RN Domain 8: Health Promotion and Maintenance (Quiz 2) Welcome to your NCLEX-RN Practice Quizzes. Note: We designed Three (3) 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-RN Practice Quizzes right away. Best of Luck! 1. RN Health Promotion and Maintenance,NCLEX-RN A nurse is educating the parents of a 9year-old girl who will be undergoing chemotherapy. The nurse explains that alopecia is a side effect. Which statement by the nurse is most appropriate? A. You'll all adapt quickly to her appearance without hair B. She should choose a wig that's similar to her own hair now C. Her hair will fall out gradually, so it won't be noticeable D. Your daughter is too young to worry about losing her hair None 2. RN Health Promotion and Maintenance,NCLEX-RN When a mother enters the playroom of the pediatrics unit to visit her three-year-old son, he does not immediately go to her. What is the reason for his behavior? A. The child is angry and withdrawn B. The child has become self-centered C. The child has adapted to the hospital setting D. The child is displaying normal behavior None 3. RN Health Promotion and Maintenance,NCLEX-RN A new mother is resting after an uncomplicated delivery of a healthy newborn. When a nurse assesses the mother's heart rate, which of the following is typical? A. Tachycardia B. Thready pulse C. Bradycardia D. Bounding pulse None 4. RN Health Promotion and Maintenance,NCLEX-RN During a routine checkup, the nurse assesses a 76-year-old female whose husband died seven months ago. Which statement would indicate ineffective coping on her part? A. I've gone back to my craft club at the Senior Center B. I've been going to visit his grave every month C. I've been sorting through our old family photos D. I've had no interest in how I look or what I wear. Why bother? None 5. RN Health Promotion and Maintenance,NCLEX-RN A multiparous client at 16 weeks' gestation is diagnosed as having a fetus with probable anencephaly. The client is fervently pro-life. She decides to continue the pregnancy and donate the neonate's organs after its death. Which of the following actions by the nurse is most appropriate? A. Contact the client's minister to discuss the client's options related to the pregnancy B. Advise the client that a prolonged neonatal death will be very painful for her C. Explore their own feelings about the issues of anencephaly and organ donation D. Ask the client and her husband if they have discussed this decision with the family None 6. RN Health Promotion and Maintenance,NCLEX-RN When you prepare a checklist for an older adult who is learning to do self catheterization, which action is most helpful? A. Write at a high school reading level B. Include charts and graphs C. Print material in a fun and colorful font D. Use short words and sentences None 7. RN Health Promotion and Maintenance,NCLEX-RN At a community health fair, a nurse gives a presentation on colorectal cancer. The nurse is asked about prevention and screening. Which statement by the nurse is most accurate? A. At age 50, if you're at average risk, you should get a complete screening every ten years B. You can lower your risk by eating vegetables and foods that are low fiber and high fat C. Adults at low risk should have a colonoscopy and fecal occult blood test every five years D. All adults should begin screening at age 40, regardless of family history None 8. RN Health Promotion and Maintenance,NCLEX-RN What is the best way to educate a 10year-old girl about her upcoming heart surgery? A. Use a model of the heart to show her how the surgery will go B. Give her a booklet to read about the surgery C. Introduce her to another child who just had the same surgery D. Provide a verbal explanation just prior to the surgery None 9. RN Health Promotion and Maintenance,NCLEX-RN A nurse is instructing a 46-year-old primigravid client prior to a percutaneous umbilical blood sampling (PUBS) procedure. When the client asks why, the nurse explains that it will A. assess fetal lung maturity B. measure the alpha-fetoprotein level C. diagnose a multiple pregnancy D. diagnose genetic disorders None 10. RN Health Promotion and Maintenance,NCLEX-RN The nursing instructor is observing a student assigned to a postpartum client with a diagnosis of human immunodeficiency virus (HIV). As the student assists the client in caring for her infant, which action by the student requires the instructor to intervene? A. The student helps the baby latch on to the mother's breast B. The student places the baby on its back after the mother holds the baby C. The student wears clean gloves to change the baby's soiled diaper D. The student folds the diaper below the baby's umbilical stump None 11. RN Health Promotion and Maintenance,NCLEX-RN A mother calls the pediatric clinic to report that her three-year-old child has diarrhea. She asks how to manage it at home. What should the nurse suggest? A. Continue the child's usual diet as tolerated B. Clear liquids only for the next 24 hours C. Serve low-fat, low-sodium foods for 2 days D. Switch to bananas, rice, applesauce, and toast None 12. RN Health Promotion and Maintenance,NCLEX-RN A pregnant