PN Domain 8: Health Promotion and Maintenance (Quiz 2) Welcome to your NCLEX-PN Practice Quizzes. Note: We designed Two (2) sets of practice quizzes for this Domain. Each set has 25 questions. Domain 8 (Quiz 2): Health Promotion and Maintenance. (25 questions) Please click NEXTÂ to start your Free NCLEX-PN Practice Quizzes right away. Best of Luck! 1. PN Health Promotion and Maintenance,NCLEX-PN During a routine check-up, a 22-year-old client tells the nurse that he is losing weight despite being constantly hungry and thirsty. He also admits to urinating more frequently. Which lab tests will likely be ordered? A. ALT, AST, and GGT B. Blood glucose and A1c C. Complete blood count D. 24-hour urine collection None 2. PN Health Promotion and Maintenance,NCLEX-PN During his annual physical examination, a client tells the nurse that he would really like to stop smoking. What should the nurse recommend as the client's FIRST step? A. Ask family members and co-workers to provide support B. Immediately dispose of cigarettes and smoking supplies C. Sign and date a formal" Quit" contract with the nurse D. Make a plan to quit smoking within two weeks None 3. PN Health Promotion and Maintenance,NCLEX-PN A new client's lab results show a hemoglobin A1c level of 9%. What educational focus will the client need most? A. Self-administering nebulizer medications PRN B. Warning signs and symptoms of hypokalemia C. Learning to take and record daily blood pressures D. Preventing and recognizing hyperglycemia None 4. PN Health Promotion and Maintenance,NCLEX-PN To take an adult client's blood pressure, how far should the lower edge of the sphygmomanometer cuff be from the client's antecubital crease? A. 3.5 cm B. 4.5 cm C. 2.5 cm D. 1.5 cm None 5. PN Health Promotion and Maintenance,NCLEX-PN A 28-year-old woman with a family history of heart disease asks the clinic nurse about the safety of birth control pills. Which lifestyle topic should the nurse assess FIRST? A. Diet preferences B. Smoking history C. Work hazards D. Exercise schedule None 6. PN Health Promotion and Maintenance,NCLEX-PN A 54-year-old male client with chronic kidney disease (CKD) tells the nurse that he loves to have dessert after dinner. Knowing that CKD requires fluid restriction, which dessert should the nurse recommend? A. Ice cream B. Angel food cake C. Any flavor of jello D. Fruit yogurt None 7. PN Health Promotion and Maintenance,NCLEX-PN A 10-year-old girl lives with her parents, her paternal grandparents, a younger brother, an aunt, and two cousins. What type of family unit is this? A. Extended family B. Nuclear family C. Next-of-kin unit D. Family of origin None 8. PN Health Promotion and Maintenance,NCLEX-PN The Emergency Department physician is admitting a 74-year-old male with a diagnosis of hemorrhagic stroke affecting the right cranial hemisphere. Which assessment is consistent with this diagnosis? A. Homan's sign B. Kernig's sign C. Right-sided spasticity D. Left-sided flaccidity None 9. PN Health Promotion and Maintenance,NCLEX-PN The nurse is teaching a client who has just been diagnosed with genital herpes. Which statement is true? A. This infection will decrease your risk of getting HIV infection B. You will not be contagious if you keep taking your antiviral drugs C. There is no cure for genital herpes, but outbreaks are shorter with the right drugs D. Genital herpes infection is caused by a corkscrew bacterium called a spirochete None 10. PN Health Promotion and Maintenance,NCLEX-PN A 58-year-old female asks the nurse if she should still do breast self-examinations. Which statement is most appropriate for the nurse to tell the client? A. You are postmenopausal, so there's no need to continue. B. Do it while you shower on the first day of every month C. Mammograms have entirely replaced the need to do it D. Wait until the week before your yearly mammogram None 11. PN Health Promotion and Maintenance,NCLEX-PN When reviewing a new client's health history with her, the nurse knows that the primary risk factor for cervical cancer is which of the following? A. Maternal history of cervical cancer B. Chlamydia infection, treated 10 years ago C. 20-pack-year history of smoking cigarettes D. Human papillomavirus infection None 12. PN Health Promotion and Maintenance,NCLEX-PN Parents of a 5-year-old son with celiac disease are getting instruction on his diet. Which of the following grains is safe for this child? A. Corn B. Rye C. Barley D. Wheat None 13. PN Health Promotion and Maintenance,NCLEX-PN A mother asks the nurse about the benefits of human papillomavirus (HPV) immunization for her 11-year-old daughter. Which is the most appropriate response? A. She will have resistance to