NCLEX-RN
Health Promotion NCLEX RN Questions Exam Questions
Extract:
Question 1 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 2 of 5
A child with a diagnosis of umbilical hernia has been scheduled for surgical repair in 2 weeks. The clinic nurse instructs the parents about the signs of possible hernia strangulation. The nurse tells the parents that which sign requires primary health care provider notification?
Correct Answer: C
Rationale: The parents of a child with an umbilical hernia need to be instructed regarding the signs/symptoms of strangulation, which include vomiting, pain, and an irreducible mass at the umbilicus. Fever, diarrhea, and constipation are not signs of hernia strangulation. The parents should be instructed to contact the primary health care provider immediately if strangulation is suspected.
Question 3 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 4 of 5
A nurse is preparing to talk about hormone replacement therapy (HRT) to a group of women at a women's fair at the local hospital. Which statements regarding HRT are correct? Select all that apply.
Correct Answer: C
Rationale: HRT reduces fracture risk by improving bone density. It increases breast cancer, stroke, and CAD risks, and does not decrease CAD risk in non-smokers.
Question 5 of 5
The nurse is preparing a client diagnosed with pneumonia for discharge. Which statement by the client should alert the nurse to the fact that the client needs further teaching before being discharged?
Correct Answer: B
Rationale: Deep breathing and coughing exercises and the use of incentive spirometry should be practiced for 6 to 8 weeks after the client diagnosed with pneumonia is discharged from the hospital to keep the alveoli expanded and promote the removal of lung secretions. If the entire regimen of antibiotics is not taken, the client may suffer a relapse. The period of convalescence with pneumonia is often lengthy, and it may be weeks before the client feels a sense of well-being. Adequate rest is needed to maintain progress toward recovery.