RN Domain 8: Health Promotion and Maintenance (Quiz 3) 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 3): 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 During a client's checkup after a spontaneous abortion at 12 weeks, she becomes angry and screams at the nurse, "Why did God punish me? haven't done anything to deserve this." Which response is most appropriate? A. Go ahead, God can handle your anger. It's okay B. It isn't God's fault. There was probably a good reason C. You're a strong woman. I know that you'll get through this D. I can see that you're angry. It's so hard to lose a baby None 2. RN Health Promotion and Maintenance,NCLEX-RN A client with Stage IV pancreatic cancer is being discharged from the hospital to her home. She tells the nurse that she doesn't want hospice care because her family will take care of her. What is the nurse's best response? A. I think your doctor has already ordered hospice for you B. Your care is going to be too much for your family C. This is a huge mistake. I hope you will reconsider D. I'm wondering how much you know about hospice None 3. RN Health Promotion and Maintenance,NCLEX-RN When teaching a patient with a new colostomy, which food should the nurse recommend eating to avoid odors in the stool? A. Peanut butter B. Yogurt C. Eggs D. Cucumbers None 4. RN Health Promotion and Maintenance,NCLEX-RN After her six-year-old son is diagnosed with influenza A, the mother asks the nurse how to manage her son's fever and discomfort. The nurse's BEST response is A. Kids seem to tolerate baby aspirin well B. Use cold compresses on his forehead C. Only give your son Tylenol or Advil D. We advise you to avoid any medications None 5. RN Health Promotion and Maintenance,NCLEX-RN A primigravid client at 14 weeks' gestation has been diagnosed with hyperemesis gravidarum. The nurse explains to the client that the condition is related to high levels of A. aldosterone B. progesterone C. estrogen D. testosterone None 6. RN Health Promotion and Maintenance,NCLEX-RN The nurse is preparing a presentation on nutrition for senior citizens. Which of the following items is MOST important for the nurse to include? A. Canned fruits are much easier to digest B. Increase protein intake at every meal C. Drink water even if you're not thirsty D. The D.A.S.H. diet is best for all senior citizens None 7. RN Health Promotion and Maintenance,NCLEX-RN On discharge from the hospital, the health care provider prescribes lisinopril (Prinvil, Zestril) for a 54-year-old male client. Which common side effect should the nurse teach the client about? A. Cough B. Constipation C. Hypertension D. Hypokalemia None 8. RN Health Promotion and Maintenance,NCLEX-RN The nurse is monitoring the frequency of contractions of a client in labor. The first contraction starts at 0900 and ends at 0901. A second contraction starts at 0915 and ends at 0916, followed by a third contraction at 0930. What is the frequency of the contractions? A. 15 minutes B. 1 minute C. 9 minutes D. 14 minutes None 9. RN Health Promotion and Maintenance,NCLEX-RN A 27-year-old woman has Type 1 Diabetes (T1D). She and her husband want to have a baby. Her endocrinologist gave them information on pregnancy and diabetes. What is the first thing that the nurse should discuss with the prospective parents? A. Understanding the health risk to the mother B. Considering adoption as an alternative to giving birth C. The need for early prenatal medical oversight D. Dietary modifications during pregnancy None 10. RN Health Promotion and Maintenance,NCLEX-RN A pediatric nurse is instructing the parents of a 10-year old boy who has been newly diagnosed with type 1 diabetes. When teaching about hypoglycemia, which instruction should the nurse provide? A. Always have glucose tablets and subcutaneous glucagon available B. If the child is active in sports, the evening dose of NPH insulin can be withheld C. Check the child's urine four times a day for acetone D. Contact the health care provider if the child becomes drowsy None 11. RN Health Promotion and Maintenance,NCLEX-RN To assess cranial nerve VII, the nurse should ask the client to do all of the following EXCEPT A. extend the tongue B. raise the eyebrows C. smile and frown D. distinguish tastes None 12. RN Health Promotion and Maintenance,NCLEX-RN A three-month-old African American male is being assessed during his routine checkup. The nurse notes a dark-blue pigmented mark across his back and buttocks. What should the nurse do? A. Document the observation in the infant's record B. Assess the infant for other signs of cyanosis C. Provide the parent with a referral for laser therapy D. Notify the Department of Family Services None 13. RN Health Promotion and Maintenance,NCLEX-RN A 26-year-old client comes to the birthing center in early active labor. She is full term and membranes are intact. The nurse locates fetal heart sounds above the client's umbilicus at midline. The nurse should continue