Health Promotion and Maintenance NCLEX PN Questions

Extract:

Question 1 of 5

When a 25-year-old client complains of chest congestion and cough after previously presenting with cold symptoms, what data should the nurse collect?

Correct Answer: C

Rationale: In this case, the nurse should collect data related to the respiratory system since the client is presenting with symptoms like chest congestion and cough, indicating a respiratory issue. Focusing on the respiratory system will help gather pertinent information to assess the current problem comprehensively. A complete health database involves a detailed health history and full physical examination, which is beyond the immediate scope of the presenting issue. Data related to follow-up care is premature as the primary focus should be on assessing the current respiratory symptoms. Data related to the treatment for the cold is not the priority at this stage, as understanding the underlying respiratory problem is crucial for appropriate intervention.

Question 2 of 5

An LPN is taking care of an elderly client who experiences the effects of Sundowner's Syndrome almost every evening. Which of these interventions implemented by the nurse would be the most helpful?

A. Place a nightlight in the client's room. B. Administer the PRN sedative prescribed by the attending physician. C. Remind the client that the things and people they are seeing are not real and that they are safe. D. Turn on the TV or radio to a station the client enjoys.

Correct Answer: A

Rationale: A nightlight will help reorient the client to his or her surroundings in the evening and nighttime hours. It is best not to challenge the reality of a client experiencing Sundowner's Syndrome, and sedatives may make the effects of the syndrome worse. Every effort should be made to keep the client's room calm, quiet, and peaceful, so noise should be kept to a minimum. Reminding the client that what they are experiencing is not real may cause distress and confusion, while turning on the TV or radio may add unnecessary stimulation instead of promoting a soothing environment.

Question 3 of 5

During an interview, what action should a nurse conducting an interview with a client take to collect subjective data?

A. Takes minimal notes to avoid impeding observation of the client's nonverbal behaviors B. Takes a great deal of notes to allow the client to continue at his or her own pace as the nurse records what he or she is saying C. Takes notes because this allows the nurse to break eye contact with the client, which may increase the client's level of comfort D. Takes notes to allow the nurse to shift attention away from the client, which may make the nurse more comfortable

Correct Answer: A

Rationale: During an interview, a nurse should minimize note-taking to focus on the client and not impede the conversation. Taking minimal notes allows the nurse to effectively observe the client's nonverbal behaviors, which provide valuable subjective data. Option B, taking many notes, is incorrect as it can distract the nurse from the client's cues and hinder interaction. Option C, taking notes to break eye contact, is incorrect as it may decrease the client's comfort level and disrupt communication. Option D, taking notes to shift attention away from the client, is incorrect as it diminishes the client's importance and may make them uncomfortable during sensitive discussions.
Therefore, the correct approach is for the nurse to take minimal notes, ensuring effective observation of the client's nonverbal behaviors while collecting subjective data.

Question 4 of 5

When a client who is 25 years of age asks the nurse when she should seek fertility counseling, the best response by the nurse is:

A. Fertility counseling should be sought when you have been unable to conceive after 1 year of unprotected intercourse.' B. Fertility counseling should be sought when you have not been able to conceive after 6-9 months of unprotected intercourse.' C. The average time it takes someone your age to conceive is 5-12 months, so if you haven't conceived by then, we can refer you.' D. We can give you some guidance now on how to increase your chances of conceiving and then refer you if it doesn't happen within a year.'

Correct Answer: D

Rationale: The guidelines for a fertility workup are to refer after the couple has not conceived after one year of unprotected intercourse. So,
Choice 1 is technically correct, but it doesn't consider the immediate need for the couple to have some counseling.
Choice 4 is the best answer because it gives the couple guidance now and the referral at the appropriate time. If the woman is over the age of 35, an earlier referral, at six to nine months of unprotected intercourse, is appropriate. It is true that the average time it takes a 25-year-old woman to conceive is 5.3 months, but that does not address the concern the client is expressing.
Choice 4 is still the most caring and correct answer. Couples conceive within the first month of unprotected intercourse 20% of the time.

Question 5 of 5

Which of the following strategies should the nurse include when planning care for children of migrant workers?

A. Delay immunizations due to acute illness. B. Provide parents with copies of medical records. C. Offer preventive services during acute illness visits. D. Emphasize the importance of having one primary care provider.

Correct Answer: B

Rationale: When planning care for children of migrant workers, providing parents with copies of medical records is essential. This helps ensure continuity of care, especially as migrant families may move frequently. Immunizations should not be delayed due to acute illness; preventive care, including immunizations, should be provided even during acute illness visits to ensure the child stays up to date. While it is important to offer preventive services during routine visits, it is not ideal to provide them only during acute illness visits. Emphasizing the importance of having one primary care provider is valuable in healthcare, but it may not be feasible for migrant families due to their mobility.

Health Promotion and Maintenance NCLEX PN Questions - Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN