NCLEX Health Promotion and Maintenance Questions Answers

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.”
View Answer
Answer: (B)
Rationale: The flu vaccine is recommended annually to protect against the most current strains of the virus.

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
View Answer
Answer: (C)
Rationale: At 2 years old, a child should be able to walk up and down stairs with assistance.

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.”
View Answer
Answer: (B)
Rationale: Folic acid is important during pregnancy to help prevent neural tube defects in the developing fetus.

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
View Answer
Answer: (B)
Rationale: Performing BSE at the same time every month helps women become familiar with the normal state of their breasts and detect any changes early.

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
View Answer
Answer: (D)
Rationale: Central cyanosis is an abnormal finding in a newborn and requires immediate evaluation and intervention.

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.”
View Answer
Answer: (B)
Rationale: Regular physical activity is important for maintaining overall health and reducing the risk of chronic diseases.

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
View Answer
Answer: (B)
Rationale: The vastus lateralis muscle is the preferred site for intramuscular injections in newborns and infants due to its large muscle mass.

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.”
View Answer
Answer: (C)
Rationale: Smoking is a major risk factor for multiple cancers and chronic respiratory diseases.

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
View Answer
Answer: (C)
Rationale: Regular screening for colorectal cancer should begin at age 50 for individuals at average risk.

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
View Answer
Answer: (D)
Rationale: By 6 months, infants should be able to roll 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
View Answer
Answer: (C)
Rationale: A persistent severe headache can be a sign of preeclampsia and should be reported immediately.

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
View Answer
Answer: (C)
Rationale: Blood pressure of 150/95 mmHg is indicative of hypertension, a significant risk factor for cardiovascular disease.

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.”
View Answer
Answer: (C)
Rationale: Placing babies on their backs to sleep reduces the risk of sudden infant death syndrome (SIDS).

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
View Answer
Answer: (A)
Rationale: By age 4, children should be able to run with ease as part of their gross motor skill development.

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
View Answer
Answer: (C)
Rationale: At 20 weeks gestation, the fundus is typically palpated at the level of the umbilicus.

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.”
View Answer
Answer: (A)
Rationale: Increasing intake of calcium-rich foods helps maintain bone health and prevent osteoporosis in older adults.

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
View Answer
Answer: (C)
Rationale: Elevated blood pressure in a postpartum client may indicate a complication such as preeclampsia and should be reported.

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
View Answer
Answer: (C)
Rationale: A supportive family environment can enhance a client’s motivation and ability to learn about managing their condition.

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
View Answer
Answer: (D)
Rationale: A 70-year-old underweight female is at highest risk for osteoporosis due to age, gender, and low body weight.

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.”
View Answer
Answer: (A)
Rationale: Avoiding the sun during peak hours (10 AM to 4 PM) helps reduce the risk of skin cancer.

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
View Answer
Answer: (C)
Rationale: A colonoscopy every 10 years is recommended for adults beginning at age 50 for colorectal cancer screening.

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
View Answer
Answer: (C)
Rationale: Severe headache and visual disturbances may indicate preeclampsia, which requires immediate medical attention.

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.”
View Answer
Answer: (D)
Rationale: Not all cholesterol is bad; HDL cholesterol is beneficial for heart 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
View Answer
Answer: (A)
Rationale: The Moro reflex is typically present in infants up to 4 months of age.

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
View Answer
Answer: (B)
Rationale: Regular physical activity can enhance mood and reduce symptoms of depression, among other health benefits.

See also:

Safe and Effective Care Environment

Health Promotion and Maintenance

Psychosocial Integrity