NCLEX-RN
Health Promotion NCLEX RN Questions Exam Questions
Question 1 of 5
A client diagnosed with chronic kidney disease is about to begin hemodialysis therapy. The client asks the nurse about the frequency and scheduling of hemodialysis treatments. What information should the nurse supply to the client regarding the typical hemodialysis schedule?
Correct Answer: D
Rationale: The typical hemodialysis schedule is 3 to 4 hours, 3 days per week, adjusted based on client size, dialyzer type, blood flow rate, and preferences. Other options do not reflect standard practice.
Question 2 of 5
A client has a history of urolithiasis related to hyperuricemia. To prevent the formation of future stones, the nurse instructs the client to avoid which food?
Correct Answer: A
Rationale: Urolithiasis related to hyperuricemia involves high uric acid levels, and foods high in purines, such as liver, should be avoided because they increase uric acid production. Carrots, white rice, and skim milk are low in purines and safe for this client.
Question 3 of 5
The nurse is performing an assessment on an older client. Which signs/symptoms are age-related changes in the eye? Select all that apply.
Correct Answer: B,E
Rationale: Age-related changes in the eye include flattening of the cornea, which causes blurred vision; poor pupillary adaptation to darkness; yellowing sclera; a sunken appearance; diminished tear production; diminished ability to discriminate among colors; and reduced ocular muscle strength.
Question 4 of 5
The home care nurse visits a client who had a stroke (brain attack) with resultant unilateral neglect who was recently discharged from the hospital. Which instruction should the nurse provide to the family regarding care?
Correct Answer: A
Rationale: Unilateral neglect involves a lack of awareness of the affected side. Assisting from the affected side helps focus the client's attention on it, promoting awareness. Initially, items are placed on the unaffected side, but gradually shifted. Scanning the environment is encouraged, and grooming the affected side first aids awareness.
Question 5 of 5
The nurse is teaching a client who had been newly diagnosed with diabetes mellitus about blood glucose monitoring. The nurse should teach the client to report glucose levels that consistently exceed which level?
Correct Answer: C
Rationale: The normal blood glucose level ranges from 70 to 110 mg/dL (4 to 6 mmol/L), or as designated and preferred by the primary health care provider. The client with diabetes mellitus should be taught to report blood glucose levels that exceed 250 mg/dL (14.28 mmol/L), unless otherwise instructed by the primary health care provider. Options 1 and 2 are high levels but do not require primary health care provider notification. Option 4 is a high value; the client should report an elevated level before it reaches this point.