NCLEX-RN
NCLEX RN Questions on Health Promotion and Maintenance Questions
Question 1 of 5
The nurse is caring for a pregnant client at 24 weeks. The client voids before the nurse measures the fundal height. Which finding by the nurse would be expected in assessment of this client?
Correct Answer: A
Rationale: At 24 weeks, fundal height typically measures 22-26 cm, corresponding to gestational age in centimeters.
Question 2 of 5
A nurse is caring for a client with dumping syndrome. Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Dumping syndrome requires a high-fat, low-carbohydrate diet to slow gastric emptying. Other statements are correct.
Question 3 of 5
The nurse is participating in a free community health screening with a group of student nurses. Which statement by a student nurse requires further teaching by the licensed nurse?
Correct Answer: B
Rationale: Prostate-specific antigen testing typically starts at age 50, not 55, for average-risk men. Other statements are accurate.
Question 4 of 5
The nurse is providing education at a senior center. Which of the following measures will the nurse say is most effective in attaining normal blood pressure in a client with hypertension?
Correct Answer: D
Rationale: Decreasing sodium intake is the most effective dietary measure to manage hypertension, as sodium increases blood pressure. Red meat (
A) may worsen it, potassium/calcium (
B) is supportive but less impactful, and fluid intake (
C) is not directly related.
Question 5 of 5
The nurse is teaching a client with a right-leg fracture who has a prescription for partial weight-bearing status how to ambulate with crutches. The nurse determines that the client demonstrates compliance with this restriction to prevent complications of the fracture if the client follows which direction?
Correct Answer: C
Rationale: The client who has partial weight-bearing status is allowed to place 30 \% to 50 \% of the body weight on the affected limb.
Touchdown weight-bearing allows the client to let the limb touch the floor but not to bear weight. Nonweight-bearing status does not allow the client to let the limb touch the floor. There is no classification for 60 \% to 80 \% weight-bearing status. Full weightbearing status involves placing full weight on the limb.