NCLEX-RN
Health Promotion and Maintenance NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse is performing an assessment on a 3-year-old child with chickenpox. The child's mother tells the nurse that the child keeps scratching at night, and the nurse teaches the mother about measures that will prevent an alteration in skin integrity. Which statement by the mother indicates that teaching was effective?
Correct Answer: A
Rationale: Placing white gloves on the child's hands at night prevents scratching during sleep, which helps maintain skin integrity and reduces the risk of secondary infections. Applying cortisone cream is not recommended without a prescription, as it may not be appropriate for chickenpox and could increase the risk of complications. Warm milk may help with sleep but does not directly address scratching or skin integrity. Keeping the child in a warm room does not prevent scratching and may increase discomfort, as cooler environments are often better for reducing itching.
Question 2 of 5
Two basic but important risk factors for testicular cancer are which of the following?
Correct Answer: A,B
Rationale: Two basic but important risk factors for testicular cancer are race and age. The incidence of testicular cancer is four times higher among white males than black males. It is the most common type of cancer to occur in males between the ages of 15 and 34 years. Other risk factors include a history of an undescended testis and a family history of testicular cancer. Marital status and the number of children are not risk factors for testicular cancer.
Question 3 of 5
A healthcare professional is preparing to insert an indwelling catheter in a female client. Which of the following positions of the client is most appropriate for this procedure?
Correct Answer: C
Rationale: When preparing to insert an indwelling catheter for a female client, the most appropriate position is the dorsal recumbent position. In this position, the client lies on their back with knees bent. This position allows for easy access to the urethral area for catheter insertion. The lithotomy position, with legs elevated and spread apart, is more invasive and typically used for gynecological exams. The prone position, lying face down, is not suitable for catheter insertion. High Fowler's position, sitting upright at a 90-degree angle, is not ideal for catheter insertion as it does not provide proper access to the perineal area.
Question 4 of 5
A client is having blood tests and has an elevated lymphocyte level. Based on knowledge of cellular components, what does the nurse know about these cells?
Correct Answer: C
Rationale: Lymphocytes are a type of white blood cells that play a crucial role in supporting the body's immune system. They are responsible for producing substances that protect the body against infections and foreign substances that could potentially harm the client. Lymphocytes consist of two main types: T cells, which are produced in the thymus, and B cells, which are produced in the lymphatic tissue.
Choice A is incorrect because histamine is mainly associated with basophils and mast cells, not lymphocytes.
Choice B is incorrect as phagocytosis is a function of other white blood cells such as neutrophils and macrophages.
Choice D is also incorrect as carrying hemoglobin and oxygen is a function of red blood cells, not lymphocytes.
Question 5 of 5
A nurse is caring for a 3-day old infant who needs an exchange transfusion. Which of the following statements is appropriate for teaching the child's parents about this procedure?
Correct Answer: B
Rationale: : An exchange transfusion is a method of controlling high bilirubin levels in infants when traditional phototherapy is unsuccessful. During an exchange transfusion, the physician removes 5-10 cc of blood and then replaces it with donor blood. The parents of this infant should know that the procedure is always performed by a physician and will take approximately 1 ½ hours to complete.