NCLEX-RN
Health Promotion NCLEX RN Test Questions Questions
Extract:
Question 1 of 5
The nurse has provided home-care instructions to a client who is taking lithium carbonate. Which client statement indicates that the client understands the prescribed regimen?
Correct Answer: B
Rationale: Lithium is a mood stabilizer used to treat bipolar disorder. It replaces sodium ions in the cells and induces the excretion of sodium and potassium from the body. Client teaching includes the maintenance of sodium intake in the daily diet and increased fluid intake (at least 1 to 1½ L per day) during maintenance therapy. Lithium is stored at room temperature and protected from light and moisture.
Question 2 of 5
The nurse is conducting a health screening on a client with a family history of hypertension. Which assessment finding should alert the nurse to the need for further teaching related to stroke (brain attack) prevention?
Correct Answer: D
Rationale: Oral contraceptives increase clot formation risk, a modifiable stroke risk factor, especially with a hypertension family history. High-fiber diet, normal blood pressure, weight loss, and exercise (options A, B,
C) reduce stroke risk.
Question 3 of 5
The nurse employed in a well-baby clinic is preparing to administer the scheduled recommended immunizations to a 2-month-old infant. After consultation with the pediatrician, the nurse should prepare to administer which vaccines at this time?
Correct Answer: A,B,C,E,F
Rationale: RV is administered at 2 months of age. PCV is administered at 2, 4, and 6 months of age and then between 12 and 15 months. IPV is administered at ages 2 and 4 months and then at age 4 to 6 years. Hib is administered at ages 2 and 4 months with a final dose administered at age 12 months or older. DTaP is administered at 2, 4, and 6 months of age; the fourth dose is administered as early as age 12 months as long as 6 months have elapsed since the third dose. Varicella vaccine is administered at age 12 months or older. MMR is administered at age 12 to 18 months with the second dose at age 4 to 6 years.
Question 4 of 5
The nurse is teaching a new mother about postpartum fatigue (PPF). Which information would the nurse include?
Correct Answer: B,D
Rationale: Fatigue improves over 6 weeks, and side-lying breastfeeding conserves energy. Cesarean births don't inherently increase PPF, and fatigue may worsen depression.
Question 5 of 5
A client with a compound (open) fracture of the radius has a plaster cast applied in the emergency department. The nurse provides home care instructions and tells the client to seek medical attention if which finding occurs?
Correct Answer: A
Rationale: A limb encased in a cast is at risk for nerve damage and diminished circulation from increased pressure caused by edema. Signs/symptoms of increased pressure from the cast include numbness, tingling, and increased pain. A cast can take up to 48 hours to dry and generates heat while drying. Some drainage may occur initially with a compound (open) fracture.