NCLEX-PN Health Promotion and
Maintenance Health Promotion
COMPLETE REVISION QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY
GRADED A+
A client with diabetes mellitus has a glycosylated hemoglobin A1c level of 9%. On the basis of this test
result, the nurse plans to reinforce teaching the client about the need for which measure? - Answer:
Preventing and recognizing hyperglycemia
The nurse is assisting to perform a focused data collection process on a client who is complaining of
symptoms of a cold, a cough, and lung congestion. Which should the nurse include for this type of data
collection? Select all that apply. - Answer: Listening to lung sounds
Obtaining the client's temperature
Obtaining information about the client's respirations
The nurse is reinforcing instructions for a client in how to perform a testicular self-examination (TSE).
Which instructions should the nurse include? Select all that apply. - Answer: Perform TSE after a shower
or bath.
Perform TSE on the same day each month.
Perform TSE by rolling each testicle between the thumb and fingers.
Which statement by a nursing student about Kohlberg's theory of moral development indicates the
need for further teaching about the theory? - Answer: "Individuals move through all six stages in a
sequential fashion."
,The parents of an 8-year-old child tell the nurse that they are concerned about the child because the
child seems to be more attentive to friends than anyone else. Which is the appropriate nursing
response? - Answer: "At this age, the child is developing his or her own personality."
The nurse is providing instructions to a new parent regarding the psychosocial development of the
infant. Using Erikson's psychosocial development theory, which instruction should the nurse reinforce to
the parents? - Answer: Allow the infant to signal a need.
The parent of a 3-year-old tells the nurse that the child is constantly rebelling and having temper
tantrums. Which instruction should the nurse reinforce to the parent? - Answer: Set limits on the child's
behavior.
The nurse determines a child is in the "preoperational" phase of Piaget's cognitive developmental theory
when the child makes which statement? - Answer: "The moon follows me, and goes to bed when I go to
bed".
The nursing student is preparing a conference on Freud's psychosexual stages of development,
specifically the anal stage. Which appropriately relates to this stage? - Answer: Beginning of toilet
training
When the nurse is collecting data from the older adult, which findings should be considered normal
physiological changes? Select all that apply. - Answer: Decline in visual acuity
Increased susceptibility to urinary tract infections
Increased incidence of awakening after sleep onset
The nurse is providing an education class to healthy older adults. Which exercise will bestpromote
health maintenance? - Answer: Walking three to five times a week for 30 minutes
A couple comes to the family planning clinic and asks about sterilization procedures. Which question by
the nurse helps determine whether this method of family planning is appropriate? - Answer: "Do you
plan to have any other children?"
, The client arrives at the prenatal clinic for her first prenatal assessment. The client tells the nurse that
the first day of her last menstrual period (LMP) was October 20, 2019. Using Nägele's rule, the nurse
determines the estimated date of birth is which date? - Answer: July 27, 2020
A pregnant client asks the nurse in the clinic when she will be able to start feeling the fetus move. The
nurse responds by telling the mother that fetal movements will be noted between which weeks of
gestation? - Answer: 16 and 20 weeks' gestation
The nurse is collecting data from a client who is pregnant with twins. The client has a healthy 5-year-old
child who was delivered at 38 weeks, and she tells the nurse that she does not have a history of any type
of abortion or fetal demise. The nurse should document which as the GTPAL for this client? - Answer: G
= 2, T = 1, P = 0, A = 0, L = 1
The nurse is reviewing the record of a client who has just been told that her pregnancy test is positive.
The nurse notes that the health care provider has documented the presence of Goodell's sign. The nurse
determines that this sign is indicative of which change that occurs with pregnancy? - Answer: A
softening of the cervix
The nurse is collecting data from a pregnant client who is currently at 28 weeks' gestation. At her prior
prenatal visit, her fundal height measured 22 cm. The nurse measures the fundal height at this visit in
centimeters and should expect which finding? - Answer: 26 cm
A pregnant client is seen in the health care clinic for a regular prenatal visit. The client tells the nurse
that she is experiencing irregular contractions. The nurse determines that the client is experiencing
Braxton Hicks contractions. Based on this finding, which nursing action is appropriate? - Answer: Tell the
client that these are common and they may occur throughout the pregnancy.
