Last Updated on July 4, 2024
Ace the NCLEX exam with our specialized Health Promotion and Maintenance questions and answers. Access free practice tests, in-depth explanations, and downloadable PDFs. Designed for NCLEX-RN and NCLEX-PN candidates, our resources will help you excel in promoting health and wellness. Boost your preparation with our expert study materials.
Health Promotion and Maintenance items of the NCLEX-RN. These questions will test your ability to direct nursing care that promotes good health and early detection and prevention of health problems. You will also be expected to demonstrate your knowledge of general human growth and development.
The content will address developmental stages, the aging process, and ante/intra/postpartum and newborn care. Prepare for questions on self-care, including high-risk behaviors and lifestyle choices. You will also likely encounter items on physical assessment techniques, health screening, disease prevention, and general health promotion.
NCLEX Health Promotion and Maintenance Questions Answers
Q1. A nurse is educating a group of older adults about the importance of flu vaccinations. Which statement should the nurse include?
- (A) “The flu vaccine is only necessary for individuals with chronic illnesses.”
- (B) “You should get the flu vaccine every year to ensure protection.”
- (C) “The flu vaccine can give you a mild form of the flu.”
- (D) “Once you receive the flu vaccine, you are protected for life.”
Q2. During a well-child visit, a nurse is assessing a 2-year-old’s development. Which milestone is appropriate for this age?
- (A) Using scissors to cut paper
- (B) Drawing a person with three parts
- (C) Walking up and down stairs with assistance
- (D) Speaking in full sentences
Q3. A nurse is providing prenatal education to a first-time mother. Which advice should the nurse give regarding nutrition during pregnancy?
- (A) “Increase your calorie intake by 1000 calories per day.”
- (B) “Include more folic acid in your diet to prevent neural tube defects.”
- (C) “Avoid all types of fish to prevent mercury exposure.”
- (D) “Limit your water intake to prevent fluid retention.”
Q4. A nurse is teaching a client about breast self-examination (BSE). When should the nurse advise the client to perform BSE?
- (A) On the first day of the menstrual cycle
- (B) At the same time every month
- (C) Weekly, to ensure thorough examination
- (D) Only if a lump is suspected
Q5. A nurse is conducting a physical assessment of a newborn. Which finding should be reported to the healthcare provider?
- (A) Presence of lanugo
- (B) Respiratory rate of 60 breaths per minute
- (C) Heart rate of 140 beats per minute
- (D) Central cyanosis
Q6. During a routine visit, a nurse is discussing lifestyle choices with a 30-year-old client. Which recommendation is appropriate for health promotion?
- (A) “Avoid all types of physical activity to prevent injury.”
- (B) “Include at least 30 minutes of moderate exercise most days of the week.”
- (C) “Drink at least three alcoholic beverages per day for heart health.”
- (D) “Smoke cigarettes in moderation to reduce stress.”
Q7. A nurse is preparing to administer the first dose of hepatitis B vaccine to a newborn. Which site is most appropriate for the injection?
- (A) Deltoid muscle
- (B) Vastus lateralis muscle
- (C) Gluteal muscle
- (D) Abdomen
Q8. A nurse is educating a group of adolescents about the dangers of smoking. Which statement should the nurse include?
- (A) “Smoking only affects your lungs and not other parts of your body.”
- (B) “Nicotine is not addictive if you smoke only occasionally.”
- (C) “Smoking can lead to various cancers and chronic respiratory diseases.”
- (D) “It is safe to smoke as long as you don’t inhale deeply.”
Q9. A nurse is teaching a client about colorectal cancer screening. At what age should average-risk adults begin regular screening?
- (A) 30 years old
- (B) 40 years old
- (C) 50 years old
- (D) 60 years old
Q10. A nurse is assessing the development of a 6-month-old infant. Which milestone is appropriate for this age?
- (A) Sitting without support
- (B) Walking with assistance
- (C) Saying simple words like “mama” and “dada”
- (D) Rolling over from back to front
Q11. A nurse is educating a pregnant client on signs of potential complications. Which symptom should the client report immediately?
- (A) Mild ankle swelling
- (B) Occasional heartburn
- (C) Persistent severe headache
- (D) Intermittent back pain
Q12. During a health screening event, a nurse is assessing clients for risk factors of cardiovascular disease. Which finding is most concerning?
