NCLEX Questions: Health Promotion And Maintenance Practice Paper!
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- 1.What equipment would be necessary to complete an evaluation of cranial nerves 9 and 10 during a physical assessment?
- A.
A cotton ball
- B.
A pen light
- C.
An ophthalmoscope
- D.
A tongue depressor and flashlight
- 2.Which technique would be best in caring for a client following receiving a diagnosis of a state IV tumor in the brain?
- A.
Offering the client pamphlets on support groups for brain cancer
- B.
Asking the client if there is anything he or his family needs
- C.
Reminding the client that advances in technology are occurring everyday
- D.
Providing accurate information about the disease and treatment options
- 3.An 8.5 lb, 6 oz infant is delivered to a diabetic mother. Which nursing intervention would be implemented when the neonate becomes jittery and lethargic?
- A.
Administer insulin
- B.
Administer oxygen
- C.
Feed the infant glucose water (10%)
- D.
Place infant in a warmer
- 4.What question would be most important to ask a male client who is in for a digital rectal examination?
- A.
“Have you noticed a change in the force of the urinary system?”
- B.
“Have you noticed a change in tolerance of certain foods in your diet?”
- C.
“Do you notice polyuria in the AM?”
- D.
“Do you notice any burning with urination or any odor to the urine?”
- 5.The nurse assesses a prolonged late deceleration of the fetal heart rate while the client is receiving oxytocin (Pitocin) IV to stimulate labor. The priority nursing intervention would be to:
- A.
Turn off the infusion
- B.
Turn the client to the left
- C.
Change the fluid to Ringer’s Lactate
- D.
Increase mainline IV rate
- 6.Which nursing approach would be most appropriate to use while administering an oral medication to a 4 month old?
- A.
Place medication in 45cc of formula
- B.
Place medication in an empty nipple
- C.
Place medication in a full bottle of formula
- D.
Place in supine position. Administer medication using a plastic syringe
- 7.Which nursing intervention would be a priority during the care of a 2 month old after surgery?
- A.
Minimize stimuli for the infant
- B.
Restrain all extremities
- C.
Encourage stroking of the infant
- D.
Demonstrate to the mother how she can assist with her infant’s care.
- 8.While performing a physical examination on a newborn, which assessment should be reported to the physician?
- A.
Head circumference of 40 cm
- B.
Chest circumference of 32 cm
- C.
Acrocyanosis and edema of the scalp
- D.
Heart rate of 160 and respirations of 40
- 9.Which action by the mother of a preschooler would indicate a disturbed family interaction?
- A.
Tells her child that if he does not sit down and shut up she will leave him there.
- B.
Explains that the injection will burn like abee sting.
- C.
Ells her child that the injection can be given while he’s in her lap
- D.
Reassures child that it is acceptable to cry.
- 10.During the history, which information from a 21 year old client would indicate a risk for development of testicular cancer?
- A.
Genital Herpes
- B.
Hydrocele
- C.
Measles
- D.
Undescended testicle
- 11.While caring for a client, the nurse notes a pulsating mass in the client’s periumbilical area. Which of the following assessments is appropriate for the nurse to perform?
- A.
Measure the length of the mass
- B.
Auscultate the mass
- C.
Percuss the mass
- D.
Palpate the mass
- 12.When observing 4 year-old children playing in the hospital playroom, what activity would the nurse expect to see the children participating in?
- A.
Competitive board games with older children
- B.
Playing with their own toys along side with other children
- C.
Playing alone with hand held computer games
- D.
Playing cooperatively with other preschoolers
- 13.The nurse is teaching the parents of a 3 month-old infant about nutrition. What is the main source of fluids for an infant until about 12 months of age?
- A.
Formula or breast milk
- B.
Dilute nonfat dry milk
- C.
Warmed fruit juice
- D.
Fluoridated tap water
- 14.While the nurse is administering medications to a client, the client states “I do not want to take that medicine today.” Which of the following responses by the nurse would be best?
- A.
“That’s OK, its all right to skip your medication now and then.”
- B.
“I will have to call your doctor and report this.”
- C.
“Is there a reason why you don’t want to take your medicine?”
- D.
“Do you understand the consequences of refusing your prescribed treatment?”
- 15.The nurse is assessing a 4 month-old infant. Which motor skill would the nurse anticipate finding?
- A.
Hold a rattle
- B.
Bang two blocks
- C.
Drink from a cup
- D.
Wave “bye-bye”
- 16.The nurse should recognize that all of the following physical changes of the head and face are associated with the aging client except:
- A.
Pronounced wrinkles on the face.
- B.
Decreased size of the nose and ears.
- C.
Increased growth of facial hair.
- D.
Neck wrinkles.
- 17.All of the following characteristics would indicate to the nurse that an elder client might experience undesirable effects of medicines except:
- A.
Increased oxidative enzyme levels.
- B.
Alcohol taken with medication.
- C.
Medications containing magnesium.
- D.
Decreased serum albumin
- 18.When assessing a newborn whose mother consumed alcohol during the pregnancy, the nurse would assess for which of these clinical manifestations?
- A.
Wide-spaced eyes, smooth filtrum, flattened nose
- B.
Strong tongue thrust, short palpebral fissures, simean crease
- C.
Negative Babinski sign, hyperreflexia, deafness
- D.
Shortened limbs, increased jitteriness, constant sucking
- 19.Which of these statements, when made by the nurse, is most effective when communicating with a 4-year-old?
- A.
“Tell me where you hurt.”
- B.
“Other children like having their blood pressure taken.”
- C.
“This will be like having a little stick in your arm.”
- D.
“Anything you tell me is confidential.”
- 20.A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove a set of dentures prior to leaving the unit for the operating room. What would be the most appropriate intervention by the nurse?
- A.
Explain to the client that the dentures must come out as they may get lost or broken in the operating room
- B.
Ask the client if there are second thoughts about having the procedure
- C.
Notify the anesthesia department and the surgeon of the client’s refusal
- D.
Ask the client if the preference would be to remove the dentures in the operating room receiving area
- 21.The nurse is assessing a client who states her last menstrual period was March 17, and she has missed one period. She reports episodes of nausea and vomiting. Pregancy is confirmed by a urine test. What will the nurse calculate as the estimated date of delivery (EDD)?
- A.
November 8
- B.
May 15
- C.
February 21
- D.
December 24
- 22.The family of a 6 year-old with a fractured femur asks the nurse if the child’s height will be affected by the injury. Which statement is true concerning long bone fractures in children?
- A.
Growth problems will occur if the fracture involves the periosteum
- B.
Piphyseal fractures often interrupt a child’s normal growth pattern
- C.
Children usually heal very quickly, so growth problems are rare
- D.
Adequate blood supply to the bone prevents growth delay after fractures
- 23.A client is admitted to the hospital with a history of confusion. The client has difficulty remembering recent events and becomes disoriented when away from home. Which statement would provide the bestreality orientation for this client?
- A.
“Good morning. Do you remember where you are?”
- B.
“Hello. My name is Elaine Jones and I am your nurse for today.”
- C.
"How are you today? Remember, you’re in the hospital.”
- D.
“Good morning. You’re in the hospital. I am your nurse Elaine Jones.”
- 24.When a client wishes to improve the appearance of their eyes by removing excess skin from the face and neck, the nurse should provide teaching regarding which of the following procedures?
- A.
Dermabrasion
- B.
Rhinoplasty
- C.
Blepharoplasty
- D.
Rhytidectomy
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