all types of the virus B. She will never have to have a Pap smear C. She will be protected from cervical cancer D. She will only need a booster vaccination every ten years None 14. PN Health Promotion and Maintenance,NCLEX-PN The nurse meets with a female client after her diagnosis of primary hypertension. Which statement by the A. Many nights, I wake up in a sweat B. I think there's been a mistake. I feel fine C. I get leg cramps when I take my daily walk D. I notice that I get frequent nosebleeds None 15. PN Health Promotion and Maintenance,NCLEX-PN At a block party, a neighbor tells the nurse that her 16-year-old son likes to sleep until noon every weekend. She asks the nurse for advice. What is the nurse's best response? A. It sounds like he should be taking vitamins B. You may want to have him tested for anemia C. Teens need to sleep late in the morning D. How late do you let him stay up at night? None 16. PN Health Promotion and Maintenance,NCLEX-PN A mother with a 3-year-old who has a diagnosis of autism meets with the nurse at a day care center, prior to the child's enrollment. The mother and nurse want to educate the staff regarding appropriate activities for the child. What is the priority for the nurse to convey to the staff? A. Activities should only take place indoors B. Activities should promote verbal skills C. Activities should encourage social interactions D. Activities should be focused on safety None 17. PN Health Promotion and Maintenance,NCLEX-PN When caring for an elderly client who has visual and hearing impairments, which of the following should the nurse assess? A. Social isolation B. Cognitive decline C. Sensory overload D. Confusion and anger None 18. PN Health Promotion and Maintenance,NCLEX-PN A school nurse is performing annual scoliosis screenings. The nurse should assess students for all of the following signs EXCEPT A. unequal rib heights B. prominent shoulder blades C. balanced waist angles D. uneven hips None 19. PN Health Promotion and Maintenance,NCLEX-PN A mother tells the nurse that her 8-year-old doesn't eat as much as her toddler or teenager. The nurse should explain that school-age children have a lower A. metabolic rate B. hormone level C. growth rate D. activity level None 20. PN Health Promotion and Maintenance,NCLEX-PN A 32-year-old client refuses to have any analgesia or anesthesia during her birth experience. As the nurse assists her during the second stage of her labor, which position should the client use to start pushing? A. Squatting with her body curved into a "C" position B. Lying on her left side in the Sims' position C. Lithotomy position with high stirrups D. Knee-chest position with her head elevated None 21. PN Health Promotion and Maintenance,NCLEX-PN A 24-year-old client with a recent diagnosis of type 1 diabetes presents at the clinic for 4 consecutive days with signs of hyperglycemia. The client states that they "just can't do those insulin shots." What is the nurse's best response? A. I don't blame you. It's hard to adjust B. What do you know about self-injections? C. Really, you must learn to do these injections D. Your life depends on this. What's the issue? None 22. PN Health Promotion and Maintenance,NCLEX-PN A 79-year-old home health client with severe arthritis of the hands tells the nurse that she has difficulty instilling eye drops for her glaucoma. What can the nurse do to assist the client? A. Instruct the client to lie down when using the eye drops B. Refrigerate the eye drops to increase viscosity C. Ask a family member to take over the task D. Teach the client to tilt her head back None 23. PN Health Promotion and Maintenance,NCLEX-PN At her 10-year-old daughter's routine physical, the mother reports that her daughter has started developing breasts and growing pubic hair. The nurse tells them that after signs of puberty appear, menstruation usually starts within A. 20 months B. 30 months C. 40 months D. 10 months None 24. PN Health Promotion and Maintenance,NCLEX-PN A 32-year-old primigravida who is 35 weeks pregnant is admitted following a rupture of membranes and loss of mucous plug 9 hours earlier. An internal exam shows she is dilated 4 cm. Because she is at risk for infection, which action is most appropriate? A. Perform more vaginal examinations B. Initiate universal precautions C. Monitor her temperature frequently D. Prepare an Oxytocin infusion None 25. PN Health Promotion and Maintenance,NCLEX-PN The pediatric nurse is performing a respiratory assessment of a 2-week-old infant. Which finding should the nurse IMMEDIATELY report? A. Inspiratory grunting B. Nasal flaring C. Respiratory rate of 50 D. Irregular breathing None 1 out of 25 Time is Up! Time's up
