NCLEX-RN
Health Promotion NCLEX RN Questions Exam Questions
Extract:
Question 1 of 5
The home care nurse visits a client who had a stroke (brain attack) with resultant unilateral neglect who was recently discharged from the hospital. Which instruction should the nurse provide to the family regarding care?
Correct Answer: A
Rationale: Unilateral neglect involves a lack of awareness of the affected side. Assisting from the affected side helps focus the client's attention on it, promoting awareness. Initially, items are placed on the unaffected side, but gradually shifted. Scanning the environment is encouraged, and grooming the affected side first aids awareness.
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 nursing instructor asks a student to identify risk factors for and methods of preventing prostate cancer. Which statement by the student indicates the need for further teaching?
Correct Answer: B
Rationale: Smoking, history of a sexually transmitted infection, and yearly digital examinations are accurate statements regarding the risks and prevention measures related to this type of cancer. Prostate cancer is a slow-growing malignancy of the prostate gland. A high intake of dietary fat is a risk factor for prostate cancer.
Question 4 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 5 of 5
A client diagnosed with chronic kidney disease is about to begin hemodialysis therapy. The client asks the nurse about the frequency and scheduling of hemodialysis treatments. What information should the nurse supply to the client regarding the typical hemodialysis schedule?
Correct Answer: D
Rationale: The typical hemodialysis schedule is 3 to 4 hours, 3 days per week, adjusted based on client size, dialyzer type, blood flow rate, and preferences. Other options do not reflect standard practice.