NCLEX-PN
Health Promotion and Maintenance NCLEX Questions Questions
Extract:
Question 1 of 5
A nurse is determining the estimated date of delivery for a pregnant client using Nagele's rule and notes documentation that the date of the client's last menstrual period was August 30, 2013. The nurse determines the estimated date of delivery to be which date?
Correct Answer: B
Rationale: Nagele's rule is a method used to estimate the date of delivery for pregnant clients. The rule involves subtracting 3 months and adding 7 days to the date of the first day of the last normal menstrual period, then adjusting the year. Subtracting 3 months from August 30, 2013, brings the date to May 30, 2013; adding 7 days results in June 6, 2013. Finally, after correcting the year, the estimated date of delivery is June 6, 2014.
Therefore, the correct answer is June 6, 2014.
Choices A, C, and D are incorrect because they do not follow the accurate calculation based on Nagele's rule.
Question 2 of 5
At what age are yearly mammograms recommended to start?
Correct Answer: B
Rationale: The correct answer is B. The American Cancer Society recommends yearly mammograms starting at age 40 and continuing for as long as a woman is in good health. Clinical breast examination should be done about every 3 years for women in their 20s and 30s and every year for women age 40 and older. Women should know how their breasts normally look and feel and report any breast change promptly to the healthcare provider. Breast self-examination should be done monthly starting when a woman is in her 20s.
Choice A is incorrect as mammograms are not recommended to start at age 25.
Choice C is incorrect as yearly mammograms are still recommended even without a family history of breast cancer.
Choice D is incorrect as the recommended age for starting yearly mammograms is 40, not 20.
Question 3 of 5
After reviewing the child's immunization record, which scheduled vaccine should the nurse prepare to administer next?
Correct Answer: D
Rationale: The correct answer is DTaP. DTaP is administered at 2, 4, and 6 months of age; between 15 and 18 months of age; and between 4 and 6 years of age. Since the child has only received three doses of this vaccine, the next dose of DTaP should be administered. The other options are incorrect because Hib is administered at 2, 4, and 6 months of age and between 12 and 15 months; IPV is administered at 2, 4, and 6 months of age and between 4 and 6 years of age; MMR is administered between 12 and 15 months of age and again between 4 and 6 years of age.
Question 4 of 5
What is a chemical reaction between drugs before their administration or absorption known as?
Correct Answer: A
Rationale: A chemical reaction between drugs before their administration or absorption is termed a drug incompatibility. This phenomenon commonly occurs when drug solutions are mixed before intravenous administration but can also happen with orally administered drugs.
Choices B, C, and D are incorrect because side effects, adverse events, and allergic responses typically occur after the drugs have been administered and absorbed, not before.
Question 5 of 5
A patient has just been prescribed Minipress to control hypertension. The nurse should instruct the patient to be observant of the following:
Correct Answer: A
Rationale: Hypotension may be result of over correction of a hypertensive condition.