NCLEX-RN
Health Promotion NCLEX RN Questions Exam Questions
Extract:
Question 1 of 5
The nurse is teaching a mother diagnosed with diabetes mellitus who delivered a large-for-gestational-age (LGA) infant about the care of the infant. The nurse tells the mother that LGA infants appear to be more mature because of their large size, but that, in reality, these infants frequently need to be aroused to facilitate nutritional intake and attachment. Which statement by the mother indicates the need for additional teaching about the care of the infant?
Correct Answer: B
Rationale: LGA infants tend to be more difficult to arouse and therefore must be aroused to facilitate nutritional intake and attachment opportunities. These infants also have problems maintaining a quiet, alert state. It is beneficial for the mother to interact with the infant during this time to enhance and lengthen the quiet, alert state. LGA infants need to be aroused for feedings, usually every 2½ to 3 hours for breast-feeding. Although the infant is large, motor function is not usually as mature as it is in the term infant.
Question 2 of 5
The nurse is teaching a client with hypertension about items that contain sodium and reviews a written list of items sent from the cardiac rehabilitation department. The nurse tells the client that which item is lowest in sodium content?
Correct Answer: D
Rationale: Water that is bottled, distilled, deionized, or demineralized may be used for drinking and cooking. Clients are advised to read labels for sodium content. Sodium intake can be increased with the use of several types of products, including toothpaste and mouthwashes; over-the-counter medications such as analgesics, antacids, cough remedies, laxatives, and sedatives; and softened water, as well as some mineral waters.
Question 3 of 5
The nurse is monitoring fetal heart rate (FHR) on a laboring client. Which finding should be reported to the health care provider?
Correct Answer: C
Rationale: FHR of 170 bpm for over 10 minutes indicates tachycardia, requiring immediate reporting. Other findings are within normal or less urgent ranges.
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 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.