Health Promotion and Maintenance

Note: These questions include ones similar to alternative format questions as seen on the NCLEX-RN exam.

A nurse is working in a pregnancy crisis center. A 15-year-old girl comes into the center and requests a pregnancy test. Her test results are positive. To tell her when her baby is due, the nurse will need to know which of these things?

A 31-year-old woman presents to the clinic for pregnancy counseling. The nurse takes her medical history and learns that she is currently under orthopedic care for a torn labrum in her right hip. She has a history of gastric ulcers. Her medications include a multivitamin, vitamin C, ibuprofen, and Cytotec prescribed by her orthopedist. Which of these topics would be the nurse’s highest priority in communication with this patient?

Which of these statements regarding RhoGAM injections is correct?

A 26-year-old primigravida mother presents for her prenatal care visit at 24 weeks. She states that she has been feeling well. The nurse notes that the mother has gained 30 pounds since her first prenatal visit at 8 weeks, at which she had a normal weight. The nurse counsels the mother on which of these possible complications related to excess weight gain during pregnancy? Select all that apply.

A. Increased risk for stress fractures
B. Increased risk for developing hypertension
C. Increased risk for preeclampsia
D. Increased risk for developing Type II Diabetes
E. Increased risk for premature birth

A nurse working in an obstetrics practice returns from her lunch break and finds four new phone messages for which she must return calls. Out of these four, which one is the highest acuity?

A newborn infant is having her first neonatal assessment. Her cry is strong, her pulse is 130 bpm, her respiration effort is normal, she has good muscle tone, and her trunk and proximal extremities are pink, but her hands and feet are blue. What would this infant’s APGAR score be?

A first-time mom brings in her 1-year-old for his well child visit. The nurse asks about his age-appropriate developmental milestones. Which of her answers would be a red flag that there is a developmental delay?

Which of these age groups is incorrectly matched with its developmental needs?

According to Eric Erikson’s theory of psychosocial development, which of these is the major conflict that needs to be resolved for adults age 35 to 64?

A nurse is counseling an obese patient on the importance of weight loss. The patient is a 52-year-old African-American male whose body mass index (BMI) is 38. He has hypertension, hypercholesterolemia, and type II diabetes. Which of these is the correct advice for the nurse to give this patient?

A nurse is giving a presentation about the benefits of exercise on overall health. Which of these statements about exercise should the nurse include in her presentation? “Exercise ____.”
Select all that apply.

A. decreases the risk for osteoporosis
B. improves cardiovascular and respiratory function
C. increases metabolic rate and assists in weight management
D. decreases the need for sleep
E. decreases mobility

A 25-year-old female with a normal menstrual cycle presents for her annual pap smear and breast exam. She has no positive family history of breast cancer. The nurse is counseling the patient on when to do her own breast self-examination (BSE). Which of these should she tell the patient?

A 57-year-old woman presents for evaluation of worsening hot flashes. She states that her menstrual cycles have become more irregular over the past year. She wants to know if she is a candidate for hormone replacement therapy (HRT), but she is concerned about any potential risks associated with taking it. The nurse should communicate this information to the patient:

A nurse is working at a high school health fair. She speaks to an 18-year-old male who is about to go to college and live in the dormitory. He states that he gets his annual flu shot, but other than that, he hasn’t had any vaccinations in several years. Which of these vaccinations should the nurse discuss with this patient?

A nurse is conducting a home visit for a program that monitors at-risk children. Her patient is a 2-year-old female who appears to be in good health. The mother asks when her daughter will need dental care. Which of these is the correct answer to this question?

A nurse enters a contract to work at a community health center. When evaluating clients for hypertension, the nurse understands which of the following clients is at the highest risk?

A nurse is reviewing laboratory results for a 45-year-old male patient’s annual exam. She needs to alert the provider with any abnormal results. Using her knowledge of the recommended levels for a fasting lipid profile, which of these results should she report?

A nurse is examining an elderly patient who presents to the emergency department complaining of shortness of breath. The nurse notes a displaced point of maximal impulse (PMI) and a cardiac thrill. Which examination technique is the nurse using?

A patient with a 3-day history of worsening fever, productive cough, and fatigue comes to the office for evaluation. The nurse would most likely expect to hear which of the following on her chest examination?

A 65-year-old Hispanic male has just been diagnosed with type II diabetes mellitus. He and his daughter are speaking with the nurse in an exam room about his new diagnosis, his medication regimen, and some dietary modifications that he needs to implement. The patient uses a walker to move around, but his daughter says he prefers a cane at home. He speaks in Spanish to his daughter, but she speaks English and Spanish. He seems to follow along well and at the end of the visit, he states that he would like to get better. Given this scenario, which of the following is most likely to be a barrier for this patient’s adherence to the nurse’s instructions?