NCLEX-PN
Health Promotion and Maintenance NCLEX Questions
Question 1 of 5
A 50 milliliter (ml) bolus of normal saline fluid is ordered by the physician. The physician wants it to infuse in 30 minutes. The nurse should set the pump rate at:
Correct Answer: A
Rationale: One hundred ml in one hour equals 50 ml in 30 minutes, which is what the physician prescribed.
Choice 2 is 10 ml more than the physician prescribed for 30 minutes.
Choice 3 is the same as
Choice 2; it is 10 ml more than the physician prescribed for 30 minutes.
Choice 4 only provides 25 ml over 30 minutes, or half the volume prescribed.
Question 2 of 5
What action should the nurse take?
Correct Answer: C
Rationale: A sinus tachycardia is a physiological response to pain. Treating the cause of the increased pulse rate requires pain medication.
Question 3 of 5
A client asks the nurse what risk factors increase the chances of getting skin cancer. The risk factors include all except:
Correct Answer: C
Rationale: Diet and foods are not established risk factors for skin cancer, unlike fair complexion, sun exposure, and history of sunburns.
Question 4 of 5
Which of the following client groups should the nurse recognize as the fastest-growing segment of the homeless population?
Correct Answer: B
Rationale: Single mothers with two or three children are the fastest-growing segment of the homeless population, often with young children, due to economic and social challenges.
Question 5 of 5
A mother brings her 1-year-old child to the clinic. The child has no record of previous immunizations, and the mother confirms the child has not been immunized. Teaching by the nurse should include which of the following?
Correct Answer: A
Rationale: While a recommended immunization schedule exists, immunizations may be started at any age. An interrupted series may be continued and need not be restarted. There is no increased risk for reaction to vaccines due to delay.