Health Promotion NCLEX RN Exam Questions

Question 1 of 5

Using Naegele's Rule, calculate the estimated date of birth for a client who reports the first day of the last menstrual period was August 7.

A. 7-MayB. 14-MayC. 31-OctD. 14-Nov

Correct Answer: B

Rationale: Naegele's Rule: Add 1 year, subtract 3 months, add 7 days. August 7 + 1 year = August 7 next year; minus 3 months = May 7; plus 7 days = May 14.

Question 2 of 5

A community health nurse is lecturing students at a nearby community college about high-risk behavior. Which of the following should the nurse include in the lecture?

A. Suicide is the most common cause of death in this age group.B. Cancer is the third most common cause of death in this age group.C. Homicide is the second most common cause of death in this age group.D. College-age students are more likely to die from unintentional injuries.

Correct Answer: D

Rationale: Unintentional injuries (e.g., car accidents) are the leading cause of death in college-age students. Suicide and homicide rank lower, and cancer is not third.

Question 3 of 5

The nurse is teaching a group of student nurses about principles of teaching. Which statement by a student nurse requires further instruction from the licensed nurse?

A. A client's living situation can affect his readiness and ability to learn.B. The client's age and developmental stage must be considered when teaching clients.C. Tactile or kinesthetic learners prefer to learn by watching a video or reading a handout.D. I should allow clients to demonstrate their understanding of what they have learned and practice skills.E. Some barriers to learning include financial resources, lack of support systems, and a low level of literacy.

Correct Answer: C

Rationale: Tactile/kinesthetic learners prefer hands-on learning, not videos or handouts. Other statements are correct.

Question 4 of 5

The nurse identifies a client's learning preference as visual. Which of the following would be appropriate when teaching the client about insulin injection?

A. an audiotapeB. an orange, an insulin syringe, an alcohol wipe, and a bottle of sterile salineC. classroom discussionD. an instructional pamphlet

Correct Answer: D

Rationale: For a visual learner, an instructional pamphlet with diagrams or pictures is most effective. Audiotape (
A) is auditory, classroom discussion (
C) is auditory/kinesthetic, and demonstration with an orange (
B) is kinesthetic, making them less suitable.

Question 5 of 5

The home-care nurse visits an older client diagnosed with Parkinson's disease who requires instillation of multiple eye drops. Which instruction for the administration of eye drops should the nurse plan to provide to this client who demonstrates signs/symptoms of this diagnosis?

A. Administer the eye drops rapidly.B. Have a family member instill the eye drops.C. Lie down on a bed or sofa to instill the eye drops.D. Keep the eye drops in the refrigerator so that they will thicken.

Correct Answer: C

Rationale: Older adults diagnosed with Parkinson's disease will experience tremors, making it more difficult to instill eye drops. The older client is instructed to lie down on a bed or sofa to instill the eye drops to provide control and allow the drops to be administered more easily. If multiple eye drops are needed, there should be a wait time of 3 to 4 minutes between drops. It is unreasonable to expect a family member to be available consistently to instill the eye drops. Additionally, this discourages client independence. Placing the eye drops in the refrigerator should not be done unless specifically prescribed.

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