NCLEX-PN
Health Promotion and Maintenance NCLEX PN Questions Questions
Extract:
Question 1 of 5
A client, age 28, is 8 1/2 months pregnant. She is most likely to display which normal skin-color variation?
Correct Answer: D
Rationale: Chloasma, also known as the mask of pregnancy, is described as tan-to-brown patches on the face. This hyperpigmentation results from hormonal changes during pregnancy. Vitiligo is characterized by depigmented patches, erythema is redness of the skin due to increased blood flow, and cyanosis is a bluish discoloration due to poor circulation or lack of oxygen, none of which are typical skin-color variations during pregnancy.
Therefore, in a pregnant client, the most likely normal skin-color variation to be displayed is chloasma.
Question 2 of 5
An adult client undergoes various diagnostic tests to determine the pumping ability of the heart. The nurse notes that the results of these tests indicate that the client's cardiac output is 5 L/min. The nurse makes which conclusion?
Correct Answer: C
Rationale: A cardiac output of 5 L/min falls within the normal range for a resting adult, which typically ranges between 4 and 6 L/min. Cardiac output is calculated as the stroke volume (volume of blood in each systole) multiplied by the heart rate.
Therefore, a cardiac output of 5 L/min is considered normal.
Choices A and B are incorrect as they misinterpret the result as either low or high, which is not the case based on the provided information.
Choice D is unrelated to the client's cardiac output and thus incorrect.
Question 3 of 5
Which of the following strategies should the nurse include when planning care for children of migrant workers?
Correct Answer: B
Rationale: When planning care for children of migrant workers, providing parents with copies of medical records is essential. This helps ensure continuity of care, especially as migrant families may move frequently. Immunizations should not be delayed due to acute illness; preventive care, including immunizations, should be provided even during acute illness visits to ensure the child stays up to date. While it is important to offer preventive services during routine visits, it is not ideal to provide them only during acute illness visits. Emphasizing the importance of having one primary care provider is valuable in healthcare, but it may not be feasible for migrant families due to their mobility.
Question 4 of 5
All of the following factors, when identified in the history of a family, are correlated with poverty except:
Correct Answer: D
Rationale: Factors correlated with poverty often include a high infant mortality rate, frequent use of Emergency Departments, and consultation with folk healers, as these indicate limited access to healthcare. Dental problems are prevalent in poverty due to a lack of preventive care and access to treatments. High infant mortality is a significant issue linked with poverty as it reflects poor healthcare access. Families in poverty might resort to Emergency Departments for healthcare due to financial barriers. Consulting folk healers is common in communities with limited access to formal healthcare. However, a low incidence of dental problems is less likely in impoverished families due to the lack of preventive services and the presence of other health issues.
Question 5 of 5
Assisting with data collection, a nurse notes tenderness while lightly palpating a client's right lower quadrant of the abdomen. The nurse determines that this finding is most likely associated with which anatomic structure?
Correct Answer: D
Rationale: The correct answer is the Appendix. Tenderness in the right lower quadrant of the abdomen is a classic sign of appendicitis, which is inflammation of the appendix. The appendix is located in the right lower quadrant. The other choices are incorrect. The spleen is located on the posterolateral wall of the abdominal cavity under the diaphragm. The pancreas is located behind the stomach. The liver fills most of the right upper quadrant and extends to the left midclavicular line.