NCLEX-PN
Health Promotion and Maintenance NCLEX Questions
Extract:
Question 1 of 5
The school nurse is conducting health screenings on schoolchildren. During the screening, she identifies a child with the behavioral characteristics of attention deficit disorder. Which of the following behaviors is consistent with this disorder?
Correct Answer: B
Rationale: Children with attention deficit disorder are easily distracted but are able to carry on a conversation. Concrete thinking is more indicative of age, and slow speech development has more to do with other learning disabilities.
Question 2 of 5
A client asks the nurse what risk factors increase the chances of getting skin cancer. The risk factors include all except:
Correct Answer: C
Rationale: Diet and foods are not established risk factors for skin cancer, unlike fair complexion, sun exposure, and history of sunburns.
Question 3 of 5
A syringe pump is a type of electronic infusion pump used to infuse fluids or medications directly from a syringe. This device is commonly used for:
Correct Answer: D
Rationale: Small volumes of medication or fluids are delivered and sometimes at slow rates to neonates and pediatric clients. The syringe pump allows precise infusion of small volumes.
Choice 1 is incorrect because a syringe pump can be used in almost any setting, but is not generally for adult clients.
Choices 2 and 3 are incorrect because large volumes of fluids are not administered with a syringe pump.
Question 4 of 5
After 12 months of cessation of menses, which of the following assessment findings in a client who is taking hormone replacement therapy should the nurse report to the physician immediately?
Correct Answer: D
Rationale: Uterine bleeding on combination hormone replacement therapy, after 12 months of menses cessation, indicates an increased risk of carcinoma and should be reported to the physician immediately. Breast tenderness, weight gain, and fluid retention are all routine side effects of hormone replacement therapy. They should be noted in the record and reported to the physician, but they are not urgent.
Question 5 of 5
Central venous access devices (CVADs) are frequently utilized to administer chemotherapy. What is an advantage of using CVADs for chemotherapeutic agent administration?
Correct Answer: C
Rationale: CVADs allow administration of vesicant chemotherapeutic drugs into larger veins, reducing damage to smaller peripheral veins. They are more expensive, dosing varies, and home administration is not standard.