NCLEX-RN
Health Promotion and Maintenance NCLEX RN Questions Questions
Extract:
Question 1 of 5
When a blood pressure cuff is too wide for a client's arm, what type of reading might this blood pressure cuff produce?
Correct Answer: B
Rationale: When a blood pressure cuff is too wide for a client's arm, it may produce an abnormally low blood pressure reading. This occurs because the oversized cuff can lead to an underestimation of blood pressure. It is essential to ensure that the cuff fits appropriately to obtain an accurate reading. An abnormally high reading (
Choice
C) is less likely with an oversized cuff, as it generally leads to lower readings. A normal reading (
Choice
A) is unlikely due to the inaccuracies caused by the oversized cuff. A fluctuating reading (
Choice
D) is not a typical result of using a cuff that is too wide; instead, it usually leads to consistently low readings.
Question 2 of 5
The nurse provides home care instructions to a client diagnosed with cancer who has an implanted vascular access port. Which statement by the client indicates the need for further teaching?
Correct Answer: C
Rationale: Implanted vascular access ports do not require daily pumping to maintain patency; this is incorrect. Keeping the site clean and dry, notifying the doctor about redness, and flushing with saline (or heparin, per agency protocol) are correct care measures.
Question 3 of 5
The nurse at a community health care clinic is teaching parents about measures to take to prevent and manage obesity in children. The nurse determines that the parents need additional teaching if they indicate that they will implement which measures? Select all that apply.
Correct Answer: A,E
Rationale: Parents can implement several measures to prevent and manage obesity in their children. These measures include not using food as a reward; establishing consistent times for meals and snacks, and not allowing eating inbetween; offering only healthy food options; minimizing trips to fast-food restaurants; keeping unhealthy food out of the house; acting as a role model for children; encouraging the child to do fun, physical activities with the family; and praising the child for making appropriate food choices and increasing physical activity levels.
Question 4 of 5
The community health nurse has reviewed information about the population of a local community and has determined that there are groups in the population that are at high risk for infection with tuberculosis (TB). The nurse targets which high-risk group for screening?
Correct Answer: C
Rationale: Older clients in long-term-care facilities are at high risk for TB due to age-related immune decline and close living conditions. French Canadians, White Anglo-Saxon Americans, and adolescents are not specifically high-risk groups unless other factors apply.
Question 5 of 5
A client is preparing to undergo a cystoscopy for stones. Which of the following statements indicates that the client understands the procedure?
Correct Answer: B
Rationale: The correct answer is, 'I will probably see a little blood when I urinate.' During a cystoscopy, a scope is inserted into the client's bladder to inspect structures or remove objects like stones. This procedure is usually performed under local or general anesthesia. It is common for clients to experience a small amount of blood in their urine (hematuria) or have pink-colored urine after the procedure. The other choices are incorrect because drinking a lot of fluid before the test, staying in the hospital for 3 days, and assuming no pain will be experienced are not accurate statements related to a cystoscopy procedure.