client tells the nurse that her 5-year-old son asked "How did the baby get in your tummy?" The mother asks the nurse how to answer the child's question. What is the nurse's MOST appropriate response? A. Your child is too young to be learning about sex B. Distract him. Children often ask random questions C. Give him as much accurate information as possible. D. When your child asks, give a simple and honest answer None 13. RN Health Promotion and Maintenance,NCLEX-RN As vision changes with age, the ability to see colors can be altered. When a home health nurse helps an elderly client choose an outfit, which colors are most difficult for the client to distinguish? A. Blue and green B. Blue and orange C. Red and green D. Red and blue None 14. RN Health Promotion and Maintenance,NCLEX-RN A new pregnant client comes to the prenatal clinic for her first visit. She tells the nurse that she had a miscarriage at 16 weeks gestation five years ago and gave birth to twins three years ago. How will the nurse record the mother's obstetrical history? A. Gravida 3 Para 2 B. Gravida 2 Para 1 C. Gravida 3 Para 1 D. Gravida 4 Para 2 None 15. RN Health Promotion and Maintenance,NCLEX-RN A client calls the clinic after a home pregnancy test is positive. Which hormone will cause this result? A. Estrogen B. Human chorionic gonadotropin C. Alpha-fetoprotein D. Progesterone None 16. RN Health Promotion and Maintenance,NCLEX-RN The nurse plans to instruct parents of a 4-year-old with cystic fibrosis (CF) about the child's nutritional needs. Which of the following should the nurse include during teaching? A. Low protein B. High calorie C. High fat D. Low carbohydrate None 17. RN Health Promotion and Maintenance,NCLEX-RN The nurse notes that the apical heart rate of a neonate born 5 minutes ago is 152 and regular. What should the nurse do? A. Document as a normal heart rate B. Notify the neonate's pediatrician C. Assess for signs of circulatory distress D. Monitor the heart rate every 2 hours None 18. RN Health Promotion and Maintenance,NCLEX-RN A Gravida 2 Para 1 client is scheduled for a glucose tolerance test in her 24th week of pregnancy. The nurse knows that this test screens for A. preterm labor B. gestational diabetes C. placenta previa D. hyperemesis gravidarum None 19. RN Health Promotion and Maintenance,NCLEX-RN A patient reports smoking 10 cigarettes per day for 40 years. How will the healthcare provider document this patient's smoking habit in terms of pack-years? A. 20 pack-years B. 4 pack-years C. 5 pack-years D. 10 pack-years None 20. RN Health Promotion and Maintenance,NCLEX-RN A school nurse is instructing a health class about the dangers of smoking. Which student's statement shows a lack of understanding and a need for more information? A. Chewing tobacco is safe because there's no smoke B. Second-hand smoke is a public health issue C. I can get sick if people smoke in my house D. Smoking will cause me to get wrinkles None 21. RN Health Promotion and Maintenance,NCLEX-RN After their 6-month-old son is diagnosed with hemophilia A, the parents decide to go for genetic testing and counseling. The test results show that the mother is a carrier and the father is unaffected. What is the likelihood of their having another child affected with this genetic disorder? A. 100% chance that a female child will be a carrier of hemophilia A B. 50% chance that a male child will have hemophilia A C. 25% chance that a female child will be a carrier of hemophilia A D. 100% chance that a male child will have hemophilia A None 22. RN Health Promotion and Maintenance,NCLEX-RN The nurse prepares to administer a pneumococcal vaccine to a 65-year-old client who has a diagnosis of chronic bronchitis. The client states, "I got that vaccine 5 years ago." What is the most appropriate response by the nurse? A. Your last shot was when you were 60, so a repeat vaccination is recommended B. You will need this vaccination annually, just like the flu shot C. This vaccination is given every other year to anyone with lung disease D. We can give you a flu shot instead of a pneumococcal vaccination None 23. RN Health Promotion and Maintenance,NCLEX-RN A patient has been diagnosed with primary syphilis (Stage 1). When assessing the patient, which of these findings will the healthcare provider anticipate? A. Muscle weakness and visual changes B. sore throat and swollen lymph glands C. Firm and painless genital ulcer D. Reddish rash on the palms of the hands None 24. RN Health Promotion and Maintenance,NCLEX-RN When assessing gross motor skills, for which of the following infants should the nurse request a developmental referral? A. A 9-month-old who is unable to stand while holding on B. A 2-month-old who does not roll over C. A 6-month-old who does not creep D. A 4-month-old who is unable to sit without support None 25. RN Health Promotion and Maintenance,NCLEX-RN The high school nurse is teaching a sophomore health class about sexuallytransmitted infections (STls). Which of the following is the MOST common STI in the United States? A. Chlamydia B. Syphilis C. Gonorrhea D. Human papillomavirus None 1 out of 25 Time is Up! Time's up