to assess that the fetus is in which position? A. Face B. Transverse C. Cephalic D. Breech None 14. RN Health Promotion and Maintenance,NCLEX-RN A client with type 2 diabetes has a glycosylated hemoglobin (HbA1c) level of 9.1%. What sort of plan should the nurse make for this client? A. The nurse must create a plan to help the client manage poor glucose level control B. The client's HbA1c level is normal, so the nurse can allow the client to follow the current plan C. The client's HbA1c level is low, so the nurse must create a plan to raise the HbA1c level D. The nurse must create a new plan because the lab result reveals no new information None 15. RN Health Promotion and Maintenance,NCLEX-RN The community health nurse is teaching a smoking cessation class. Two pregnant clients are enrolled. Which information is MOST important for the nurse to include during the class? A. Electronic cigarettes (vaping) are a healthy alternative to cigarettes B. Research shows that the placenta effectively blocks nicotine C. Smoking during pregnancy increases the risk of preterm birth D. Low-tar filtered cigarettes are less harmful to the fetus None 16. RN Health Promotion and Maintenance,NCLEX-RN A father calls the poison control center after discovering that his three-year-old son has taken 12 grape-flavored chewable acetaminophen tablets. What should the nurse instruct the father to do? A. Force the boy to drink 8 oz. of milk B. Give syrup of ipecac to induce vomiting C. Record the boy's pulse rate for 24 hours D. Quickly go to the Emergency Department None 17. RN Health Promotion and Maintenance,NCLEX-RN Assessment of a primigravida in active labor reveals cervical dilation at 9 cm, 100% effacement, and the fetus at +1 station. The medical resident orders meperidine 50 mg IM for the patient. What should the nurse do? A. Refuse to administer the medication to the patient B. Administer the medication as prescribed C. Ask the resident to validate the drug dosage D. Place naloxone at the patient's bedside None 18. RN Health Promotion and Maintenance,NCLEX-RN RhoGAM is most often used to treat ______ mothers that have an _______ infant. A. Rh-negative, Rh-negative B. Rh-negative, Rh-positive C. Rh-positive, Rh-positive D. Rh-positive, Rh-negative None 19. RN Health Promotion and Maintenance,NCLEX-RN After learning that his sibling has been diagnosed with lung cancer, a client tells the nurse that he wants to quit smoking. What is the first action that the nurse should suggest? A. Get rid of cigarettes today B. Tell his family he's quitting C. Make a plan to quit smoking D. Sign a "I Quit" contract with the nurse None 20. RN Health Promotion and Maintenance,NCLEX-RN During a routine check-up, the pediatric nurse observes that a 5-year-old boy is stuttering when he tells the nurse about his recent holiday. What is the nurse's MOST appropriate action? A. Obtain a referral for a speech pathologist B. Report the parents for suspected child abuse C. Report the finding to the child's school nurse D. Obtain a referral for an audiologist None 21. RN Health Promotion and Maintenance,NCLEX-RN A 15-year-old male asks the school nurse for information on safe condom use. Which of the following statements should the nurse emphasize? A. Be sure to store the condoms in a warm, dry place B. Lubricate the condoms with mineral oil or petroleum jelly C. Leave a half-inch space at the tip of the condom D. Always apply a condom before the penis becomes erect None 22. RN Health Promotion and Maintenance,NCLEX-RN When a nurse is educating a pregnant client on taking iron supplements, which statement by the nurse would be correct? A. Your stools will appear black B. You can develop a skin rash C. Your hair will become thinner D. You may experience diarrhea None 23. RN Health Promotion and Maintenance,NCLEX-RN A pharmacist is giving a presentation to nursing students on pharmacokinetics in older adults. Which physiological change related to aging increases the risk of drug toxicity? A. Body fat increases and total body water decreases B. Renal elimination becomes more efficient C. The lining of the gastrointestinal tract becomes thinner D. The liver develops a higher metabolic rate None 24. RN Health Promotion and Maintenance,NCLEX-RN Following the birth of her first child, a 27year-old makes an appointment to discuss oral contraception. During the assessment, the client discloses a family history of heart disease. What question should the nurse ask next? A. Do you eat a low-salt and low-fat diet? B. How often do you exercise? C. Are you a smoker? D. Have you considered other types of birth control? None 25. RN Health Promotion and Maintenance,NCLEX-RN The nurse is teaching a new hemodialysis client how to monitor fluid status between dialysis treatments. Which is most important for the client to record daily? A. Number of steps walked B. Urine acetone level C. Intake, output, weight D. Complete vital signs None 1 out of 25 Time is Up! Time's up