The nurse is checking a client's record for probable signs of pregnancy. Which are the probable signs of
pregnancy that the nurse should note? Select all that apply. - Answer: Ballottement
Chadwick's sign
Uterine enlargement
Maintenance Health Promotion
COMPLETE REVISION QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY
GRADED A+
A client with diabetes mellitus has a glycosylated hemoglobin A1c level of 9%. On the basis of this test
result, the nurse plans to reinforce teaching the client about the need for which measure? - Answer:
Preventing and recognizing hyperglycemia
The nurse is assisting to perform a focused data collection process on a client who is complaining of
symptoms of a cold, a cough, and lung congestion. Which should the nurse include for this type of data
collection? Select all that apply. - Answer: Listening to lung sounds
Obtaining the client's temperature
Obtaining information about the client's respirations
The nurse is reinforcing instructions for a client in how to perform a testicular self-examination (TSE).
Which instructions should the nurse include? Select all that apply. - Answer: Perform TSE after a shower
or bath.
Perform TSE on the same day each month.
Perform TSE by rolling each testicle between the thumb and fingers.
Which statement by a nursing student about Kohlberg's theory of moral development indicates the
need for further teaching about the theory? - Answer: "Individuals move through all six stages in a
sequential fashion."
,The parents of an 8-year-old child tell the nurse that they are concerned about the child because the
child seems to be more attentive to friends than anyone else. Which is the appropriate nursing
response? - Answer: "At this age, the child is developing his or her own personality."
The nurse is providing instructions to a new parent regarding the psychosocial development of the
infant. Using Erikson's psychosocial development theory, which instruction should the nurse reinforce to
the parents? - Answer: Allow the infant to signal a need.
The parent of a 3-year-old tells the nurse that the child is constantly rebelling and having temper
tantrums. Which instruction should the nurse reinforce to the parent? - Answer: Set limits on the child's
behavior.
The nurse determines a child is in the "preoperational" phase of Piaget's cognitive developmental theory
when the child makes which statement? - Answer: "The moon follows me, and goes to bed when I go to
bed".
The nursing student is preparing a conference on Freud's psychosexual stages of development,
specifically the anal stage. Which appropriately relates to this stage? - Answer: Beginning of toilet
training
When the nurse is collecting data from the older adult, which findings should be considered normal
physiological changes? Select all that apply. - Answer: Decline in visual acuity
Increased susceptibility to urinary tract infections
Increased incidence of awakening after sleep onset
The nurse is providing an education class to healthy older adults. Which exercise will bestpromote
health maintenance? - Answer: Walking three to five times a week for 30 minutes
A couple comes to the family planning clinic and asks about sterilization procedures. Which question by
the nurse helps determine whether this method of family planning is appropriate? - Answer: "Do you
plan to have any other children?"
, The client arrives at the prenatal clinic for her first prenatal assessment. The client tells the nurse that
the first day of her last menstrual period (LMP) was October 20, 2019. Using Nägele's rule, the nurse
determines the estimated date of birth is which date? - Answer: July 27, 2020
A pregnant client asks the nurse in the clinic when she will be able to start feeling the fetus move. The
nurse responds by telling the mother that fetal movements will be noted between which weeks of
gestation? - Answer: 16 and 20 weeks' gestation
The nurse is collecting data from a client who is pregnant with twins. The client has a healthy 5-year-old
child who was delivered at 38 weeks, and she tells the nurse that she does not have a history of any type
of abortion or fetal demise. The nurse should document which as the GTPAL for this client? - Answer: G
= 2, T = 1, P = 0, A = 0, L = 1
The nurse is reviewing the record of a client who has just been told that her pregnancy test is positive.
The nurse notes that the health care provider has documented the presence of Goodell's sign. The nurse
determines that this sign is indicative of which change that occurs with pregnancy? - Answer: A
softening of the cervix
The nurse is collecting data from a pregnant client who is currently at 28 weeks' gestation. At her prior
prenatal visit, her fundal height measured 22 cm. The nurse measures the fundal height at this visit in
centimeters and should expect which finding? - Answer: 26 cm
A pregnant client is seen in the health care clinic for a regular prenatal visit. The client tells the nurse
that she is experiencing irregular contractions. The nurse determines that the client is experiencing
Braxton Hicks contractions. Based on this finding, which nursing action is appropriate? - Answer: Tell the
client that these are common and they may occur throughout the pregnancy.
The nurse is checking a client's record for probable signs of pregnancy. Which are the probable signs of
pregnancy that the nurse should note? Select all that apply. - Answer: Ballottement
Chadwick's sign
Uterine enlargement
