin carcinoma.

> The nurse reinforces that squamous cell carcinoma is typically identified by which characteristic?

1. Small rough papules with dry, adherent yellow or brown scaling
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2. Irregularly shaped pigmented lesions with variegated color
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3. Pearly or translucent papules with rolled, waxy borders
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4. Firm, raised nodules that may crust or ulcerate at the center
Correct Incorrect Correct answer

Correct

Incorrect
Question 5 of 20

5. Question

The community health nurse is discussing early signs of testicular cancer with participants in a men’s health program.

> The nurse determines that more teaching is needed if a participant identifies which finding as a potential sign?

1. Painless enlargement of a testicle
Correct Incorrect Correct answer

2. A heavy or dragging sensation in the scrotum
Correct Incorrect Correct answer

3. Persistent back pain
Correct Incorrect Correct answer

4. Hair loss on the scalp
Correct Incorrect Correct answer

Correct

Incorrect
Question 6 of 20

6. Question

A 7-year-old child with a femur fracture is placed in traction.

> Which activity best meets the psychosocial needs of this school-age child?

1. A coloring book and crayons
Correct Incorrect Correct answer

2. Finger painting
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3. A large floor puzzle
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4. A card game
Correct Incorrect Correct answer

Correct

Incorrect
Question 7 of 20

7. Question

A client is transferred to the postpartum unit shortly after delivery and begins shaking uncontrollably. The client’s temperature is normal.

> Which nursing action is most appropriate?

1. Contact the primary health care provider immediately.
Correct Incorrect Correct answer

2. Place the client in Trendelenburg position.
Correct Incorrect Correct answer

3. Perform vigorous fundal massage.
Correct Incorrect Correct answer

4. Cover the client with a warm blanket.
Correct Incorrect Correct answer

Correct

Incorrect
Question 8 of 20

8. Question

A nurse volunteers at a community walk-in clinic that consistently experiences high client volume. Most clients do not have insurance coverage and only seek care when symptoms worsen.

> When planning services for this population, the nurse understands that the clinic is busiest primarily because of which factor?

1. Clients often delay routine check-ups due to lack of preventive care access.
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2. Most clients prefer this clinic because it offers evening walk-in hours.
Correct Incorrect Correct answer

3. Clients believe they can obtain Medicaid enrollment directly through the clinic.
Correct Incorrect Correct answer

4. Most clients are unemployed and require ongoing work-clearance forms.
Correct Incorrect Correct answer

Correct

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Question 9 of 20

9. Question

A pregnant client excitedly asks when the baby’s sex can be identified on ultrasound.

> The nurse explains that sex can typically be determined at 16 weeks due to which developmental milestone?

1. External genital structures are visible enough to distinguish sex.
Correct Incorrect Correct answer

2. Testes have fully descended into the scrotum.
Correct Incorrect Correct answer

3. Internal reproductive organs have completed full maturation.
Correct Incorrect Correct answer

4. Groin structures begin early differentiation.
Correct Incorrect Correct answer

Correct

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Question 10 of 20

10. Question

The nurse explains what happens in the body when blood glucose drops too low.

> Which client statement indicates accurate understanding?

1. “My pancreas stops releasing glucagon when my sugar gets too low.”
Correct Incorrect Correct answer

2. “My body slows down epinephrine release when my sugar drops.”
Correct Incorrect Correct answer

3. “My body increases glucagon to help raise my blood glucose.”
Correct Incorrect Correct answer

4. “My cortisol levels decrease when my blood sugar starts falling.”
Correct Incorrect Correct answer

Correct

Incorrect
Question 11 of 20

11. Question

A nurse conducts a cancer-prevention nutrition class at the local community center.

> Which menu choice indicates that a client understood teaching?

1. Grilled pork chops, buttered corn, potato chips
Correct Incorrect Correct answer

2. Fried chicken, coleslaw, macaroni and cheese
Correct Incorrect Correct answer

3. Baked salmon, steamed broccoli, quinoa
Correct Incorrect Correct answer

4. Ham sandwich, canned peaches, soda
Correct Incorrect Correct answer

Correct

Incorrect
Question 12 of 20

12. Question

A hospitalized client requires an apical pulse measurement prior to receiving a cardiac medication.

> Where should the nurse place the diaphragm of the stethoscope?

