NCLEX-RN: Health Promotion and
Maintenance Practice Health
Promotion COMPLETE REVISION
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+
A patient with emphysema reported that she smoked 5 cigarettes per day for 24 years. How should the
healthcare provider document this smoking habit in terms of pack-years?
A. 4 pack-years
B. 6 pack-years
C. 10 pack-years
D. 12 pack-years - Answer: B. 6 pack-years
A pack contains 20 cigarettes. Calculate pack years by multiplying the number of packs of cigarettes
smoked per day by the number of years the person has smoked. For example, one pack-year is equal to
smoking 20 cigarettes (1 pack) per day for 1 year. 5 cigarettes is ¼ pack. ¼ x 24 = 6 pack-years.
A nurse is creating a checklist for an elderly male who is learning to do self-catherization. Which
principle is most appropriate for the directions?
A. use short words and simple instructions
B. print material in a colorful, eye-catching font
C. write at a high school reading level
D. include a chart or diagram - Answer: A. use short words and simple instructions
Information and instructions should be as simple as possible. Avoid medical jargon and aim for a fifth-
grade reading level. Formatting should be large, but colors or fancy fonts can lead to confusion. Charts
or diagrams may also complicate the issue.
, A high school student is experiencing long-term rehabilitation following paralysis due to a severe car
accident. According to Erikson's stages of psychosocial development, which intervention is most
appropriate?
A. Encourage parents to assist with missed homework and studies
B. Restrict visitors to evening hours to allow time for school subjects and therapy
C. Request the hospital chaplain to stop by
D. Encourage friends to visit at the hospital - Answer: D. Encourage friends to visit at the hospital
According to Erikson's stages of development, the most significant social relationships among
adolescents are their peers. Parents and adults have influence, but friends, social groups, and societal
trends help shape identity and create assurance. The support of friends and peers is most important
during these critical times.
A young woman uses a home pregnancy test and receives a positive result. Which hormone is the
biological marker on which the home pregnancy test is based?
A. estrogen
B. human chorionic gonadotropin
C. alpha-fetoprotein
D. progesterone - Answer: B. human chorionic gonadotropin
Human chorionic gonadotropin (HCG) is the biologic marker on which pregnancy tests are based. The
only hormone produced during pregnancy, HGC is made by the developing placenta. Levels rise rapidly
in the blood and urine during the first trimester. Reliability is about 98%, but the test does not positively
confirm pregnancy.
A 12-year-old girl is receiving a scoliosis screening from her school nurse. Which of the following signs
could indicate scoliosis?
For this question, select all that apply.
A. prominent shoulder blade
B. uneven hips
C. balanced waist angles
D. unequal rib heights - Answer: A. prominent shoulder blade
Maintenance Practice Health
Promotion COMPLETE REVISION
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+
A patient with emphysema reported that she smoked 5 cigarettes per day for 24 years. How should the
healthcare provider document this smoking habit in terms of pack-years?
A. 4 pack-years
B. 6 pack-years
C. 10 pack-years
D. 12 pack-years - Answer: B. 6 pack-years
A pack contains 20 cigarettes. Calculate pack years by multiplying the number of packs of cigarettes
smoked per day by the number of years the person has smoked. For example, one pack-year is equal to
smoking 20 cigarettes (1 pack) per day for 1 year. 5 cigarettes is ¼ pack. ¼ x 24 = 6 pack-years.
A nurse is creating a checklist for an elderly male who is learning to do self-catherization. Which
principle is most appropriate for the directions?
A. use short words and simple instructions
B. print material in a colorful, eye-catching font
C. write at a high school reading level
D. include a chart or diagram - Answer: A. use short words and simple instructions
Information and instructions should be as simple as possible. Avoid medical jargon and aim for a fifth-
grade reading level. Formatting should be large, but colors or fancy fonts can lead to confusion. Charts
or diagrams may also complicate the issue.
, A high school student is experiencing long-term rehabilitation following paralysis due to a severe car
accident. According to Erikson's stages of psychosocial development, which intervention is most
appropriate?
A. Encourage parents to assist with missed homework and studies
B. Restrict visitors to evening hours to allow time for school subjects and therapy
C. Request the hospital chaplain to stop by
D. Encourage friends to visit at the hospital - Answer: D. Encourage friends to visit at the hospital
According to Erikson's stages of development, the most significant social relationships among
adolescents are their peers. Parents and adults have influence, but friends, social groups, and societal
trends help shape identity and create assurance. The support of friends and peers is most important
during these critical times.
A young woman uses a home pregnancy test and receives a positive result. Which hormone is the
biological marker on which the home pregnancy test is based?
A. estrogen
B. human chorionic gonadotropin
C. alpha-fetoprotein
D. progesterone - Answer: B. human chorionic gonadotropin
Human chorionic gonadotropin (HCG) is the biologic marker on which pregnancy tests are based. The
only hormone produced during pregnancy, HGC is made by the developing placenta. Levels rise rapidly
in the blood and urine during the first trimester. Reliability is about 98%, but the test does not positively
confirm pregnancy.
A 12-year-old girl is receiving a scoliosis screening from her school nurse. Which of the following signs
could indicate scoliosis?
For this question, select all that apply.
A. prominent shoulder blade
B. uneven hips
C. balanced waist angles
D. unequal rib heights - Answer: A. prominent shoulder blade
