NCLEX Questions on Health Promotion and Maintenance

Question 1 of 5

To improve overall health, the nurse should place highest priority on assisting a client to make lifestyle changes for which of the following habits?

A. Drinking a six-pack of beer each dayB. Eating an occasional chocolate barC. Exercising twice a weekD. Using relaxation exercises to deal with stress

Correct Answer: A

Rationale: Daily heavy alcohol consumption poses significant health risks (liver disease, cardiovascular issues), making it the highest priority for lifestyle change.

Question 2 of 5

A client and his family facing the end stage of a terminal illness might be best served by:

A. a rehabilitation center.B. an extended care facility.C. Hospice.D. a crisis intervention center.

Correct Answer: C

Rationale: Hospice has the belief that more humanized alternative care for dying clients is needed than is being provided in hospitals, which focus mostly on medical cures. No matter where the care is delivered, Hospice provides a specialized interdisciplinary team of health care professionals who work together to manage client care.

Question 3 of 5

Who should receive the hepatitis A vaccine?

A. children who are 18 months of ageB. infants, who should receive the vaccination at birthC. people who travel to other countriesD. individuals who might come into contact with blood

Correct Answer: C

Rationale: Hepatitis A is for individuals who travel or persons with chronic liver disease. Infants receive the hepatitis B vaccine at birth. DTaP is administered at 18 months of age. Individuals who come into contact with blood should be immunized against hepatitis B.

Question 4 of 5

Which of the following home-care strategies is most likely to negatively impact the body image of a client with Cushing's syndrome?

A. providing safety measures to prevent fallsB. taking medications as prescribedC. wearing a medical ID indicating Cushing's syndromeD. having regular health assessments

Correct Answer: C

Rationale: All of the strategies listed are included in home care for the client with Cushing's syndrome.
Choice 3 is the best answer because wearing a medical ID is a visible sign that something is wrong and a constant reminder to the client that he or she has a loss of body function.
Choice 1 might enhance body image because it prevents falls that could cause further injury and debilitation. Taking medications as prescribed should enhance body image because it decreases the symptoms present. Having regular health assessments indicates an enhanced body image because it signals the desire to take care of the body and keep it at its best.

Question 5 of 5

The teaching plan for a postpartum client who is about to be discharged should include which of the following instructions?

A. It is normal for your breasts to be tender. You should call the physician if you also have redness and fatigue.B. Because your baby was delivered vaginally, you might have to urinate more frequently.C. It is normal to run a low-grade temperature for a few days. If it is higher than 100Â°F, call your physician.D. Be sure to call your physician if your vaginal discharge becomes bright red.

Correct Answer: D

Rationale: The vaginal discharge after birth is called lochia, and it changes from red (rubra) to serosa (clear) on the third postpartum day. If it returns to red or contains clots, it could signal impending hemorrhage or infection and the physician should be notified.

NCLEX Questions on Health Promotion and Maintenance | Nurselytic

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