1. At the fifth intercostal space at the left midclavicular line
Correct Incorrect Correct answer

2. Over the right sternal border at the fourth intercostal space
Correct Incorrect Correct answer

3. Along the left sternal border at the second intercostal space
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4. Directly above the xiphoid process at the lower sternum
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Correct

Incorrect
Question 13 of 20

13. Question

A nurse assesses the language development of a 4-month-old infant.

> Which finding reflects the most advanced communication skill expected at this age?

1. Repeating simple words like “dada”
Correct Incorrect Correct answer

2. Producing long strings of combined syllables
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3. Using single-syllable sounds such as “ba” or “ma”
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4. Cooing softly when held
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Correct

Incorrect
Question 14 of 20

14. Question

The nurse weighs a 6-month-old infant who now weighs 14 lb (6.4 kg). The birth weight was 7 lb (3.2 kg).

> Which parent statement indicates the need for further teaching?

1. “So, my baby has doubled their birth weight – that seems right.”
Correct Incorrect Correct answer

2. “This weight gain looks perfect for this age.”
Correct Incorrect Correct answer

3. “I’m glad my baby is growing as expected.”
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4. “I need to increase feedings because this seems too little.”
Correct Incorrect Correct answer

Correct

Incorrect
Question 15 of 20

15. Question

A pregnant client is advised to increase folic acid intake and asks which food would be most beneficial.

> Which item should the nurse recommend?

1. Cheddar cheese
Correct Incorrect Correct answer

2. Lean chicken breast
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3. Whole-milk yogurt
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4. Red kidney beans
Correct Incorrect Correct answer

Correct

Incorrect
Question 16 of 20

16. Question

A nurse reviews a newborn’s admission vital signs.

> Which set of vitals falls within the normal range for a healthy newborn?

1. Heart rate 92 bpm, respirations 48/min
Correct Incorrect Correct answer

2. Heart rate 120 bpm, respirations 64/min
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3. Heart rate 130 bpm, respirations 46/min
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4. Heart rate 176 bpm, respirations 54/min
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Correct

Incorrect
Question 17 of 20

17. Question

A client calls the postpartum hotline one week after delivery. She states she is breastfeeding and wants to know which symptoms should prompt her to seek medical attention.

> Which statement by the client shows correct understanding?

1. “If I sweat excessively at night, I’ll call my provider right away.”
Correct Incorrect Correct answer

2. “If my uterus cramps while breastfeeding, it means something is wrong.”
Correct Incorrect Correct answer

3. “If I still have some vaginal discharge next week, I should seek care.”
Correct Incorrect Correct answer

4. “If I develop breast redness or localized pain, I’ll notify my provider.”
Correct Incorrect Correct answer

Correct

Incorrect
Question 18 of 20

18. Question

A parent telephones the clinic one hour after their child received a DTaP injection, reporting redness and soreness at the injection site.

> What should the nurse advise?

1. “Apply cold compresses for short intervals during the first 24 hours.”
Correct Incorrect Correct answer

2. “Bring the child back immediately so we can assess the site.”
Correct Incorrect Correct answer

3. “You should notify the provider because this may be an allergic reaction.”
Correct Incorrect Correct answer

4. “A fever is expected, so check for fever every hour.”
Correct Incorrect Correct answer

Correct

Incorrect
Question 19 of 20

19. Question

A client with schizophrenia returns for a follow-up visit three weeks after starting a new atypical antipsychotic medication.

> Which findings require follow-up by the nurse? Select all that apply.

1. Reports falling asleep earlier than usual
Correct Incorrect Correct answer

2. Total cholesterol level significantly increased
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3. Decreased appetite and weight stability
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4. 10-pound weight gain in three weeks
Correct Incorrect Correct answer

5. Blood pressure elevated compared with baseline
Correct Incorrect Correct answer

Correct / 3 Points

Incorrect / 3 Points
Question 20 of 20

20. Question

A client with a history of peptic ulcer disease meets with the nurse to review dietary choices that help prevent symptom flares.

> Which statement by the client indicates correct understanding?

1. “I’m going to stop drinking coffee completely.”
Correct Incorrect Correct answer

2. “I’ll avoid oatmeal because grains can irritate my stomach.”
Correct Incorrect Correct answer

3. “I plan to stop eating brown rice because it increases acid production.”
Correct Incorrect Correct answer

4. “I’ll cut out carbonated drinks because they cause ulcers to form.”
Correct Incorrect Correct answer

Correct

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