- (A) A body mass index (BMI) of 22
- (B) A total cholesterol level of 180 mg/dL
- (C) Blood pressure of 150/95 mmHg
- (D) A fasting blood glucose level of 90 mg/dL
Q13. A nurse is providing postpartum care. Which instruction should the nurse give a new mother regarding infant sleep safety?
- (A) “Place your baby on their stomach to sleep.”
- (B) “Use soft bedding and pillows in the crib.”
- (C) “Put your baby to sleep on their back.”
- (D) “Co-sleep with your baby in your bed.”
Q14. A nurse is assessing a 4-year-old child during a well-child visit. Which developmental milestone should the child have achieved?
- (A) Running with ease
- (B) Tying shoelaces
- (C) Riding a bicycle
- (D) Writing complete sentences
Q15. A nurse is performing a physical assessment on a pregnant client at 20 weeks gestation. Where should the nurse expect to palpate the fundus?
- (A) At the level of the symphysis pubis
- (B) Midway between the symphysis pubis and the umbilicus
- (C) At the level of the umbilicus
- (D) Midway between the umbilicus and the xiphoid process
Q16. During a routine health visit, a nurse is discussing diet with a 65-year-old client. Which dietary recommendation is most appropriate?
- (A) “Increase your intake of calcium-rich foods.”
- (B) “Consume high-sodium foods to maintain blood pressure.”
- (C) “Reduce fiber intake to prevent gastrointestinal issues.”
- (D) “Limit water intake to prevent fluid overload.”
Q17. A nurse is providing care to a client who is 1-day postpartum. Which finding should be reported to the healthcare provider?
- (A) Lochia rubra
- (B) Fundus firm and at the level of the umbilicus
- (C) Elevated blood pressure
- (D) Mild perineal pain
Q18. A nurse is assessing a client’s readiness to learn about managing their diabetes. Which factor is most likely to enhance the client’s learning?
- (A) High anxiety level
- (B) Lack of interest in the topic
- (C) Supportive family environment
- (D) Learning disability
Q19. A nurse is performing a health screening for osteoporosis. Which client is at highest risk for developing this condition?
- (A) A 30-year-old male who exercises regularly
- (B) A 45-year-old female with a high body mass index
- (C) A 60-year-old male who smokes
- (D) A 70-year-old female who is underweight
Q20. A nurse is educating a client on skin cancer prevention. Which recommendation should the nurse include?
- (A) “Avoid the sun between 10 AM and 4 PM.”
- (B) “Use tanning beds instead of sunbathing.”
- (C) “Wear sunscreen only on sunny days.”
- (D) “Check your skin for changes every five years.”
Q21. A nurse is discussing health promotion strategies with a 50-year-old client. Which screening is most appropriate to recommend?
- (A) Annual mammogram
- (B) Bone density test
- (C) Colonoscopy every 10 years
- (D) Monthly prostate-specific antigen (PSA) test
Q22. A nurse is assessing a pregnant client in her third trimester. Which finding should be reported to the healthcare provider?
- (A) Mild edema in the feet
- (B) Shortness of breath when lying flat
- (C) Severe headache and visual disturbances
- (D) Occasional Braxton Hicks contractions
Q23. During a health fair, a nurse is educating clients about cholesterol levels. Which statement indicates a need for further teaching?
- (A) “I should aim for a total cholesterol level below 200 mg/dL.”
- (B) “High levels of HDL cholesterol are beneficial.”
- (C) “I should limit my intake of saturated fats.”
- (D) “All cholesterol is bad for my health.”
Q24. A nurse is performing a routine assessment on a 2-month-old infant. Which reflex should the nurse expect to be present?
- (A) Moro reflex
- (B) Babinski reflex
- (C) Stepping reflex
- (D) Rooting reflex
Q25. A nurse is providing education to a client about the benefits of regular physical activity. Which benefit should the nurse include?
- (A) Increases risk of cardiovascular disease
- (B) Enhances mood and reduces symptoms of depression
- (C) Leads to weight gain
- (D) Decreases bone density
See also:
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
- Psychosocial Integrity Questions
- Basic Care and Comfort Questions
- Pharmacological and Parenteral Therapies Questions
- Reduction of Risk Potential
- Physiological Adaptation