NCLEX-RN
Health Promotion NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The school nurse teaches an athletic coach how to prevent dehydration among athletes practicing in the hot weather. What is the best advice for the nurse to give to the coach?
Correct Answer: D
Rationale: Hot weather accelerates the body's loss of fluid and electrolytes during strenuous physical activity, so the nurse encourages the coach to schedule fluid breaks at 30-minute intervals so that the athletes can periodically rest and restore body fluids. Drinking fluid before and after practice is a reasonable suggestion; however, because the hot weather accelerates fluid and electrolyte losses, body fluids must be periodically replenished to maintain the fluid and electrolyte balance. Although a sodium load increases fluid retention, the nurse avoids suggesting salt tablets for the athletes because the nurse needs approval from each athlete's primary health care provider before recommending the salt. Rescheduling practice times is unrealistic.
Question 2 of 5
The nurse is performing an assessment on a primigravida client who has been a marathon runner for several years. The client verbalizes concern because she is no longer able to run in marathons and is concerned about the brown discoloration on her face and her increasing size. Which statements by the nurse are therapeutic?
Correct Answer: A,B
Rationale: The client is concerned about the body changes and life changes being experienced as a result of pregnancy. Therapeutic communication techniques include focusing on the client's feelings and concerns and acknowledging these concerns by the techniques of clarifying and encouraging discussion of feelings. Telling a client 'not to worry,' placing the client's feelings on hold, and avoiding discussion of the client's feelings are nontherapeutic communication techniques.
Question 3 of 5
The nurse is teaching a group of student nurses about principles of teaching. Which statement by a student nurse requires further instruction from the licensed nurse?
Correct Answer: C
Rationale: Tactile/kinesthetic learners prefer hands-on learning, not videos or handouts. Other statements are correct.
Question 4 of 5
The nurse provides information to a client who is scheduled for the implantation of an implantable cardioverter defibrillator (ICD) regarding care after implantation. The nurse tells the client that there is a need to keep a diary. What information should the nurse provide concerning the primary purpose of the diary?
Correct Answer: D
Rationale: The primary purpose of the ICD diary is to record comprehensive data (date, time, activity, symptoms, number of shocks, and post-shock feelings) for the provider to adjust medical management, particularly medication therapy. Other options are specific aspects of this broader purpose.
Question 5 of 5
The nurse provides discharge instructions to the mother of a child who was hospitalized for heart surgery. Which instruction should the nurse provide to the mother?
Correct Answer: D
Rationale: Notifying the primary health care provider if the child develops a fever greater than 100.5°F (38°
C) is critical to detect potential infections post-heart surgery. The child should not play outside for several weeks to avoid infection or injury. No creams, lotions, or powders should be applied to the incision until fully healed. The child should not return to school until 3 weeks after discharge, starting with half days.